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Home My WebLink About2011-00950 - roofing w - CITY OF ORONO PERMIT NO.: 20ll-00950 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE Iss[1ED: 08/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 45 CRISTOFORI CIR PIN : 31-1 18-23-43-0012 LEGAL DESC : CRISTOFORI WOODS : LOT 00] BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT: $12000.00 ROOFING PERMI�I�S ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK I3EING S1'ARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE 1'IME THE ROOF IS BEING DONE. ONCL WORK [S COMPLETED"I'HE SIGNS MUS'I'I3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 22125 H[GHMARK BUILDERS, [NC. STATE SURCHARGE(VALUATION) 6.00 12237 NICOLLET AVE S BURNSVILLE, MN 55337 MAIL-[N FEE 2.00 Minnesota State License#: 20635403 TOTAL 229.25 PAID WITH CC# 9188 OWNER MAYHEW,JEFFREY&LYNETTE 45 CRISTOFORI CIR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The work tor which this permit is issued shall be perfornlcd according to thc 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 p�rmits. All provisions of laws and ordinances goveming 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 I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. "fhe applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pennit may be rcvoked any time for due ca e. �''�� ' � 8'� �9� � App ant Permitee Sig ature Date ]ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AUG/29/2011/MON 09: 45 AM FAX No, 9527367545 P, 002 City of Qrona Building Permi� Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) MailingAddress: - ;;�,,;-�.�,:,:::,��::;��:,:::��.,:,:: ;:,�::.:,�.::.::::....:�:�,�„�,:,��.� _.:;;;,��,::-�;�� ,,,�,..,,,��.,.,,.��. .,., � PO Box 66 ;:Fsrmitlne�iiber:r:::;;1!:!:,.:�,-,� �,.; ii ��'�i �i��':'•. : 0� � ,, �� ;) � � � ' - � Crystal Bay,MN 55323-0066 (��rQ�Q'y��; � � I ��4�b� � = "r� �„ Stl'ee1�A ddress: '' ''` ►� � ,; ; \ � Gti 2750 Kelley Parkway Plan review fe�a � \� �� Orono, MN 55356 ', , ; x� , � � �`_' .i,�'��otat:F�e,. .,,. ..':. .� . � ��,,,�, �,.�.,:,�: ..::,�:: �;,..:;�:: ;:.��:�;;,�::,:�::: ,� �:: Main: 852-249-4600 Fax: �52-249-4616 www.ci.orono.mn_us :;:�'':�' �I�r �;��'�:I��+�� .`�.�� :� , ,.,,..�..�„�,. „��,.,,�,. . �,,��.,..��,,,.,,,.�.�,,.,��,,.,,..��.� .�....�,.�.�...,..,.�:::. .......... This application form must be compl�Dad in full and all required information must be submitted. Incomplete applications will be r'eturned. (Please pr�nt) GENERAL INFORIVIATION• Job Site Address: � r C,� � : �� , Will this be a Parade o�Homes, Retno e ers Showcase Hotne or other Display ome? Yes o I(yes,a speclal evant pennit is required with Police Department and City Council approval8a days p�lo�lo the event, Shuttle bus sslvJce will be requlred un/ess applicant ciemonsfrates su�cient on-site parking is available. Non-pemtitted evsnts wlll not be allowed. CONTRACTOR/APPLICANT INFORMATI�N: Name: �C b V� t--l� C� State License# Expiration Date: 2� � � 3 Lead Certification Number: �--j_ l U� r� Expiration Date: •'� '�'� � (tar work on homes that were constructed prlor to 9978 Phone: �— � (office) �� 2- � �,� (cell) Mailing Address: �,�,, Cit � ZIP: Contact Person: Applican�is: o ractor / Homeowner (c4-c!e one) Email and/or Fau: ' � r Q i/'� , ( pROP�RIY OWNE INF CtMAT10N: � Name: �� --9_' �-��V \'�� Phone (day): �ddress: L�.�r�l/L S )1( l r JL Y�.� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require [] Door(s) ❑Remodel ❑ Fire Damage NICWD review&permits: Minnehaha Creek Watershed Disfrict(MCWD) �Re-roof,asphalt ❑1Zepair ❑Storm Damage 18202 Mlhnetonka Blvd ❑ Re-roof,cedar �]}Zesto�ation ❑Water Damage Deephaven, MN 55391 Phone: 952-471-o59a ❑ Re-roof,other(specity) ❑Siding ❑Other:(specify) �aX; 952-471-0662 ❑Window(s) www.minnehahacreek.ar�a Overall Project Description: Estimated Gonstruction Valuation of Praject(excluding land) $ � �� — APPLICANT ACKNOWLEOGEMENT: • Agrees to provide all infnrmetion required or rEquested by the Buflding beparCment � C�rtifies that the information supplied is true and correct to the best of hislhe� knowiedge. The applicant re�ognizes that they are solely responsible for submitting a complete applicaEioh being aware that upon failure to do so,the staff has no altemetive 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 privafe or cor�fldehtial. Private data is information which general(y cannot be given to the public but can be given to the subJecf of the data_ Confidential data is informatioh which generally cannot be given to either the public or the subject aF the data. Our purpose and intended use of this information is to annually update our records and records af orther'govetnmental agencies re uired b law, li ou refuse to su I the informati the� Ifcallon ma nol be fssued. ApplicanYs Sianature= Date: �� Z�- 2 a /� D� DAr TIME " CITY OF ORONO CALLED IN � — I� INSPECTION NOTICE y� SCHEDULED -�� PERMIT NO.cQDGI'�V��O COMPLETED ADDRESS�� ,� / � OWNER TELEPHONE NO.��Z Zo� �"�� CONTRACTOR � � �/�G� � DESCRIPTION �� n� ` �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � � � COMMENTS: � � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED '`�ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY 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.CA�I TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector_ lJ�%� � � � '-� White Copylinspector's File Canary CopylSite Notice