The URL can be used to link to this page

Home My WebLink About2017-01146 - roofing t �, CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 7 - 0 1 1 4 6 * DATE ISSUED: 09/18/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2216 SHADYWOOD RD PIN : 17-117-23-42-0004 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 : $ 7,987.00 NOTE: VALUATION OF PERMIT:$7987.00 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 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 170.34 KAUFMAN ROOFING STATE SURCHARGE(VALUATION) 3.99 2521-24TH AVENUE SW MAIL-IN FEE 2.00 MINNEAPOLIS,MN 55406- TOTAL 176.33 (612)722-0965 Payment(s) Minnesota State License#: BUIL-9324 CREDIT CARD 0169 176.33 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 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. 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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. S� 9' , !g, /7 Applicant Permitee Signature Date Issued By gnature Date Seo, 15, 2C11 ' 1 : 29n�ti1 tic. 6018 P, 2 "�t, ' � . C�ty af Qrono Building Permit Applicatlon for M�Intettance/Replacement/Remodel — Resldentl�l ONLY (I.e.wfndows,doors, siding, re-roof,etc.�NO STRUCTURAL EXPANSION) � ��n MailingAddr'ess: permit number. �/�/I �� PD Box 68 � Crysla)Bay,MN 55323-OOG6 Date received: Streef Add�ess: Received by: '�S � 2750 Kelley Parkway Plan rgViewfee: ��kESH��'�` Oronp,MN 55356 To1al F�@; I��Q� � Main: 952-249-46ao Fax: 952-249-4616 www.cl.orono.mn.us 7his applicati � be completed in full and all required information must be submitted. GENERAL INFORMATIO c lete pp Icatlons wltl be r urned. (please print) Job Slte Address; � D(� Will this be a Parade of H mes, emodelers S wcase Home or other Dlsplay Hame? ❑Yes No 1I yea,a special event perm+f rs required wrth Police Depa vnenl and Ciry CouncJf apprpv�l 60 days prior lo[he evenL Shutlfe bus servlce w!!I be �equ�red unless applia9nl demonsUates suflldenr on•sf(e parkfng!s available_ No�pe+milted events wil!nof be a!lowed. CONTRACTOR/A LIC NT INFORM 10 . Name: �1 � l� 5tate License# � Expiration Date: 3 Lead CertiCcalion Number� Expiralion Date� (for work on homea that wene consfr cte prlor fo 1978 Phone: (cell) � � � S (office) Mailing Address: �j Clty: ZIP: Contact Person_ e �, Applicant is: Contracto / Homeowner {ClrcleOne) Email andlor Fax: PAOPEFt7Y OWNE NF RMAT N: Name: ��„�r�� Phone(day): Address: � �� CitY:�Jbhn ZIP:��,3�!_ Email and/or Fax: PROJ�CT INFORMATION: Overal! ro'ect descri tion� � < (�' �� ,�, Type of Project: Any earlh movement may also requlre MCWD�gY19W 8� ermlta: ❑�oor(s) ❑Remodel p Fire Damage P ❑Re-roof,aaphalt ❑Repalr ❑Slorm Damage Minnehaha Creek Walershed Qislrfct(MCWD) 15320 Mlnnelonka Blvd ❑Re-rooF,cedar ❑Resloration ❑Waler Damage Minnetonka,MN 55345 Phone: 852�7i-0580 �Re-roof,oth r(speclf� ❑Siding ❑Other:(specify) Fax: 952-471-b682 ❑Window(s) www.minnehahacreek.ora Estimated Constructian Valuation of ProJect(excluding land) $ APPLICANT ACKNOWI.EDGEMENT: • Agrees ta provide all informaGon required or requesled by Ihe�uilding Departmenl; • Ceriifies thal lhe infoRnallort supplled Is true and correct to lhe best of hismer knowledge. The applicant recognfzes Ihal they are solely responsible for s�bmitfing a complete applicalion being aware tha!uport Fellure lo do so,ihe staff has no alternative bul to reject it unlil il is complele; • Some or all of lhe informaGon thaL you are asked to provlde on lhis appficallon IS Classlfied by Sla[e Iaar as eiiher private or confidenlial. Private data is informaUon whlch generally cannot be given�o the puhiic but can be given to the subJect oI the dsta. Confidenlfal dala Is Informalion which generally cannot be given lo either the public or 11ie subJecl oF the data. Our purpose and Intended use oF ihis informalian is to annually updale our recards and records of olher governmenlal a8encies required by taw_ If ou refuse lo su I the informa�on,the a Ilcation ma not be issued. ApplicanYs Slgnature' Date: Owner's Signature: Date: Lasl Updafed:January 2016 DATE TIME OF ORONO cnLLED IN 1 SPECTION OT C.E,r� �r�/�HEDULED PERMIT NO. L �� CO PLETED ADDRESS �� OWNER TELEPHO O l�— � ��65 CONTRACTOR � �� — ^ 1 a � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ S IC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ 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 OWNERICOI�ITRACTOR TO MEET YOU:_YES_NO � COMMENTS: � /.l�d/e � �o i n-��a-� �s�IaaJ oti � � 0 ��Q 7' � G4 //c� �'�i/1�✓ac�a✓ '' re�sc�Fc��e !�)/�e.• /cr��' ts c%,,i � � 0 � W � Q � 2 � W � j W O WORKSATISFACTOFlY:PROCEED O PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECTV1bRK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��• O PHOTO TAKEN INSPECTOR WFLL RETURN ❑ST P ORDER POSTED.CALL INSPECTOR �CITATION ISSUED NSPECTION REQUIRED. . Cafl br the next inspectfon 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: White CapyAnspectw's File Canary Copy/Sks Notiee