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Home My WebLink About2012-00359 - roofing CITY OF ORONO * Z 0 1 Z - 0 0 3 5 9 * 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1640 SHADYWOOD RD PIN : 17-117-23-21-0013 LEGAL DESC : SHADY-WOOD : LOT 005 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 8,600.00 NOTE: VALUATION OF PERMIT:$8,600.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF 1NSPECTIONS. (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. APPLICAI�IT pERMIT FEE SCHEDULE 177.00 TAYLOR BROCK CORPORATION 6253 BURY DRNE STATE SURCHARGE(VALUATION) 430 EDEN PRAIRIE, MN 55346- TOTAL 181.30 (952)888-2000 Minnesota State License#: BC175079 OWNER FINN, DORIS 1640 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AIYD 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 whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within(80 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 alI required inspections are requested in onformance with the Sta[e Building Code.This permit may be r e t a time for cause. � �� / l3 / �'. ��-�-1`--�--� �,` � _! l C: i i � �-'-> �' �J / .-} A p n te Signat re Date Issued By Signature Date SE ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. MAY/02/2012/WED 05; 16 PM Fax Ser�er FAX No, P, DO1/001 , City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ' -`� '� �� j � O��,j�.O PO Box 66 Crystal Bay,MN 55323-0066 Date received: � �, Street Address: Received by: . �,�, � �titi 2750 Kelley Parkway Plan review fee: �ESH�¢'� Orono, MN 55356 -,� Total Fee: / �t � �-= Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required infoRnation must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: JobSiteAddress: '-{-� �0.d w� 2�c� ��c�-�z��-1 ►'�'� ,--� 5�3�'' 1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o � !f yes,a specia!event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be _ required unless appllcant demonstrates sufficient on-sife parking is available. Non-permitted events wlll not be a/lowed CONTRACTOR/APPLICANT INFORMATION: Name: �rA.�,, lo� �rcxlc, C..O�'j�ar� o�-, . State License# ��ii� �(U\r1 (��,�-�S p'1�j Expiration Date: N�c�,��,(,l 3� �.��3 Lead Certification Number: �p.-r_ �d S�Z 3_� Expiration Date: M�,�-.�., �� zo t Co (for work on homes fhat were constructed prior to 1978 Phone: q S 2 . B a Q, _ Z�o (office) {cell) Mailing Address: ,,�,� � � City:�'ccleri(�rc�,;r;�e ZIP; �5 3 ContactPerson: ��,��,�� b�.��„-� Applicantis: ontractor / Homeowner (CircleOne) Email and/or Fax: �,5�,- a 3 R . �I-c�o 0 PROPERTY OWNER INFORMATION: Name: '��r�,� ��n,n Phone(day): G5�• y `l l • �o� 3 Oro�� ' Address: t o �y-,�,� a � City: � ZIP: -- �3 � Email and/or Fax � �. '��s no� hc�.�c �rna-�.� or .�o...�. PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ��roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Overall Project Description: �{,.�,-,-,o�,� �¢.dc�c �('oo�" +�2c.�1�c�.. ,,,��-'� �s.o� r oo F Estimated Construction Valuation of Project(excluding land) $ �3�eoc� . O� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifles that the informatlon 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: ��v2..� C�y��o-,..� Date: �C�- 1/� C � °�'' �``� ��' � D TE TIME CITY OF ORONO CALLED IN � 3 INSPECTION NOTICE �}SCHEDULED �" a ' � '�F� PERMIT NO. �DI�f�G-�5��/ COMPLETED ADDRESS �I D�� 1 �1�� ( ,1 ;t��`�� 1 OWNER TELEPHONE NO. ��' `b�� CONTRACTOR T—��yLI G� ��- �� : DESCRIPTION � ly ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNERlFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j GW VO�K SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL{NSPECTOR `� CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on sit Inspector. `{ ��. c� � White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN L'�S'/ �- INSPECTION NOTICE SCHEDULED �? n� PERMITNO. ��/�' �,C-3-S/�� COMPLETED ADDRESS I��J .s�1�tdQt1 t�-�c-s-cE� �c� OWNER �,�� c�iati TELEPHONE NO. ��'�� 2�`d CONTRACTOR � >; DESCRIPTION ' ��-� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a ,�a.�.r.e�`[.cr-- L��.�� .�rna� `yzc�` ��.e� �'�� J O � � O � W � Q � Z W � W � j GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR fiEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. . r-7 �� White Copyllnspector's File Canary CopylSite Notice