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Home My WebLink About2011-00288 - roofing i ' CITY OF ORONO PERMIT NO.: 20��-oo2ss � 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: OS/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 665 SANDSTONE CIR PIN : 33-118-23-11-0036 LEGAL DESC : STONEBAY : LOT 033 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 NOONAN, STEPHEN&ANNE 665 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 revoke at any time for due cause. Sl ll� / / Ap licant Permitee Signature Date Issued By g ature D te ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB �Sy3 � � � City of Orono � 6uilding Permit Application for Internal Work ' (wfndows, doors, siding, r�e-roof, etc.) �� Permit number. ��'�"` � � O•g,O,�O Po eox ss Crystel Bey,MN 55323-006e Date reoelved: � Slreet Addreaa: R�"�bY: � � 2750 KeYey PerkwaY Plan revlew fae: Orono,MN 55356 Main: 852 248�4600 Fax: 952 249�616 .ci. ron . .0 T�F�� O" ' D� This application lorm must be oompleted In fuq and all required Inf�ornnation must be submitted. I�comp�te applkatlons wlll be returned. (Please prin� GENERAL INFORMATION: � /�, t_ Job Slb Addross: (,/v'L YVIII tfils be a Parado of Homos.Remodol�rs Showc�se Home or athe�Dlsplay Honw� Yes No K yss,a spedld event psnnk Is rsq�dnd wrltl,PaUce�spsransne and cky cormcN aqpova�60 dsya ybr m d+e swne. Shume bus ae�v+oe w��be �►ed u�k8t ep�Wosnt de►r,a�nsaares aulllderu on,s�e ve�Jdn9ls av�ab�fe. Non�enn�ted evanfs w�l not be aaowed. CONTRACTOR/APPLICANT INFORMATION: Nerne: /�1;�w15� ��o�,7� 5�� !,✓��IdoFd L�c State Liaense# 2�v��a �� Expiration Dete: �3/31��0�� Le�d Cefification Number: Expiretion Date: rybr wwk a�homss that w�sre conshuc,Js�prbr b�l7d pt►one: 76 3—�l a? 7-��e q� c�� ?6 3�180—� l3� � c�n� nnsnin�Aaaress: ' S S Ga c1- cit�►: a�,��-� ziP: S3 6 4 Contact Person: /�y�� f�G.^ Applicant is: n r I Homeovmer �c�.o�.� Finail Bnd/Or Fax: ' '�63 -- y ��- 9ov� PROPERTY OWNER INFORMATION: Name: .S'�e✓�� /�p�1 u�► Phone(day): Address: _�,(o St�.,�dS�C ir. City: Lp,��ikc�• ZIP: Emad and/or Fax PROJECT INFORMATlON: Ty�af ProJ�ct: My�arth movemeM may requlre � ❑Door(s) ❑Remodel ❑Weter Dem�e , MCWD ewl�w 8 psnnfts: NUnnehehe Creek Wetershed Distric�(MCWD) ❑WL�dow(s) ❑RepaU ❑Storm Damage �6202 Mi�nemMca B1vd ❑Siding ❑Restordtion ❑plhsr.(speciy) �phaven,MN 55391 Phone: 952�471-0590 [�Re-roof ❑Flre Demege Fax: 952-411-0682 www.minn�hahacreek.am Overall Project Descriptlon: Esdms�ed Constr�w�lion Valuation of Project(excluding la�d) S �ra APPLICANT ACKNOWLEDGEMENT: Agrees m provide a11 iManriatian required o�requested by the 6uiaing Departmer� Cerdfies that ihe infom�ion suppGed is true and correct to the best of hfs/her kno�Nedge. The applicant rscogni�es that they are sololy responalble(o�submNdng e oanple�e epplketlon being aware that upon failure to do so,the atalf hes no altemative but to reject it undl it is complete; Some or all ot the iniormadon tl�at you are ssked to provide on this application is daesifled by State law as either priva6o or coMidential. Priwdde deta Is�fo�matlon whlch generally cennot De ghren b tl�e pudic but cen be yiven to ihe sub�ect of the dsta. Co�identis! data is in(vrmadon which yanerally cannat be given to el�►er the pubik or the subject of ihe daCa. Our pu�pose end InterMed use of thls iMarmativn is to ennually update our reoorde e�d reoords of other gov�errYnenl� egenaes uired lew. If refuee to su the brFormsfion the a icabon ma not be iasued. ApplicanCs Signature: pate: �"�—�� I.a6t Updeeed_ 03-01-Z011 CITY OF ORONO � T / TIME � CALLED IN / INSPECTION NOTICE SCHEDULED �' PERMlT N0.��COMPLETED , � ADDRESS 11��C:��%�7I2� ��/)r�11 OWNER • TELEP E NO.� 7 3 - D/-3 a— CONTRACTOR �� ' >: DESCRIPTION f`'�� lV ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a n 0[ - -• � O >- r � � �. O � � W � Q � Z W � W _ � � - GW �j\WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ��C�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site• Inspector. - White Copyllnspector's File Canary CopylSite Notice