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Home My WebLink About2011-00932 - roofing ■ . , CITY OF ORONO PERMIT NO.: 2011-00932 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3843 CHERRY AVE PIN : 08-117-23-33-0040 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 007 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,693.80 NOTE: VALUATION OF PERMIT:$5693.80 ROOFING PERMITS ISSUED WITHOUT ENOUGH N01'ICE 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 132.75 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 2.85 12366 RIVER RIDGE ROAD BURNSVILLE, MN 55337- MAIL-IN FEE 2.00 �61 z>861-�00o TOTaL i 3�.60 Minnesota State License#: 20593656 PAID WITH CC# 1521 OWNER WILLIAMS,NICHOLAS&ANNA 3843 CHERRY AVE MOUND, MN 55364- 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 rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall bc compicd with whether or not specified herein.This permit will expire and become null and void iY 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 cause. / / �/ / / Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AUG124-2�'11 13:20 From: 6785736615 To:9522494616 Pa9e:1�1 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Addr�ess: Permit number: �//- '�! O,g,Q�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � / e -� St►�etAddress: Received by: �� G� 2750 Kelley Parkway Plan review fee: ��,EBxo� Orono, MN 55356 7otal Fee: /3�� Main� 952-249�600 Fa)c: 952-249-4616 www.ci,orono.mn.us This application form must be campteted in full and all required information must be submitted. � �� Incomplete applications will be returned. (Please print) GENERAL INFORMATION; Job Site Address; 3�� [��J� l�L �r�'`�b �^� �s� � Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? Yes � No lf yes, a specia/event permit is requll'�d with Po/ice Department and City Councll approval 60 days p�iol to the event. ShutNe bus s�rvice will be required un/ess applicant demonsfrates su�cient on-site parking is available, Nor1-perm�tted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �� v� State License# r� �,�,[� � 'Z,p S'°�3 b�` Expiration Date; '1 �Z Lead CeRification Number: Expiration Date: (for work on homes thet were constructed prior to 1978 Phone; �'L� "t o�� (office) (cell) Mailing Address: 'j�b(o ��0/ � City: v ZI P: ��Z Contact Person: Applicant is: Contractor / Homeowner (Clr�cle One) Email and/or Fa�c: ��{� � �� [,,r��v.. -L0 w� PROPERTY OWNER INFORMATION: , Name: _N�c�. �.1�►�Q..v�S Phone(day): �S'Z - �l�'�- �Q��g__ Address: �-3�j�3 Gln�rrN p�v� C�tY: �f"o„�� ZIP� $S"3�p Email and/or Fax PROJECT INFORMATION: 7ype of Project: Any earth mevement may require MCWD�eview�permits: ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed Distric4(MCWD) t�Re-roof,asphalt ❑ Repair I�torm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar [�F�estoration ❑ Watar Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re--roof,othe�(spec�ty) ❑Siding ❑ Other. (specify) Fax' 952-471-068�2 ❑Window(s) �-minnehahacreek.or4 Overall Project Descri tion: - ca � �o.- Estimated Construction Valuation of Pro�ect(excluding land) $ S, (�q , � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Departme�t; • Certifies that the information supplied is true and correct to the best oi his/her knowledge, The applicant r�cognizes 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 mmplete; • Some or al) of the information that you are asked to provide on this application is cfassified by State faw 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 date. Confidential data is information which generally cannot be given to either the public ar the subject of the data- Qur purpose and intended use of this information is to nnually update our records and records of other governmental agencies re uired b law, If ou refusg to su I the inform bn,the a lication ma nat be issued. n....l:......ai.. C�......�.iri. �� \ \ � nafP' V'�/ /.M / � I DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. ,�201/�Do 9302 COMPLETED 'l$ -!�o ADDRESS 3�y3 L'�IRrr�f /¢�!� . OWNER TELEPHONE NQ. CONTRACTOR S�.�i�Z C�.tSZ` r4.�rCrr,�. �: DESCRIPTION ��'�ev"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �.GtpAL ❑ SEWER HOOK-UP O COMPLAINT J � DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a Cg,� �►+�� - D �K �L vl �.c �e � � J e � � O � vlo -�- `r-dF'� r•zs,or�,r�=„ r'��C 0 � W A,/ � f��f� V'P�r�,L�r�ii�r�, � r�v i�Qd� � Z � �af 6� p�/� /f �°C�s�L/2�s� j _ ,Q�r►�,� -t r�l� d � ❑WORK SATISFACTORY:PROCEED �FECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector.�� White Copylinspecto�'s File Canary CopytSite Notice