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Home My WebLink About2011-00674 - roofing-� � w CITY OF ORONO PERMIT NO.: 20ll-00674 2750 KELLEY PARKWAY ORONO, MN 5535G- DATE ISSUED: 07/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 455 SUSSEX LA PIN : 04-117-23-32-0011 LEGAL DESC : FOX BEND : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 23,648.76 NOTE: 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 TI IE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 398.25 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 11.82 12366 RIVER RIDGE ROAD TOTAL 410.07 BURNSVILLE, MN 55337- (612)861-7000 PAID WITH CC# 1521 Minnesota State License#: 20593656 OWNER CRAWFORD, BRUCE&CAROL 455 SUSSEX LA LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[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 hecein.This permit will expire and become null and void if construction authorized is not commenced within I 80 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 fer assuring all required inspections are requested in conformance with the State Building Code.This permit may be cevoked at any time fo e cause. ., " / / �7/ �7/ /� ' � �ca rmitee ignature Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JULs18-2@+11 11:21 From: 6785736615 To:9522494616 Pase:1�1 '' ►/n. vv/ , `�` �� C�ty of Orono �� Bujlding Permlt Application for Internal Wo�k f�� . windows� doors� siding, re-roof, etc. Ma�7ing Addrreess: Pem�it numbsr. ��3 - 0 7 O��O PO Qox 66 Crysigl Bsy,MN 55323-0068 Oale reoeiv�d: 7 ! 6 � � Street Address: ReceNrad by: 2750 Kerlty P�rkwaY Plan review ise: �► �ono,MN 55356 Total Fee: � �`�,�� Main: 952-249-4600 Fax: 952-249-d�i16 www.ci orono mn.us Tttis application form must be completed in full and all�equired inform�tion must be submiaed. tncomplete appllcations w111 be retumed. (Please print) GENERAL INFORMATION: Job Site Address: �i� �.S �-yl• Will this be a Parade of Homes,Remodelers Showcase Homo or other Display Nome? Yes No Il pes,a special event pemJtls ieqtdied w�fh Polke Departn�ent and t�'ry COwtt�1 sp�rovel 60 days prfor b fhe ev�nL Sh�Cle bt�s seivk:e wd'I be requNed unless appRce�dema►sarates sullFaent ons�pa,kb►q is eveilabis. Nan-pem►�ted erenla w�not 6e aQow�ed. CONTRACTOR/APPLICANT INFQRMATION: Name: ' Stste l.ioense# �;Q�3 b5 h Expiratlon Oate: p3 � Lesd CeKiflcat�on Number. Expira�on Date: (1bi w�odc on homes Mat were consbucted prlor b 1978 Phone: �I Z- BF��Dc O (office) (cell) Ma��ng�eress: t2366 12�v� 12.tctc�c. Si�roL. �hr C'a-�o ZIP: 1�w1 Confact Person: � s; Applicant ts: Contractor I Homeowner �c�ra.0�1 Email andlcr Fax: �h��S�,�,�,o,��hS � ,,�,y"� PROPERTY OWNER INFORMATION: 1 Name: �t �- �. C � �1,J�o�'�1, , Phone(daY)- '�52 ��- Of�O Address: ayS G��p� L-y�- City: O ra� ZIP: �3�(,� Email and/er Fax PROJECT INFORMATION: Type of ProJect: y es�tlf moverr�nt may require ❑Door(s) ❑Remodel ❑Wster Dsmage MCWD revlew 8 permlts: Minnehaha Creek Watershed DisMct(MCWD) ❑Window(s) (j�epsi► ('�8tortn Damage 18202 Mrnnstonka Blvd Deephaven,MN 55391 ❑Siding ❑RestorsHon ❑OtAer.(speciy) Phone: 952-471-05�0 �e-roof ❑Fire pamage Fs�c 952-471-0682 www.minnehahacreek.om Overall Pro act Desc�i tlon: �-so � �„„� C r,.�, Estimated Con�huCtion Valuatlon oi Pro ect excluding land) 3 2.'3 (, Qy� � - APPLICANT ACKNOWLEDGEMENT: • Aprees tv prwide all iMormabon nequired or requested by the Buflding Departrnent; • Cer'tr�ies thal Iha informaUon supplied is true and correc!bo the besl of hldhe�knowledge. TAe applicant�eCognizes that they are soley responsible for su0mitting a mmplete applicapon being eware that upon/ailure to do so,the staff has�o altemative bul t0 rejed il uMil it is oomplcte; • Some or all oi IAe informalian thal you are asked�o provSde on this applicadon is classifieed by State law as eitl�er privabe or oo�identlal. Privdte dab is infortnetion whid�generally cannot be given to 1Ae publk�ul csn be given b the subjed oi Ihe dala. Confidenl�al dale is iniom�adon which generally cennot be given to eiMer tl�e public cr Iho eubjed of the data. Our puryose snd inbended use of fhis inionneUon is 0�annualy update our records and records of olhet govemmenisl apencies ui b law. Ii reiuse to su the irtto ti� the a ication ma not De issued. Applicant's Signature: Oate: 0�1�1�� ` Lsst Undated: 03-01-2011 ATE TIME v CITY OF ORONO CA ED w l INSPECTION N TICE HEDULED PERMIT NO. ��1/7 COMP ETED ADDRESS OWNER ' TE PHONE NO. ' ' � CONTRACTOR ' � �— >: DESCRIPTION L� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � O W��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector_ f 0 �.'``�' ,� �_ _ __ White Copy/lnspector's File Canary CopylSite Notice �3� � � D�� TIME CITY OF ORONO CALLED IN INSPECTION NOTIC�E SCHEDULED - /-// [�1 PERMITNO.a�� 7� COMPLETED �=� ` —1 •__ U`/ J�- ADDRESS 7'S5 su'�'�L'�� OWNER TELEPHONE NO. CONTRACTOR �� : DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 v ❑ 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 � � J O >. � O � W � Q � Z W � W � � O � � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN 1NSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-46oQ OwnerlContractor on s'te: i Inspector. White Copyllnspector's File Canary CopylSite Notice