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Home My WebLink About2011-01059 - roofing �� CITY OF ORONO PERMIT NO.: 2011-01059 ,� 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE 1SSUEn: 09/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : l30 CYGNET PL PIN : 04-117-23-22-0023 LECAL DESC : SWAN LAKE ADDN : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 13,000.00 NOTE: VALUATION OF PERMIT:$13000.00 ROOFING PERMITS 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 TIME THE ROOF IS BEING DONE. ONCG WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 236.00 CH(SMAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.50 7483 125TH ST NW TOTAL 242.50 ANNANDALE, MN 55302- (763)360-4506 Minnesota State License#: 20638214 OWNER ROSSING, MARGARET l30 CYGNET PL LONG LAKE, MN AGREEMENT AND SWORN STATEMENT fhc work t�u which this permit is issued shall be performed according to thc xpproved plans and specifications,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 becomc 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 0 days at any time after work has commenced. The ant is resp sible � r assuring all required inspections are requeste � form nce wit the State Building Code.This permit may be revoked at ny me r due c use. �. / � _ / .. �- �i��i L plicant P mit e ' nature Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono - Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: ��,0,� PO Box 66 � � �� Crystal Bay, MN 55323-0066 Date received: ��, s;d ��i Received by: a s, i Street Address: �'.�c,t 'r �'�� Gti � 2750 Kelley Parkway Plan review fee: 9kESHor'� Orono, MN 55356 �j% � 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. (P/ease print) GENERAL INFORMATION: Job Site Address: 3 �j C �/VZ,� �v� C.k Will this be a Parade of Homes, Remodelers case Home or other Display Home? ❑ Yes ,�No If yes, a specia!event permit is required with Police Department and City Council approval 60 days prior to the evenf. 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: Ch�S�,.,.�-r' �cr•�� State License # � � � 3 R �.l �--[ Expiration Date: 3 _ 3 l- I� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: '� (�,�3 - 3 �;�, _ 4�v� (office) (cell) Mailing Address: y � 3 ��-S'� � .�- n� City: ��,,�,,,ti,,�� ZIP: , Contact Person: �� L��,,,��- Applicant is: ntra� / Homeowner (Circle One) Email and/or Fax: —� PROPERTY OWNER INFORMATION: Name: yv�„yr2�,� ��SS� � Phone (day): � — Address: � 3 � ��i � y� �j�,�� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: '�p�r ��C �- ��;��. Estimated Construction Valuation of Project(excluding land) $ I?j� � oc"� , C7 � 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 comptete; • 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 enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of thi ' formatio is to,annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I e i format�on,the a lication ma not be issued. r �_ ApplicanYs Signature: Date: LastUpdated: 08-09-2011 �P� G� D�TJE� TIME � CITY OF ORONO CALLED IN r�v" INSPECTION NOTI E G SCHEDULED � �`Z�'_ PERMIT NO.� l��I D J� COMPLETED ADDRESS �.�� 14!/h-�� — OWNER TELEPHONE N0.7(v3- Z 5O'0�195 CONTRACTOR �h �5�'r C-�n5� >; DESCRIPTION �!Z�P — �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��G ��Jf�S 1 ti/ ��-�— a � 0 � w � Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �[PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED l-1 ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING 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. �95Z� Z49-4600 OwnerlContractor on site• Inspector. White Copyllnspector's File Canary Copy/Site Notice