The URL can be used to link to this page

Home My WebLink About2011-00295 - roofing f ,.,,,.� CITY OF ORONO PERMIT NO.: 2011-oo29s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 721 SANDSTONE CIR PIN : 33-118-23-11-0048 LEGAL DESC : STONEBAY : LOT 045 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 GRQVE,MN 55369- (763)427-9696 Minnesota State License#: 20637010 OW1vER VOGT, ELIZABETH P 721 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 rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction 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 a y time for due cause. l' � � � / �� / /` Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. l . , � � To� ! City of Orono Building Permit Application for Internal Work � (windows, doors, sidin , re-roof, etc.) g O� ��' Permit number. oZ0/ � O O Crystel BsY.NM155323-0086 Date received: / � � Street Address: �by' — 2750 K�eNey ParkwaY Plen review fee: ?� Or�w.NM155356 Total Fee: JO�� M��; 952 24g.4gpp Fs�c 952-249-4616 www.ci.orono.mn.us This applk�atlo�fonn must be oomple�ed in fuM and aN required iMormaUon must be submitted. Incompisb�pik:stlons wiil bs roturnsd. (Please print) OENERAL INFORMATION: � � ��„�l�'1„_ � C�`� Job Sib Addnss: :,�i,�` T�"C, YVtll thb bs a Parad�at Hom�s.R�mod�l�rs Showcas�Homs or othK DlspUy Homs? Yss No by�s,a apecial e,�e„t psnr�la,rq,�lnd w�1,Adia�epransnt er,d c�ly Couv�al epp+vvs�eo doys pitor w d,e aver� Snwk bus asiv�oe wJn be rsq�uNed wde�a eppNcarK d�nons�ss iulBda�t on.ti6s psrla�Is a+Mab�e. Non�pem�NMd ewnts wIN r►ot be a�orred. CONTRACTOR I APPUCANT INFORMATION: � Name: /�1��6./lb�"- oOF� �'o�i �►'�OF� Li►� s�te��# - 2oar oa �� ExP�ra�on Date: D3/3� a o�a Lead Cerdflc�tlon Number: Expiration Date: (Ibr wak on honNs Lh�t wrn consbuc�prilw A�1� Phone: 76 3—�/a 7-q�q� c�� ?6 3 a8v-_ l3�_�__ _ c�u> Mailing Address: $' �dlr� �`f' CitY �A� vL ZIP: 3 6 Y CoMad Person: �n.y �G,SG.� Appikant is: / Homeowner �cra.a»� Email and/or Fax: ')63 — til�7� 4D0� PROPERTY OWNER INF TION: Name: �"i�Z Q�i/'h �/O�� Phone(day): / - Address: �( S fa✓'L CI��C�e City:�l�tC� ZIP: Email and/or Fax PROJECT INFORMATION: ��pro� My Wr1h mov�ma�t may nquin ❑poor(s) ❑Rertadsl ❑Wa�et Demape , YCYYD rovl�w�p�rndb: MMnehaha Cneek Wate�shed DisMd(MCWD) �yy�r�dow($� ❑Repeir ❑3�orm Darna�e 18202 NNnnetonlca Blvd p swi� O� D on,�r:(s�ah) �a�n,MN 55391 Ptwne: 952-471-0590 (�Re-roof ❑Flro Damage Fax: 952-471-0682 V� www.minnehahacreek.orn Ov�rall Pnoj�ct D�scriptlon: Estlma�sd Constructlon Valuatlon of Pro1�ct(exdudin�land) i Z6� APPLICANT ACKNOWLEDGEMENT: ,qgross to provicls all iMormatlon rocWi�ed or reQuss�ed by fhe Building Departrnent: Certlfles that the intort�tion suppUed Is true and oorreCt to the best of hidher k�rledpe. The applfcsM recognizes that they are sobly r�ponsibls for submiqing a oomplste aPP�icatlon b�ng aware that upon f�lure to do so�the stsA has rw altemative but�reject it uM�it is oomple�s; Some or sY o�ths infcrtnatlon that you aro ssked to provide on tt�s applicatbn is dassi8ed by Stete law as eitt►er private or confidentlal. Private data is k�forrnatbn which gene�►cannot be given b�the public but can be given to the subject of the deta. ConlidenUed data is I�fortnaUon which �ene��Ny cennot be �ven �o either the public or U�e subject of the data. Our P��Pose and inbended use ot this ir�orrr�stfon ie to annuaUy updete our reoords and neoords oi other govemment� agenc�es uired law. If refuse to the informatbn the ma not be issued. APPlicenYs Signature: Date: �.� z —r' �.tupdao.d: 03o�-2ot� - DA TIME �/ CITY OF ORONO CALLED IN �� INSPECTION NOTICE ��CHEDULED �, � �. PERMIT NOr�� I—OD��--� COMPLETED ADDRESS /�� Gf �S%'U`/ �— w` �--�-- OWNER LEPHONE NO. �° �v "I CONTRACTOR �XS � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVA� 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � ° 1 -T�,!A i W � Q � Z W � W k � GW �VORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTiONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on site: Inspector_ ,� � White Copyllnspector's File Canary CopylSite Notice