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Home My WebLink About2011-00327 - roofing " CITY OF ORONO PERMIT NO.: 2011-00327 . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEu: OS/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1003 COX FARM RD PIN : 27-118-23-33-0014 LEGAL DESC : SHADOWOOD FARM : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 17,995.00 NOTE: TEAR OFF REROOI'-ASPHALT SH[NGLL'S �,;�,,;-�-,�.� �u�� ?o�`��..7 APPLICANT PERMIT FEE SCHEDULE 309.75 ALL SEASON REMODELING& EXTERIORS STATE SURCHARGE(VALUATION) 9.00 17344 PUMA ST. NW TOTAL 318.75 RAMSEY, MN 55303 (612)221-3318 Minnesota State License#: 20388311 OWNER HARTLEIN, DANIEL&JULIA 1003 COX FARM RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The�vork for�vhich this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildinc Code. This pem�it is for only the work described and does not grant pennission for additional or rclated work which requires separate pennits. All provisions of laws and ordinances governing Uiis 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 the date of issuance,or if construction is suspended for a p no�Yof 18,0 days at any time after work has commenced. The applic t is�sg.bnsibl for assuring all required inspections are requested i�onfonr�ance�ith die State E�uilding Code.This permit may be revoked_, a�y lintie fOr c}ue cause. _� ; �, .`l�;(.y��C L�-- i i i i Ap icant ermitee Signature Date Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . �ay-it-2011 DA:33a� from-CtTY OF ORONO +A522494616 T-912 P 002/002 F•T83 , 1 . - . . . . . .. . . 1- • � ; Caty�of �ran�o . . Building Pertnit �APplication for i .� nternal yVork � (windaws, doors, siding, re-roof, etc.) Mar7'mg ABdreBs; O�`�.'�?` PO Box B8 Perm►t number, , Q GYslal 8ay.MN 5B323-0OBG •-- � �' Dstte incaived• �' ��' SheptAddress�. , Recejuecl b . � . 27b0 KAI(ey.pA�y y: a � 4rono�NNV 55358 �. P!�!n rsv'�ew les: MBi�:�952-249.4gpp Fax' eS�-249-461 B , '.o a. Tot�l Fee: ,. , This appl�cation form mus�t b$completed•in fuU and al!reqW�Mfam � �8�� N�RAL iNFOR�pAT10N• '��Ple�aAP11Cat�ons wiU be retutnsd, p� �must be sr�bmi ( ease prrnt) Ja6 S(te Add�ess: � f a . �11 fhis be a Parade af HRmea, Remodelers Sho�yca r� ��"",a��A�x,,ermrt�s mau;,�,,,,;dn�o,� a se Homa cr other Display Home? �4�d tqila89 RPPrl�Bbt abina�lrbste9 OuAlCreRt��ry G�ound�°pwroval 6a�1sys pnor ro n►e awix. shut�e� NO P�1�'/iD�a svaNeble. Non.peimrtted Bt�ents wNl nolbe albwe �w�pbe CONTRACTOR/APpLICANT INF01�AAp ON: . . � � Narne: � state lioense�. a LL � Phone� ' ' . Mai�n9 Add�ss: � �� ` ' office �P�Fatton D�te: CQr)tachPerson: � r. � Cit : " ' �� Email and/or Fau: r a.�r -e ZIP� �t Applicant is; ontracto � . ,�r Homeawner •tci„�„o,,,� ,. PltQFERT'y�WNER fNPORMA�'�ON,, ' Name: . Pho�e(daY). "�'�' r�� Address: � ��d and/or Fax _ Z1P: PRC?JEe1�lNFORMA7'ION: r YPe af�Pre�; Q Door(s}... �� y earth movemont maY quim � ; , ❑Remodei l�Wafer Da�e • MCWD review g,p�� Q Wmdow(s) [►Rapair . ❑Storrit qamsge Mi�^�hahe Creek Wate�Dtst (MCWb) �Si�ng. � Dee�M��onka BI , � (7 Restaatlon, L7 Oth�r:(spscity) Ph�+van.MN• S6�g Ro-roof . Phone. 862,471.05 ❑Fire Oamage ' F�x: 832-471-06d2 Overall�Pwjec�4e�cciptian: . a �°��n�iruction Valuatio�aFPrc3ect exaludin landy. g. c i'PPLbCANF ACKN01iM1fL.�DGEMENT: : � `' Apreee Yo proVlde sA.info , . rmdtlon requirgd or��}»,t�guildl Qe • Certlfl�r th�tthe lnformation zupp��p�Ua a�d cortec�to the best,ct�hs/I.,�j��led e. 7 are.solelY rtsRcnsibk tor subrrutqn a b�t to rejeot a untiJ it;�complete: 9 �plete aPp1iCation being aware th�t upan f8ilure to do b�c�t r+eco nizea tltffi the • Some or all of the irrtnnnabpn th�t Yau are acked to prov v� no altemative , c,nnfidentiat, Prhrale datp is in{ormation which ene � � aPA�ication ls ciaaeified by Stat�law as ither , d�ta. Cortf[deMlsf Oeta ►c infortnation whi ��Qt be piven to the'public but P►�ts or : R�+ruAd a and Intanded use ot thia irnor � ��Ify�nQt be � ue�8�en to subject of the ' �iQn ts o.annuaby�p�t�n ta oqhar the puWl� ar che subJe�t the da1a, Our �"'• , u refuae ra s IMo atio �e Ikation ��°"d ticords ot other povem ents�t seanciea �pHcant's,S�ri�ture: � . . ' Oate: . � �i �� — I DATE TIME � CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED PERMIT NO. -�� co PLETED ADDRESS �� OWNER TELEPHONE NO.��a—�� CONTRACTOR _/ >: DESCRIPTION ��' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANIC,4�L 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � J 0 � � 0 � W � Q � - z W � W � j d W� KSATISFACTORY:PROCEED Il PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2 hours in advance. (952) 249-460� OwnerlContractor on site: ' -� Inspector. White Copyll�spector's File Canary CopylSite Notice � � ATE TIME � V CITY OF ORONO CALLED IN � � INSPECTION N TICE �7� �J SCHEDULED PERMIT NO. ��` �/�/ / COMPLETED ADDRESS �� ;>Q%��G�n/ � � OWNER TELEPHONE NO� �� CONTRACTOR �; DESCRIPTION � � ❑ FOOTiNG ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ✓❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: ' r� - Inspector. a � �� _ White Copyllnspector's Fiie Canary CopylSite Notice