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HomeMy WebLinkAbout2013-00657 - roofing 111111111111111111111111 1111111M CITY OF ORONO * 2013 - 00657 * 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2013 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 315 TONKAWA RD PIN 06-117-23-14-0021 LEGAL DESC REG. LAND SURVEY NO.0540 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-OTHER ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 19,300.00 NOTE: EPDM FLAT ROOF APPLICANT PERMIT FEE SCHEDULE 339.25 LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 9.65 941 W 80TH STREET BLOOMINGTON,MN 55420- TOTAL 348.90 (612)881-2241 PAID WITH CC# 9068 Minnesota State License#: 6560 OWNER Waycrosse,Inc. MACMILLAN,MARTHA E 15407 MCGINTRY RD W WAYZATA,MN 55391- 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 separate permits. All provisions of laws and ordinances governing 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 are requested in conformance with the State Building Code.This permit may be re ed at any time for due ca se. 7/ / 7/ /3 7/ &.l plicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. + e7/16!2013 13:30 Les Jones Roofing,Inc. fW)52M170 P.0021002 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number aV +490 PO Box 86 Crystal Bay,MN 55323-0066 pate received: 7—) b-t3 Street Address: Received by: 2750 Kelley Parkway Plan review fee: `�ttK SHo��G Orono,MN 55358 Total Fee: Ll 0. Main: 852-248-4800 Fox, 962-2494816 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: MA WA ROAP Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No Nyes,a special event pem*/s requprd with Police Department and Co Council approval 60 days prior to the event Shuttle bus servk a w1N be ragtdrsd unbar applk ant demonstrates sur►gc/ent on-site parking Is avexable, Nw9emdtled events w9t not be Mowed, CONTRACTOR/APPLICANT INFORMATION: Name: p State License# (4560 Expiration Date: 3 3r Lead Certification Number: Nq-T 40372-1 Expiration Date: �� g f /�^ (for work on homes that were consfrucfed prior to 1978 Phone: (cell} & 7. - 231- L C(o$ (office) q S,t- 7 111 Mailing Address; k( 8pvk S City: zip: rf- 20 Contact Person: Applicant is: &�/ Homeowner (creone) Email and/or Fax: ca PROPERTY OWNER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJI=CT INFORMATION, Overall project description: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt [I Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd []Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 �Re-roof,other(specity) ❑Siding []Other.(specify) Phone: 952471-0590 Fax: 952471-0682 2 LCPOM F'la4"r ❑Window(s) www.minnehahacreek.om Estimated Construction Valuation of Project(excluding land) $ l°It my— APPLICANT ACKNOWLEDGEMENT: Agrees to provide all Information required or requested by the Building Department,- Certifies epartment;Certifies that the Information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a Complete application being aware that upon failure to do so,the staff has no alternative but to reject it until It Is complete, • Some or all of the Information that you are asked to provide on this application is classified by State law as either private or confidential. Private date Is Information which generally cannot be given to the public but can be given to the subject of the data. Confidential data Is infarmaDI�StD generally cannot be given to either the public or the subject of the data. Our purpose and Intended use of this Info tionnnuallyupdate our records and records of other governmental agencies required by law. If ou refuse to su I Informaea lostion mg not be Issued. Applicant's Signature: Date: Owner's Signature: Date: last Updated:03IM013 7-7 t ,?� CI ` DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED _ PERMIT NO. o�� 'AS 6S'T COMPLETED ADDRESS 3 45- le-) trAO OWNER TELEPHONE NO. CONTRACTOR </ GS JG_ q:�S (!,?-$8t'Pow DESCRIPTIONLt tjj ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING O ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS X INAL SEWER HOOK-UP ElCOMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. XFOLLOW-UP ❑ DEMO-FINAL El SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT10N/REMOVAL Z OWNERWNTRACTOR TO MEET YOU:_.YES_NO COMMENTS: d ,,0e-r Ns�t ✓10 �.�agL idt.S,A�.�,,;�. �e�►u 45j j O � _ Iffr4 l B • S' - i3 o -- W CC j a - W� ❑WORK SATISFACTORY PROCEED PRejECT COMPLETE ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANC)' C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In advance. (952) 249-4600 Owner/Contractor on site: Inspector. t w.. White Copy/Inspector's File Canary Copy/Site Notice <-�CALLEDIN DATE TIME TY OF ORONO INSPECTION NOTICE �_SCHEDULED PERMIT NO. 22 L�-,l-'S__WOE kOMPLETED ADDRESS ct-f�> (A V_cl- OWNER TELEPHONE NO.(r kA� CONTRACTOR 19 DESCRIPTION S Inn- ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS 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 r ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPI INSTALL ❑ HARD COVER REMOVAL v El PLUMBING RI El SEPT,f FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:P YES_NO COMMENTS: cc W QC a W cc Q 2 W W J ❑WORK SATISFACTORY:PROCEED .+ROJECT COMPLETE Qz W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Cj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. — - White Copy/Inspector's File Canary Copy/Site Notice