HomeMy WebLinkAbout2014-00899 - roofing CITY OF ORONO ® 2 1 4 — 0 PJ S 9 9
2750 KELLEY PARKWAY DATE ISSUED: 08/14/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 2560 OLD BEACH RD
PIN : 21-117-23-22-0010
LEGAL DESC SHORE HILLS
LOT 025 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION $ 4,500.00
NOTE: VALUATION OF PERMIT:$4,500.00
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 118.00
SELA ROOFING&REMODELING,INC.
STATE SURCHARGE(VALUATION) 2.25
TOTAL 120.25
4100 EXCESIOR BLVD Payment(s)
ST.LOUIS PARK,MN 55416- CHECK 34592 120.25
(952)915-7227
Minnesota State License#: BUIL-BC 1050
OWNER
KREY,JAMES
2560 OLD BEACH RD
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 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 conformance with the State Building Code.This permit may be
acaxntPerz
.
Date Issued By Signature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
0 Mailing Address: Permit number:
PO Box 66
Crystal Bay,MN 55323-0066 Date received: ��j�
Received by:
Street Address:
2750 Kelley Parkway Plan review fee:
11 tiff �� Orono,MN 55356
Ile,
gkESHo,Rt 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: I ii Oi1
Job Site Address: �,t(, Q � a e?0W No
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes
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 I APPLICANT INFORMATION:
Name: set Expiration Date: ri
State License#
Lead Certification Number: Expiration Date: !
(for work on homes that were cons ructed prior to 1978 (office)
Phone: (cell) ZIP:
Mailing Address: r City: om Applicant is: ontracto / HHomeowner (Circle One)
Contact Person:
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:
Phone(day): City: ZIP: Mae
Address:
Email and/or Fax:
� rk
--
PROJECT INFORMATION: Overall pro'ect description: Any earth movement may also require
Type of Project: MCWD review&permits:
❑Door(s) ❑Remodel Fire Damage
Minnehaha Creek Watershed District(MCWD)
Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
Water Damage Deephaven,MN 55391
LRRe-roof,cedar ❑Restoration ❑ g Phone: 952-471-0590
f,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682
❑Window(s) www.mi n hacreek.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 t7they• solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alter
reject it until it is complete; or
plication is classified by State law as either private
Some or all of the information that you are asked to provide on this ap .
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 u date our records and records of other governmental agencies required by law. If
you refuse to su I e i ation,th ""iic 'on a not be issued.
Date:
Applicant's Signature: w.
Owner's Signature: Date:
Last Updated:03/06/2013
.sem ✓
?DAT,F� TIME
CITY OF ORONO CALLED IN � �`
INSPECTION yOTIC SCHEDULED
PERMIT NO. OWN D 0 99 COMPLETED
ADDRESS oZ 56D D _6 Q( 116
OWNER TELEPHONE NO.9SZ Q!K 7W
CONTRACTOR Jet i:2.
DESCRIPTION
6HaL
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
'FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE El SEPTIC MAINT. ❑ FOLLOW-UP
2 ❑ DEMO-FINAL ElSEPTIC INSTALL 11HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
0
cc l)ork etsmale-te
Q
W
W
j
Uj ❑WORK SATISFACTORY:PROCEED XROJECT COMPLETE
cc
W ❑CORRECT WORK&PROCEED ❑AUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for ft next Inspection 24 hours in advance. (952) 249-4600
OwneHContractor on site:
Inspector. w
Wh a Copylinspectoes File Canary CopylSite Notice
o e.� ot r
TIME
p�DA�
CITY OF ORONO CALLED IN jj
INSPECTION NOTICE Q SCHEDULED —1 — 1
PERMIT NO. B `��a ` COMPLETED
ADDRESS 2560 0101,662-CA-
OWNER
lo1,662CAOWNER TELEPHONE NO. 9J2- 9/$ 72/-5
CONTRACTOR I
i DESCRIPTION16.
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
g ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLL )W_UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
Tr
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: Q aor — P4
Ice, .4
0
ac
0
W
cc
Q
W
j
Lu �dWORKSATISFACTORY.PROCEED ❑PROJECT COMPLETE
W ❑®CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. in
White Copyllnspector's File Canary Copy/Site Notice