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Home My WebLink About2011-00444 - roofing < � ~' CITY OF ORONO PERMIT NO.: 2011-00444 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/09/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 250 CYGNET PL PIN : 04-117-23-23-0018 LEGAL DESC : SWAN LAKE ADDN : LOT 009 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 8,868.29 NOTE: TEAR OI'F AND REROOF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 177.00 WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 4.43 2274 CAPP RD ST PAUL, MN 551 14- MAIL-IN FEE 2.00 (651)251-0910 TOTAL 183.43 Minnesota State License#: 4229 PAID W[TH CC# 4291 OWNER BROWNLEE, MR. & MRS. JAMES 250 CYGNET PL LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Quilding Code. 'Chis permit�s for only the work described and does not grant permission for additional or related work which requires separate permfts. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pennit will expire and become null and void if construction au[horized is not commenced within l80 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 inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. �`�2�c_c.�e� �l /� l // ��i�'�tA.� /o/ l l Applicant Permitee Signat re Date [ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JUN-09-2011 02 :35 PM WALKER, ROOFING 6512510916 P. 01 ___ _...a . ,,. .,.,� „NN��Q��r� rv� �nternal Work � ' fwindows, doors, siding� re-toof, etc.) f4O"��= Mailing Address: .y-\ PO Box 66 Permlt number a�0 / � -�j(� ��0 Q\ Crystel Bey, MN 65323-0088 DeCe roceivad: � � �: 1 ^`::, � Strset Address: Recelved by; � 2750 Kell�y Parkway �+��s��', Orono, MN 85356 Plan review fee: Main; 962-249-4600 Fex; 852-24g.4g16 Totel Fee: ` �� , 1 � �[ww.ci,orono mn ��Q �t Thi�appliceticn form muat be completed in full and ail requlred information muet be�ubmitted. Incomplete appllcations wlll be returned, (Please print) QENERAL INFORMATION: Job Site Address: C� C N � Q WIII thia be a Perade of Homee, Remodelet^a Showcese Home or other Display Home� Yes N yas,a apac/el evenf permi!!s iequ/rod wiFh PoHc�e Department end City Councll eppmval BO da a � bquired unlesc appllCent demonsfr�qtee suBiclent on�slfe perkl�g it evallebla. Non pe�ittad events WlIltnot Be�e/owed. �w'll bB CONTRACTOR I APPLICANT INFORMATION: Name: ��,. � State License# o Expiration Dete; Lead Certiflcetion Number � -- �O ._p � I$Z Explr�tion Date: `� (for wor�on homos lhat wero con8tructed prlor tv 1878 Phone: 6 ( . (— I o (office) M�iling Address: (cell) 2 4 �a� c�ty: r. L zip: Contact Person; Applicent Is; / Homeowner iCircle One) Emeil and/or Fax: � �� . ,� � PROPERTY OWNER INFORMATION: Name: Q,, � �� , Phone (day): ig�, • y 7�r�19 � - Address� i��'� cyC�nrf1T p�.�c� c�ty� L�4� Zlp, Email�nd/or Fax � 3 �' PROJECT(NFORMATION: Type ei ProJect: Any eorth movomant mey roqulre ❑ Door(s) ❑Remodel � ❑Water pamege Mlnneh�he C eek Wetersh�d�D etrlct(MCWD) ❑Window(s) '�epair ❑ Starm DemaBe 16202 Mlnnetonka Blvd � ❑ Siding ��j R88toratlon ❑Other� (specify) ph na�v962-471 0580 �e-rvof ❑ Fire Oemage Fex: 952-471-0B62 www minneh�hacreek or� Overall Project Descrlpticn: o�� q�/�D /2,�,ef' b►F" Itov16 t C�qA,R�[r�E+ Eetlmated Conatructlon Valuation of ProJect(excludlne land) � gg�� Zq i APPLICANT ACKNOWLEDO�MENT: • Agree�to provlde all inFormatlon requlred or requeated by the Building Depertment; • Certlfles that the informetion supplled Is true end correct to the best of hls/her knowledge. The applicent recognlzes thet they ere solely reeponslble for submitting a complets appllcetlon beinp aware that upon fallure to do so, the staR has no alternative but to reject it until it ie complete; • Some or ell of the informaCion thet you are aaked to provide on this eppllcetlon is cleselfled by State law as elther private or confidential, Privete dete is information whlch generelly cennot be glven to the publlc but can be given to the subject of the data. Confidentlel d�te le Information whlch Qenerelly c�nnot be given to elther the public or the eubJect of the data, Our purpo�e and Intended use of thle InformeCion ia to annually updete our records and recorde of other governmentel egencies re uired b lew, If ou refuoe to Bu I the InPormetion the a lication ma not be Iseued, Applicant's Slgn�ture: Date; � � '� Lae!Uptleted: 03-01-2011 ��/� �A'�,L� �v.�j � f Tl� P�(,Fi �o � C�Qs�.l 7 4-4�(un E rv`�{ �� SA�, �-� � ,/ 4ATE � / TIME CITY OF ORONO ALLED IN j� �_ � INSPECTION OTI E ��(,�//�SCHEDULED �v PERMIT NO T`f'7 COMPLETED � ADDRESS �/' OWNER NE NO. � - TT� �� CONTRACTO �' D"'` �'�� ; DESCRIPTION � ll� ❑ FOOTING ❑ PL MBING IN L ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHORE/WETLANDS � 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 J ❑ PLUMBING RI ❑ SEPTIC F�NAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � , G�-F-� �r ��v C��J-�- � J O � � O � W � Q � Z W � w � � GW ❑1NORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ IS CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on si : Inspector. � � White Copyllnspector's File Canary CopylSite Nofice D E TIM E V CITY OF ORONO CALLED IN �� I INSPECTION NOTICE ��/'/ SCHEDULED PERMIT NO�DI/— G��`f"T�` MPLETED ADDRESS �� Q��' OWNER T EPHONE NO. `�JD�o � CONTRACTOR w �: DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ 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 C � � O � � O � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice