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Home My WebLink About2011-00264 - roofing ,� CITY OF ORONO PERMIT NO.: 2011-00264 2750 KELLEY PARKWAY • ORONO,MN 55356- DATE IssuEn: 04/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 655 SANDSTONE CIR PIN : 33-118-23-11-0032 LEGAL DESC : STONEBAY : LOT 029 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 MORGAN,LAURIE 655 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 separate permits. All provisions of laws and ordinances goveming 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 revok d at any time for due cause. �r�a� , �r �'u�- -�,2y, �� Applicant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. T" Ci of Orono `�� . � �� Building Perm�t Application for Internal Wo � ' (windows, doors, siding, re-roof, etc.) �n�,►�aa�re�: Permit nwnber. �D//-(>�� O.¢,O,�.O Po eoX ss crysr�i Bay,nnr��zs-ooss oete re��a: Z � � Street Adalress: Received by: 2750 Kelley ParkwaY Plan review fee: Orono,MN 55356 �- Total Fee: /��,�� Main: 952-249-4600 Fax: 952-24&4616 www.ci.orono.mn.us This applicatlon form must be completed in full and all required i�ormatbn must be submitted. Incompletie applications will be returned. (P/ease print) GENERAL INFORMATION: 5 � �� -��C(2 Job Sks A�ddress: YVfll tl�ls be a Parads of Homes,Remodslsrs Showcass Homs o�other Display Homs? Yes No N yrs,a sped�ev�nt ps�mlt ts requlred witlr Polke Deparaner�and C1ty CouncA epprova�so days p�ior ro tne ev�ent Shume bus servke wN►ee req�d�red uMess a�ppNcent cbrrwnabstes suf►ldent w►-s�te ps►king!s available. Non-penr�lted e�wiM rat be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /�'1��6•/lb�r'- leOb F��9 �� l�►71d04d Ln C State License# ;t p p/p a 7 7 Expira�on Date: p3/3� a pt a Lead Certfication Number: Expirabon Date: (fbr w�rk on fro►nss that wws construcJryl p�ior b 1l78 Phone: 76 3—�a"? 7'q r•q� c�� 76 3 a8o- /3� � c��n MaiNng Address: S' � Cy- City: Q�i vG ZIP: 3(,q Contact Person: �p�ytiJ� �J„�4.� Applicant is: / Homeowner �cr�a.a»� Email and/or Fax: 763 — y a7� �DO� PROPERTY OWNER INFORMATION• Name: /�'f�c� �vr'��- Phone(day): � / Address: (O5� S�C C GI�C City:��l �� ZIP: Email and/or Fax PROJECT INFORMATION: Type oi ProHct: Any�arlh mownwM may require ❑Door(s) ❑Remodel ❑Weter Damage , M��'°w°�"��`P°��' Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑S�ortn Damape 18202 Minnetonka Blvd ❑Sidi� ❑Restoretion ❑Other.(spec3fy) �eephaven,MN 55391 Phone: 952-471-0590 ❑Re-roof ❑Fire Damage Fax: 952-471-0682 www.minnehahacreek.ors� Ov�rall Project D�sc�iptfon: Estlmabd Construcdon Valuatbn of Project(excluding land) S APPLICANT ACKNOWLEDGEMENT: Agrees to provide all infom�atbn required or requested by the Building DepartmeM; Cenifies that the ir�ortnatlon suppfled is true and comect to the best of hisfier knowledge. The applicarn recognizes that they ere solely responsible for submittlng a c�rnpbte applicatbn being awere that upon failure to do so,fhe staff has no altemative but to reject it uMil it is compbte; � Some or aN of the Informatbn that you are asked to provide on this applicatbn is dassHied by State law as either prNate or ooMiderttial. Private data is iMortnatbn which generally cannot be given to the public but can be given to the subject of the data. Confldentlal data is infortnatlon whk� genereNy cannot be given to efther the public or the subject of the data. Our purpose and inbended use of this information is to annued our reconds and records of otl�er govemmental agencies uired b law. If u refuse�o su the informa a ication ma not be issued. ApplicanYs Signature: Date: � �7 J�r �upd�d: os-o�-zo�� _' � _ DAT/� TIME r._/ CITY OF ORONO CALLED IN O�C�l �I INSPECTION N TICE SCHEDULED ��l�//i _.�� PERMIT NO. � � � —��}�� COMPLETED ADDRESS �L�� Ck``Y'�� — ��J'�._ OWNER TELEPFfCINE✓NO.�Lc�=�'-��L�"/��. CONTRACTOR %��,( C'�(_:t�;1.�' /��'i' >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE ❑ 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 ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEETYOU: YES_NO � COMMENTS: � W � � � O � � O � W k Q � Z W � W � � O � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlConVactor on sit : Inspector. �"� White Copyllnspector's File Canary CopylSite Notice I� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �o!/- Oo�LSr COMPLETED "a$!�f ADDRESS �'Ss $��s��o�t e �r% • OWNER TELEPHONE NO. COI�fTRACTOR /�1•�ir��a7%' /26o�i.c � �; DESCRIPTION �+C " �� FOOTiNG ❑ PlUMBlNG FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS o ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL e ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � RADON SLAB ❑ WATER HOOIf-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � ❑ COMPLAINT _v ❑ DEMO-SITE ❑ SEPTIC MAINT. OLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATiON/REMOVAL I � OWNER/COI�fTRACTOR TO MEET YOU:_YES_NO i v�, COMMENTS: � a *OLD PERMIT - NO FINAL INSPECTION REQUESTED. J 0 ?o�ir -o'� �" `�"// - IiCJ�s f Q � � i o �G l��i6�vv .�riv�i� � I � � � i � k/6�dc ��/�►�S �is »�olo.�e ; W � � j ��r.�.•t �'•.t�le� � �WORK SATISFACTORY:PROCEED ;'�PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED V O{SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVEAING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL iNSPECTOR ; O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next iraspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector.�t.� � White CopyllnspectoPs File Canary CopylSite Notice I