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Home My WebLink About2011-01363 - roofing � . CITY OF ORONO PERMIT NO.: 2011-01363 ' 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUED: 10/3U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3575 CHRISTINE DR PIN : OS-117-23-12-0018 LEGAL DESC : BETZ ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 41,427.16 NOTE: VALUATION OF PERMIT: $41,427.16 ROOFING PERMITS ISSUED WITHOUT ENOUGEI NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR"I�O WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE tSSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DiJRING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 595.75 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 20J1 12366 RIVER RIDGE ROAD BURNSVILLE, MN 55337- TOTAL 616.46 (612)861-7000 PAID WITH CC# 1521 Minnesota State License#: 20593656 OWNER SHIELDS, MR. & MRS. MICHEAL 3575 CHRISTINE DR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The wo�k Yor which[his permit is issued shall bc performed according to [he 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 construc[ion is suspended for a period of]80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / � � Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. OCT-31-2011 13:46 From: 6785736615 To:9522494616 Pa9e:1�1 R � � = City of Orono Building Permit Applic�tion for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Addr�s : Parmit number Og,O�O PO Box BB Crystal Bay, MN 56�23-0066 Date reoeived: � � ' �, StreetAddress. Received by: ��' 2750 Kelle Parkway Plan review fee: � Orono,MN 55356 k�H� Total Fee; �p�� (� Main� 952-249-4600 Fax� 952-249- 61B www.ci.orono,mn.us This application form must be compl ed in full and all required information must be submitted. Incomplete applic tions will be�eturned. (Please printJ G�NERAL INFORMATION: Job Site Address: � �S rc �VU`, l \�2. Wil!this be a Parade of Homes, Remodelers Sh wcase Home or other Oisplay Home? Yes �No K yes,a speciel event permit is required with Police Departmenf and City Council appraval BO days prior to the event. Shuttle bus seivfce will be �quired un/ess appllcent demonstretes su�cie�t on-site parfcing is available. Non-permitted events wi/l not be allowed. CONTRACTOR/APPLICANT INFORMATIOId: Name: �w ��,� '� State License# 5�31� Expiratio� Date: �j �Z Lead Certification Number: Expiration Date: (fer wor1�on homes that were constructed prior to 1978 Phone: (�. $6, �vv (o�ce) {cell) Mailing Address: �2 6(� �vp,- �2i �itY� v� Z�P: �'�33� Contact Person: ��, Applicant is: ont�acto / Homeowner (Circle One) Email and/or Fax: PROPERIY OWNER INFORMATION: Name: �, � � ^ Q Phone(day): q S Z- �j`3- I 3`Z Address: �'��' Cl,w•��-t, . � � ra�••a ZIP: $� S 3 S� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits: ❑ Door(s} ❑ Remod�l ❑ ire Damage � nehaha Creek Watershed District(MCWD) [�e-roof,asphalt ❑ Repai� torm Damage 18202 Minnetonka Blvd ❑Re-�oof, cedar [�'F�estoration ❑ ater Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ ther.(specify) Fax: 952-471-0682 ❑Window(sj www.minnehahacreek,ora Overall Pro'ect Description: � _v � - �� Estimated Construction Valuation of Project(ex'luding land) � a 7 . � APPLICANT AGKNOWLEDGEMENT: • Agrees to provide all informetion 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 bu2 to reject it until it is oomplete; . • SomB or all of the information that you are ask d to provide on this application is classified by State law as either private or confidential, Private data is information which generally cannot ba given to the public but can be given to the subject of the date. Confidential data is information which ge�erally cannot be given to either the public or the subject of tha data. Our purpose and intended use of this information is Ito annually update our records and records of other governmental agencies re uired b Isw. If ou refuse to s I the infor ation,the a lication ma not be issued, Annlinon4'c Qinn�4i i�n� \ ..l � .. n-r-, �R'1 /� � /�/ � J� D E TIME V CITY OF ORONO CALLED IN Z" � INSPECTION NOTICE SCHEDULED 2 -/5''/2 ! �b PERMIT NO. ��- O �363 COMPLETED ADDRESS 3575 C�Z�t-n-� /�'1� OWNER TELEPHONE NO. `�52 2!S ,3gS2 CONTRACTOR ��rn� �K'� �; DESCRIPTION �� FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FiLLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o '' G C�`�- � 5 /� � � � � � � � 0 � �' o F � Q � , -�-�r�s z W � W � � � GW ❑WORKSATISFACTORY:PROCEED � �ORRECT WORK&PROCEED C IISSUE CERTIFICATE OF OCCUPANCY W � � O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ( White Copyllnspector's File Canary Copy/Site Notice