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Home My WebLink About2012-00865 - roofing _ CITY OF ORONO 1111111111011 I I 0 II III I III II IIII • * 2012 - 00865 * 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2740 SHADYWOOD RD PIN : 21-117-23-24-0065 LEGAL DESC : REG. LAND SURVEY NO.0420 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 11,625.00 NOTE: VALUATION OF PERMIT:$11625.00-CEDAR REROOF SOUTH WING OF HOUSE ONLY. 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 221.25 LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 5.81 9001 E. BLOOMINGTON FREEWAY ST BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00 (952)888-5550 TOTAL 229.06 Minnesota State License#:20443066 PAID WITH CC# 9692 OWNER PAGONIS,ELAINE 2740 SHADYWOOD RD EXCELSIOR,MN 55331- 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 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 cau e. / 9/ 17/ / (1441'Uf4 9 Applican�tee ure Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 09/04/2012 11:16 9528885554 PAGE 01 • City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ;:�!erlrii't,nuffibttr'• Qt ;�.Q0 R .. PO Box 66 ;•;: • • '- Crystal Bay, MN 55323-0066 ,t '• 'tec -"' ''•' „';%• . •,'::':.,ir Street Address: :'Rbbelvedti,' ;:;,. . 'i 2750 KelleyParkway .: .6-70C ' ". (:!7_1-..441 i; � ripliairi'rewl�;gVit�i�':' ,� .`.i. , Orono, MN 55356 ' Total Fif01.:' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us01,rr,. This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ' Job Site Address: o�1 4h S .tI.c "rte — • Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes k] No If yes,a special event permit Is required with Police Department and City Council approval BO days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed_ CONTRACTOR/APPLICANT INFORMATION: Name: A.�e - *:..," II"- 1Al,j0—•\vtt State License# Sr e_ LI t-/b 31.0 (a Expiration Date: 3_31-ALA Lead Certification Number: %0.1- S$$ 05--1 Expiration Date: ' 6 a5-I (for work on homes that were constructed prior to 1978 _ Phone: _,_ -$ S 8 S,-,5--f? (office) , 3 a(g- c Q's�o f (cell) Mailing Address: yea/ E 66 m t nq#n.3 F-r -c!.b ( City: : .-minZIP: S`M�O Contact Person: 5k�0 e, Q Applicant Is: ".•ntractar 1 Komeowner (clrotc Ona) Email and/or Fax: L I e,i C- Ort \-=ems, ca\1 (45n fir- OP-, PROPERTY OWNER INFORMATION: 9�a g _SS SD Name: P� Phone(day): 0a- 3177 - ,5-. {o Address: m City: ZIP: Email and/or Fax PROJECT INFORMATION; Type of Project: Any earth movement may require ElDoor(s) ❑ Remodel 0 Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt a Repair ❑Storm Damage 18202 Minnetonka Blvd Re-roof,cedarDeephaven,MN 55391 LLI ❑Restoration ❑Water Damage Phone: 952-471-0590 Re-roof, other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0662 ❑Window(s) www.minnehahacreee.ojq, Overall Project Description: ��j� ra`-„,�,/ �� .. ► _ . Estimated Construction Valuation o Project(exc ding land) S I 1 �a c� , 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 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 information is to annually update our records and records of other governmental agencies required by law. if you refuse to supply the information,the application may not be issued. Applicant's Signature: •,:: --,-__,.,.. Date: Last Updated: 06-09-2011 S&t--- D�jT� TIME CITY OF,ORONO CALLED IN /� T INSPECTION NOTICE ,.._ SCHEDULED /0' 9-Id- 10:00 PERMIT NO.02-6'4? "DD P ' COMPLETED ADDRESS 027 YO LS' ' AP A/ Ar OWNER TELEPHONE NO. 6/2. 32.8 g56 CONTRACTOR � WcO ��'��"� 5 � 1JDESCRIPTION C�`��P U 5OL (2...9h,�JK 1U ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q El RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP 14.1 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc cc 0 ,... _• 0 Peicke ,z W z W cc 2:/L1 YORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cCW ❑CORRECT WORK&PROCEED LI ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor oti site: ' 7 Inspector. 7 - � White Copy/Inspector's File Canary Copy/Site Notice / ��Q/�{`' DATE TIME CITY OF ORONO L/ �� GALLED IN /0 10 —1 INSPECTION N TICS SCHEDULED /O'/5-/.0� PERMIT NO. /v? 4 gfr5 COMPLETED ADDRESS 7 - OWNER TELE H �� "" O CONTRACTOR k� ai1OdS 4� / DESCRIPTION -5 (J W ❑ FOOTING ❑ PLUMBING FINAL /// ❑ EXCAV/GRADOWFILLING LL. 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORENVETLANDS y 1=1 FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB El WATER HOOK-UP ❑ PROGRESS 1, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP IQ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: Q. CC 0 W cc Q W z W U ❑WORK SATISFACTORY:PROCEED ) OJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR IO CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice