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Home My WebLink About2011-00274 - roofing � CITY OF ORONO PERMIT NO.: 2011-00274 � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISsuED: 05/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 661 SANDSTONE CIR PIN : 33-118-23-11-0035 LEGAL DESC : STONEBAY : LOT 032 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 THOMPSON,AARON&ADRIENNE 3711 CEDAR DR S EXCELSIOR, MN 55331- 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 permiu. 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 aze requested in conformance with the State Building Code.This permit may be revoked any time for due cause. / �/ / �/� / f plicant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' , , ��[�� City of Orono 6ullding Permit Applicatlon for Intemal Work • (windows, doors, sidin , re-roof, etc.) A�ailing Addresa: Permit number: O -+ DO�7 � PO Box 66 O�"' �O Cysts�gey,MN 55323-0066 Dstie received: .� Sd�aet Address: R�� 2750 Kelley ParkwaY Plsn roview fee: omno�Mro s�5s /D�'4.� Tolal Fee: AAain: 952 249�600 Fa�c 952-249-461B .ci.oro o.mn.us This eppllcatfon fam must be c�ompleted I�full and all required iniormation must be submitted- Incomplebe sppikadons will be retumed. (Please p►�nt) GENERAL INFORMATION: /�/' r ��5�� ''�I� Job SM�e Address: (S!t9 YYIII this be a Par�e oT Nom��o�S�Homs or olhar Display Homo? Yes No !f yes,e speder s►rent pen►dt Is�►r��orla��o�r+��e��$�- ��everrts�no hib�edowed�wY!ae i6pWred unle8a e�PhCant GONTRACTOR/APPLICA� INFORMATION: Name: /�9i�1 f�/�S�- Ieob��'3 s�� i�✓t�idQl� L�C St�ts License# � it D�l O� 7 7 Exp�ration Date. p3/.��/�i�r�_ Lead CeRiflc�tion Number. F.xpiration Dete: (For wark on homss lhat wero oonstruc�1��1978 0�) ,7 f' 3�0, � � (Cell) Phone: 76 3—�!? 7�q�96 ( Mailing Address: S r'+�' �1" City: A� iD�rZ ZIP: SS�y 6 4' CoMact Perscn- �nti/� G�� Applk�nt is: n r I Homeowner �c�.o�n� Email andlor Fax: ;,^ '>63 '�La 7� 00� . ' PROPERTY OWNER INFORMATION: Name: !'��^ �.� �^ Phone(day): A�ddress: 6 6( ..Scz� ,��i,�rC r��' City:�nsCix��'�6��a ZIP: Emait andlor Fax PROJECT INFORMATION: '1yp�oi ProJocf: My es�mo�ronNM mey roqulre MC1111D rwfe�w 8 p.rmks: �p�p��s� ❑Remodel ❑Wa�er Demage , NAinneheha Cr�eek Wa��shed Dishict(MCWD) �W��g� a Repe,;r ❑Storm Damega 18202 Minneoonka Blvd Deephsven,MN 55391 ❑Slding ❑Restoretion ❑Other:(specity) Phone: 952�71-0580 �e.roof ❑Fire Damaga Fex: 952�T1-0682 �_minnehah�creek.orc� Overall Pro ect D�crip�fon: Rstimated Consbuctbn Valuation of Pro�ct excludln land) S � � �cs� APPLICANT ACKNOWLEDGEMENT: qgrees to provide aN infarmetlo�nequired or requesbad bY d�e 9uiWtr�DepartrneM; Certifies that me I�fom�adon supP�led is true alld correa Lo ths best of hislher krrowledge• The applkarrt recog�izes thet they are selely respo�s�ble for submlt6ng a comple�application being awere that upon failure to do sa,the stafF has no albamaUve bul to rejact it unbl it is oomplate; Some or all ot fhe information that y�ou are asked to pnovida on this sPpQation is dassifisd by State Iaw es eiihe�privete or cvMidernial. P�ive�� Is IMom�tlon vrhid�9enaral�canrrot be glvon�o the public but can bs plven to 1he subject af the data. Confid�tlal date �s Uf�o�matlon wF'I�h 9e►�erally cennot be given tn elther the public vr the subject of tha data. Our purpoee and inEended use of this IMom+atlon is m annu�ly updaGa our records snd records of ofher govemmer�l sgencies ulred law. If to s ifie lnfom�aUon the Icadon ms not be Issued. ApPlicant's Signature: �a�: y -�4=<< tAstuoe�ed: oa-o�-zot� DAT TIME 'V CITY OF ORONO �N S INSPECTION NOTIC SCHEDULED � PERMIT NO —�a7 COMPLETED ADDRESS ��- OWNER - TEL HONE NO?�" 8�" �3'�� CONTRACTOR �� — � � � DESCRIPTION �a� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING Fil ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � ' WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. �� White Copyllnspector's File Canary Copy/Slte Notice