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Home My WebLink About2011-00309 - roofing " ' ' CITY OF ORONO PERMIT NO.: 2011-00309 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 720 SANDSTONE CIR PIN : 33-118-23-11-0052 LEGAL DESC : STONEBAY : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVTTY : O/S BUILDING-LJNDEFINED 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 PAUL,CHRIS 720 SANDSTONE CIRCLE 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 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 1 SO 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 an tim or due cause. � � � � � �� Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . • - City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permitnumber: /--�,?jU O�D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: / a a, Street Address: Received by: �',F, �titi 2750 Kelley Parkway Plan review fee: ��Esxo�'� Orono, MN 55356 , Total Fee: /Q�Q�J' Main: 952-249-4600 Fax: 952-249-4616 vuww.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 Site Address: �� CGy��/o�v�g �1�C�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /'►'l,�W�.�� fh4 Si�hU ��Oc�S T�tG State License# ��j/ �a�T Expiration Date: D�3/` apj�`- Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 7�3��oZ7`"Q��6 (office) �6„�`oZBQ'�� oZ (cell) Mailing Address: L( ( S �c•,-o�{ C�, City: q�tG(�/p ZIP: SS�by Contact Person: ��,�y � Applicant is: ntrac / Homeowner (CircleOne) Email and/or Fax: ��-Y o�t 7- C�'�1 � PROPERTY OWNER If�FORMAT ON: Name: __�i��S �Ql/� Phone (day): Address: 7a0 Sct.�a��C�O�tf: GI��G City:(�i►� �,�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&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: Estimated Construction Valuation of Project(excluding land) $ 3�D APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true 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 information that you are asked to provide on this application is classified 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 information 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 records and records of other governmental agencies re uired b law. If ou refuse t u I the information,the a lication ma not be issued. Applicant's Signature: Date: � b �l� Last Updated: 03-01-2011 DAT TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE G� SCHEDULED / �p ,C�� PERMIT NO.o�OI�-�� / COMPLETED ADDRESS �v�v �/ UYl � (�t/� l�- OWNER TELEPHON NO.� , 3��0-�� CONTRACTOR �� - ��h�-J / �; DESCRIPTION ��- � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 � ❑ 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 � � � O a � O � / W � Q � Z W � W � � ,,, JJJ GW /ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal{for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � �S Whiie Copyllnspector's File Canary CopylSite Notice