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Home My WebLink About2011-00307 - roofing � ` CITY OF ORONO PERMIT NO.: 2011-00307 - � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 718 SANDSTONE CIR PIN : 33-118-23-11-0051 LEGAL DESC : STONEBAY : LOT 002 BLOCK 002 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 QUAY,KATHRYN 718 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 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 y f e for due cause. �' � ' �� , � �P � �l Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � � ��7 � . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: U�� JU 7 O.�D,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � -�' � Street Address: Received by: 2750 Kelley Parkway Plan review fee: ��4�° Orono, MN 55356 Total Fee: c�/Q�D� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Sfte Address: WIII this be a Parade of Homes, Remodelers Showcase Home or other Dlsplay Home? Yes No If yes,a special event permit is required with Police DepaRment and City Council approval 60 days prior to the event Shutt/e bus service will be requlred unless applicent demonsUates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �/ Name: /�1;�l✓l b�`- �oOF�7� S��'�f !,✓yhdo� L�C State License# ;,�p p�p a 7 7 Expiration Date: �3/31�� }}�� Lead Certification Number: Expiration Date: (for work on homes that rrere construc�prlor to 1978 Phone: 76 3—�/a� 7-q(•q� (office) 76 3 a�80— /.3� � (ceu) Mailing Address: (p $'/ CQ�-,,qr fy- City: d��e vG ZIP: 5'sj(o�1' Contact Person: �nn.fi �Q�G•� Applicant is: on actor / Homeowner �ci.�i.o�� Email and/or Fax: 7(,,.3 .-. �j/ a�— yQ p/ PROPERTY OWNER INFORMATION: Name: l-Ct��l�/y�� (��vLt I�' Phone(day): Address: `� 1,5� ��c.�� S�fe� C;Y� l-� City: L�7rt y��t/c� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: My earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD revisw 8 permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑Restoration ❑Other:(specify) Deephaven,MN 55391 Phone: 952-471-0590 �Re-roof ❑Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Eatimated Construction Valuation of Project(excluding land) S ?G�"v APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information required or requested by the Building Department; � Certifies that the inivrmation supplied is Uve and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; � Some or all of the infortnation that you are asked to provide on this application is classfied by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is informadon which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our recorrJs and rec:ords of other govemmental agencies re uired b law. If u refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: �`f��-�'�� Date: �`� ' (( �sc updated: os-o�-20�� DAT TIME � CITY OF ORONO CALLED IN S � INSPECTION NOTICE SCHEDULED /� PERMITNO. �� COMPLETED ADDRESS �l 0 �t-� ��YCiC-- (� OWNER TE PHONE NO? � ��-�� CONTRACTO - � DESCRIPTION �JL � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAVlGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � 1� � �T��— � 0 � W � Q � Z W � W � � � � ORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE ❑CO ECT WORK&PROCEED I ��SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. 1� , White Copyllnspector's File Canary CopylSite Notice