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Home My WebLink About2011-00287 - roofing CITY OF ORONO PERMIT IVO.: 2011-00287 � 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUED: OS/04/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 766 BRIDGEWATER DR PIN : 33-118-23-11-0109 LECAL DESC : STONEBAY FOURTH ADDITION : 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: T�AR OPF AND RLROOF 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 PETERSON, LEE& DARLENE 766 BRIDGEWATER DR LONG LAKE, MN 55356- ACREEMEIVT AND SWORN STATEMENT 7�he��urk for which this pennit is issucd shall be perfonned according to the approved plans and specifications,applicable Ciry approvals,and the State F3uilding 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�vith whether or not specified hcrein.This permit�vill 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 conunenced. "I'he applicant is responsible ibr assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked t rry time for due cause. 5 � �T � lr � � Applicant Pennitee Signature Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . . City of Orono � , Bu�lding Permit Application for Internal Work ' (wlndows, doors� sidin , re-roof, etc.) �. Me!ling Address: Permit number� --b 0 � O�D�O PO Box 66 Crystal Bay,MN 55323-0088 Date reoeived: �. � � � Sb�etAard�as: t�eoslved by: 2760 KeUsy Parkway Plan roview fee: Orono, MN 56356 Total Fee: ��(P(P,�� Matn: 952�49-d60� Fax: 952 2a9-4616 ��Gl,orono.mn.us This appllcatlon Tomi must be completed In full and�II required►nfo�matlon must be submittad. Incompleta Appllcations wlll be returnsd. (P/ease print) GENERAL INFORMATION: �oa site nddres�: l� 1��`";�9� ��'� ,��, WIII thi�be a P��cN ot Honws�R�modelers Showcace Hams o�oth�Olaplay Home? Yes No N y�s,a spodal a►ro�nt pem�lf la roqW�ed wlfh PdICe 06,�erbnent end Gty Coundl approval BO d6ya pnbr to the ev�r►r. ShutNe eus 8erv�ce well be �sGulred uMees�pplfCent demor►sb+ete,s sullid��orr.�Jfe pa►lang ls avalle�ble. Non-pemHded evwfts w(Y nar be eNowed. CONTRACTOR/APPLICANT INFOR�IIATION: Name: II�J�!�w15�- �2om f,� S��/� d.��do(,.Q L:n c State License# ;Z 0 D1 D a 7 7 Expiretion pate: p3/3/��D�a Lead CeRiflce6on Number: Expiration pate: Phofw Nwr�on homss�t��scrucp�9�m 1978 �offloe) �6 �"a�8�� ' � (cell) 9G � Mailing Address: (p 51 r-�,qr� G�- City: Q�1'e �p vL- ZIP: S 3 6 q Coniact Person: M1 G•� Applicant is: n r / Homeowner �circi.o�.� Email andlor Fax: ')63 .- y �7- QQO� PROPERTY OWNER INFORMATIQ.�I: Name: L�'L.� �''�� i'��'-, Phone(day): /� Address: �� -ljtj� ��`�'�' �'✓ City: L-�:�!a�.-dr��' ZIP: Email and/or Fax J PROJECT INFORMATION: Typs of Pro)ect: Any aarth movemsnt may requlrt ❑Door(a) ❑ Rsmodel ❑Water Damepe , MCWO revlew�p.rmlls: Minnehaha Creek Wa/ershed DIBWcI(MCWD) ❑Windaw(s) ❑ Repair ❑Stom►Dama9e 18202 Mlnnetonke Btvd ❑Siding ❑Restoretlon ❑Other:(sPedly) P one: 852�471-0590 �R�roof �Flre Qame� �minneh�hac�ek.orci .....,_� Overall Pro ect Dssc�i n: Estlmated Constructlon Valuation of Project(exeludlny land) i �� `'�'" APPLICANT ACKNOWLED�3EMENT: Aflrees bo pruvide all intonna�on required or requested Dy the 9uilding pepartmertt; �� Ce►tifies Ihst the intom�ation supDGed is true and CorreC!tv fhe best of his/her knowiedge. The�pplfcgM recognizes tt►at they � aro sobly rosponslble fur submilting e complete applicaUon being eware thet upon fellure to do so, the sta(�has no altamaUve � but to re)ect it ur�tll it is oomplete; � Some or all of Mo IMormadon that you are aoked to proWde on Utis application is classified by Soate lew es elther private or � confidenUal. Privafle date is infom�ation whlch generelly cennot be given to the pubUc but can be given to the subject of the de�. Confldentiaal deta is Informatfon which yenerally cannot be glven to eftt►er the publl� ar the subject of the dete. Our purpose and intended use of thls inTpcmBtlon is ta e�nuelly updste our reoor�ds end rocorde of other govemmental agencies , ulred b law. If retuse to au iMormetbn the a ' tron ma not be issued. � ,��C � APplicaM's SlgnaWre: � Date; �.�� .` ��uoe�e: o�.o�,zo�i D E TIME " CITY OF ORONO CALLED IN __1'�LLSG INSPECTION NOTICE � SCHEDULED ! PERMIT NO. —�� COMPLETED- ADDRESS 7�P�P � �G�� OWNER TEL HONE NO? 3-d��'�3 a� CONTRACTOR � " >; DESCRIPTION ��`� � � ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � L � � O � W � Q � Z W � W � � d W� �ORK SATISFACTORY:PROCEED �iOJECT COMPLETE W ❑C RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice