HomeMy WebLinkAbout2011-00361 - roofing � , CITY OF ORONO PERMIT NO.: 2011-00361
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 05/I8/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2538 SANDSTONE LA
PIN : 33-118-23-11-0017
LEGAL DESC : STONEBAY
: LOT 014 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
DEVINE,TIMOTHY
2538 SANDSTONE LA
LONG LAKE,MN 55356
AGREEMENT A1vD 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 all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoke any time for due cause.
5� �� ��� J� i /�iG/
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono
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CONTRACTOR I N�IFORMATION:
Name: /J'1; �✓`S7- oo • S�� I..r3�dOFd LnG
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�addrsss: S' c`I' C�r: v� ZIP: 3 6 q
Contacx F►erson: /�r►�y n 4h APP�is: o c�or / F�omeowner �c�a.a»�
Emau and�or Fax: 763 - SI a.7� 900
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Phone(dsy): �¢'t� ZIP:
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PROJECT INFORMATION:
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DAT TIME �
CITY OF ORONO CALLED IN
INSPECTION I�E SCHEDULED
PERMIT NO. r'—��� COMPLETED
ADDRESS �53 � :�
OWNER ELEPHONE NO? 3 �G'� ��
CONTRACTOR
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� DESCRIPTION ��-�'
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ 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
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� �ORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4f)DO
Owner/Contractor on site: '
Inspector. a �S
White Copylinspector's File Canary CopylSite Notice