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Home My WebLink About2011-00310 - roofing ` � � CITY OF ORONO PERMIT NO.: 2011-00310 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1840 SHADYWOOD RD PIN : 17-117-23-24-0016 LEGAL DESC : SHADY-WOOD : LOT 025 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N MAPLE GROVE,MN 55369- TOTAL 166.25 (763)427-9696 Minnesota State License#:20637010 OWNER ERICKSON, SCOTT&INGWD 1840 SHADYWOOD 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 consVuction 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 conformance with the State Building Code.This permit may be revok t any ti e for due cause. 5 � � � �� , , � Applicant Permitee Signature Date Is y Signature Da e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . City of Orono as�� Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: L —a D,�/ O O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� �,�+;j �, Street Address: Received by: �'�c, �q ��`� 2750 Kelley Parkway Plan review fee: �k og� Orono, MN 55356 ESH -- Total Fee: ��/ �S 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 /�,' �,��/ Job Site Address: /( <� ��ll� �✓�C� ��' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO MATION: Name: ��r�'r �C�-' � � ,�ln �i�iG� �,.5 �a►�• State License# � �,( �, ` Expiration Date: t�3 :�!/v�, C>!'3- Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 7(,� 3-�/;�7-Y�� (office) 7 G� � �a��%--��S'� "� (cell) Mailing Address: ��S/ ,S � i,.t�,�� c'�, City: �j� v Z�P: S i ��/ Contact Person: �,�,�� h�,� Applicant is: ontractor / Homeowner (Clrcle One) Email and/or Fax: ��,�3 y� 7-p�,� PROPERTY OWNER INFORMATION: Name: ..��.� �'fi� �/��r�c-�'.� Phone(day): Address: f$[(p � l��lyt,,,�C,t City: �'j.'G>r�,� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review$permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: ��(Q`'�� Last Updated: 03-01-2011 DA TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE/,� SCHEDULED �� PERMIT NO�!/"U�/�D COMPLETED ADDRESS � �� OWNER ELEPH E NO. 3— $ 3d� CONTRACTOR � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 � J O � � O . � W � Q � 2 W � W � � O W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY � BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor site• � Inspector. r T White Copyllnspector's File Canary CopylSite Notice �� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �-v I t�'t f �( O P-�-, � PERMIT NO. r��l I -I``�3l d COMPLETED ADDRESS �-�� S �c�c� c Q 9 �_ OWNER TELEPHONE NO.��3��L�L.�o CONTRACTOR VIn t t�I l��F'�g�- F��,,� . __�. � DESCRIPTION 1 W� f�I YY7�t � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE i.+� W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: inspector. � _ / ,� � White Copyllnspector's File Canary CopylSHe Notice