The URL can be used to link to this page

Home My WebLink About2011-00289 - roofing , � CITY OF ORONO PERMIT NO.: 20��-oo2s9 : 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 667 SANDSTONE CIR PIN : 33-118-23-11-0037 LEGAL DESC : STONEBAY : LOT 034 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,600.00 NOTE: REROOF TEAR OFF 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 ROGGE,RENEE 667 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 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 are requested in conformance with the State Building Code.This permit may be revoke at ny time for due cause. 5 ,� , �1 , , Applicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . � " ^ City of qrono Bullding Permit Application fo� Internal Wo�k ' (windows, doors, slding, re-roof, etc. ,¢Q� �u��' Pormlt number: / —DO � Q � CMB�I BaY.MN 35323-006C Dste�ece�ved: / a� � Street Address: ��bY: '� 2750 KeUey Parkway Plan review fea: Orono.MN 55356 Totel Fes: ��'�� Maln: 952 248-4800 Fax: 952-248-4818 www,ci.orona.mn.us Thls appllcation fiorm must be completed in FuA and aU required Infwmation must be submittad. Inoomplo�a applications wlll be retumed. (Plesse print) GENERAL INFORMATION; '1 S''� Li(/! Job Site Address: YVlII thls bo a Psrade of Homes�Rsrnodsiers Showcase Home o�other Dlsplay Homs? Yas No Ifr.s.e apede�everitper,nn Is rsqW,ed waErr Pol�e oepa�vn�ne and ciq�councr eppvva�Bo dars v�ar�b rhe evenr, snumda�we soiwoe wA�be �eqw►ed rwless�demons6atos sid�t on.�7e paildng!s awa�eb�e. Non-pen►�fted ev�ents r�not be eUowed. CONTRACTOR/APPUCANT INFORMATION: �/ Name: /��d Wl$7''- Om . �a/ !�'�0� L�C State Lioense# 2 0 oi o a �� Expiration Oate: p3/3/ �Ot� lead Cerlific�tion Numba�: Expiretion pate: �w worAr on hamos�hst ws►e constr�p�1a►1n 1878 Phone: 76 3—�/� 7`q G9� co�) 76 3 0180- l3 � cceu� Mailing Address: � S CQh4�� Cf' Cfty: ��ll� irc- zIP: 3 4' Contact Person: �ti� �p,sG n Applicant is: n / Homeovmer �ca�.a„� Email end/or Fax: 7(,3 ... y �� jQ p/ PRQpERTY OWNER INFORMATION: Name: �,�n��. /��y� Phone(day): _ _ - � , Addr6Ss: ��_SC�rw�STon G C ir Clty: ��L�� ZIP• EmaR and/or Fax PROJECT INFORMATION: Typs of ProJect: My eorth moremont itw ❑Door(s) ❑Remadel ❑Webar Derr�ege , MCYW revlew b pennlb ulre ❑Window(s) ❑Repair Minnehaha C�eek Wetershed District(MCWD) ❑S�� 18202 MMnetonke Blvd ❑Sidln9 ❑ResWratlon ❑Olher_(spedfy) pp p�� 852-471-0590 [�Re-rooi ❑Fire Damage Fax: 952�7t-0682 wvwv.mir�r�9h8hacreek.orc� ___ _ Overall Projeat Daacrlpqon: Estlmated Conseructlon Valuation of Pro�eet(excludin8land) , S '� �, APP�ICANT ACKNOWLEDGEMENT: Agrems to provida sll informefion required vr requeeted by tl�8uilding Departmenk Certifies that the iniomiatfon eupptied is true and correct m the best of hislher knowiedge. The appNcant reoogni=ss that they ere solsly responalble for submitting a compleoe applicapon befng avrare that upon fadure to do so, I�e statf has no albemadve but bo roJect It urrtll it is complate; Some or eq cf the ininrmetlon thet you are askod co provide on�his applk�tion is dessMed by State law ss eitha�private or confideniial. Pmreee datia is miormatlon whlch gonerslly cannot be pivoc�to the public but can be viven Go the subjed of the dete. CcMidential data Is Informsdo� whid� gen�Ay cannot be glven to aithe�the public or the su6Ject of the dats. Our purpose end Intended use oI this I�Normation ie to annusly u�our reco�ds and records of other govemmentel egencies uired b law. It u to su tl�infom�atbn {he ' n me not be i�ued. A►PPIIcanYs Signature: "� Date: � di ` �r Lost Updailsd: 03-01-2011 AT � TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO.�l �"�� OMPLETED n ADDRESS ��P� �%GIyC� ��l/1 !�-�_ OWNER _ EPH NO. - �"�3�� CONTRACTO f � — � ��` a DESCRIPTION � lU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O >. • � O �� W � Q � Z W � W � � GW l/�`'A�O�_R-K SATISFACTORY:PROCEED �OJ ECT COM PLETE � O�9RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. , !� � White Copyllnspector's File Canary CopylSite Notice