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Home My WebLink About2011-00263 - roofing � CITY OF ORONO PERMIT NO.: 2011-00263 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 04/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 653 SANDSTONE CIR PIN : 33-118-23-11-0031 LEGAL DESC : STONEBAY : LOT 028 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 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 SANFORD,JENNIFER 653 SANDSTONE CIR 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 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 conforniance with the State Building Code.This permit may be revoked at ny time for due cause. � �a9 � �� i Applicant Permitee Signature Date Issu By 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.) �O� Me1l PO Box 66� Pertnft number. //—DU O O Crystal Bey,MN 55323-0066 Date received: � � Street Address: Received by: 2750 Kelley ParkwaY Plan review fee: Orono,MN 55356 � Total Fee: �� •�� Main: 952-249-4600 Fax: 952-249-d616 www.ci.orono.mn.us This appiicatlon form must be completed in fuil and all required informa�on must be submitted. Incomplete applications will be retumed. (Please print) GENERAL INFORMATION: /� Job Ske/Wdross: �S�u✓1� (�(r�(�C Will this be a Parads of Homes,Remodel�rs ShoMrc.ass Homs or other Dfaplay Home? Yes No N yrs,s spedel e►rent permlt is required w�PoUce Depart�rnent and Clly CounaV approvel 60 days prJar to H�e event Shtdtle bus se�vloe wIN be requJred unless a�pplk�t dsma►atr+ates suMkJeM on�lte perking!s aveHeble. Non-pem�ilted ewsMs w�not be alloweal. CONTRACTOR I APPLICANT INFORMATION: Name: //'1��6✓l S* �ObF��9 ��i 1�1'}►d0� Ln� State Lioense# 2 00�o a �� Expiration Date: p3/3/ a p�a, Lead Cenific�tion Number. Expiration Date: (fbr rwrk on honNs bhat wsro construcl�l prb►t�o 1l78 Phone: 76 3—�l a"? 7-9�.9� (offoe) �76 3 a�80— �.3a � (ce��, MaiUng Address: Sl Car-� � c�v: d� �� Z1P: 3 6 q Contact Person: �pnn�y �J„�4..� Applicant is: / Homeowner �cr�a.o�y Email and/or Fax: ')63 -� y��7� QDO� PROPERTY OYYNER INFORMATION: Name: ��il n;'�P-� �l{�� Phone(day): � ��J A�ddress: �5� .�S-Fc,� �le city: ,� zIP: Email and/or Fau PROJECT INFORMATION: Typa of Project: Any sarth mowmNtt may requlre ❑Doo�(s) ❑Remodel ❑Wster Damage , MCWD roWe�w 8 psrmks: Minnehaha Creek Watershed Dishict(MCWD) ❑Window(s) ❑Repair ❑Stcrtn Damage 18202 NGnnetonka Blvd ❑Siding ❑Restorebon D pther.(speciy) DeePhaven,MN 55391 Phone: 952-471-0590 ❑Re-roof ❑Fire Damage Fax: 952-471-0682 www.m innehahacreek.or4 Overall P ect Desc�iptbn: Estfmated Construction Valuation of Pro excludin Iand i APPLICANT ACKNOWLEDGEMENT: Agrees�provide all inforrnetion required or requested by tlte Building Depertment; CerUfies that tlie iMortnation supplied is true and cornect to the best of his/her knowledge. The appllcarrt recognizes that they are solely r�ponsible for submittlng a comp�te applicatbn being aware that upon failure to do so,the stalf has no altemative but to reject it uMil it is complete: � Some or all of the inforrnatbn that you are asked to provide on this applicatlon is dassified by State law as either private or coMideMial. Private data is infortnatbn which generally cennot be given to the public but can be given to the subject of the data. Confidentlal data is iMoRnatbn wh�h generally cannot be gfven to eitl�er the publk or the sub)ect of the dats. Our purpose and inbended use of this iMortnati�on is to annu�ly update our records and necords of other govemmental agencies uired b Iaw. If u refuee to the i�formatbn the a ' tlon ma not be issued. Applicant's Signature: Date: " [ �a 7 �r� �c upaa�d: 03-o�-za�� - � �f � � DATE TIME CITY OF ORONO CALLEOIN ` �f�� INSPECTION NQ�IC/E �-�� SCHEDULED ��'�L� �� PERMIT NO. "��r�I COMPLETED ADDRESS �� "�� OWNER TELEPHO 0.�� CONTRACTOR �� L�` s� � L. ,' �, >: DESCRIPTION �C�� C' � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 ❑ S IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W k � GW/�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � W �O C�RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: inspector. White Copyllnspector's File Canary CopylSite Notice r� DATE TIME� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�d//- �a�.3 COMPLETED -�� ADDRESS �� SQ,��„Q t,: . OWNER TELEPHONE NO. CONTRACTOR �'�✓-�at' �m�wrs � DESCRIPTION � @"'��'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHOREM/ETLANDS O � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SiT6 INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v � PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL 2 OWNER/CONTAACTOR TO MEET YOU:_YES_NO v�s COMMENTS: �ea.- -e f'�' ' S' 3- �/ - �/6Zg � y *OLD PERMIT - NO FINAL INSPECTION REQUESTEL � J O . � �tG ��L�ra�. a0 rof/��/ O ti W 1 � ji(f�f� �BL/S /'� J+R//GG� Qy� F� � ` � � PG rr�'� �`/l�<it� � � J O � ❑WORK SATISFACTORY:PROCEED PLETE W �CORRECT WORK 8 PROCEED � O ISSUE CERTIFICATE OF OCCUPANCY o ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE GONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR VMLL REfURN ❑CITATION 1SSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. / '�-' /� White Copyilnspector's File Canary CopylSite Notice