HomeMy WebLinkAbout2011-01079 - roofing � • :
CITY OF ORONO PERMIT NO.: 2011-01079
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/19/2011
952 249-4600 FAX: 952 249-4616
REPRINTED ON 9/19/2011
ADDRESS : 2006 SUGARWOOD DR
PIN : 34-118-23-21-0005
LEGAL DESC : SUGAR WOODS
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 73,497.00
NOTE: VALUATION OF PERMIT:$73497.00 REROOF HOUSE&PLAYHOUSE WITH CEDAR AND REROOF FLAT ON HOUSE.
ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT pERMIT FEE SCHEDULE 861.75
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 36.75
941 W 80TH STREET
BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00
(612)881-2241 TOTAL 900.50
Minnesota State License#: 6560 PAID WITH CC# 9068
OWNER
SMITH,MARGARET
2006 SUGARWOOD DR
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 dces
not grant permission 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 specified 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 period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at anY time for due c se.
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Applicant P itee Si ure Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�r�m�5 JONES ROOFING 1 952 661 7009 09/19/2011 13:53 #243 P.002/002
City of Orono
Building Permit Application for Maintenance / Renovation
windows� doora, sidin , re-roof, etc.
O���O MailiPO 8ox 86� Perm�t number: d0 _
Cryet81 Bay, MN 55323-0086 Date roeeived:
Sfreet Address: ' R�"�bY
� � 2750 Kelley Parkwsy Plen revfew tee:
Orono,MN 58358
Total Fee: C�
Main: 952-248-4800 Fax: 952-249-4618 �vww.ci.orono.mn.us ���vv
This application foRn must be completed in full and all requirod informetion must be submitted.
Incomplste appllcatlons will be roturnod. (P/ease prin�
GENERAL INFORMATION:
Job Sito Addrass: ��C�(v GJt3r�cQ
WIII thb be a Pando of Homa�, Romodelers owcase Home o�othe�Display Home? Yes
N y�e apecl9/s�s►rt Po►m�Is�s9u�sd wl�h Polk;s Deparlmant and C!!y Courx�approvel 80 dsya p�Or to Ehs evdr� Shu(ds bus teMae wIN bs
I�rqu/red uMeas appllceM dsmonabotBa suflh�ent on�,aKs perldnp/a evd/abb. Non-penniltrd svsMs w�/not be aA'owsd.
CONTRACTOR/A PUCAN�FORMA
Name: �5 G�.�� Z,L� .
State License# Expiretbn Dete: 3-3/ _/y_
Leed Certiflcetion Number_ �j�-T. .c���7a _/ E�Praticn Date: -�$../s
(fbr work on hom tliat were conatructed piioi tn 1878
Phone: � � $g/- � a (office) (cell)
Mailing Addrass: � �F�c- Cgy; (p:
Contact Perso • ` Applicant ia: ontractor / meowner �c��ei.on.�
Email and/or ax: �-j _
PROPERTY OWNER INFORMATION�
Name: ��.G�� �- �N ri i //� �L-�•L,�
Phone(day): l�- r7a p- �•y0
Address: a`�� �Co �_�a�-wdo � ��Y��/`�-O ZIP: S`� �''�
Email�nd/or Fax —"
PROJECT INFORMATION:
ryps of ProJ•c� Arry�arth mowma�may require
❑Door(s) ❑Remodel ❑Fire Damaoe MC���&pertnits:
Minnehaha Creelc Wat�rehed District(MCWD)
❑Re-roof,asPhalt ❑Repair ❑Storm Damage 18202 Minnetonka Bivd
�roof,codar ❑Restoration ❑Water Damage �phaven,MN 55391
Phone: 952-471-0690
�e-�oof,oth}t(sp�eay) ❑Siding ❑Other.(spedfy) Fax: 852�71-0682
�v� Y'1l.� /' �}1Mndow(e) www•minnehahacreek.orn
Overali Pro ect Descri o : �u..�- a� ,F- /'�/`-a7�� L�1, ,pa.,
Eattmated Constnictlon Valuatlon ot Pro ect excludin land $ ' ,3 .
�a�►- o�L�G ..G /'P� c�-�t.-z-s� � -
APPLICANT ACKNOWLEDOEMENT:
• Agreea to provlde all iniormatlon roquired or requested by the Bu{Iding Depertment
• Certtfles tl�et the Enformation aupplied is true end cort�e�t to the best of hidher knowledge. The applicant reoognizes that they
aro solely reaponaible for aubmitting a canplste application being aware thst upon fallu�to do so,the stefi has no altemetive
but tv rejvd it urrtll R is complete;
• Soma or all of the information that you are�ked to provide on thls applloatlon Is clesslfled by Stete lew as either private or
cor�fldeMial. Prlvate date le Informatlon which generelly cannot be pNen to tha public but can be oiven to 1he subjed of the
data. ConfiderHial deta is infortnation whieh generslly csnnot be eiven to either the pubGc or the subJect af the deta. Our
purpo�e and irrtended use of this f RnaUon Is to annually updete ou� records end recorda of othar govemmerrtsl egendes
uired b law. If ou refuse the i o Ms lication me not be iaaued.
ApplicanYs Signature: Date: 1 �q�-/�
�as�updaoad: oe-oe-zo��
G�� DAT TIME V
CITY OF ORONO CALLED IN �6 —�D
INSPECTION NOTIC�/D 7� SCHEDULED l 0 �//-// _���
PERMIT NO�,�OI� COMPLETED
ADDRESS °�oo(o �S��c�.�c.cr��� �j�
OWNER TELEPHONE NO.��Z��� 2Z ��
CONTRACTOR ��S ��a
�: DESCRIPTION �a� Q� �e�� J�Gz�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA�
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:
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GW �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑C�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
��� DAT TIME V
CITY OF ORONO CALLED IN �� �Z�
INSPECTION TICE SCHEDULED �
PERMIT NO. - �d COMP ETED
ADDRESS a
OWNER E O E NO. � 3�
A
CONTRACTO
>; DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
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:
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GW ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
inspector.
White Copy/lnspector's File Canary CopylSite Notice