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Home My WebLink About2013-00396 - roofing � -"`� CITY OF ORONO * z 0 1 3 - 0 0 3 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2720 PHEASANT RD PIN : 21-117-23-23-0052 LEGAL DESC : YALE SMILEY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,500.00 NOTE: VALUATION OF PERMIT:$1Q500.00 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 206.50 SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 5.25 4100 EXCESIOR BLVD ST.LOUIS PARK,MN 55416- TOTAL 211.75 (952)915-7227 Minnesota State License#: BC 1050 OWNER SMILEY,WILLIAM 2720 PHEASANT 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 sepazate 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 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 aze requested in conformanae with the State Building Code.This permit may be revoked y time for caus . / / �J/��J pp� e 'ee i a re Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i ��'' .t � _�' `� ., .`., `" . ..�.�.� . . .. �-��2 ... •� . '.;�� , • � S �ity of Orono ` �4 � � � �y . k� u � : � � � � % :�� ,, � i ; �„� Building Permit Applicafion for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) F= Mailing Address: • � " /�,�. PO Box 66 Permit number. ` �. \ Crystal Bay, MN 55323-0066 Date received: �i � �,, 0 z . ' � �Received�by: �� Street Address: I �',�e, t ��~ �ti 2750 Kelley Parkway Plan review fee: �� t9'xESH�� Orono, MN 55356 � �� Total Fee: �� 7S �� ';: 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. �� Y�;, Incomplete appfications will be returned. (Please print) � �'� GENERAL INFORMATION: r �,', .�� ' d��l.C�i �C�i�`�- Z• , , �: , Job Site Address: t c�=�.� � �'= Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�-� � If yes, a specia/event permit is required with Polrce Department and City Council approval 60 days prior to the event. Shuttle bus service will be �:`� ` required unless applicant demonstrates sufficrenf on-site parking is available. Non-permitted events will not be al/owed. �` µ �� CONTRACTOR/APPLICANT INFORMATION: � `�� x Name: `� �Ct ��Ci �� 'r-- ��r.�� ( ; � � `� State License# G��'�� l b S(� Expiration Date: � I 3 i 1S � Lead Certification Number: � �, �' - �Sv ��-(--q Expiration Date: i.�: ��/S �`� (for work on homes that were constructed prior to 1978 � ,.; Phone: C� 1a_� �-3---�U`f� (office) (cell) � �f` Mailing Address: (�/��(J L�� S�Or � �� City�� ( �U�"S ��ZIP: t�S c.� l �, � ��; Contact Person: ��'�l�vt� Applicant is: ontractor_T Homeowner (Circle Onef � - Email and/or Fax: ;� ��' �.:. �J{ PROPERTY OWNER INFORMATIO ` � Name: (ti�,�l( ��C-E_ �f `� Phone (day): (o l a—�j95— , ; :�C`� t; M. �'_ ' �'" Address: �.�, Cit �( . r��.� 6-7h..2L��i.V`-F' y:� 71Y`c=� ZIP: S � 3 3 � _„ Email and/or Fax �; ,„ r:� PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door s MCWD review&permits: ; O ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �' ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 � ❑ Re-roof, other(speciry) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 *� ,.� ❑Window(s) www.minnehahacreek.orq =� X Overall Project Description: • r �('- (,�V C ,� '� Estimated Construction Valuation of Project(excluding land) $ �� :�) " APPLICANT ACKNOWLEDGEMENT: ;��; • Agrees to provide all informafion 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 �y but to reject it until it is complete; �,;, • Some or all of the information that you are asked to provide on tnis 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 ,� re uired b law. I# ou refuse to s� I the information,the a fication ma not be issued. �•=: ApplicanYs Signature: � � �' ? � Date: S�} �1/3 —� LastUpdated: 08-09-2011 '.'� V G�� DATE TIME CITY OF ORONO CALLED IN —/b — INSPECTION I/C�E �G� SCHEDULED — PERMIT NO /✓ V�✓�� OMPLETED ADDRESS �� _ �� OWNER � LEP ONE,NO. 7� CONTRACTOR � >: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � ,� � �-�-�� 'TC�/�c�� 0 � W � Q � z W � W � � d W� J�IQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAII INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. '� O White Copy/lnspector's File Canary Copy/Site Notice D TIME , / CITY OF ORONO CALL D IN � �,,/� � � v INSPECTION NOTICE 2Q/_ SCHEDULED � � PERMIT NO.aD �UO�J 1 W COMPLETED ADDRESS a�o�O OWNER TELEPHONE NO. `�Z !� s �Z��j CONTRACTOR >; DESCRIPTION �I y��"" �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � G � 0 �. � 0 � W � Q � Z W � W � � d W �WORKSATISFACTORY:PROCEED �RROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOHERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN 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 sit : Inspector. o t__o� White Copyllnspector's File Canary CopylSite Notice