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Home My WebLink About2011-00276 - roofing t � CITY OF ORONO PERMIT NO.: 2011-00276 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUEn: 05/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 657 SANDSTONE CIR PIN : 33-118-23-11-0033 LEGAL DESC : STONEBAY : LOT 030 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,600.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 103.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 1.80 6541 SYCAMORE CT N MAPLE GROVE,MN 55369- TOTAL 105.05 (763)427-9696 Minnesota State License#:20637010 OWNER ROBERT VORONYAK,CAROLYN M.GRANDPRE/ 657 SANDSTONE CIR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 l80 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 time for due cause. �-�-�,- S� � � �l `5� � Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � , ��-� City of Orono Buiiding Permit Applicatlon for Internal Work ' (windows, doors, sidin , re-roof, etc.) .�.�,j� ��O BA ox�66� Permit number o�Ul/— �D�7 Q O Crystel BsY,MN 55323-0088 Dete reoelved: ! � � Sh9etAddiess: Recelved by: 2750 Kelley Parkway Plan review fee: Oronc,MN 55356 Total Fee: ��5,Q� Maln: 952 248r{600 Fax: 852 248-4616 w�w.ci.oro�o.mn.us This application form must be oompleted in full and all required iniormatibn must be submltted. Incomplete applicatlons wlll bs�med. (Please p�lnt) GENERAL iNFORMATION� (pS� ��5�� CI%G�� Job Ska Address: WIII tlds bs a Parado ot Homes.Remodelsr�s Showcase Home o�other Dfsplay Non�e? Ys� No �Fr�s.e spedal6�ene a�►�It Is�eq�red►r�r Po�oe Oeperu�nt and ay cour,d epprover p day�s p�r!!nr m d►.ever,r. snume bus se►vice wns Oe required u��feaa appMce►u damonshetes auAlaent on.�fts parkinp!s ev�7eb/e. Non-penrrlMad events w�►►w[be a�owed. CONTRACTOR/APPUC�INFORMATION: Neme: /�1�CYWIb� pb , S'd/ !�✓J�I�C4� Ln� State License# 2 00�o a �� Expiradon Date: p3/ i �p�.� Lead Cerd�tlon Number: Expiration Date: rybr work on homas tlwt wero aan�strue�prfo�r m 1978 Phone: 76�—�l a"? 7'`��9 6 co�� 6 3�o- I 3,� � c�� ung Aad�ess: �� 't city: P�� v� ziP: 3 q Cor�ct Person: rrny �lGs4.•� AppllcaM is: n r / Homeowner tcMw o�e� Emall and/or Fex: 7 6.� -..y�a 7— �00� _,.�,,, PROPERTY OWNER INFORMATION: Name: �3�(a (/'ty'a'�� Phone(day): / Address: (�S1 ��i��c. GirGf� City��ir(/��'� ZIP: Emai and/�Fax PROJECT INFORMATION: T�Ips of ProJ�et: My earth movemoM may roqufro � ❑Door(s) p Remodel 0 Water Damage , NCWD rsviwr 3 perndts: Minnehsha Creek Watershed Dlstrlct(MCWD) O window{s) ❑Repai� O sto�m Dama�e 18202 Minnetonka 61vd []Slding ❑R�es�oretlon 0 Other.(spedfY) Oeephaven,MN 55391 Phone: 952�T1-0590 .,�'ke-roof ❑Fre Damsge Fax: 852-471-0682 www.minnehahecreek.orsi Oversll ProJw:t Qoscri n: Estimatad Constructlon Valuatlon of ProJect(exduding land) i � APPLICANT ACKNOWLEDGEMENT: ligrees b provide all In(ormetion rmquired or requested by tlte Bullding Depenmerrt; Ce►bfies thai the fMomiatlon supplied is true and oorrect t�Ihe best of hisfier IvwwledDe. The appUcent na��iaes that they aro sobly respons�le for submltdng a campbte applics4on being swere that upon feilure to do so,the staff has rw alt�mative but t�reJect It untll it is oompleta; Some or all of the IMormeti�on that you are ask�ed to provlde on this applicado� is dassilred by State Isw as either privete or coMidentlal. Private da� is iMormstlon which yenerapy cannot bs given �o the publlc but can be given Lo �e subject of the data. Cor�ideMial ds� is Iniormetion which yenerady carnot be glrren lo elther the p�lic or the subject af the data. Our purpose and InOended uso of this ir�om�on is to annually updeta our raoonds end reoords of other govemmenml agendes ulr�b law. If s the h�Mmnetbn the a ioalion ma rwt be i�ued. Applk;anYs Signature: DaUe: 'et.l'''�� Last Updated: 03-01-2011 %�� CITY OF ORONO ALL� DA/ TIME ` INSPECTION_NOlT^ICE �DQa-� SCHEDULED PERMIT NO. �-�.J/ � �COMPLETED ADDRESS (�� '�/1�G�:�rJ�-�-----�� W ER 7 J'- '3� O N TEL HONE NO. CONTRACTOR �'�� " �; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 INSTAL.L ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � � O � W � Q � Z W � W � � d � 'A�IClp6K SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. 1 1 �� White Copyllnspector's File Canary CopylSite Notice