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Home My WebLink About2011-00306 - roofing , .,� / CITY OF ORONO rERMiT No.: 2011-00306 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2462 SANDSTONE LA PIN : 33-118-23-11-0028 LEGAL DESC � : STONEBAY � : LOT 025 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N MAPLE GROVE,MN 55369- TOTAL 166.25 (763)427-9696 Minnesota State License#: 20637010 OWNER ARNE,LINDA A 2462 SANDSTONE LA 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 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 y time for due cause. , 6 , « � � � � � App icant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � //- O 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: //„�'�s Main: 952-249-4600 Fax: 952-249-4616 www.ct.orono.mn.us (I/ This application form must be oompleted in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: Wlll thls be a Parade of Homes, Remodeters Showcase Home or other Display Home? Yes No !f yes,a special event pe�nit is required with Police DepaRment and City Council approva/60 days pnor to the event. Shuttle bus service will be required unless applicent demonsbates sulRcient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: / Name: /n��G✓l5� �omF�h9 �ai� f�/'h�OGd L�� State License# ;Z 0 D/p a 7 7 Expiration Date: �3/3/O o'l �[a Lead Certification Number: Expiration Date: (for work on homes that were consWc�prlor b 1978 Fhone: 76 3-�/a� 7'9�•9(v (office) 76 3 o�BO- /.3a � (cell) Mailing Address: (p ,S'/ �qr-,,pr fy- City: QO� vG ZIP: SS j(,q' Contact Person: /��yn/i �Q�G•� Applicant is: on actor / Homeowner �ci.�ieo�� Email and/or Fax: 763 .- SI��']- J�pp/ PROPERTY OWNER INFORMATION: Name: L��t�(u �� c{SC�, Phone(day): Address: a �-/G: � S'a.a Sn�,,,� L., . City: Lp,�y� Lu �<� ZIP: Email and/or Fax PROJECT INFORMATION: Type of ProJect: Any earth movement may require ❑Door(s) ❑Remodel ❑Water Damage MCWD review S permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd � � �� Deephaven,MN 55391 ❑Siding ❑Restoration ❑Other: s ci 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) S , APPLICANT ACKNOWLEDGEMENT: Agrees to provide all informabon 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 infortnation 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 recorcls and records of other govemmental agencies r uired b law. If ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: ��i��l "�� Date: � � � �� last Updated: 03-01-2011 DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /D,�00 � PERMIT NO.�//—��_� COMPLETED ADDRESS ��o�_�,Gt��'¢dy1� �?Q.k�.� OWNER TELE ONE IV0.7� ` a' `� �a� CONTRACTOR — >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � o � � , I W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit • Inspector. �`�-� White Copyllnspector's File Canary Copy/Site Notice