HomeMy WebLinkAbout2008-00281 - roofing �
, CITY OF ORONO PERMIT NO.: 2oos-oo28�
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/08/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 375 LEAF ST
PIN : OS-117-23-14-0059
LEGAL DESC : BAYSIDE WOODS
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 15,466.71
NOTE:
REROOF/TEAR OFF
APPLICANT pERMIT FEE SCHEDULE �280.25
ABELARD CONSTRUCTION STATE SURCHARGE(VALUATION) 7.73
6200 SHINGLE CREEK PARKWAY TOTAL 287.98
BROOKLYN CENTER,MN 55430
(763)503-6610
Minnesota State License#: 20351322
OWNER
CROWTHER,MR.&MRS.
375 LEAF ST
LONG LAKE,MN 55356
AGREEMENT AND 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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shali be compied with whether or not specified herein.This permit will
expire and become null and void if consVuction 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� � � �— ��/ U�/ �
Applicant Permitee nature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
�....�_._
THE APPLICANT IS: (circle one) OWNER O CONT�AC'1 OR
JOB 5ITE ADDRESS: �7 j L���,--� ,� ZIP: 55 ��7j
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO If yes,a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non perntitted events will not be allowed.
NAME OF OWNER: �j 1� L��'� S��. PHONE: (home) f ' � � � Z���
MAILING ADDRESS: 3� � � ��t S t- CITY: �� (W ZIP: t�L�'�'�
CONTRACTOR: I�-C��C�V I L�U n_ ,����/I PHONE: ' �.Q�a
CONTACT PERSON: 'T ; M ILE/P�GER• '� "/�l� - � �3
MAILING ADDRESS: .�-�� ���- f vut`�� -— �
, ��„��.. ZIP•
STATELICENSE: # �c,.��.�►',� Zz, EXPIRATIONDATE: ��/�y�p�'
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeUAlteration(ie: Siding, Windows) �_
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detain f�� �� L„
�-�- -�.`'L ,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�, ��� , � � _
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a pernut and work is not to start without a pernut;and that the work will be
in accordance with the approved�,p�r"'. '
APPLICANT'S SIGN TURE: DATE: ��
31
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D TE � TIME
CITY OF ORONO CALLED IN
INSPECTION N T SCHEDULED
PERMIT NO ���� COMPLETED
ADDRESS � �
OWNER C�ONT �
TELEPHONENO. / � Gt__!ilGT ' ,��.��� �✓—1 �0��
� DESCRIPTION
! ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/N/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q�AL ❑ SEWER HOOK-UP ❑ PROGRESS
� p DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector.
White CopyMspector's File Canary CopylSlte Notice