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Home My WebLink About2015-01263 - roofing CITY OF ORONO * 2 0 1 5 - 0 1 2 6 3 * " � � 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2523 KELLY AVE PIN : 20-117-23-12-0039 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 62,230.00 NOTE: VALUATION OF PERMIT:$62,230.00 CEDAR ROOF ROOFING PERMITS ISSUED 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 FINAL 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. APPLICANT PERMIT FEE SCHEDULE 818.28 STATE SURCHARGE(VALUATION) 31.12 HOME EXTERIORS INC TOTAL 849.40 7950 CO RD 26 MAPLE PLAIN,MN 55359- Payment(s) (612)270-2142 CHECK 10142 849.40 Minnesota State License#:BUIL-BC 2031530 OWNER SACHS,BEN 2523 KELLY AVE 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be cdmpied 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 responsibl for assuring all required inspections are requested in co w th the State Building Code.This peanit may be oked time e ause. �� '�z � �5 Applicant Permitee Signature Date Issued By ature Date City of Orono ` Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O Mailing Address: Permit number: — � � PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: �� Street Address: Received by: y � � G� 2750 Kelley Parkway Plan review fee: t �, Orono, MN 55356 �KfSH�� 4�^, ,/� Total Fee: �� y-�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � r �� This application form must be completed in full and all required information must be submitted. Incomplete ap lica ions will be returned. (Please print) GENERAL INFORMATION: -- � � I , �1 v � Job Site Address: � � Will this be a Parade of Homes, Remodelers Showc se Home 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A LICANT INF TION: Name: uln� � ��Qlr� �V S State License# - v � � Expiration Date: Lead Certification Number: p"3 -- � Expiration Date: (for work on homes fhat were construcfed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER ORMATIO Name: s� � �� L� � Phone (day): Address: `3 � � ��, `. ��ty:G�v i� �� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ e-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq 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 generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the 'nform 'on t a lication ma not be issued. Applicant's Signature: � � Date: o� ( Owner's Signature: Date: Last Updated:January 2015 � • � . � p�E T�I;'�� ,� CITY OF ORONO CALLED IN =�%�s _,��yr , INSPECTION NpT� Z �SCHEDULED '� � �� PERMIT NQa��O COM LETED ADDf�ESS OWNER TEtE HONE NO.��-��"�� CONTRACTOR _ � �� " O _ � DESCRIPTION V �� 4~j ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � � /'I�IP_c�iu•+� let >.S�t�vs � j o < _ � /t3�r �[��c� k.e�� G::�i+� �O J W � Q � 2 � W � J W��IIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑COHRECT WORK CALL FOR HEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 tmurs in advance. (952 j 249-46�� OwnerlContractor on site: Inspector: �`" White CopyAnapecM�'s Flle Cenary CopylSke Notice . �01963,1998, 2' � -��'° 002 � � .� f`� `�I-SPLIT , C� �� ; NIJ;MBER GRADE Handsplit Red Cedar Shakes ,. CEDAR SHAKE & SHINGLE BUREAU THE RECOGNIZED AUTHORI�X SINCE 1915 SU141AS,WASHINGTON (6Qd)820-7700 I ' � ' ' � ,, �� , , CONfORMS WiTH .j��, Qualit bAudited ��_�� Y � �� S Intertek CSA0118J•97&UBC 15•3 '� A I�a�t�t<,is, �'691 Cedar Shake& Shingle Bureau '„ES EVALUATION REF��.)RT � �;��-2573 050751 IMPACI A�ESWIND PE RC�'27 Class 3 ,rh�lr (''nada www.cedarbureau.org Made In Canada ��aat L�k� Forest � �� tacfu�:ts RR #3 WE��1��voo� F�� u. Powell River, B.C. �'8A 5C1 TeL (604) 487-4266 7 20454 00002 $ Fax: (604) 487-4432 email: goatlake@shaw.ca �� L�;,Of:l��' ��lCt�� [� ��[��-��LG.� �� G�CLL l� PACKING VI E D 1 U M R E SAW S oo sq n(9.30Rm2) 2411 v j/A�� BUNDLES EXPOSURE A � 5 10"(254 mm) (610.0 mm X 13.0 mm) �c� / �� , DATE TIM� CITY OF ORONO CALLED IN s�� INSPECTION NOTICE SCHEDULED PERMIT NO.�1`.��bl Z�C�COMPLETED ADDRESS 2�Z� OWNER TELEPHONE . `e L�� b� �- CONTRACTOR � DESCRIPTION ' �� / 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ��dDIAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOH TO MEET YOU:_YES_NO � l ,� � � COMMENTS: � � � "" °` .7 � � J O n . �^ �' /I'<<I v t b ¢. ,p�G�'i 4✓c�s O 7 /CG 1f Q�¢lVe r � —o O � �^ �1/a 25 CG�le.., �t-- ✓'Qo-T �i.C��ls�.rc G.� — W � Q � � ' � S` GqlC, �✓ t�+-'�frOtr.E�.t.-r� W � � d W O WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector. � �'�^� N White Copyllnspector's File Canary CopylSite Notice � �►� � DATE TIME CITY OF O�iON CALLED IN - � INSPECTION NOTICE SCHEDULED — PERMIT NO�S-��a� COMPLETED ADDRESS as %Z ��l�1 � •-P ,/ OWNER T LEPHONE NO�� 7�"�`��"—" . Ca'NT�iq�TOR �/�� Y'f.DI�S �� DESCRIPTION �«�'�� t~N ❑ 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 ��TION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ WATER HOOK-UP ❑ FOLLOW-UP 4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYYNERICONTRACTOR TO MEET YOU:_YES�NO y COMMENTS: � a tU6Gt✓�s c�-� �ce -� �..J sZ`c_r Ob� cS��/C � ). � � �d� � �/��S �D r�I.�IQ�'� - W � Q Z /'wt,v i v� � W � J � ❑4VORKSATISFACTORY:PROCEED �GdEeT'COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 24 hours in advance. (952) 249-4600 OMmer/Contractor on site: inspeator: �� "�' �� Whits CopyAnspecto�'s File Canary CopylSfte Notiee � 4 002 qn�, 2002 c01`.~� 1 *` � . LIT � ��T I SP NUMBER Q GRADE . .Handsplit Red Cedar Shakes CEDAR SHAKE & SHINGLE BUREAU SUMAS,W�H NGTON OR'(60A)820�900 � ,, � , � ,� � I � ,� � � � � � � CONFORMS WITH Qualiry Audited , �S S B�97 �� by CSA Oi'E.1•97&UBC 15•3 c � us Interte�. � intertek p'p''691 Cedar Shake& Shingle Bureau ICC ES EVALUATION REPORT IMPpCT AESISTANT UL 2218•Class 3 ESR`2573 050751 1,D.IWINDPERC•27 Litho in Canada www•cedarbureau.org Made In Canada � Goat Lake Forest I��1� Produc�$ ' �) RR #3 Ut'. � ,r✓��d Rd. , �;� I I � r ��. � 5�. � � � ,� , Powell Rive,87-4L6� - 7 '4;��u�iobz'�I 8 Tel: (604) 487 �432 Fax: (604) email: goatlake C�shaw•c� fI ��;� f��fr�� ( (�� t�� .��G��;�,� �j;��'�L�� ''U UL� L`LLI.L`�rLL�+Ir�t�LL�,�� ti� � ��Lt �y � PACKING .` M R�SAy�e MEDI 4„ X 1;�� (610A mm X 1��"'m�