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Home My WebLink About2015-00687 - roofing CITY OF ORONO * Z 0 1 5 - 0 0 6 8 7 * 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2015 '" ORONO, MN 55356- � 9 2 249-460 FAX: 9 2 24 -4616 ADDRESS : 2465 SHADYWOOD RD PIN : 20-117-23-11-0031 LEGAL DESC : ORONO HILLS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 3,500.00 NOTE: VALUATION OF PERMIT: $3,500.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLI ANT PERMIT FEE SCHEDULE 108.42 STATE SURCHARGE(VALUATION) 1.75 SELA ROOFING& REMODELING, INC. TOTAL 110.17 4100 EXCESIOR BLVD Payment(s) ST. LOUIS PARK, MN 55416- CHECK 35804 110.17 (952)915-7227 Minnesota State License#: BUIL-BC1050 OWNER DELANEY, DANA 2465 SHADYWOOD RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separat permits. All provisions of laws and ordinances goveming this type of wo shall be compied with whether or not specified herein.This permit will eapire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commence The applicant is responsible for assuring all required inspections aze ` requested in conformance with the State Building Code.This permit may e /`/� revoked at any time for d caus . �� • � � ��,�,f �� ,� ►� .�, �� I A plica itee S� nature Date Issued By Signature Date City of Orono :�uilding Permit Application for Maintenance / Replacement / Remodel ' (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �T Mailing Address: �" -- ��j VO PO Box 66 Permit number: ��-d J � � �� Crystal Bay, MN 55323-0066 Date received: � � _� .� Sfreet Address: Received by: y�, Gfi 2750 Kelley Parkway Plan review fee: �-'"' � Orono, MN 55356 � 9kE5 H 0�� Total Fee: r Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �" �, ` U� This application form must be completed in full and all required information must be submitted. /�Cj� Incomplete applications will be returned. (Please print) l GENERAL INFORMATION: l� �I� �� G� � ,�C Job Site Address � Will this be a Parade of Homes, Remodelers Showc e ome or other Display Home? ❑Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus e will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitfed events will not be allowed. CONTRACTOR/APse1 ANT I�FO�ATION: Name: �� State License# �bp`�� Expiration Date: 3'3I I )� Lead Certification Number: N fj�2�7J �2 Expiration Date: �.�� (for work on homes that were constructed prior fo 1978 Phone: -(r,� G�VJZ • Gj, -'� (office) �� , ' ��'(.P Mailing Address: ol/ City: 6},� �,t,�s yK ZIP:��jt�.l(� Contact Person: ��((, Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: �-Z.Gr22. PROPERTY OWNER INFORMATION: ( Name: ��,L�C-�I ��, � I��vl Phone(day): - - Address: 7 '�' �� City: �,� .�� C r ZIP: �,� � Email and/or Fax: PROJECT INFORMATION: Overall project description:�—Q�� '� �� UT ��V�t,r Type of Project: Any earth movement may also req ' e � oor(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Re-roof,as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑Storm Damage ❑ Re-roof,cedar 18202 Minnetonka Blvd ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) w nehahacreek.or Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which gen rally cannot be given to the public but can be given to the subject of the data. � � � rpose an intended use of this inf e ann al p ate our records and records of other governmental agencies required by law. If ou refuse to sup l e i rma the lica n ot be issued. ApplicanYs Signature: Date: �v ' � Owner's Signature: Date: Last Updated:January 2015 ( � DATE TI AF �'CITY OF ORONO CALLED IN INSPECTION NOTIC�. -7 SCHEDULED �S l.�� PERMIT NO. G��S"��8 / MPLETED ADDRESS � S �� OWNER ELE ONE NO. ' JS 7-24 � CONTRACTOR � � DESCRIPTION �� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � '�IAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � /� 1 �^ a 0'�GTict�G t � � lC� `� tJlG�G✓ t rqp-i_ oGt•t�i�I� G wL� 5.�� ' �. � o - �L. � ,/►'tl�S• r'_`r<�"�,��. �l�cSl!�'y c " Q �' /j � �G f/t.t�f"i•l�tita-ti �✓o v�d�� ' � /'vl.�/(�t �✓P << CP- d ✓l�� t.� 76r 2 � W1��4 L ��sfr�•,�� a✓�s✓ t�e� .S�s�l��" � C 'fi r �I� � J � ..�. . W ❑WORK SATISFACTORY:PROCEED CT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice