The URL can be used to link to this page

Home My WebLink About2012-00493 - roofing CITY OF ORONO * Z 0 1 2 - 0 0 4 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2012 - ORONO, MN 55356- � � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2117 SHADYWOOD RD PIN : 17-117-23-31-0044 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT O11 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 4,700.00 NOTE: VALUATION OF PERMIT:$4700.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 118.00 GRUSSING ROOFING 4305 SHADY OAK RD STATE SURCHARGE(VALUATION) 2.35 HOPKINS,MN 55343 MAIL-IN FEE 2.00 Minnesota State License#:BC633692 TOTAL 122.35 PAID WITH CC# 6799 OWNER DODSON,RALPH&REBECCA 2117 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 dces not grant permission for additional or related work which requires separate 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 consVuction 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.This petmit may be revoked at any time for due cause. �..�G�'c.0 � � / / Appiicant Permitee Signature Date Issued By S' ature D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 2012-06-04 16:18 GRUSSING 9529356514 » +9522494616 P 2/3 � City of Orono �- � Building Permit Application for Internal Work { i (windows, doors, siding, re-roof, etc.) ,.��= -=_-. Mailirig Addness: Permit number. PO Box 86 Q� I �Q Crystsl Bay,MN 55323-0086 Date received: Reoeived : � Srreer Address: bY �► a� 2750 Kelley Parkway Plan review fee: '�4� � Orono.MN 553.5H a,aD -�_ _�.� Total Fee; � Main: 952-249-4600 Fax: 952-249-4816 www.ci.orono.mn.us j This application form must be completed in full and all required information must be submitted. � Incomplete applications will be returned. (P/ease prinf) GENER�L INFORMATION: a I I -� SI�GL� Job Site Address: j�J �}� �-�G� Wil!this be a Parade of Homes, Remodelers Sho se Home or other Display Home? Yes o If yas,s Ispecial eveni permit is reqaired with Polics peparbnent end C/ty Counci/epprowdl 60 deys prior to dhe event Shuttls bus xnxe i l be irequlned unleas applican!demonsbates sufHcJ�nt cn-sihe parklr►p is availab/e. No�ps►mitted events WIl1 Itot be aJ/owed, CONTRA�TOR/APPLIC NT INFORMATION: Name: I S� < • /4'r � y�'IC • State Lice�se# ' � Expiration Date: � �r y� (> Phone: I .S� - -v S 5 office ' � � (��7 y Y � (cell Mailing A�dress: .5 � Gi : '�yi�' ZIP: - �� Contact P�rson: . Applicant is: ra or / Homeowner �ci��a o�s� E m a i l a n d�o r F a x: S S�l i 7 YD v i I�! �C� I PROPER'�Y OWNER INF M TI N; Name, � � �D(rr1'G�Z Phone(da�): .S a — �-- �f.�-'7 .. . Address: � _ a I (� Sl� � t,�1v�-� Yl��'. Ci : I/v Z� Z1P: S��_ Email andl�r Fax _ � � � - PROJEC INFORMATION: Type of Prdject: �Any earth movement may require ❑Doo�(s) � ❑Remodel MCWD revie�w�permita ' ❑Water�amage ��o� Minnehaha Creek Watershed District{MCWD) ) []Repair ❑Storm Damage 16202 Minnetonka Blvd � Deephaven,MN 55391 ❑Siding � h�Q ❑Res[oration �]Other: (specify) Phone: 962-471-0590 a '"` Re-roof I ❑Fire�amage Fax: 952-471-0682 www.minnehahacreek.ora erall Prpject Description: � �vr,y� �� ' 1 Estimated,Con� struction Valuabon of Pro�ect(excluding land) $ ��,�� APPLICA T ACKNOWLEDGEMENT: • AgrQes to prowde all�information required or requested by the Building Oepartment; • C ifies that the infoRnation supplied is true and carrect to the best of his/her knowledge. The applicant recognizes thai they are olaly responsible for submitGng a complete application being aware that upon failure to do so,the staff has no afternative but reject it until it is complete; • Sort�e or all of the i�ormation that you are asked to provide on ihis applicafion is Gassified by State law as either private or con dentiaf. Private data is information which generally cannot be given to the public but can be given to the subjed of the d Confidential data is information which generally cannot be given to either the public or the subjeU of the data. Our pu e and intended use of this information is bo annualfy update our records and records ot other governmerrtai agenaes I 'rod b law. If ou.refuse to supply the inrormation,th�application ma ny ot be issued. � ApplicanYs�ignature; pat�. f�/�/� �. � � � - 1 eef 1 I�A�IM• %1C 11� '�Ann �� . l / .� D TE � TIME V CCITY OF ORONO CALLED IN INSPECTION NOTI E ,`��j CHEDULED 5 _�� PERMIT NO. �''��7'✓COMPLETED ADDRESS �� S�I��t—/ G(>_/�N C..�.�' OWNER TELEPHONE NO. �� 7� � CONTRACTOR � DESCRIPTION ��IC�� — �� ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FIN L � 1 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES�NO� Cf- � COMMENTS: � � . a � � 0 a � 0 � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C', ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �Q5Z� Z49-46�� OwnerlContractor on site: Inspector. 4 /�� White Copyllnspector's File Canary Copy/Site Notice