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Home My WebLink About2011-00292 - roofing . , •z CITY OF ORONO PERMIT NO.: 2o�i-oo292 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: OS/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 719 SANDSTONE CIR PIN : 33-118-23-11-0047 LEGAL DESC : STONEBAY : LOT 044 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 WEISS,DAVID&PAM 719 SANDSTONE CIR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 t iy time for due cause. �� i � i ll � � � l i / Applicant Perm�tee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � >�. Q��O� � City of Orono Building Pen»it Application for Internal Woirk � � windovirs, doors, sidi�g, re-roo�f, etc.) �O A' ��' Permit�umber: o�U//—0 U 0 `rp crys�a aey.�ss32s-0oes oate re��rea: � � sbeer�anrar�: �"re`��'� ' `' 275o KeNay Parkwar Plan rev�a�w fee: Orono,MN 55356 . ra�F�: � /D.�05 Mefn• 852�49-4600 Fa�c: 952-248�06�6 v�nry�-�i.oro�o.mn.us This applkx�tion iorm must be oon�pls�sd in fuR and sR requfrred infrnrnation must be submlKed. Incomple�s applkstlons w111 b�retumsd. (P/eas+s printJ GENERAL INFORMATION: *"` (Q �"' _,,,�� / .,�� rP Job Slb Addr�ss: / �+'1�' 1.., WIII thl�bs a Pared�of F�an.s�R�modoMrs Showcass liomo or ott�Dbplay Homs? Yos No Krr,a epeale►ewr�r prvrdr Is i.qu�red w�n Pallo.G�rone+�t e►d Cb►Cound�pproval 6o d�C ab►ro uie 6re►u. shums hua as►�loa w�he requln9d IN�ssa a10��demontb6Ms a1d14��nt an.e�pe►Id�p tt ewsNsb�e. �evenfs w�nat Oe eA�owed. CONTRACTOR/APPUC�T INFORMATION: Name: /I�i(l f�✓�S� 001�� S�/ d�A7i�0(� LnC .� �a��# �aao�oa �� , o�: p3/3i �o�a Lead Certiflcatbn Number: Expir�tbn Date: �Ira wwk on bonws�t waa vanson�IiHor do t! � Phone: 76 3—�+lo� 7-q�'9� c�) 76 3 0180- l3� � c�u� Meiling Ad�+ess: $ C`r - CItY: �t vG ZIP: —3 6 Contect Person: �ti` ��4•� Applic�r�t is: / Nomeowner �cra.o�.� Email and/or Fax: '�63 — N a 7~ �00/ _,� PROPERTY OWNER INFO TI N: C< NaR18: � �n/�r.�2.7 _.,.._ Phon�(day): � /_ . Address: " -7l 4 Sa� Sfv�c ��ZG� ��hr L�'�19�1�G zIP: w.__._ Emad and/or Fax PRaECT INFo�u►nON: �, Typs of ProJsat: Any w�d�mowm�nt may nqu�n ❑000r(s) O aa,ioae� ❑wa�er asmege _ ��a perm�d: Mlnneh�ha Creek Wa�ershed Dlsbkt(MCwD) �yyindow(s) Q Repair ❑Stonn Damepe 18202 Minn�onka 6hrd ❑Siding ❑Rssbastion ❑Otlter:(mpsdijl) �ePha�en.MN 55391 Phone: 952-471-0590 p� Fe� 952�71-0BB2 ❑��F ❑ �D� www.minnehaha�re�k.orq _. � OveraU ProJsce D�scM n: Esan�abd Comtivctlon Valuatba of ProJs�t(�ccludlnp Isnd) : � .:� APPI.ICANT ACKNOWLEDGEMENT: qprees�provide aM iMatmstion requlrod or requeatad by Ihe Buddirg DopeKmo� Ce�fii'�es that�e ir�forn�adon supdied k aus and oornea a Ihe best of�IrJher knowledge. The appNcau�t raoopnizes thet they er+p solely respensible for submiqillg a oompbbe aPD�i�tiOn bei�9 aw�ue thal upon failure to do so,tho sFe1f has no al�omeUve bul to reject it ur�l h ls�e; i Some or ell aF the hffa�r�ation MaR y�ou aro asloed�o p�vvide �thlo epplicetion is�ed by Stsbe law ss either private or ( �nfidenbal, prlyate ci� is 4�Onna�on whlc�9eneraNy cenrat be given oo the public bul wn be given oo Ihe subjed of the � ��. ��ntlal de� � hio�metlon Wtddt genaslly camat ba gi�ren �o elthe�the publ'�c or the subject of the Cata. Our pumose and {nOsnded use cf fhis inbnrmtlon is�o snrx�ally updeba our reoords and rec�nds of oMe��ov+emme�l agencies I u' law. If re(i+ae�o s the inrormation Ihe a ' m� not bs iasued. p►PPUcant's Slgrreture: � � Date: ,,��.,�'��/ �as u�od: os�-zo�� DATE TIME v CITY OF ORONO CALLED IN � INSPECTION NOTICE G� SCHEDULED �' � /1'J PERMIT NO.O�C'I�� /� COMPLETED ADDRESS OWNER T PHONE N0.��3 ' G- � CONTRACTOR - �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � � WORK SATISFACTORY:PROCEED ��ROJECT COMPLETE ❑CO RECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWfTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on site: Inspector. l White Copyllnspector's File Canary CopylSite Notice