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Home My WebLink About2011-00652 - roofing � CITY OF ORONO PERMIT NO.: 2011-00652 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 07/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 140 CRYSTAL CREEK RD PIN : 33-118-23-33-0010 LEGAL DESC : CRYSTAL CREEK : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 30,000.00 NOTE: ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIKE 24-48 NOTICE,YRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A PINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVF.RTISING SIGNS MAY ONLY BE ON THE PROPER'1'Y DURING THE T[ME THE ROOF IS BEING DONE. ONCE WOI2K IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 466.75 CHRISTIANS INC. STATE SURCHARGE(VALUATION) 15.00 1480 PARK RD CHANHASSEN, MN 55317- TOTAL 481.75 (952)470-2001 Minnesota State License#: 3712 OWNER BRODEN, DAVID& LAYLON 140 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The wark for��hich this permit is issued shall be performed according to the approvcd plans and specitications,applicable City approvals,and [he State[3uilding 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 oY laws and ordinances governing this type of work shall be compied with whether or not specitied 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 required inspections are requestcd i conformance with the Stat uilding Code.This permit may be revok at ai y time tiir due cau ' . _ _. � t` �ao� l 7� � , A t ermitee Signa ure � Date Issu f Signature Date SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. , � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) --- Mailing Address: Permit number. d0/ . d� :�--__. :��O,j�.�\ PO Box 66 ��• Crystal Bay, MN 55323-0066 Date received: il'O O�;, �"�,�" ! Received by: l�a ��z�x a, ' Street Address: — \�' •� �'�: ��ti% 2750 Kelley Parkway Plan review fee: � ��. �:��k�sHo4�i' Orono, MN 55356 �--'_- ' Total Fee: �/ �S 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: 1 Job Site Address: [=S(� C�( y��;�l i� �f �� - �, �� .��.- Will this be a Parade of Homes, Re odelers Showcase Home or other Display Home? ❑ Yes (� No lf yes,a special event permit is required with Police Deparlment and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: L�J`15 ��.r�� L.t1�'_• State License# '� '1�� Expiration Date: C'�'.7--'3 f'�� Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to 1978 Phone: �S �- t.�J�- '�,�� (office) (�� y��'j�j (cell) Mailing Address: T-(�'.C'� c�.ar�l� J��c� CitY:L�`:��I��r%� ZIP: S..S 31,"7 Contact Person: "S"�,S V� G`i�t �,�;� Applicant is: o ra ' / Homeowner (Circle One) Email and/or Fax: c��_ S�9 b�� a 7�3 PROPERTY OWNER INFORMATION: Name: LD�✓�J�1� � �'-dt�. �('��c�.�Y� Phone(day): j��..- S�'�� - ��,�3�� _ _ Address: i`'Lc% C��/S�'��I L�1�L�� 1a� ��°�'�c'� City: �id��;,v�c? ZIP: S S �S � 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 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description:�,�� p j L�� r� �,x;�'" �n�'� j�.�Z Estimated Construction Valuation o Project(excluding land) $ '?�(�7��;C;, �� 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 re uired b law. If ou refuse to I the information, a lication ma t be issued. Applicant's Signature: - � Date: � (� � �l Last Updated: 03-01-2011 t�T� Da�E TIME v CITY OF ORONO CALLED iN 7 L INSPECTION NOTICE SCHEDULED � -� °'�`� PERMIT NO.ao//- ol�6$�2 coMP�ETEo " ADDRESS �7"� «� �� OWNER TELEPHONE NO. � �Z 't"4� g�U� CONTRACTOR ��Z°`�� >; DESCRIPTION ��n� - '�-Ov f � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICA�FINAL O ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI 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.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contractor on ' Inspector. J White Copyllnspector's File Canary Copy/Site Notice �'� ATE TIME � CITY OF ORONO CALLED IN ��z� INSPECTION NOTICE SCHEDULED �1 �� PERMIT NO.�/� II � ��COMPLETED ADDRESS ,��C-�,S f�' � ��f� OWNER TELEPHONE NO.��c��6L-�� CONTRACTOR ��ls�jC�� : DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATEFI HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � 2 W � W � � d � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RRECT WORK&PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL AETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�0 OwnerlContractor on ite: Inspector. �t � �' White Copyllnspector's File Canary CopylSite Notice