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Home My WebLink About2011-01462 - roofing CITY OF ORONO PERMIT NO.: 2011-01462 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U2U20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 1685 CONCORDIA ST PIN : 17-117-23-22-0022 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 016 BLOCK 000 PERMIT TYPE : MINOR A[,TERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LINDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICG POR"I'EAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLGTE SE"C OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THG PROPERTY DUR[NG"I'HE TIME TI-IE ROOF IS BEING DONE. ONCG WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 221.25 RYAN SAWDEY CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 14650 92ND ST NE TOTAL 227.25 ELK RIVER, MN 55330- (763)286-0800 PAID WITH CC# 8926 Minnesota State License#: BC318786 OWNER PALM,MR. & MRS. TOM 1685 CONCORDIA ST WAYZATA, MN 55391- AGREEMEIYT AND SWORN STATEMENT Che work for«hich this permit is issued shall be perfomied according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work Jescribed and does not grant permission for additional or related work which requires separate pennits. All provisions oClaws and ordinances governing this type ofwork 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.'I'his permit may be r oked at any time for due cause. ��_ _ (j-C ��'�- I � �� 1 � + \ - l l -Elpplicant Permitee Signature Date Issued By Si a re -` SEPARATE PERMITS REQUIRED FOR WORK OTHER T DESCRIBED A E. Ci�y of Oro�o � " Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �— Marling Address: 'gv 0� PO Box 66 Permit number: /0 � � Crystal Bay, MN 55323-0066 Date received: '?" ,- �a ��:� s, j Street Address: Received by: �� '',,:�'�, ��/ 2750 Kelley Parkway Plan review fee: ��'kESH��/ 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: � Job Site Address: �l.L'U J �;,�.j l��;��i�'� �`� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes,a specia/event permit rs required with Police Department and City Counci/approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availabfe. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: N a m e: � <^_;-, �C.�,, �.,��, ( ,� c� State License# �3 ��-7� Expiration Date: � 3( (Z Lead Certification Number. �------ Expiration Date: -- (for work on homes that were constructed prior fo 9978 Phone: ��,3-�Z,�L,',�.-�� (office) (cell) Mailing Address: 14-(.,v`� '� 2= �1- • City: ZIP: �3 33� Contact Person: �� _�� Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: __� PROPERTY OWNER INFORMATION: Name: p� `��t;�y-� Phone (day): C��-Z.. t� �)—�j � Address: Sc�_ City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orQ � Overall Project Description: 'T�f��-F �, ,�,�, Estimated Construction Valuation of Project(excluding land) $ `2. 0 � 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 applicafion 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 appficafion 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 refuse to su I the information,the a lication ma not be issued. AppficanYs Signature: �.J Date: (/ Z � � �� Last Updated: 08-09-2011 ' �f T� TIME " CITY OF ORONO LLED IN `�` �[ INSPECTION NOTIC SCHEDULED L(-ZZ- l � � PERMIT NO.D�D��J�� COMPLETED ADDRESS ��5 ��L�� `� � OWNER TELEPHONE NO. CONTRACTOR � ��1 �� DESCRIPTION �� tiJ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � ti � Q � Z W � W � j GW �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site- Inspector. �'"1 -� White Copyllnspector's File Canary CopylSite Notice D T TIME ✓ CITY OF ORONO CALLED IN I �� INSPECTION N T C .7SCHEDULED � --�� PERMIT NO. �COMPLETED ADDRESS i �iG� � GC, - OWNER TE PHONE O. � r� �� CONTRACTOR - >; DESCRIPTION � � ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � �r C-t-v�� .� --�,,� o � ^ � `` Y� W � Q ti Z W � W � � d W� ❑WORK SAT�SFACTORY:PROCEED De��OJECT COMPLETE W ❑CORRECT WORK&PROCEED r! ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHiN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice