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Home My WebLink About2011-00275 - roofing * " CITY OF ORONO PERMIT NO.: 20��-oo2�s 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OS/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 659 SANDSTONE CIR PIN : 33-118-23-11-0034 LEGAL DESC : STONEBAY : LOT 031 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : 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 TOTAL 105.05 MAPLE GROVE,MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER GLOSSOP,CHARLES M 659 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 goveming this type of work shal(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 atter 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 t y time for due cause. � �JI 5��3 � 1 plicant Perm ee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , �.�d� ` � City of Qrono Building Permit Application for Internal Wo�k ' (windows, doors, siding, re-roof, etc. ��A�^�= Pertnit number: D /�DD 7 O.��O PO Box 86 Crystel Bay,MN 55323-0088 Dace reoeNed: `J o7 / S'!►eet Addrass: Received by: � � 2750 K�Iley Pa�kwaY Plen rovisw fee: Orono,MN 55356 Total Fes: ��Q� Main: 852a49-46Q0 Fax: 952-249-4616 www.ci.orono.mn,us Thls appik�fion fiorm must be completed in full and all required iMorn►atlon must be submitted_ Incomplebe sppllcadons wlll be retumed. (Please pMnt) GENERAL INFORMATION: � Job Si�e Addr�ess: S Q ��d Sfy�� C�lG r� YVIII thls bo a Perade of Homss�Ramod�lws 8howe�e Hon�e or othe�Dlaplay Home? Yss No l�y�,e s,pedal�resnt pemxY it repuirod wlFh Adke Deperbnent enal C�y G�w�dl aPAroval 80 d�ys Pvbr b the e►rerrt. Sht�Ae bus sarolaa wYl be reyukee w►leas epp�canf Qen,ons�raNs s�uVlkierd on.�3e varking!9 avaNaers. nron peminred everrts w�na oe a�orred_ CONTRACTOR I APPLICANT INFORMATION: Name: �1��/�St �odF�1�9 S'�� hdo�.6 LnG State uoense# 2 DO!p '77 Expire�on oate: p3t 3i0 b1 Or�_ Leed CerdficaUon Number: Expiraaon Date: rybr wv►k on honws�t w�►e a��abw�sd p►!w to 1978 Pl,oi,e: 76 3_�l a 7-q r•q 6 c��) ?6 3-o18v— l3� � c�u� Mailing Address: S/ r�.fk �`l~ Clty: c�Z ZIP: S'S3 64' Contact Pe►son: /�nn/� �Pr,�G.� Applicant is: n / Homeowner �cwa.o�.� Ema11 a�dlor Fax: 763 � '7 N 7� ��O/ �y,�_. PROPER7Y OWNER INFORMATION: Name: �hr�'��'� l,t �OS'.Soti' Pho�e(day): nddress_ sr, �.��c S� Cr�c��' ��h�:l.��v ziP: EmaA and/cx Fax PROJECT INFORMATIGN: ryp.or Pro� a+y sara�mov.m.nt may requ�re ❑Door(s) Q Remodal []Water Demaye , MCWD rovls�v 8 psrn�its: MMneheha Creek Wetershed Diserict(MCWD) O W�($) O�ir p swrm�arnage 18202 Minnebnka BNd ❑Slding ❑Restoration ❑Other_(speafy) �P�,MN 55391 Phone: 952�71-0580 �$Re.roo( ❑Flre Damage Fax: 952-a71-0682 www.minnehahacreek.orca Overatl Pro)act Description: Fstimated Construation Valuatlon of Projec!(exduding land) S �cav APPLICANT ACKNOWLEDGEMENT: A�ees b provide all infa�medon required or requested by the Building Departrnent; Certifies that Ihe irribmnatlon supplied ia true end comact�o the best of his/her knowledge. The applicar�t recognaes thet they ere solely responsible for submlttln9 a comp(ete appl�etlon being aware that upan fsilure to do so, ats staff Mas no slbemative but co reject It untll n is comple�Ee� Some or a8 of ths informatian thst you ero eakad to provide on thls applice6on is dassifiad by State law as eld�ar private o� conAde►�ial. Privaee data Is Irnom�tion which pener�lly cannot be givan to the publlc but aen be given to I�e subjoct of ti� data. Confidentla� date is infomiadon whld� generelly cannat ba �iven ro either th� public �the subject of the dats. Our pu� and inoerMed uee of ihis iniormedon is do ennuelly update our recor� and r000rds of oTher govemmeMal agencles uired Iaw. If u to su the InFormation the ' n me not be issued. APPiicant's Signature: � Date: ��y�-�� aetuveeoed_ oa-o�-2ot� DA TIME �/ CITY OF ORONO �C�iN 5 � INSPECTION N.OTIC� �a7,J�SCHEDULED � PERMIT NO. �''�� COMPLEfED ADDRESS /,�JJ�'�J ��Z�l�I��J D � (�C/)GQ� . OWNER TELEP NE NO'��a��^�-3 �� CONTRACTOR — �'l' �"' �; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � d ,,�,'"'� � i+L�lprvRKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � � ��.1� White Copyllnspector's File Canary CopylSite Notice