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Home My WebLink About2015-01112 - roofing "` CITY OF ORONO * 2 0 1 5 - 0 1 1 1 z * 1 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 85 FERNDALE GREEN PIN : 36-118-23-44-0024 LEGAL DESC : ALLO-RAE TERRACE : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATIOI�I : $ 18,450.00 NOTE: VALUATION OF PERMIT: $18450.00 ROOFING PERMITS[SSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL[NSPECTION MAY NOT BE ISSUED. S[GNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DUR[NG THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 340.77 STATE SURCHARGE(VALUAT[ON) 9.23 SELA ROOFING&REMODELING, INC. TOTAL 350.00 4100 EXCESIOR BLVD Payment(s) ST. LOUIS PARK, MN 55416- CHECK 36256 350.00 (952)915-7227 Minnesota State License#: BUIL-BC 1050 OWNER POWERS,JOHN& ROXANNE 85 FERNDALE GREEN WAYZATA, MN 55391 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 Sta[e Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire 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 commenced. The applicant is responsible for assuring all required inspections are requested in confomiance with the State Building Code.This permit may be revoked at any time for due cause. � � // / /� nt Permitee Si ture Date Iss ed Signature Date . � � � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: � -Q� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �'� '�,5 .� � Street Address: Received by: �.�, G� 2750 Kelley Parkway Plan review fee: lqK�SH�� Orono, MN 55356 Total Fee: � �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ri�, �- Job Site Address: �CJ� � �,�. � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuitle bus s ic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I FORMATION: Name: Se�vi � � State License# �b(�`0� � Expiration Date: 3'a� � �-1 Lead Certification Number: N �Z,�j'D3 �2 Expiration Date: 4�� (for work on homes that were constructed prior to 1978 Phone: (z�� (��2 • Gi1 -') (office) �Q� . ' ��'(.P Mailing Address: ��/ City:6},� �,�,�5 yK ZIP: �,�j�.�,(D Contact Person: �Z((, Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: CjZ.G�22. PROPERTY OWNER IPj�ORMATION: Name: uC��j �� i � Phone (day): Z— I ^ � I Address: � � City ZIP: � Email and/or Fax: � �� n #� in „ (�, �t.�-�� PROJECT INFORMATION: Overall project description:T�QC�, � �-C�'V 1%�,�� V L V � t � �'��; � Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or Estimated Construction Valuation of Project (excluding land) $_ I �� . �, 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. . r rpose an intended use of this inf a ann al p ate our records and records of other governmental agencies required by law. If ou refuse to su I e i rma the lica n a ot be issued. ApplicanYs Signature: � Date: � 'J � Owner's Signature: Date: Last Updated:January 2015 � • DATE TIME CITY OF ORONO ��`��, CALLED IN INSPECTION TISiE SCHEDULED �� PERMIT NO.' � �� COMPLETED ADDRESS � �r�A- ��'� - - OWNER TELEPHONE N0.�3'�-- �"'��5 �� CONTRACTOR a �� DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q INAL ❑ WATEFi HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAI J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMEN7''S: � _ . 4 ^ /�/Ci�(,�✓c c � -� /Gc�� k14.L�✓ ��'O Ertt�%+�.-., � O ��dLl(b C� � . - � � /4�,� vG��a�.., a ro c�cr,�� ° k� ��s�i \ � � - ►'�c �-i� o st .�K.f�s, G��...�.ei!� W � Q 2 (,tJO�bC C°�r►�.��r�`'c-i cl�.Oz�✓}'-�S W � W aC , W ❑WORKSATISFACTORY:PROCEED �QJECT COMPLEfE � ❑CORHECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CO�VERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR NfILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwneHContractor on site: Inspector. W" Whits CopyAnapecto�'s Flle Cenary CopyfSfta Notice