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Home My WebLink About2011-00291 - roofing . � � CITY OF ORONO PERMIT NO.: 2011-00291 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OS/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 717 SANDSTONE CIR PIN : 33-118-23-11-0046 LEGAL DESC : STONEBAY : LOT 043 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 TOTAL 105.05 MAPLE GROVE, MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER JAMES, LYNNE 717 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 revoked at any 'me for due cause. � s� � , �r �, , � . Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . . � �� City of �rono � Building Permit Application fo� Inter�nal Work • windows, doors, siding, re-roof, etc.) Meiun9 Address: PermR�umber y O�0�O PO Baoc 66 � Crystel Bsy.MN 55329-006B Debe received: Sheet Addreas: Received by: � � 2750 Kelley Parlcway Plan revlew foe: � Orono.MN 55356 /D�� Totel Fae: N�i�_ �2.24g�t6pp Fa�c 952-248�4616 www.ci.orono.mn.us Thls application form must be Comple�ed In fud and all required ir�forrnat�n must be submitted. Incomplote applit�ions will retumed. (Please print) GENERAL INFORMATION: �°„_,�,�. GI�� Jab Site A�ddress: �� •'i'"'u - Wlil thls ba a Pa�af H��nes.Remodelers Shovvcase Home or other Di�play Home? Yes ❑ No K�a speae�eve.0 venn�r is ievuNd w�N poHce Dsp�rn�nt and cky counal aaa��d�� e�^"��►� roqwred unlsss epipGcent demnnsbatea aullkk►d a+�alt�P�Idn9 is eve�ebls. Mon�pe►mMed eirerRs w�not bs aAowad COWTRACTOR/APP61C T INFORMATION: sr�� d�� Ln� Name: /�'��W�� 00��h9 � � State License# t?O/p 7 7 Expfratfon Date: p3t 3� ��ra,_ Lead CaNflcadon Number: Expirapon Date: pbr rwrk on hane�s tlwt oons�n�c�l l�lvr b 7978 Phone: �b 3�ra �"q�q� co�, 76 3 a1�'v— 3� � c��, Mailing A4dress: S' S r'+-a' L'�f- `i�. �� (/r.r ZIP. �,�V� CorKact Person: �r�� PiSG n ApPlicarrt is: ctor / HOmeowner �crd.o�.► Emall and/or Fax: 63 -- " � PROPERTY OWNER INFORMATION: Nsme- � �'nL .�Uh�{.S. Phone(day): Address- �17 Sa nd St'�"� ,/. C"�ty: Lpr�(f� k-t ZIP: Emav andlor Fax PRO.IECT INFORMAl10N: pny��,movemoM may requiro �I Typo of ProJeet: YCWD rsvi�rr 8 psn+�its: ❑Doo►(s) ❑Remodel ❑Wster Da�nape , ►y�nnehaha Creek Watershed D'�strict(M(7WD) �yy��(8) ❑Repair ❑Stom'�Demaye 18202 Minnebonka Blvd � p �� Deephaven,MN 55391 ❑Siding ❑Restorebon ❑Ol�er. s e Pho�e: 952�471-0590 @�Re-roof ❑F�re Dsmsge Fax: B52-a71-0B82 www,minnehahaCreAk.o_,gr Ovsrall Pro set Descri on: �m��ya�ua4�o�of pro'ect �xcludln land s APPLICANT ACKNOWLEDGEMENT: ,qgreee to pravide�I informatlon required or roques�ed by the Building Depanman� Cerdfles thet tl�e IMo�mation suppped is Vue arxi corred bo the best af hisTher knowledge. The sPP��re�8nizes V�at they are solely respons�le for submittlrg a comple�e epplic�tbn bei�awero thst upon failu��do so.the stsff has no allemative but to reject it urrtil it is compbto; � Soma or all ot�e infarmetlon that you are asked to provfde on this appllCa6o� is daesified by Stete taw as elther privste or co�+i'ideMlal. Privs�e data ls informaqon wh�cF►9ene�NY��t be gMen to tlte public but can be given to the su�of the dats. Co�idanUal data ls IMomia�on which generaAY ca�^�t be 9�� a��e public or the subject of the deta. Our pu�pOso and inbendad use of U�is infom�e�cn is to ennually updabe au� reoords and records of othar govemmental agendes ui b law. If u reiuse b� d�e iMortnetion the dan cwt k�e lssued. � �%�� ' '_'�) `o� r�( Applicsr�t's Signaiure: — p�: —�,. Leet UP��: 03-01-2011 D E TIME l / CITY OF ORONO CALLED IN S v INSPECTION NOTICE�D �I SCHEDULED —/ '� PERMIT NO.a�L � l � COMPLETED � ADDRESS ,/�� I�-S7� L� �-- OWNER TE PHONE NO.��r��-�� CONTRACTOR � u/1'-� 6� _�� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � GW 110RK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: ` inspector. .� � White Copyllnspector's File Canary CopylSite Notice