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Home My WebLink About2015-00494 - roofing CITY OF ORONO * Z p� 1 5 — 0 0 4 9 4 * *�. 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2015 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3675 NORTH SHORE DR PIN : 08-117-23-34-0052 LEGAL DESC : CRYSTAL BEACH : LOT 004 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATIOI�T : $ 5,020.00 NOTE: VALUATION OF PERMIT:$5,020.00 (REMOVE&REPLACE SH[NGLES ON DWELLING&SHED) 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 FMAL 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 139.40 STATE SURCHARGE(VALUATION) 2.51 REROOF AMERICA CORP. TOTAL 141.91 10740 LYNDALE AVENUE S Payment(s) BLOOMINGTON,MN 55420- CREDIT CARD 9702 141.91 (952)888-8440 Minnesota State License#: BUIL-BC637481 OWNER PLACHECKI ET AL,FRANK&MELISSA 3675 NORTH SHORE DR 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 State Building Code. This permit is for only the work described and does 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 compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is no[ 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 conformance with[he State Building Code.This permit may be revo ed at a fo due cause. � ') 4 '-� -� � J�.�l_. -�V�(.�-n � i ��i �f e A licant Permitee Signatur Date Issued By Sig ature Date . � City of 4rono - Building Permit Application for Maintenance / Replacement / R�model �i.�. i , �r , � � , r �r� �� tc, — ��` �. I } A> Maili»g Address: �''��Y� PO Box 86 Permitnumber: Crystal Bay, MN 55323-0066 bate receiverl: :✓C� Street Address: Received by: ��, � 2750 Kelley Parkway Plan teview fee: �' Orono, MN 55356 t��5 t3p�`� T�,F�: � y t . �r Main: 952-249-46� Fax: 952-249�4616 www.ci.wono.mn:us This appiication form must be compieted in fuli and all required infonnation must be submitted. Incomplete apptications will be returned. (P/ease prrnf} GEMERAL INFORMATION: Job Site Address: 3675 Narthshore Dr: Orono MN 55391 Wilt this be a Parade of Homes, Remodeters Showcase Home or other Display Home? Yes No !f yes,a special event pe�mit is requirBd wid►Police Deparhnent and City Couaci!approva!60 days prior to the event ShutHa bus service w/N be �quired unless app%rcant derrrrRonsfrates sulilcterrt on�ite pa�lcirrg is available. Non permitted events wii!not be apowed. CONTRACTOR/APPLICANT INFORMATION: Name: Reroof America Contractors MN State License# BG637481 F�cpiration Date: Q3131116 �ead Certification Number. NAT-1 Q292$-1 E�tpiration Date: Q2/26l16 (for work on homes that were canstructed pr�or to 1978 Phone: (celt) (of�ice) 952-88$-$440 Mailing Address: _10740 LVndale Ave. S. #10W ��ri= Bloomin�tan Z�P� 55420 Contact Person: Applicant is: XContractor / Homeowner tcir��a,e� Email andior Fax: �,��Q��reroafamerica com -fax#• 9�2-$,88-8414 PRt?PERTY OWNER INFORMATION: Name: Melissa Plachecki Phone(day}: �i12-806-5872 Address: 3�g5 Nc� hahor ' Dr ��xY� Orono Z�P: 55391 Email and/or Fax: ' " PROJECT INFORMATION. Overal► ra'ect descri t�on: Remove and re lace shin les on dweltin &shed Type of Project: Any earth movement may also requlre ❑Doar(s) ❑Remodel ❑Fire Damage MCWD review 8 permits: �Re-roof,asphalt ❑Repair ❑Storm Damage �innehaha Creek Watershed Distric!(MCWQ) ❑ Re-roof,cedar 18202 Minnetonka Blvd ❑Restaration ❑Water Damage Deephaven, MN 55351 ❑ Re-roof,ather(specity) ❑Siding ❑Other. (speafy} F'hone: 952-471-0590 Fax: 952-471-0682 ❑Wictdow(sj www.minnehahacreek.om Estimated Construction Valuation of Project(excludi�g land) $5 20.00 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Suilding Department; • Certifies that the information supplied is true and correct to the best of hisfher knowdedge. The applicant recognizes that they are solely respansible for submitting a complete application being aware that upon failure to do so, the staff has no altemative but to rejed it un61 it is complete; • 8ome a' all of the infotmation that you are asked to provide on this application is dassified by State law�s either private or confidential. Private data is infarmation which generally cannot t�given to the public but can be given to the subject af the data. Confidential data is infarmation which generally cannot be given to either the public or the subjed of ttte data. Our purpase and intended use of this informat' n is to annually update our records and records of other govemmental agencies required by iaw. If ou refuse to su the' ation th li ion ma not be issued. ApplicanYs Signature: Date: 04/23/15 Owner's Signature: Date: Last,Updated.January 2015 DATE TIME ITY OF ORONO CALLED IN - INSPECTION NQ I J/ SCHEDULED � PERMIT NO. � `"j COMPLEfED ADDRESS �� ` �� OWNER TELE E NO. a � CONTRACTOR � � DESCRIPTION � ll� ❑ 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 � �CINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC I TALL FOUNDATI�C��EyIOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO �G� a � � COMMENTS: � � ��5� � C{'��/�� /Q ��l _ 4 �ela►�y `.��.�� ./�t��v� �� c� �L w�tc v ,p�c�`��:,, -�— 0 � rGb�' u.r�— _�-r��u� �rv�i�i-x� – W � 17Gte� �l4�s•s'��[ I'1'�'tS• C lt r �t.-t�5. � �`j C4i !/�tl!�i �'�4 c w� — Q , �" " 4�� I/C��.�tm.�.B/Ov<qc4 W � - tJor K �'�►-71✓/�,� .�-- 4dsC.�-� , , j ��ort�s:�- �trtE�� W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. -^� � White Copyl�nspector's Ffle Canary CopylSite Notice