HomeMy WebLinkAbout2011-00945 (roofing) ' CITY OF ORONO PERMIT NO.: 2011-00945
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 08/26/2011
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 3200 BAYSIDE RD
PIN : 05-117-23-14-0007
LEGAL DESC : AUDITOR'S SUBD.NO.203
: LOT 014 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,000.00
NOTE: WORKING UNDER LICENSE OF RYAN SAWDEY CONSTRUCTION LICGNSE#20318786
DOUBLE FEE FOR WORK DONE WITHOUT A PERMIT
APPLICANT PERMIT FEE SCHEDULE 177.00
STORM SOLUTIONS STATE SURCHARGE(VALUATION) 4.50
PO BOX 514
DELANO, MN 55328- MISC FEE 177.00
(763)972-5120 TOTAL 358.50
Minnesota State License#: 20318786
OWNER
REZABEK, MR. &MRS. TRENT
3200 BAYSIDE RD
LONG LAKE, MN 55356- _
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.
7'he applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revoke�d a�y time for due�ca�se.
, _, ; �—
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App ' ant Permite ignature Date Issued By Si nature te
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
.
� City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
_ — Mailing Address: Permit number:
�.�j,�,�:�.\ PO Box 66
'O O� Crystal Bay, MN 55323-0066 Date received:
� � i� Received b
�,� �t�IR,�-_, �,!� Street Address: Y�
\�`�, ���'�;�9�,�1_ �tii�' 2750 Kelley Parkway Plan review fee:
\lyX sfHo'g,�v% Orono, MN 55356
- 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 applications will be returned. (Please print)
GENERAL INFORMATION: 2 - � " /
JobSiteAddress: �;��� C�{V�-v'1GL( � nrD�O t� � ���✓�ti°
Will this be a Parade of Homes, Remodelers Showca e Home or other Display Home? ❑Yes ❑ No
If yes,a special event permit is required with Police Department and City Counci/approva160 days prior to the event. Shuttle bus service will be
required unless app/icant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ���5"U /Z�5��
CONTRACTOR/APPLICANT INFORMATION: � C��Z� E/K lel✓�P�''MN
Name: �j I-� �U1"1,�S l-�-L /� Q.it .�u> SS 33D
State License# �j,�3 j� 7�5(p Expiration Date: 3j Z
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: '7(d 3 .- �f`];Z - �/'� � (office) _ (cell)
Mailing Address: P� ���c j/c� City: • '��.� ZIP: ,-rr� ��g
Contact Person: fp� µ�,���— Applicant is: ontrac / Homeowner (CircleOne)
Email and/or Fax: ~7 j� � .- �;-7•Z. -4.LL�,
PROPERTY OWNER INFORMATION:
Name: �TYc'v�t h'c'Z�-WL�t� _
Phone(day): �S� . �,y� - 3�> �D
Address: ��UC� ��/�t dt' /Ei� c�ty: pro,��, ZIP: `�535'ro
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
�2e-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Phone: 952-471-0590
❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0682
www.minnehahacreek.org
❑Window(s)
Overall Project Description: �{�o;�p y� y �.��(��-Y ���
Estimated Construction Valuation of Project(excluding land) $ ��t�
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
re uired b law. If ou ref se to su I the information,the a lication ma not be issued.
ApplicanYs Signatufe: -� �y' �� Date: ��i/�/�
Last Updated: 08-092(lir�
License lookup Page 1 of 1
LicensejCertificate Detail
Here are the details for the license/certificate you are currently looking for:
License name: RYAN SAWDEY CONSTRUCTION INC
License doing business as:
License address: 14650 92ND ST NE
City state zip: ELK RIVER, MN 55330
License number: 20318786
License type: RESIDENTIAL BUILDING CONTR
Company structure: CORPORATION
License status: ISSUED
License original issue date: 4/26/2002
License expiration date: 3/31/2012
License print date: 7/12/2010
Qualifying person: RYAN M. SAWDEY
Continuing education hours required to renew license: 14
Contractor's phone number: 763-2860802
Enforcement action: No
Another Lookup?
https://secure.doli.state.mn.us/licensing/licensing.aspx 8/26/2011
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CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �
PERMIT NO.ad/�`DO��� COMPL'ETED �
ADDRESS .32�� ���'�-�-� �
OWNER TELEPHONE N0.1�o3�Z$6 -O��
CONTRACTOR /����� — -S�r� �
� DESCRIPTION ��'���
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. C PHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. � � ��s� �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
�,''��F��Q�� CALLED IN _
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coNT�Ac�ca� —
�; DESC�?IP°TI09� _ �e— roo f'
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lU ❑ FOOTtNG � PLUMBIfJG FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHAfVICAL RI ❑ L4KESHORFJWETLANDS
�
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
� ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
a ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT�ON/REMOVAL
� OYdP1ERICOMTRACTOR TO AAEET YOU:_YES_�d0
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a *OLD PERMIT - NO FINAL INSPECTION REQUESTED
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUPISAFECOPJDITION WITHIN HOURS. ❑ PHOTOTRtCEN
INSPECTOR VYILL REfURN
❑CITATIOf�ISSUED
❑STOP ORDER POSTED.CAIL IPdSPECTOR
❑ IPdSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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