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Home My WebLink About2011-01451 - roofing � CITY OF ORONO PERMIT NO.: 2011-01451 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 825 HUNT FARM RD PIN : 30-118-23-44-0003 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 35,000.00 NOTE: VALUATION OF PERMIT:$35000.00 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. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 520.50 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 17.50 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 540.00 Minnesota State License#:20593656 PAID WITH CC# 1521 OWNER LANGTON,WILLIAM&MICHELLE 825 HUNT FARM RD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this perrnit 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 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 I80 days of the date of issuance,or if consWction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / � / / Applicant Permitee Signature Date Issu By S' ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB A VE. ��V-17-2011 11:01 From: 6785736615 To:9522494616 Pa9e:1�1 � City of Oron Building Permit Appiication for Mai tenance / Renovation windows, doors, siding, r -roof, etc.) Mailing Address: Permit number. G�D// �jj/ �/ 0 PO Box 66 O� �O Crystal eay,MN 55323-0066 Date received: ��" l� ' �� StreetAddress: Received by: � �,� 2750 Kelley Parkway Plan review fee: �� Orono,MN 55356 Total Fee: �.3C� O � Main: 952-249-4600 Fax: 952-249-�618 .ci.orono. n.us --t a, !9 d This application form must be completed in full and all requ ed infarmation must be s b�.ut'te . Incomplete applications will be�etum d. (P/ease print) GENERAL INFORMATION: �� Job Site Address: ��r Will this be a Parade af Homes, Remodelers Showcas�Home or oth r Display Home? Yes o If res,a special event permif is required wlfh Police Department and City CounCfl app 160 days prior to fhe evenL ShutHe bus ce will be required unless applicant demonsbates sul�iCien!on-site parking is availab . Non-permifted events wil/not be apowed. \ CONTRACTOR/APPLICANT INFORMATION� , � Name: � State License# .�. Expiration Date: � Z Lead Certification Number. Expiration Date: (for wvilc on bomes�at were conatructed privr to 1978 Phone: � , (office) (cell) MailingAddress: u� �, � City: ZIP: ��?,� - Cantact Person: ' ' Applicant is: Contractor / Homeowner �c�rore one) Email and/or Fax: ' �,,� � ��„�� ,.� _ �G1,V1 h@ s PROPERTY OWNER INFORMATION: Name: �� Phone(day); 9SZ-4!Z- ��R� Address: au2 w� � - C�tY� Ofov�� ZIP: 5' �'3�` Email and/or Fax PROJECT INFORMATION: Type of Project: ' Any earth moveme�may require ❑Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8 permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair Q�oRn Damage 18202 Minnetonka Blvd L�Re-roof,cedar [�estaration ❑Water Damage Deepha,ven,MN 55391 Phone: 952-471-0590 �Re-roof,other(specify) ❑Siding ❑Othec (specity) Fax: 952-�77-0682 ❑Window(s) �.minnehahacreek.o►q Overall Pro'sct Descnption: c ��-Y� Estimated Construction Valuation of Pro"ect(excludi�g land) S 3$ 00� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide stl infarmation required or requested by the Building D partment; • Certifies that the information supplied is tni�and cflrrect to the best of isJher knowledge. The applicar�t recognizes that they are soley responsible for submitting a wmplete application befng awa that upon failure to do so, the stafF has no altemative but to reject it until it is complete; • Some or all of the informstion that you are asked to provide on this a plication is dassifled by State law as eithe�private or confide�ial. Private data is i�fonnation which generally cannet be g' n to the public but can be given to the �ubject of the data. Confider�tial data is information which generally cannot be give to eithsr thg public ar the subject of the data. Our purpese and intended use of this infoRnation is to annually update ou records and records of other governmental agencies re uired b law. I# u refuse lo su I the informatien,the a lication nat be issued, : ,. ., ,. ., .. 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