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Home My WebLink About2011-00635 - roofing CITY OF ORONO PERMIT NO.: 2011-00635 2750 KELLEY PARKWAY - ORONO,MN 55356-1DATE ISSUED: 07/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 315 OLD CRYSTAL BAY RD N PIN 33-118-23-31-0004 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES O A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING T TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. I APPLICANT PERMIT FE SCHEDULE 162.25 NORTHLAND HOME EXTERIORS STATE SU CHARGE(VALUATION) 4.00 308 SW 15TH ST #100 MAIL-IN FEE 2.00 FOREST LAKE,MN 55025- TOTAL 168.25 (651)464-0234 Minnesota State License#:20440290 OWNER ENGLEMAN,MR.&MRS.ALAN 315 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356 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 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 time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be �" revoked at any time for due cause. t �2 Applicant Permitee Signature /Date / -4L —`� �� Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK 0 T ER THAN DESCRIBED ABOVE. City of Orono o�- Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: 0, PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: A a, Street Address: Received by: Kelley 2750 �, p Y Parkwa Y Plan review fee: 1 t9kE8liog� Orono, MN 55356 Total Fee: f+ I ? 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: 2)1 `� 01 0 C Ll�oh ,t /�� Will this be a Parade of Homes, Remodelers Sho ' ase Home or other splay Home? ❑ Yes ANo 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 allowed. CONTRACTOR/APPLICA N ORMA I Name: 1- ) State License# Expiration Date: ?,-3 L ata ) Phone: - - office cell Mailing Address: 0 (7 0 Ci ZIP: f Contact Person: Applicant is: ont awl' / Homeowner (Circle One) Email and/or Fax: j rvt C �,)C 4 PROPERTY OWNER INFORMATION: Name: Phone(day): el L4 - _1 k Address: 12� Ci ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ElDoor(s) ElRemodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orp Overall Project Description: z , Estimated Construction Valuation of Proje (excl ding 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 required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: a-y', Date: ,)L Last Updated: 05-04-2009 DAT /I TIME CITY OF ORONO CALLED IN 2 INSPECTION OTICE SCHEDULED g t PERMIT NO. D D COMPLETED ADDRESS OWNER T PHONE N CONTRACTOR e DESCRIPTION F:7( Vt goo f w ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O El FRAMING El MECHANICAL FINAL E] 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 CC �~ / /UAJ: O A, CC O w az 24 z LU w j d w ❑WORK SATISFACTORY:PROCEED 1=tPRQJECT COMPLETE W W El WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN j CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. �l White Copy/Inspector's File Canary Copy/Site Notice