HomeMy WebLinkAbout2012-00133 - roofing CITY OF ORONO * 2 PJ 1 2 - 0 PJ 1 3 3 *
2750 KELLEY PARKWAY DATE ISSUED: 02/17/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3505 CHR[ST[NE DR
PIN : OS-117-23-12-0020
LEGAL DESC : BETZ ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -CEDAR
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 41,000.00
NOTE: VALUATION OF PERMIT: $41,000.00
ORIGINAL PERM[T FOR THIS JOB WAS 2011-00599 WITH A VALUATION OF$17,399.60 AND A PERMIT FEE P1,US SURCHARGE OF
$318.45. THE ORIGINAL PERMIT WAS I=OR AN ASPHALT ROOF. Tf IfS PERM[T WAS VOIUED ON�2/16/12.
THIS NGW PERMIT WILL RGFLECT THE CI IANGES IN THE PERMIT. THE ROOF WAS ACTUALLY DONE IN CEDAR AND THE
VALUA"CION HAS BEGN VALUED AT$41,000.00 AND HAS A PERMI"1�FEE PLUS SURCHARGG OF$605.50. THE DIFFERENCE WILL BG
CHARGED BETWEEN THE NEW VALUATION AND THE AMOUN"T ORIGIANLLY PAID. THAT DIFFEIZENCE IS$275.25 FOR THE
NERMIT FEE AND$1 1.80 IN S"I'ATE SURCHARGE. "I H1;TOTAL DIFFERENCF TO BE CHARGED IS$287.05.
APPWCANT PERMIT FEE SCHEDULE 275.25
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 11.80
12366 RIVER RIDGE ROAD
BURNSVILLE, MN 55337- MISC FEE 0.00
(612) 861-7000 TOTAL 287.05
Minnesota State License#: 20593656 PAID WITH CC# 3038
OWNER
ETAL, SUSAN MANIKOWSKI
3505 CHR[STINE DR
MAPLE PLAIN, MN 55359
AGREEMENT AND SWORN STATEMENT �j /;
The work for which this permit is issued shall be performed according to �"1��
the approved plans and specitications,applicable City approvals,and the {�
State Building Codc. This permit is for only the work dcscribed and does � V�
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 specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of thc 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 confonnance witl�the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued[3y Sig ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .