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Home My WebLink About2012-00683 - roofing '- CITY OF ORONO * 2 0 1 Z - 0 0 6 8 3 * . 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 170 CRYSTAL CREEK RD PIN : 33-118-23-33-0011 LEGAL DESC : CRYSTAL CREEK : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$10,000.00 ROOFING PLRMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) 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 TIMF,TI(E ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 191.75 M[DWEST EXTERIORS PLUS STATE SURCHARGE(VALUATION) 5.00 6451 SYCAMORE CT.N. TOTAL 196.75 MAPLE GROVE, MN 55369- Minnesota State License#: BC010277 OWNER GUZAN, LARRY&KATHRYN 170 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for��hich this permit is issued shall be perforrned according to the approved plans and speciYications,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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if eonstruction 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 requested in conformance with the State Building Code.This permit may bc revoked at anv time for due cause. ��,..� ��✓� ?� 7�l �2 / l Applicant Permitee Signature Date Issucd By S'g aturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ��y af Q ro n o B�il�ing Permit Applica�ion for Nlainter�ance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ! �%�v 0� PO Box 66 I Permitnnumber. �/� O�� Crystal Bay, MN 55323-0066 Date received: � �� a -�' s, Street Address: (-Received by: ��r,� �� ,��'a� G�� 2750 Keliey Parkway Plan:review fee: ��Rg �4`�� Orono, MN 55356 � ESH� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 wv✓w.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. incompfete app(ications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � � C��S�� C�J�Q� 2e� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event permit is required with Police Department and City Council approval 60 days pnor to the event. Shuttle bus service wil!be required unless applicant demonstrates suffrcient on-site par'King is available. Non-permitted events wil/not be allowed. CONTRACTOR/AP�JAI�T INFO MATIOf�: ' i� Name: '�g��„� � ` State License # (,(;�� Expiration Qate: 'j � Lead Certification Number: �di'�� ^� /� � Expiration Qate: (for work on itomes that were const cfe�rio 0 1978 Phone: ��''� 2��6 (otfice) �>l 2 �-j'�f' —' �� (cell) Maifing Address: (�L�' S'V�,�,�y2Q�,j �2 City: �� n��,�ZIP: � ��P� Contact Person: ,� .' '�—� r�-- C / Applicant is: Con�tor / Homeowner (Circle One) Email and/or Fax: iv��?f-�. � ;�•�,j� [�.e S-�� y S_ ��, PROPERTY OWNER INFORMATIOf�• Name: L. l' (�� (�,,� Phone(day): � - Address: �� S G'y �� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Qamage MCWD review&permits: � Re-roof, aspha�t �J Re air Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvo ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ' ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 ❑ Window(s) � www.minnehahacreek.ora I � Overall Project Description: � �- � Estimated Construction Valuation of Project (excluding land) � l(��-�D 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 app(icant recognizes thaf they are soiely responsible for submitting a compiete application being aware that upon failure to do so, the staff has no alternative Ibut to reject it until it is cornplete; • Some or all of the informafion that you are asked to provide on this application is cfassified by State law as either private or confideniial. Private data is information which generally cannot be given to the pubfic but can be given to the subject of the I 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 bv law. If ou refuse to su f tne information, the a pfication mav not be issued. AppficanYs Signature: �� , Date: � �ast Updated: 08-09-2011 DATE TIME CITY OF ORONO CAL ED IN 7`� INSPECTION NOTICE SCHEDULED �Z �� PERMIT NO.o2D/�—D(�(o�.3 COMPLETED ADDRESS �� 'V�-ta'-Q ��-Q-� � OWNER TELEPHONE NO. �O � Z- 7�Z �7�� CONTRACTOR �/��C��C� C ��'/1J7''S �� : 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W �V�RKSATISFACTORY:PROCEED Li PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. � v White Copyllnspector's File Canary CopylSite Notice �/�� D TI M E v CITY OF ORONO CALLED IN �� INSPECTION NOTICE G SCHEDULED ��b-/Z � PERMIT NO.��/A?-�OD�O � COMPLETED ADDRESS �7O C.��. '�-� OWNER TELEPHONE NO.��Z ��Z �7d� CONTRACTOR �l��`-fiL� �C f U'� >; DESCRIPTION ��^� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREN✓ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 � � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED `�ROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN 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. (g52) 249-4600 Owner/Contractor on site: �— Inspector. �� White Copyllnspector's File Canary Copy/Site Notice