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Home My WebLink About2017-00916 - roofing � � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 9 1 6 * DATE ISSUED: 08/07/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2216 SHADYWOOD RD PIN : 17-11'7-23-42-0004 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT O11 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-METAL ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,620.00 NOTE: VALUATION OF PERMIT:$14620.00 METAL ROOF 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 278.77 GARLOCK-FRENCH ROOFING CORP STATE SURCHARGE(VALUATION) 7.31 2301 EAST 25TH STREET MAIL-IN FEE 2.00 MINNEAPOLIS,MN 55406- TOTAL 288.08 (612)276-9934 Payment(s) Minnesota State License#:BUIL-BC001423 CHECK 66068 288.08 OWNER SHABAZ,REBECCA L 2216 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 sha►I be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO 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 permit may be revoked at any time for due cause. � �� , � , �7 Applicant Permitee Signature Date Issued By ignature Date City of Orono ' Building Permit Application for Maintenance / Replacement / Remodel — Residential t�NLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Oq,. Mailing Address: Permit number: ��vv PO Box 66 � �vQ Crystal Bay, MN 55�6��VED aate received: �7 a� StreetAdd�ss: AUG Q 4 ZO�7 Received by: Y1/l y� `�" 2750 Kelley Parkway Plan review fee: � Orono, MN 55356 �'�xssxo�`�' CITYOFOROND � � � 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 applicatlons w111 be returned. (P/ease print) GENERAL INFORMATION:2216 Shadywood Road, Orono, MN 55391 Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permlt!s requlred wlth Palice Department and City Counc!!approva!60 days prlor to the event. Shuttle bus servke will be r�qulred uniess applicant demonstrates su�clent on-site parking Is avallable. Non permltted evenfs wfl!not be aUowed. CONTRACTOR/APPLICANT INFORMATION: Name: Garlock-French Roo�ng State License# BC001423 Expiration Date: 3/31/18 Lead Certification Number. NAT-23999-2 Expiration Date: 4/15/20 (for work on homes that were constructed prior fo 1978 Phone: (cell) (office) 612-276-9934 Mailing Address: 2301 E. 25th St City:Minn .�ap�lis ZIP: 55406 Contact Person: Meg Nathan Applicant is: Contractor / Homeowner (Circie One) ErT1811 8nd/of FBx: mnathan@garlock-french.com - PROPERTY OWNER INFORMATION: Name: Rick Etrheim Phone (day); 612-807-7271 Address: 2216 Shadvwood Road City: Orono ZIP: 55391 Email and/or Fax: PROJECT INFORMATION: Overall ro'ect desc,ri tion:Replace roofing on front and back dormers with standing seam metal. Type of ProJect Any.earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD revlew&permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha C�eek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345 ,�Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 �metal Fax: 952-471-0882 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ 14,szo.00 APPL.ICANT ACKNOWLEDGEMENT: • Agrees to provide all informatlon requi�ed 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 applicabon being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; • Some or ali of the informatlon 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 informat(on is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su I the information the a lication ma not be issued. Applicant's Signature: � � �� Date: 8�2�17 Owner's Signature: Date: Last Updated:January 2016 '