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Home My WebLink About2011-01337 - roofing CITY OF ORONO PERMIT NO.: 2011-01337 2750 KELLEY PARKWAY . � ORONO, MN 55356- DATE IssUEn: 10/27/20ll ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 135 CYGNET PL PIN : 04-117-23-22-0011 LEGAL DESC : SWAN LAKE ADDN : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT: $6,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE KEQUIRE 24-48 NOTICE,PRIOR TO WORK BGING 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. ONCE WORK IS COMPLETED TI�E SIGNS MUST[3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 132.75 ABLE RESTORATION GROUP 17316 KENYON AVE STATE SURCHARGE(VALUAT[ON) 3.00 LAKEVILLE, MN 55044- TOTAL 135.75 (952)378-8000 Minnesota State License#: 20637232 OWNER LIZ MORIARTY, HAKAN ANDERSON & 135 CYGNET PL LONG LAKE, MN 55356- AGREEMEIVT AIYD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvais,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 no[specified herein.This permit will expire and become 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 of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be n� revoked at any time for due cause. � � �� _�� U l�� 1�� )...�<. L�'v�<=�-s 1 / l Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono � �' � `� � � Building Permit Appiication for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �O,�`� PO Box 66 — � �� Q � Crystal Bay, MN 55323-0066 Date received: , r�y I�� ,�;� s, 1� Street Address: Received by: � � �� 2750 Kelley Parkway Plan review fee: r�kESHo�� 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: 0'�S� � � G/�G �-G� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a specia/event permit is required with Police Department and City Counci/approva!60 days prior to the event. Shuttle bus ice �-,�e,__ required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: f}�6LG— �ZC—S ��9'r��i� �/L�U.� State License# ��,3 `? 3 xpiration Date: ��y �--Z__ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior fo 1978 Phone: — � `�, � �O-�j cdo7 (office) 4-,q,� „/,`/� (cell) Mailing Address: �7 �G �,� 3 City: ZIP: �s�yL Contact Person: � A licant is� Contractor Homeowner 17�I�) Z , I��j "1�C� L pP —J (Circle one) Email and/or Fax: ��.�L � ,4��G �.�jZ ---— PROPERTY OWNER INFORMATION: N a m e: �A1�'�� f�-DV 7�C—�Z Sdic.� �-�� /ylD/�-'-�:I."__C/ Phone (day): Address: / �S� � %l/UC—�— %��.G� City: Llj�JGG/¢/�/G--ZI P: --- 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 I 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: Estimated Construction Valuation of Project (excluding fand) $ , 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 informafion 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 pl the information,the a lication ma not be issued. Applicant's Signature: ��y..__�._��. - - -�---_�\Date: L�� o��— / � �� O LastUpdated: 08-09-2011