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Home My WebLink About2011-01431 - roofing � . CITY OF ORONO PERMIT NO.: 2011-01431 � 2750 KELLEY PARKWAY ` ORONO, MN 55356- �ATE ISSUEv: 1U14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3465 CRYSTAL PL PIN : 17-117-23-43-0008 LEGAL DESC : NAVARRE HEIGHTS : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 3,200.00 NOTE: VALUATION OF PGRMIT: $3200.00 ROOFING PGRP�IITS ISSUED WITf{OU'i ENOUGH NOTICG FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMYLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK[S COMPLETGD THE SIGNS MUST I3G REMOVED. APPLICANT PERMIT FEE SCHEDULE 103.25 LALEMAN, RENEE STATE SURCHARGE(VALUATION) 1.60 4886 EDGEWATER DRIVE MOUND, MN 55364- TOTAL 104.85 PAID WITH CC# 3859 OWNER LALEMAN, RENEE 4886 EDGEWATER DRIVE MOUND,MN 55364- AGREEMENT AND 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 I3uilding 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 ot�laws and ordinances governing this type ofwork shall be compied with whether or not specilied herein.This permit will expire and become null and void if construction authorized is not commenced within]80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in onformance with the State Building Code.This permit may be revoked y time for due a $e. � � � � �� . / / plicant Pe itee Signature Date Issued By Si ature D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . � , � City of Orono � �5� Building Permit Applicafion for IV�aintenance / Renovation (windows, doors, siding, re-roof, etc.) �-� Mailing Address: Permit number: /�v 0,� PO Box 66 ��.a: 0 Crystal Bay, MN 55323-0066 Date received: z�y �a � "� s, � Street Address: Received by: ;,� �� "� �ti/ 2750 Kelley Parkway Plan review fee: L9'kESH�4�/ Orono, MN 55356 Total Fee: 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 print) GENERAL INFORMATION: -� Job Site Address: ,� , '{� �j"� lJ�� °� ��'��(�> � �� l/ Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ es o If yes,a specral event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus servrce will be required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events wilf not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��b1 -P_�'_ �� 1'l�V�l State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhaf were constructed prior fo 1978 Phone: e� �� : � l ;�, _ `-�c l G _G, ��-C..,% (office) (cell) Mailing Address: �: � ` City: �� G � ZIP: � ,S Contact Person: �� _ Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��, �,� � G1 I �� vt�t �'� � L�C 1 C G �l�Z'� �_ PROPERTY OWNER ORMATION: Name: ��j,1 E� �.�.c;,� �-�VL�C,� v1 Phone (day): SU Vl/t �- �%t S G��p�� Address: , < « u City: ZIP: Email and/or Fax � �.. N PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& ermits: ❑ Door(s) ❑ Remgdel ❑ Fire Damage Minnehaha Creek Watersh d District(MCWD) Ljv Re-roof, asphalt �air ❑ Storm Damage 18202 Minnetonka Blvd €] 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.orq Overall Project Description: �a,V U .°xk Estirnated Construction Valuation of Project(excluding land) $ 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 alf 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 fication ma not be issued. ApplicanYs Signature: ` '• '�—��1/YV'�1/V�ate: �, �, 1 �- � ( Last Updated: 08-09-2011 DATE TIME � CITY OF ORONO CALLED IN —[ l /J-/� INSPECTION NOTICE SCHEDULED �/-L�'/ � PERMIT NO. '-b� � MPLETED �� ADDRESS 3 7 �5 �� `� -� OWNER EPHONE NO. �� S��-L`sa� CONTRACTOR , e� >; DESCRIPTION �UG� �� - �� ❑ 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 ❑ COMPLA�NT 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 a � J O � � O � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W /❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑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 inspe tion 24 hours in advance. (J52� 249-4600 OwnerlContracto ite: Inspector. White Copyllnspector's File Canary CopylSite Notice