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Home My WebLink About2016-01014 - roofing � CITY OF ORONO � 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 0 1 4 * DATE ISSUED: 08/23/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1920 SHADYWOOD RD PIN : 17-117-23-24-0021 LEGAL DESC : SHADY-WOOD : LOT 032 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COl�1STRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,500.00 NOTE: VALUATION OF PERMIT:$8500.00 ASPHALT REROOF 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 185.83 STATE SURCHARGE(VALUATION) 4.25 ATKINSON CONSTRUCTION&SIDING LLC TOTAL 190.08 - 4530 CO.RD 50 Payment(s) DELANO,MN 55328- CHECK 1547 190.08 (612)735-6292 Minnesota State License#:BUIL-20638420 OWNER GASTERLAND,J&B L 1920 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 Buildin�Code. This permit is for only the work described and dces not grant permission for additional or related work which requ'ves separate permits. All provisions of laws and ordinances governing this type of work shall be compied with w6ether 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.1'his permit may be • revoked at any time for due ca D `�"�e! � g ,c� � � Applicant Permitee Signature Date Issued By ' ature Date �. City of Orono ' Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: �D��o- D/ O� PO Box 66 C Crystal Bay, MN 55323-0066 Date received: O � v��-� � � Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee: F t �, Orono, MN 55356 �kESHO� � � �. �D 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: � Job Site Address: �� n 1 \ (.J , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No lf 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/APPLICANT INFORMATION: c Name: J��"j�CINSC/J �A��St`, a JI�CINC-� 1�.�...� � State License# 2(��, �Qj �J 2 C' � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: -„�N � C-�tt ST"�-�l�A ��J Phone (day): ��J �- 3J 7 � 3zg ) Address: �� Q �f�f A(�J�'L�.10C;�1 City: �fZQ/l�C) ZIP:, j-rj�3�' j Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project (excluding land) $ �,.5C�0 °C 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 altemative 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 required by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: _ _ Date: ___ � y �� , Owner's Signature: �(_ " J�./�fJc�r��/ Date: � Z J � Last Updated:January 2016 — % '�j �� __._ r 3 . �r � ` ,,�'�� . � T� `,�,'., t I�L��i ��A � y �°W r I �' I� . _ �_.;,t .�„ � ► , " —..�r;: �. � ��'s�. �'¢f ��_ �d � ��i; • _. , �� . w '�_'__T- . . 3 4 _ j '^e� �. .. : � . ` � . ..�+.. � �. , � � � ��_,�,,.n.w+�r""��\ ... \ � � �Y� c:, ! , . � �` n�=�3F�'+�r� f� \ Y}. `1. � � �' a�"� � _ �/ ! � ��: ` � � .� .4�� / ',..1 �, , � ��,� a � �� . � � _� . ! \ ' '�, � -� ',. �,:` r - \ �� '�,�,�,,-> z�r � �f .� ��'. V\ � , ��i� ,�'�-.'�3 � "��r 5� •y, ' � � �. �,;t.•:� ^�,s� � .d' � � � y N Y^ `,� '�.� . . ' t�{ � ;"Cr� � ��s_. �,, � �.�„�,,�.� t,, .� � �i ��., ` -�.�.s�� "�` y. ,� . � . � �. � x�. � r ��=' . _�-'�, , �� '`` � _ �� j � .� i�,�k �, ��. +� �� s��"7 � }: t �. h :rc a i S�' j�i ': � �` � "P� ��`��'�"x�1�ti� \ Y" ,w a . . ��T` ,' � 'r��'�..: t,� r, a}�"�` i�`� L ��"�`:+ �-a ! M � � . � s,� ,. . L;,,; ^ �F 4- ��t •�'P'. 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L�� . s `; } � .' w,� �,;�, ;y. � i1�h �'tf�.yp��v.�.3':'S�, �.:` ^„'.. .. . ., G� r :a..• r '`� ,� . �+. � . � ,. �f ' _. �s�'+ , : _. ,.3. ,: , ��g,:i�� • ),�. • WL<":".:� �' .��C � . / �� j",�. `:.� � � , . , r t�' 3�� A��'�i" ..... . xi"� �.I.. � �Y i � . � . � , d , �' _ .,X� .,. �� ' c, o � � sh , ' �, � � � ^ �,�r � ��, a� �� a �` ' _r� w�� C: t� l � � , � , � � . `��:. � J �� DATE TIME CITY OF ORONO ALLED IN =_� INSPECTION NOTICE SCHEDULED PERMIT NO. — ' p/ COMPLEfED ADDRESS � �Z O , SI�1��t-I C�cJ�� OWNER �-G��'Y�� TELEPHONE NO. L�SI�573Z� CONTRACTOR -��f�:L� �� C ��. � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � ' �`''.� � G��Grf�5 T��'s/s � � �rD� '�� f a-� I�e-d c�c'�.� � � �� 0 � W �� . � �•��14 c Q � 2 W � W � J � �IORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. LG/-� �"''�' White Copyflnspector's File Canary CopylSfte Notiee / C�(� V � '��/� TIME CITY OF�RONO CALLED IN i IN�PECTION NOTICE SCHEDULED 9'-/�/ !o PERMIT NO. l o�� COMPLETED ADDRESS /9.� A�1/u�� .�, OWNER ELEPH NE NO. CONTRACTO •0 � DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNENCONTAACTOR TO MEET YiOU:_YE�p� y COMMENTS: � �— � "`/��o�o�r o�..2"Ga a j,✓ci�er' ,,✓a,G cL,a�/.�.�,� ruo�' j 0 O�GG.�i� GZ�/�.o��' Go M/J �orr�f �. W `l='la.sl.:�a /,�� a,�� — c/Bn T,n Q /ao,�s �i�?` W � W � J �/�KSATISFACTOR�PROCEED �PROJECT COMPLETE W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS- O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 br the next inspection 2a hours in advance. (952) 249-4600 OwnenContractor on site: Inspector. i'''�a�� G, WhiM CopyAnspector's File Cenary CopyfSiM Notks