HomeMy WebLinkAbout2011-00359 - roofing � .. . „
CITY OF ORONO PERMI`T NO.: 2011-00359
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OS/18/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2482 SANDSTONE LA
PIN : 33-118-23-11-0025
LEGAL DESC : STONEBAY
: LOT 022 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,000.00
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
A T JOHNSON,W H HENNEY&
5101 THIMSEN AVE#200
MINNETONKA,MN 55345-
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 ali required inspections aze
requested in conformance with the State Building Code.This permit may be
revoke y time for due cause.
/ / / �.J/ / U i f
A plicant Permitee Signature Date ssued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono
„ Building Permit A►pplication for intarnal Work
windows, doors, sidi , ro-roof, rbc.)
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�iENERAL NrFORMATION: � � �o� <��d c� _ �.
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CONTRAiCTOR/ N�IFORMATION:
Name: /11; r�Lb�"- 00 , S�� !�►hdot d Ln�
stete I.�oense� OO�p a 7 7 ExvM'dtlon Date: p3/ / 62��a.
Lead Certll�on Numbsr Expiretbn Date:
�br w�ah on Aan�s tl�tw�r�o� b 1!'fe
Pnone: 76 -H?7- 6 (�e) 76 - O- l 3 2 (��)
Maiunp Addrsss: $' �`t' Ci�►: vG Z�P: 3 6 Y
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PROJECT INFORMATION: ������y�Wn
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DATE TIME ��
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0. �!!—OLl3J`� COMPLETED '
ADDRESS�}7��_��
OWNER T PHONE N0��3� ��D��j� �--
CONTRACTOR
�—
� DESCRIPTION ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W�\itOR� K SATISFACTORY:PROCEED /�PROJECT COMPLETE
�� ❑CORRECT WORK&PROCEED ❑�SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on si#�e: �
Inspector. ��C.� l ��
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