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Home My WebLink About2011-01015 - roofing ' CITY OF ORONO PERMIT NO.: 2011-01015 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 09/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1687 CONCORDIA ST PIIv : 17-117-23-22-0024 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 016 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 11,000.00 NOTG: VALUATION OF PERMIT:$11,000.00 ROOFING PERMITS ISSUGD WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTGD) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERT[SING 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 206.50 RYAN SAWDY CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50 14650 92ND ST NE TOTAL 212.00 ELK RNER, MN 55330- (763)286-0800 PAID WITH CC# 8926 Minnesota State License#: 20318786 OWNER GEHRING,JOHN & KRISTIN 1687 CONCORDIA ST 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 commenccd within 180 days of the date of issuance,or if construction is suspended f'or 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.'Chis permit may be revo#:ed at any m or due cause. ��..� � � � � � ' � / / ��cant Per tee Si ure Date Issued By S� ature aYe SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � City of Orono - Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: /�,�� PO Box 66 Permit number: � � Crystal Bay, MN 55323-0066 Date received: '��f Received by: a � '��;:y �, Street Address: �'�c, � '�t' -�4 �� 2750 Kelley Parkway Plan review fee: L9xESH�4'� 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: �P U l...C)�1�-ljr�, � S�"-�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 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/APP ICANT INFORMATION: Name: � r� S C::i.✓ VtJ(L�j�/uC�1+�b,�- State License# z p 3 ) � �g� � Expiration Date: 3 3 �� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �7�3,_7�,� �,,_ u t=c,�� (office) (cell) Mailing Address: �Q{o� Cj � City: � � ZIP: � - Contact Person: �`�� t�� Applicant is: ontr�ctor / Homeowner �c��ieo�e� Email and/or Fax: 7(p3-- ��7 2 - � 2 2 r, PROPERTY OWNER INFORMATION: Name: ��J�� L�f,`�e, Phone (day): (�, � 2_ -� � �t - 4 � Address: � `� � ' ., ., , � �..�- City: �,�,� �-t-r ZIP:,�� 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) j�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ., � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: �C f- ,�..� ,- � Estimated Construction Valuation of Project(excluding land) $ �f �� 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 refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: ( ` Date: I� l l I l�ast Updated: 08-09-2011 � CL�� Q DAT TIME ✓ CITY OF ORONO CALLED IN % ! � INSPECTION NQ�T,I(;� O/D��SCHEDULED PERMIT NO. �'�� COMPLETED ADDRESS GGL GL OWNER LEPH NE NO. �—�� CONTRACTOR - >: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � O � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPEC710N TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WtLL RETURN r CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED:CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: r lnspeCtor [� �r, i� �C White Copylinspector's File Ca�ary CopylSite Notice �� DAT TIME �� CITY OF ORONO CALLED IN � '� INSPECTION NOTICE SCHEDULED — —� �� PERMIT NO. a��-d �� COMPLETED ADDRESS �� C�f��D�� OWNER TELEPHONE NO?b3 'z06 �U(�OO CONTRACTOR � �-"� s�v� C-�� >; DESCRIPTION �e� �� ❑ FOOTING ❑ PLUMBING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a k � O � � O � W � Q � Z W � W � j d ,,c,t`'� W..,�ucr,u�RK SATiSFACTORY:PROCEED ❑ PROJECT COMPLETE W� ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOF REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on s te: Inspector. (�1 � ' ,_, � White Copyllnspector's File Canary CopylSite Notice