The URL can be used to link to this page

Home My WebLink About2011-00693 - roofing y CITY OF ORONO PERMIT NO.: 2011-00693 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE Iss[7En: 07/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3285 CRYSTAL BAY RD PIN : 17-117-23-41-0015 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 8,000.00 NOTE: ROOFING PERMITS ISSUED WITI IOUT ENOUGH NO"]'ICE FOR TEAR OFF INSYF,CTIONS. (WE REQUIRE 24-48 NOTICE, NRIOR ��O WORK BEING STARTED) MUST PROVIDE COMPLETE SE'I'OF PICTURES OR A F1NAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPER'I'Y DURING THE TIME THE ROOF IS BEING DONG. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 HOLMBERG CONSTRUCTION & ROOFING STATE SURCHARGE(VALUATION) 4.00 3275 ADA[R AVE NE BUFFALO, MN 55313- TOTAL 166.25 Minnesota State License#: 20217161 OWNER JOHNSTONE, HEATHER 3285 CRYSTAL BAY RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMEIVT I he work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable Ciry approvals,and the State E3uilding Code. This permit is for only the work dcscribed 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 authoriaed 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[3uilding Code.This permit may be „ revqJc�d at any time for due ause � \ �� ' � ��Z � � _� l _C C�7't��cv� `7 —2!— / / ' i i Applic Permitee Signature Date Issued E3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�v�,�0 PO Box 66 �, Crystal Bay, MN 55323-0066 Date received: �� Received b ,� ;4�z, s, Street Address: y� �'�c, ''�' �ti� 2750 Kelley Parkway Plan review fee: t9kESH0�`'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: ��' Job Site Address: ,3�� ='� ��lj� �� ?iCjCG'-'� Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes .�No If yes,a specia!event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APP ICANT INFORMATION: / Name: f�c?/T�,l�i^� c'i�� On?—/ ��c State License# " Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: — �j� � � L � (office) G� , -� (cell) � Mailing Address: � , v e City: ' ��_ �j � ZIP: Contact Person: ��.�� o ; � `- ` Applicant is: Contractor�-/ Homeowner (Circle �e> Email and/or Fax: --` PROPERTY OWNER INFORMATION: Name: � Phone (day): Address: � City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �2e-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding fand) $ l/�� , APPLICANT ACKNOWLEDGEMENT: ' �' � , � �a • Agrees to provide all information 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 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 private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse o su I the information, the a lication ma not be issued. � �l �7/ - / ApplicanYs Signature: �� ' � � �� ` " �.� ,�/'� Date: / � L Last Updated: 03-01-2011 � � D TE TIME � CITY OF OR NO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO.��0�� C PLETED ADDRESS � � OWNER TE HON,-1E NO. � �� '� � CONTRACTOR x - >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 tNSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j 1 . � � � c� O a � � � _S �, �2'� �r � ' ,��"f- � �- � �� Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED �. SUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspecti�2a hours in advance. (952) 249-460� OwnerlContractor on si : Inspector_ � White Copyllnspector's File Canary CopylSite Notice