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Home My WebLink About2011-00943 - roofing � ' " CITY OF ORONO PERMIT NO.: 2011-00943 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 165 CRISTOFORI CIR PIN : 31-118-23-43-0014 LEGAL DESC : CRISTOFORI WOODS : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,000.00 NOTE: VALUATION OF PERMIT:$13,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STAR7'ED) 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 236.00 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 6.50 12366 RIVER RIDGE ROAD BURNSVILLE, MN 55337- MAIL-IN FEE 2.00 (612) 861-7000 TOTAL 244.50 Minnesota State License#: 20593656 PAID WITH CC# 1521 OWNER LESSER,JOHN 165 CRISTOFORI CIR MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT Thc work for�vhich this permit is issued shall be performed according to the approvcd 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 rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciYied herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 180 days of die 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 caus ��1.v1./�-C-�� U / �1�/ �� l�Y�l ! Appl�cant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AUG-26-2011 07:19 From: 6785736615 To:19522494616 Pa9e:z�z . , . City of Orono 6uilding Perunit Application for Maintenance / Renovation Qwindows� doors, siding, �e-roof, etc.) MelJing Add�ss: permll number �D/�-d4�J`�-3 O.�D,�.O PO 6ox 66 Crystsl Bay, MN 55323-0066 Date received: �� !/ St�et Address: ReCeiv9d by: 2750 Kelley Parkway Plan review(ee: ��x�� Orono,MN 55356 �/� T�I Fee: '7'07��'O Main: 952-249�600 Fex: 852-249�616 www,ci.orono.mn,us This application f�orm must be completed in full and ell required infortnetion must be submitted. INcomplete applications will De returned. (P/ease print) GENERAL IIdFORMATION: I�� ri 5�b rl, �I•r• Job Site Addtess: Will this be a Parade of Homes.Remodelers Showcaee Home or other�isplay Home? Yes No If ye�a speaal event p�►m�f is requi►od with Police Department end City Council appmval 60 days prior ro(he e►rent. Shuttle bus seivice wiU tre required unless applicanf demonstrates sufAcient onsite parkNrg is avallaDlB. Non�eimiltea events w;ll not be allowed. CONTRACTOR/APPLIC NT INFORMATION: 1 fdame: �iv�o n C•rS�Yt?GT�d^ State License# Zp �C'6 Expiration Date: 3 12 Lead Certification Numb�r: /yJ�T S?3 StS� 1 Expiration Oate: (for wc�on homes that were consbvcted p�or to 19�8 Phone: (��2. �6��- 7DD0 (office) (cell) Mailing Address: 1 Z�j�b �;�.�� . esQ �V Ci : urhSV� �•C ZIF: �"j s"7✓ 3� Contact Persan: �v�'r, w,,,,� AppliCant is: tractor Homeowner �ci�i.o�a� Email and/or Fax: e�,;�, �;,�,� a�,,,g �en. Co M''� PROPERTY OWNER INFORMA N: Name: �l o In� �+.r��'� L� S S�i Phone(day): (,��— 9 -� b 2Z 3� Address: �b O�S .Fon i%. Clty: �brt o ZIP: Email and/o�Fax PR�JECT INFOf2MAT10N: Type cF ProJect: Any eaKh movement may require ❑Door(s) ❑Remodel 0 Fire Damage MCWD revlew B�permits: Minnehaha Creek Watershed Dislr9ct(MCWD) '�e-roo(,asphalt ❑Rep3ir ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restorafion ❑Water Damage Deephaven,MN 55391 Phone: 95Z-a71-0580 ❑Re-roof,othe�(sp�clfy) ❑Siding ❑Qther:(speC�fy) Fax: 952�171-0682 ❑wndow(s) www.minn�hahacreek.orq Overall Pro ect Descrlptlon: .Car �µ�# ✓-C �/oo Estlm�ted Constructlon Valuatlon of Project(excluding land) $ ��T 00'� APPLICAPIT ACKNOWLEDGEMENT: . Agrees m provide all Informa�"on required or requested by the Building Deparbnent; • CeRifies that the information supplied is true and correct to fhe best of his/her knowledge. The appllcanl recogniaes that tAey are solely responsible for submilting s onmplete appliration being aware that upon Failure to do so, the staff has no allemative bu!lo reJecf if until it is complote; • 3ome or all of the Info►maliom that you are asked to provide on Ihis application is classified by State law as either private or confidential. Private data is information which generaliy cannot be given to the public but can be given to the subject of Ihe data. ConfidenUal dala is iniormaGon which seneralty cannot be given to either lhe public or the subject oi the data. Our purpose end inlended use o1 I�is informalion ia to annually update our records and records oi other govemment�l Sgenues re uired b law_ It ou refuse to su I the information,the a lication ma nol be issued. ApplicanYs SignaturB: Date: � Z� Za 1 , . Z CITY OF ORUNO 275�3 KELLEY PARISWAY LONG LAkE, Mld 55356 ri�y �f lJf��fi0 M�rchant [U: k361� c'�() �?�i��l ;'d�`k�i�;y Ref It: ��GJl �J'r�n�] �li� .°i5u,56 :5�—c�t9-4Gi�J Re�eiGt P��: 3.��«5;;�� A�1� �5, L��i1 Sale r; :,tt±tu(i ��1fi�Li'SCt2�i'� ��JC� �t`2Vi'3U= $a:3Y,Ce; ,(r1 1 1-'�;'(ii 2 t 3 �IS� E�t�� "IEth�d; Mar�ual =��:—�� s ��,r�� 1"15tOfn�•i �1PCiE� ini-3�5it7 Tutcl� $ �Q4,��u R�s:ldine Per�r�tits r'erfnitsr�'• ��'�1'li+�7'7� 1FiJ L 48�26�11 11,1,,« cr��t;,f,�� E �.:�;� ��t-�<�s�� I�u a, ��G9G3 ��Nr CodE� �263�B ��e �� v.�—s�� F��itvy �pNrud: Onlirr Batch�; ��233 ��f��-�� s �.�� Cri�t»f�ri Circie AUS Code; ZIP h1A1CH Z jc}f—��4:��- BId� ��r•;�i:t�-,u�ii ir� ree5 --------------- T�3#ai: �=��t.5�'1 Customer Coav ��y� �,�_y�� 4� J��_ THANK YOU. Ci'8iit C3t`d =__�____�__�___ NAVE a NICE GAv. C!?eck N�]; i5ci ;�q.Y,��j ��3j/�J't': S1AH:�Yi G��'ri5ti'1^�i��Y� i��td': Flp�,?i�� Y4,5i; Char�3e Ter;der�ed: -�---------,�j,,- tJCi�LUI"L{.��.S 1�i AJFif'i 'e'-'--'-- �� DATE TIWIE � CITY OF ORONO CALLED IN INSPECTION NO�� Do9� SCHEDULED � PERMIT NO. �� COMPLETED ADDRESS �6 5 C�"a7�L �L� OWNER TELEPHONE NO Q�2' Z�S 3 1'S� CONTRACTOR SI{'►�(J)'1 G�� : DESCRIPTION ��D� �n� � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL�ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � �� __�/l� _ � � � O � W � Q � 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice