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Home My WebLink About2011-00431 - roofing CITY OF ORONO PERMIT NO.: 2011-0043� � �� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 06/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2130 SHADYWOOD RD PIN : 17-117-23-42-0020 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATTON : $ 12,000.00 APPLICANT PERMIT FEE SCHEDULE 221.25 ROOFING CONCEPTS LLC STATE SURCHARGE(VALUATION) 6.00 2184 SHADYWOOD RD WAYZATA, MN 55391- TOTAL 227.25 (763)232-8354 PA1D W[TH CC# 4350 Minnesota State License#: 20638488 OWNER R[LEY& PAMELA CRAFT,JACK 2130 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 Sta[e 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 18Q�ays of the date of issuance,or if construction is suspended for a periq�of 180 days at any time atter work has commenced. The appli is resp sible for assuring all required inspections are reque t onfot' nce with the State Building Code.This permit may be revol�e y ti for due cause. � 2� � ��s � _ :�:, �, _ � �.� �� — 7 -- , � � � A I c t e itee Signature Date � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �' City of Orono � � ►• Building Permit Application for Internal Work ' (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: i � Received b ,� � �rs�a� �. � StreetAddress: Y� �' ' �`� �ti�' 2750 Kelley Parkway Ptan review fee: ��`�kEsxo4`'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appfication form must be completed in full and all required information must be submitted. Incomplete applications will e retur ed. (Please print) GENERAL INFORMATION: � � � ��/,� ; Job Site Address: v Will this be a Parade of Homes, Remodelers Showcase Home or er Display Home? ❑ Yes o If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus rvice wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-peimitted events will not be allowed. CONTRACTOR/APPLI T IN RMATION: Name: State License# Expiration Date: � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1 7 Phone: � �� ffice (cell) - Mailing Address: Cit � - ,/1O ZIP: � � Contact Person: �� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: �� i ` r Name: � ,/� � Phone (day): Address: City: 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 �e-roof Phone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.o ^ Overall Project Description: � j � � � 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 ge rally cannot be given to the public but can be given to the subject of the data. Confidential data is information w i n g rally cannot be given to either the public or the subject of the data. Our purpose and intended use of this inf ion ' to annually update our records and records of other governmental agencies re uired b law. If ou refuse t u e i rmation, the a fication ma not be issued. _ � .� Applicant's Signature: Date: Last Updated: 03-01-2011 +� ,r; :�:� Ov DATE TIME � '�+ITY OF ORONO CALLED IN CP�7I�� INSPECTION NOTICE�/� SCHEDULED ��' !I J � PERMIT NO. _��I I'—W�� COMPLETED ADDRESS r� I 3C� �S��C�I � 'I�3 .o�+.�� 3� OWNER TELEPHONE� � CONTRACTOR �� G��'� � DESCRIPTION `1� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z w � W � � d W� \ ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector_ / �✓ l - � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � _ INSPECTION N I _ �/ SCHEDULED � PERMfT NO. ( LETED �� ADDRESS � OWNER LEP NE NO. _ CONTRACTOR _ � � DESCRIPTION _ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FHAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INS ATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q Q MO-SITE ❑ SEPTIC MAINT. �OLLOW-UP = CJ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICO OR TO MEET YOU:_YES_NO � MENTS: � r rt � �O - � _ �O W - � Q _ � W � W � J - d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPIEfE W ❑CORRECT WORK 8�PROCEED UE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVER1NG PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952 -46�0 OwnerlContractor on site: Inspector: White CopyAnspector's File Canary CopylSMe N ice