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Home My WebLink About2011-00587 - roofing CITY OF ORONO PERMIT NO.: 2011-00587 , ' 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E ISSUE�: 07/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 248 CYGNET PL PIN : 04-117-23-23-0017 LEGAL DESC : SWAN LAKE ADDN : LOT 008 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 7,844.00 NOTE: ROOI�ING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEnR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF PIC"I'URES OR A FINAL INSPECTION MAY NO"C BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING TfiE TIMG THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 J ROBERT ROOFING LLC STATE SURCHARGE(VALUATION) 3.92 17180 MALLARD COURT TOTAL 166.17 EDEN PRAIRIE, MN 55346- (612)998-1673 PAID WITH CC# 3624 Minnesota State License#: 20544370 OWNER MOL[N, CHRISTENSEN 248 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I he work for which this permit is�ssued shall be performed according to the approvcd 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 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 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[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in confomiancc with the State Building Code.This permit may be revokecl,at any ime for due cause. //"`,... � � l �i' � � l �P l � pplic t Permitee Signature Date Iss d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED ABOVE. � City of Orono M Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: o�/�'�5�7 O�v�,�0 PO Box 66 r� Crystal Bay, MN 55323-0066 Date received: / / � �`��'� �- Received b : ,� �' `+ �, Street Address: y `�'� �� ti�' 2750 Kelley Parkway Plan review fee: r9kESflog'� 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 Will this be a Parade of Homes, Remodel owcase Home or other Display Home? ❑ Yes ❑ No !f yes, a specia/event permit is required wrth Po/ice Department and City Council approval 60 days prior to the event. Shuttfe bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT II�FO MATIQN: _ Name: � `,-� , State License# �� .��0 Expiration Date: Lead Certification Number: � Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �'f��j'�' �� (office) (cell) Mailing Address: j� � , a '� �T City: ��,� ;'�-��,;� ZIP: r�;�y ' Contact Person: � � Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFOR�TION: � Name: f� ��;,��✓/��/( Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 � Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: „� ?�= � � y, �,�,� Estimated 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 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: ��j/ Last Updated: 03-01-2011 �- ��.w-- � —7 DATE TIME CITY OF RONO CALLED IN / `� INSPECTION NOTICE SCHEDULED / PERMIT NO �� $7 COMPLETED ADDRESS � �� OWNER PHONE N — 3 CONTRACTOR j; DESCRIPTION /i�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 C � � � .� i � S �� 0 � � 0 � W � Q � z W � W � � GW�WORK SATISFACTORY:PROCEED J ECT COM PLETE � ❑CORRECT WORK 8 PROCEED �E CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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. �952� 249-46�� OwnerlContractor on site: Inspector. G � White Copyllnspector's File Canary CopylSite Notice