The URL can be used to link to this page

Home My WebLink About2011-00356 - roofing � CITY OF ORONO PERM[T NO.: 2011-00356 r � '� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 793 BOULDER DR PIN : 33-118-23-i1-0013 LEGAL DESC : STONEBAY : LOT O10 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,000.00 NO"1'E: TEAR OFF RGROO� APPLICANT PERMIT FEE SCHEDULE 162.25 MIDWEST ROOF[NG 6541 SYCAMORE CT N STATE SURCHARGE(VALUAT[ON) 4.00 MAPLE GROVE, MN 55369- TOTAL 166.25 (763)427-9696 Mi�mesota State License#: 20637010 OWNER JODAN, LINDA& ROBERT 793 BOULDER DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 l80 days of the date oY'issuance,or if construction is suspended lor a period of 180 days at any time atter work has conunenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State I3uilding Code."l his pennit may bc revoked at ny 'me for due cause. .�. � l l�i �� Gf�� J l /�l / Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERM(TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � C�-� ��ss ; � '� City of Orono Building Permit Application for Internal Work windows, doors, sidin , re-roof, etc.) �O� �� cnur„bsr: o2U��-OI,��S�i O O ��•r,�,ss�s-ooes ��: .3"//8' // � RscMred by: � � Sbwt Addross: —� 2750 K�Ney ParkvvaY Plen review fee: � Oe�o��o.MN 55356 �___ Total Fee: �: g�_248�pp Fa�c 952-249-4616 www.ci.orono.mn.us ��b�O�`� i This appYcatbn form must bs compisted in f�and aN required iMormation must be submitted. In�ornpl�b spplicstlons wlll b�rotum�d. (Ple�ese prir►t) GENERAL INFORMATION: '� . Job Sib Addnas: �� _5 C.��(�� '��` WUI this b�a Pa�e o� ShoMress�HonM or oth�r Diapl�y Honw? Y�s � No N r.s.,ap.clN.w+r v«►rrr fs�puY�d w�N Pn�o.D�p�rbn«+t�nd CMy Co�r�dl+ivv+�'r��a�uo chs.wnL snufus aua ss►v�cs wla be �squNsd urll�ts app�/crk drmon�bal�s a�lONairnt w�-�N�s pn�inp it av+�Nabis. Na►�miiNrd swrMa wi�not bs allow�ed. CONTRACTOR I APPLICANT INFORMATION: Name: /1'I,�WIb*- 00 � 5�� i�.rhdo�.d Ln� State License# DO/4 a 7 7 Expiratio� Date: p3/3� ��t a. Lead Certificatbn Number Expiration Date: (far warc on/arn�s tMt w�n eonstrucl�prb►b 1� ��: �b 3-�a �-q�q 6 c�� 76 3 a8o- I 3 � c�� Maiun9 nddress: S ,-�.�r c`t� c�y: A'-� v� Z1P: 3 6 Q Contact Per'son: �pnn,y �GS4h_ APP�nt is: / Homeowner �c�a.a»► Email andlor Fax: ')63 -- y �7— QDD� PROPERTY OYYNER t" -� Name: ��G' `:.'�t `.� " �✓� Phone(day): ` � , Address: _ "��- , .� Q.�G%�� . �Y� _ ZIP: Email andlor Fax PRWECT INFORMATION: Typ�at Proj� My�srth mowm�M rrNy r+�4uln ❑D�i$) ❑R�rt�odsl ❑1Na�sr�emape I MCWD rwNw 8 pKmib: ' i Minnehahe Cr+eek Wa�srshed DiSMct(MCWD) ❑Window(s) ❑Repai� ❑SUom��rt�e�e j 18Z02 NNnne�aNca BNd peephavsn.MN 55391 p sb�� ❑�� ❑o�(sa�r) Pno�e: �2��-osso (�Re-toof ❑Ffro Dams�e '� Fax: 952-471-0682 www.mi n nehahacreek.orq OvKall Proj�ct D�sc�iPtb�� Estirtiabd Construetlon Vsluatlon af Proj�ct l�xdudin�land) i f �c.9�o - APPUCANT ACKNOWLED�3EMENT: qgross bo provld�aN h�Morrr�tio�nquind or roQuss�sd bY ths Bu�din�Departrnsnt: � Certi(bs that Ihs irdo�nwtbn suPP�� is true�d oorrocx to the best d his/her Iv�owledpe. The aPPlicaM recog�izes that they ' � are sowly rosponsibl�for submlttkW a�mpl�s aPP��9 awere that upon failuro to do so.the sfali has no altemative ; � but tc rojsd it untll it is aort�ia�e; � Soms or aN d the ir�ortn�tlon fhet Y�ou aro aaced Lo provide on this applicafbn is dassitisd by State law as eHhar prnate or , � co�iidential. PrivaLe d� is krbrt�fbn vrhk� psneraNy cannot be yNen �o the public but can be piven to the subjecx of the idets. CoMideMfa� dtla Is kdOmlatlon whbh ya��aMY Cannot be given �o eilt�r the pubNc or the wbjeCt of the deta. Our ' � purpose and inosnded we of this IntOrtn�tlon is LD annuaMY updem our r+econds arW r�eco�ds of other govemme�tal agenaes reQuired bY hw N YOu frG1N OD thA in�rtr�tl0� the aDPMcation meY nOt bs issued. Date: ' S', �'�� ApplicanYs Signature: — �sc uvaa:ed: o�-0�-20�� DA�F TIME ✓ CITY OF ORONO CALLED IN � / INSPECTION NOTICE /�/y`��/�SCHEDULED PERMITNO. —vv—`y COMPLETED ADDRESS �� (//�(if/'-C� OWNER TE PHONE NO.��P�- a g6"60� CONTRACTOR �'�� _� >; DESCRIPTION `��— � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 a � J O � � � O /� � W ' � Q � Z W � W � � d � �ORK SATISFACTORY:PROCEED _ ROJECT COMPLETE W ❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �j pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerfContractor on site: Inspector. � � /'"l� l� � White Copylinspector's File Canary CopylSite Notice