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Home My WebLink About2009-00637 roof 4 � CITY OF ORONO PERMIT NO.: 2009-00637 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuEn: 09/25/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 60 CRYSTAL CREEK RD P[N : 33-118-23-33-0008 LEGAL DESC : CRYSTAL CREEK : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 31,321.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 488.25 AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 15.66 2960 JUDICIAL RD#100 BURNSV[LLE, MN 55337 TOTAL 503.91 (952)707-6959 Minnesota State License#:20169383 OWNER MYHRE, PETER& SHAWN 60 CRYSTAL CREEK RD LONG LAKE, MN 55356- AGREEMEIVT AND SWORIY 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 related work which requires separate permits. 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 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 requiced inspec[ions are requested in aonformance with the State Building Code.This permit may be revoked at any time for due ca e. ,� _ � / �5 i� �� 7/ ✓�iC-; c Applicant Permitee Sig re Date Issu d y Signa ure Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. t � • City of Orono Building Permit Application ' � 1 0 8 �—� Mailing Address: Permit number: Jd�' �� ,�.\ PO Box 66 /� G O k� O� Crystal Bay, MN 55323-0066 Date received: 7� � �''t��'` ;.. Received by: � a ,�� , Street Address: '��, ,� ��• '�� ti�� 2750 Kelley Parkway Plan review fee: \l9xEsx s`'�� Orono, MN 55356 "' -_� Total Fee: � �j'/�� / Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �v � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: / y� Job Site Address: IEJ� C r ys�i� Cre eK /`�, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APRLIC NT INFORMATION: Name: �l'1�'�ricc�.vl � ��Lc�c.'n ��ctC�Y� �� . State License# � Expiration Date: Phone: ;�— O S� office cell MailingAddress: c�i0 t� �`Cc� CE � Cit : �c.rn5✓�J�t' ZIP: ContactPerson: �lShe�.�., 'uYl��'' APPlicantis: ractor / Homeowner �c��ieo�e� Email and/or Fax: 1{$;�� 707- �s NaOe ERTY OWNER IN�-O��MATIO�: S �� h � r Phone (day): QS�--_�)7" .S6�/S Address: � C1'1�St'�,C Cr"2��f � City: (�j''CIYICJ ZIP: S.S�S� Email and/or Fax � , PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) � Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 � Siding 8 Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 3 i, �,,2,� , �`�U APPLICANT ACKNOWLEDGEMENT: • 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 required by law. If you refuse to supply the information,the application may not be issued. ApplicanYs Signature: ��'�,��u"�� Date: (1"(- ,��(��_ Reset Form � � DAT TIME � � � �� {-� CITY OF ORONO -�CALLED IN `(/ INSPECTION NOTICE q �3�SCHEDULED ` � � / PERMIT NO.��'J '�J �L.I�COMPLETED ADDRESS OWNER CONTR. �8 C-- TELEPHONE NO. — � DESCRIPTION �_ � � ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q�NAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q ti Z W � W � � d W ❑ K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 ho s i dv e. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � -� � � ,/ / DAT� TIME CITY OF ORONO CALLED IN ( INSPECTION NO ICE SCHEDULED �-d d PERMIT NO. �ODc!Gb637COMPLETED --JC,� ADDRESS � OWNER CONTR. � TELEPHONE N0. a-�'11 ' ��oZ— 7U� —�O � � DESCRIPTION � � ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. Q ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PIUMBING FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � a � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. / � // � White Copyllnspector's File Canary Copy/Site Notice