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Home My WebLink About2016-00742 - roofing ! ♦ CITY OF ORONO * Z 0 1 6 - 0 0 7 4 Z * 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2024 SHADYWOOD RD PIN : 17-ll7-23-31-00]1 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 004 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 29,932.00 NOTE: VALUATION OF PERMIT:$29,932.00 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[SSUED. 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 490.12 STATE SURCHARGE(VALUATION) 14.97 MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00 8600 JEFFERSON HIGHWAY OSSEO,MN 55369 TOTAL 507.09 (763)391-5508 Payment(s) Minnesota State License#: BUIL-BC002877 CHECK 204650 507.09 OWNER KIEFFER,JOHN&BENJAMIN 2024 SHADYWOOD RD WAYZATA, MN 55391- AGREEMEIVT 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. AII 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 inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. r �� 4/ � C C'--� �-'[i 3V l l ! !J Applicant Permitee Signature Date Issued By Si ture Date � ` RECEIVED Ci�y of Orono .�iu� 2 � Zo�� uilding Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) C�N OF ORONO P✓lailing Address: �� r �� /�0,�\.� PO Box 66 Permit number: /Q , o\ Crystal Bay,1V1N 55323-0066 Date received- lO `� — � ��';'� -.- Received by_ ,.� U ,��;�,_, a.,� StreetAddress: ��`54 ti �'\�,p��ti 2750 Kelley Parkway Plan review �sk�s�o4 Orono,MN 55356 '�� Total Fee: Fi'D� �� Main: 952-249-4600 Fax: 952-249-4616 ww�v.ci.orono.mn.us �J � 7his application form must be completed in fulE and all required informatian musi be submitted. Incomplete applications will be returned. (Please print) GENERAL lNFORMATION: / Joh Site Address: �� 'j�C � Wifl fhis be a Parade o Homes, emodelers howcase Home or other DispEay Home? ❑Yes ❑ No If yes,a specia!evenf permit is required with Police Deparfinent and Crty Counci!approva160 days prior to fhe event. Shutfle 6us sefvice will 6e required unless applicanf demonstrates sufficfent on-site parking is available. Non-permiffed events wi!!not be a!lowed. CO�ITRAETOR/APFLICANT INFORMATION: Name: � �7`�,�� _� �J'1G State License# � , �� Expiration Date: ?�,�i� . Lead Certification Nurnber. �/��a�j.��s:� Expiration Date: S��-�� (for work an homes that�rere consfructed prfor to 1 S78 Phane: � � y� �5�� {of6ce) (cell) Mailing Address: � ��y,� Ciky�� C ZIP: ��' Contact Person: L�� ,�5�-a-1 Applicant is: on Homeowner (Circie O e� Email and/or Fax: j��,f-�SG-'��/��jG1c.-� L�� lZ�c; i��--�• Lf9�•Q j �6 PROPERTY OWNERj1�lEO/RMATIpH: � /� Name_ _�nl�i� �' � /�7:c �� Phone(day): Address: ��a�� City: ZIP: Email and/or Fax � PROJECT iNFORMATION; Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) �-F�'e-roof,asphalt ❑Repair ❑Storm Damage 182Q2 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.minnehahacrsek.orq Overal{ Project Descrip#ion:�' �,�. �� c � 'c . ` � ,,� � Estimated Construction Valuation of Project(excluding and) � �� ,e�� ^�� 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 compfete application being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Some or afl of the information that you are asked to provide an this application is classified by State law as either private or confidential. Private data is information which generally cannot be given fo 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 pl the inf mation,the a plication ma not be issusd. Applicant's Signature: � Date: �.% ��,� r Last Updated: 08-09-2011 ��rUJ .�a .ob i't��:� .�_____ j7J?.O� - �f � v DATE � TIME CITY OF ORONO cnLLED IN ��1 INSPECTION NOTICE SCHEDULED ;1!_ 30-j� PERMR NO MPLETED ADDRESS �a O'WNER TE N� J � CONTRACTOR m 4✓'S �� DESCRIPTION � � - ❑ FOOTING ❑ DE O- INAL ❑ SEPTIC NAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADING/FILLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�AL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL i O�WNBVCOf�RRACTOR TO MEET Y�Otl:_Y68_NO � COMMENT� \ � 1�Jr�r� s ts ,c' �o�ae K,��a �— ,�� oe✓ �0�'o�c�ia%� 6�1 s.�c — �. 0 /J > / � /�1�C �r�Or 5�4L�� " W � Q i wo« �,�,o��s ,y�.�i� � W � � ,Oervy► � ,C�, ��eo�0 � ❑WORK SATISFACTORY:PFiOCEED �ECf COMPLETE W ❑OORRECT WORIC 6 PROCEED ISSUE CERTIFICATE OF OCG1P11NCY 0 ❑OORRECT WORIC,CALL FOR REINSPECTION TEMPORARY V BEFORECWEi�NO PER�AANENT O(ARRECTUN3AFEOONOITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR Wlll RENRN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. caa tor u�e next tnspectbn 24 nours�n edvsnoe. (952) 249-4600 on ske: inspector: � WMt�CopyAnsp�ctors FIN � Gnary CopylSlb NotNx