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Home My WebLink About2011-00653 - roofing , , CITY OF ORONO PERMIT NO.: 2011-00653 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3826 CHERRY AVE PIIV : 08-117-23-33-0002 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 9,800.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STAR'I'ED) MUST PROVIDE COMPLETE SET OF YICTURES OR A F[NAL INSYECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIMG THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED TFIF,SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 191.75 TWO TEACHER CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 4.90 2586 AVON DR TOTAL 196.65 MOUND, MN 55364 (612)598-2191 PA[D WITH CC# 3619 Minnesota State License#: 20073200 OWNER SVIEN &CAR[N OFFERMAN, ERIC 3826 CHERRY AVE MOLTND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only thc work described and does not grant permission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing Uiis type of work shall be compied with whether or not specified hereia 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at a y time or due cause. � � � � �/ / /// pplicant Permitee Signature Date Issuc y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �O//.-q� � O4v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 7 / � �� •,��,, s. Street Address: Received by: x' °�'� �ti�' 2750 Kelley Parkway Plan review fee: ��kEsHog'� Orono, MN 55356 Total Fee: �� %�O, �� 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: �d � � f_ ��v �v Job Site Address: �'� � �Vl��/� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be aflowed. CONTRACTOR/APPLICANT INFORMATION: Name: J�✓O --e ct L�e�' v.-,.. �rc.c,TC c�✓t /L � State License# �Uv� v c� Expiration Date: ��C� �...v Lead Certification Number. �� _ ��7 .-1 Expiration Date: (for work on homes that were constructed prior fo f 978 Phone: G�,�z_Gr7� - ,$(� 7C) _ (office) (��2'S��'2/g/ (cell) Mailing Address: 2 �o� Or �cx�,�• City: rr.t,�,, ZIP:��3G Contact Person: �?e��,�j �fyp5�" Applicant is: ntractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �2i�C_.. � 5Vi`�� Phone (day): �,/ Z - 3� 7 — �3/C,,�. Address: ��a � 1-��,;�� . City: ZIP: /�i� S'��/ Email and/or Fax ' PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8� ermits: ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watersh d District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 - Phone: 952-471-0590 Re-roo ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.or Overall Project Description: ec,.� L ,�'j.� .� � Estimated Construction Valuation of Project(excluding land) $ O v 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. Applicant's Signature: Date: �—/�/ —� Last Updated: 03-01-2011