The URL can be used to link to this page

Home My WebLink About2009-00750 - roofing CITY OF ORONO PERMIT NO.: 2009-00750 � ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/26/2009 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 : $ 23,000.00 NOTE: TGAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 383.50 CHRISTIANS INC. STATE SURCHARGE(VALUATION) 11.50 1480 PARK ROAD CHANHASSEN, MN 55317 TOTAL 395.00 �) Minnesota State License#: 3712 OWNER BRODEN, DAVID& LAYLON 140 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN 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 pemiission 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 hercin.This permit will expire and become null and void if construction authorized is not con d within 180 days of the date of issuance,or iY construction is suspended for eriod of 180 days at any time after work has commenced. The appl 3nt i re onsible for assuring all required inspections are queste ' c for ance with the State Building Code.This permit may be re ked t any ti for due ca �L'� �'u � '�"' /O l��ol �y A li ermitee Signature Date �s By 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.) MailingAddress: Permit number: p�OD7 —C>� 5 Q�� PO Box 66 �� Crystal Bay, MN 55323-0066 Date received: �� O J ��a �vi��-r;�'� �,�� StreetAddress: Received by: � s rE�� '�t � G� 2750 Kelley Parkway Plan review fee: �XEsxo�`'� Orono, MN 55356 Total Fee: G} �T-�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ! i v 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: , � � Job Site Address: J �I �� C_ �r� ,..�c�-��.�_� �-s�r�= �--Z �-� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �, Name: �'_ l� .� � <� ��- ��. ,_�<<�� L c,�� -. State License# _ �, � � 2, Expiration Date: Phone: � • •� <f, �; � office '; ( � ^, ,� ��;�� cell Mailing Address: z- ' O _ - `_ �` Cit : ��,5;:�ZIP: ` � •? Contact Person: ,� Applicant is: Contractor / i Homeowner �c��ie o�e> Email and/or Fax: �}Y- _ [? � v�,�- ` � , ��,S �.�, � = L��-� ------'�'t 5_� -{�,-� o ,3 c�o�`.i' PROPERTY OWNER INFORMATIOf� Name: \�,� , � U'r��^;c�� Phone (day): Address: City: ZI P: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Si ing ❑ 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) $ � � ��j �'_T_ 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 u his information is to annually update our records and records of other governmental agencies re uired b law. If ou efuse to su the information, the a lication ma not be issued. ApplicanYs Signature: ��' Date: ��"`�� LastUpdated: 05-04-2009 DD TIME � ��lD CITY OF ORONO CALLED IN INSPECTION OT� ��SCHEDULED �QQ�� PERMIT NO. COMPLETE ADDRESS 1 TO C.�� f � OWNER CONTR.��/(,�'fQ� TELEPHONE NO. lp�� t'qD ��03 � DESCRIPTION �lnc.�—" I�-D� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ �KESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE � SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � `T�,q 1' c'� (�� .� S �cC -F� ��, S �� T 0 � �P �:,� �e c� �V O'i �C� ! � � ��1 r`{ .. o ---- � W � Q Z '�, c { .� �e s i�J ��I C'� G � I'�v S� Ci� �"�-2 '�PC' �^C� j �. � A -f c.�^ GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � � [Z C White Copyllnspector's File Canary Copy/Site Notice