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Home My WebLink About2011-00262 - roofing � CITY OF ORONO PERMTT NO.: 20��-00262 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUEn: 04/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 651 SANDSTONE CIR PIN : 33-118-23-11-0030 LEGAL DESC : STONEBAY : LOT 027 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED � VALUATION : $ 8,000.00 NOTE: TEAR OFF REROOF r APPLICANT pERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N TOTAL 166.25 MAPLE GROVE,MN 55369- (763)427-9696 Minnesota State License#:20637010 OWNER JOHNSON,ROGER 651 SANDSTONE CIRCLE 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 sepazate ; permiu. All provisions of laws and ordinances governing this type of work • shall be compied with whether or not specified herein.This permit wili expire and become null and void if consVuction 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 revoke at �y time fo due cause. / ( / /( / � aQ Applicant Permitee Signature � Date � � Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Internai Work ' (windows, doors, siding, re-roof, etc.) �O� ARall PingO Box 66. Permit number. � -04 G� O O CrYstal BaY,MN 55323-0066 Date reoeived: � � Sbeet Addreas: �by: 2750 Kelley ParkwaY Plan review fee• Orono,MN 55356 Total Fee: ! �/�' �, '�j Nlein: 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us Y' �/--� This applicatlon i�om�must be completed in full and all required informatbn must be submitted. incomple�e applications will be retumed. (Please p►fnt) GENERAL INFORMATION: ' f �� S�� G� Job Sits Address: YVill this be a Parade of Hom�s,Romodslers Showcase Home or other Dfsplay Home? Yes No N}ros,a spedel e►rerk penNt Js reqWred w�PoNae DspB�bnerrt and Cky Cou►�a�epp�oval BO deys prioi to tl�e e►rerK ShulNe bus seMce will be reqrd�►ed wdess�dema�retes suffll�ent on�te peikb►g/s eveNebfe. Non-pe/mlNed ev�e►►ls wt�not be allower/. CONTRACTOR/APPUCANT INFORMATION: Name: /�'1��✓l S�'- �00 F� S'o�i l�✓►�0l� L�� State License# ;Z Q O/p a 7 7 ExpiraUon Date: p3/3/ a�t� Lead Certification Number: Expiration Date: (fbr w�ak on homes i/wt wws oa�p►lor to 1978 Phone: 763-�1? 7' 9� (offioe) �763 o�BO- /.3a �i (ce��) Mailing Address: $' r-►,dlr C� City: d�e vG ZIP: 3(q Contact Person: �pryn.y �P.S4 n Applicant is: / Homeowner �cin�.o�,.� Email ar�d/or Fax: '>63 — y A 7� 4D0� PROPERTY OWNER FORMATION• Name: ��P.r �D�ns�" Phone(day): nddre�: �o s � sa S t��c e�rc i� �o,� L��c c�y: A��o ziP: EmaA andlor Fax PROJECT INFORMATION: Typs oi Projsct: My sarth movemaM may require ` ❑Door(s) ❑Remodel ❑Water Damage , MCVYD roviwv�permib: Minnehaha Creelc Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑Restorelion ❑Olher.(spedfy) �eePhaven,MN 55391 Phone: 852�71-0590 �Re-roof ❑Fire Damage Fax: 952-471-0682 www.minnehahacreek.ora Overall P ect D�scHption: Estlmated Constructlon Valuadon of Project(sxctuding Iand) S � APPLICANT ACKNOW�EDGEMENT: Agrees to provkle�I infortnatlon roquired or roqueated by fhe Bullding DepartmeM; Certifles that the iMortnatlon suppUed is We and comect to fhe best of his/her Icnowledge. The applicant recognizes that they are solely responsible for submitUng a complete applkatbn being awere that upon failure to do so,the staif has no altemative but t�reject it ur�tll it is oomplete; Some or all of the informadon that you are asked to provide on this applicadon is dassified by State law as either private or cor�identfal. Private dat� is informatlon which generally cannot be given to the public but can be given to the subjecx of the data. Confldendal data is informatbn which generaly cannot be given to either the public or the subject of the dats. Our purpose and intended use of this iMortnatlon is tio annu�y update our r+ecords and records of other govemmental agencies ufred b law. If refuse to s the i�ortnation the a tlon ma not be issued. Applicant's Signature: Date: "!"��`'�I �c upd�a: os-o�-zo�� j�'� �_____ :.� � � DATE TIME ✓ CITY OF ORONO CALLED IN � :� �� INSPECTION NOTI E SCHEDULED �=,/T// _ PERMIT NO. �� C�'� � COMPLETED ADDRESS C�aC � ��-h �S� ��' �� OWNER TEL PHpNE N��(f� -��L=/�� CONTRACTOR � �� 'f' r � �� : DESCRIPTION . C-�-� W ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti O ❑ 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 ❑ SE T C FIN ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES�NO � COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � GW /X]VNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site• Inspector. 1 .�� White Copyllnspector's File Canary Copy/Site Notice J�� DATE TIME {/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�6�� "'�a�s�. COMPLETED �e?�� ADDRESS G S/ •,Sp.�d�f�s.t G �'i.: . OWNER TELEPHONE NO. CONTRACTOR m��ft ��:� . � DESCRIPTION IIC�- �a� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q O DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEl'YOU:_YES_NO . � COMMENTS: � � � - a *OLD PERMIT - NO FINAL INSPECTION REQUESTEL J o fe�•-o f�- v`'�'3 •iY- l�6y6 �. � � �ff� �ie.�,�-l��s.� ��'ov��e� � � Q z �r�C a�1°�-.s ro a��. W i j �a��,,.� /C..�-c�r.0 � ❑WORK SATISFACTORY:PROCEED � j��OJECT COMPI�TE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REtNSPECTIOfV TEMPORARY V BEFORE CO'VERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATIOh ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION iiEOUIRE�.CG+LL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwneNContractor on sit�: Inspector�� White Copyllnspector's File Canary CopyfSite Notice