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Home My WebLink About2011-00290 - roofing CITY OF ORONO PERMIT NO.: 20��-00290 � 2750 KELLEY PARKWAY , ' ORONO, MN 55356- DATE ISSUED: 05/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 669 SANDSTONE CIR PIN : 33-118-23-11-0038 LEGAL DESC : STONEBAY : LOT 035 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 O.T. Development,LLC LLC,O.T. DEVELOPMENT, 2670 KELLEY PKWY ORONO,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 Ciry 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 revoked at any time for due cause. �/ � /f( / / A licant Permitee Signature Date Issued By gnature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . . City of Orono • Buiiding Permit Application for fnternal Woric ' (wl�dows� doors, sidin , re-roof, etc.) MMidn�Add►�ss: Permit number: G — C/ O�.O�O ao s�ss .� � Cryatal Bay,MN 55323-Op66 Date received: � Srreet nddr,as8: ��Dy: � 2750 Kelley Parkw�ay Plan review fee: Orono,MN 55356 Total Fee: /D�Q�j'� Meln_ 952 248-4600 Fax: 852-249-4816 www,ci.orono.mn.us Thls appQcstlon fomn must be complebed In fuN and all required informstlon must be submitbed. Incomplete applicaqons wlll be r+eturned. (P/ease pHnt) GENERAL INFORMATION: /'� �C'�,� G r �- Job Slee Address: t0 v/�,� YYIII�Is be a Parade af Homes,Romodels�Showcase Home or otAer Display Home? Yss No N�a 8perara►event pe►m!t!s reyudsd wad,Po�o9 Gepe.anent era chy cowx�V ay�crel Bo d�aya priar ro d,s eire„t Shud►e bus�ervk�e wiw ba re�d unMss e�ppfloant dernonsbetea suflFcie�on.slbs paddng l8 ev6�9We. A�n�penrdrtsd eirent8 w�!not be allorved. CONTRACTOR/APPUC�T INFORMATION; Nsme: /rI�/�Wlb� leoa�, 5�0�/ l✓��0� LnC State lfoense# :Z DD/p a 7? Expiration Date: p3/3'� �O�� Lead Certiflcadon Number. Expiration Dete: (Ihr work�hames fihhat oonsauc� bo 1�Td it Phone: 76 3� 7'q G d c�n�� 76 3-�1 Q— I 3 a� c�m Mailing Address: S' �`�' City: �'e �v�: 7JP: S 3 6 R' Confact Person: �pnr�y��.�ol�G•� Applicairt is: n cto� / Homeo�wner �cu,oi.on.� Email and/o�Fex: ')6� -. y �7—400� PR�PERTY OWNER INFORMATION: Name: Q�"e'rI �l� Phone(day): �cwress: �q # rr, city: ziP� Emall and/ar Fax PROJECT INFORMATI�N: Type of ProJect: My�rfh mareme�t may requin � ❑Door(s) ❑Remode� ❑Weber Demsge , MCWD�vlew 6 psrmlt�: Minnehahs Creek We�rshed District(MCWp) ❑Wincbw(s) ❑Repeir ❑Stcrm Dsmstye 18202 Minnetonka BNd D swing p�ro�o� ❑oa,er.�sp�ry� o��.MN 55391 Phone: 852�71-0590 ❑Fne Dan►aga Fax: 952�71-0662 w��uv ,_minnehahacreek.or� Oversll P sct Osscription: "� Es�mabd Cons�Valuation of ProJect�excluding land) i (ca0� APPLICANT ACKNCWLEDGEMENT: A�tees to provfde all(r�nrmadon required or requosfed by fhe Bullding Departmer� � CeNibs that Ihe Infnnr�ation supplied is true and comect 6o the best of hlslher knawledpe. The appliceM�ecognizes that ihey are solely responsible for submitting e compbte eppllcadon being aware thet upon fa�ure to do so,the staff has no altema tive but to roJect it untN It Is complEte; Some or all of the Ir�fonnadon that you are asked to provido on thia epplk;atlon is dassfied by Stat� lew as ehher privats or confiderdial. Private date is ir�iOrmetlon whld�generarr cannot be given �the pubfle but can be gnren to the subJect of Che dete. ConAdentl8l data is inbrma� which generaqy cennot be given o0 oflher the public or tl�e subJect of tl�e dsts. Our purposa and i�anded use of thls IMormatlon is bo annualty updete our reoords and records of other govemmenml agencie�s uired b law. If re(use to tl'ie iMocmetlon Ihe ' 6on ma not be issued. Appllc8►�Ys Signature: Dete: �S �-t/ last Updated: 03-01-2011 DAT TIME � CITY OF ORONO CALLED IN � �� INSPECTIO��T�CE DDa�O SCHEDULED / A1� PERMIT NO. COMPLETED ADDRESS �� ,�1Yt-�.-�� OWNER PHONE NO?�' ��-��a� CONTRACTOR � �; DESCRIPTION ��-�- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � J O >. � o � W � Q � z W � W � � / ��RK SATISFACTORY:PROCEED /�PROJECT COMPLEf E � W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on site: �(1SpeCtOl: �to�<?�� Whfte Copylinspector's File Canary CopylSite Notice