The URL can be used to link to this page

Home My WebLink About2010-00290 - roofing CITY OF ORONO PERMIT NO.: 2010-00290 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 185 CRYSTAL CREEK RD PIN : 33-118-23-32-0003 LEGAL DESC : CRYSTAL CREEK : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 11,000.00 NOTE: TEAR OFF AND REROOF HOUSE/ATTACHGD GARAGE APPLICANT PERMIT FEE SCHEDULE 206.50 SELA ROOFING& REMODEL[NG, INC. STATE SURCHARGE(VALUATION) 5.50 4100 EXCESIOR BLVD ST. LOUTS PARK, MN 55416- TOTAL 212.00 (952)915-7227 Minnesota State License#: 0001050 OWNER MELROSE, KEN 185 CRYSTAL CREEK RD LONG LAKE, IyIN 55356 AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 specitied herein.This permit will expire and become null and void if construction authorized is not commenced� 180 days of the date of issuance,or if construction is suspen d or a period of 180 days at any time after work has commenced. The app�cant is responsible for assur' a equired inspections are uesYe in co nce th he ate Bu Iding Code.This permit may be revo�d t a tim �r d c se.� j / / {��L/� `O Appli Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /b�� Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �(� �� 'z�_. a r��;'�. s, Street Address: Received by: � \�'.�, � .; �� ti 2750 Kelley Parkway Plan review fee: L9kESIi�4'� Orono, MN 55356 � ' -� Total Fee: a�0� 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. (Please prinf) GENERAL INFORMATION: � /)'. _� / /C� � Job Site Address: �r�Z -Zy �4�C Will this be a Parade of Homes, Remodelers Sh case Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required wifh Police Department 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: State License# ion a e: Phone: 3 ` cell Mailing Address: ' � ZIP: Contact Person: h K� App' . ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER NFORMATION;t � Name: CJ Phone (day): �.. _ / Address: �$ Cit : � ZIP: rj�. 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 ❑ Siding ❑ 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 ect(exclu g land) $ //�p -' 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 su I the information,the a lication ma not be issued. ApplicanYs Signature: �� Date: �/)-4 l!p Last Updated: 05-04-2009 �� lDA � TIME V CITY OF ORONO CALLED IN '°�� INSPECTION NOTICE 1� /� SCHEDULED �� PERMIT NO.r�0/8 � C/D�7� COMPLETED ADDRESS �[SSJ� C.�X�- � OWNER TELEPHONE N0.95z gl�' 7zZl CONTRACTOR (SP�G� >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ''� 1:�. � � '�- � a "7 �.� ��'' � /V\.: � � � � O � Q � f.� � [`�J� �t r� � �, n ti � �� , ; r� � . W � W � � d W ❑WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY W � RRECT WORK,CALL FOR REINS ECTION TEMPORARY � BE ORECOVERING�; .'� �. �L-� 'w r PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: - ' Inspector. ��r� Q � White Copyllnspector's File Canary CopylSite Notice �� DAT TIME v CITY OF ORONO CALLED Ir� `�' �� INSPECTION NOTICE SCHEDULED -�-� ��L PERMIT NO.u�D/D "DO��OMPLETED ADDRESS ��S �/��c�� i1�� /l.�-. OWNER TELEPHONE NO. �5�''� �S 7Z13 CONTRACTOR �J-�-�� ; DESCRIPTION ^ �� tt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z w � W � � GW ❑WORK SATISFACTORY:PROCEED �'ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHiN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner►Contractor on site: Inspector. � � t �� White Copyllnspector's File Canary CopylSite Notice