HomeMy WebLinkAbout2012-00656 - roofing CITY OF ORONO RUMMME
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2750 KELLEY PARKWAY DATE ISSUED: 07/11/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 460 TONKAWA RD
PIN ; 05-117-23-32-0002
LEGAL DESC REG.LAND SURVEY NO. 1305
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : S 275,507.50
NOTE: VALUATION OF PERMIT:$275,507.50 -REPLACE CEDAR ROOF AND EPDM FLAT ROOF-REPLACE WINDOWS
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 2,112.75
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 137.75
941 W 80TH STREET
BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00
(612)881-2241 TOTAL 2,252.50
Minnesota State License#:6560 PAID WITH CC# 0543
OWNER
GAGE,EDWIN&BARBARA
460 TONKAWA RD
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 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
revoked at any time for dueca se.
7/ /
Applicant Pennitee Sign re Date IssueV3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Gln 49012 09:06 Les Jones Roofing,Inc. fA>q 0017009 P.0011001
City of Orono
Building Permit Application for Maintenance / Renovation
windows, doors, siding, re-roof, etc.)
O MaiIiPO am eg Permit number o?0�4"' —0 �o
Q Q Crystal Say,MN 55323-0088 Date received: 2-//-/2-
Street Address: Received by:
2750 Kelley Parkway Plan review
Orono,MN 55366
Main: 952-249-4500 Fax: 952-2494818 wv►w.a.orano.mn.us Total Fee: a
This application form must be completed in full and all required Information must be submitted.
Incomplete applications will be retumed. (Please pont)
GENERAL INFORMATION:
Job Site Address: R QAn
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes El No
ff yes,a spscW event pent*Is mquksd wink P+oft Department and Cly Cum*aWrovel 80 deys pdar to Nis event. Shuttte bue aerWce w9/be
required w*u eppNhent denw8beArs sdffdant on4b pwft Is ava9ebfe. NorpefmNed events w9l not be aNbwed
CONTRACTOR I APPLICANT INFORMATION:
Name: 3
State License# (e 560 _ Expiration Date:
Lead Certification Number. NAZI 40312-1 Expiration Date: 5 Z !S
(for work on homes that were constructed prior to 1978
Phone: 952- Sgl -11'2yl (office) qSA-16l-Atli Gr2—?37-i968(�19
Mailing Address: j ( W, zo MfibrF City: ZIP:
Contact Person: Applicant is: (2!ptractor / Homeowner icnere one)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: 8 4&A0AA C-AdU<-
Phone(day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Pe ofProject: Any earth movement may require
❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits:
Minnehahe Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑Repair Storm Damage 16202 Minnetonka Blvd*
Re-roof,id,)rr(8P6cIfy) ❑Restoration �COI Water Damage Desphaven,MN 55391
Phone: 962-471.0590
Re-roof, ❑Siding 13 Other(specify) Fax: 952-471-0882
F.p PkWindow(s) www.minnehahacreek.oro
Overall Project Description: Rr14y E*#j) AEAr. G C OA& Room 4UA EPDM EtAr RdoFS ftmp yr o
Estimated Constructlon Valuation of Project(excluding land) $ Z,7 ,50 507, AVPc.ac6 SOMI Hnnrp,
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the Information supplied Is true and correct to the best of hielher 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;
e 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 data Is Information which generally cannot be given to the public but can be given to the subject of the
date. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information Is to annually update our records and records of other governmental agencies
required by law. If-XLu refuse 12:9upply the information lication may not be Issued.
Applicants Signature: Date: 7 /rLly
i not i inrier.ot• nn.no.enl i
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _
PERMIT NO. ;22i'2 'dOl',q1 COMPLETED
ADDRESS S'6o Ton k...�t
OWNER TELEPHONE NO.
CONTRACTOR @.3 56 � /�ncSTt�cc CC�Qgr-
DESCRIPTION
4j ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
>ftAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. XFOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL Cl HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS-
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❑WORK SATISFACTORY PROCEED COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
rJ 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/ ctor on site:
Inspecto.
White Copyllnspectoes File Canary Copy/Site Notice
CITY OF ORONO CALLED IN AT TIME
INSPECTION NOTICE / SCHEDULED — L%
PERMIT NO.,260 -�/Slo COMPLETED /
ADDRESS
OWNER TEL HON NO. &ZZ S6�o
CONTRACTOR vexid
DESCRIPTION &'Ievcl 151046e—`S
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
O El TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
cam., COMMENTS:
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W
Z
W
Uj YORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
cc
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
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
Owner/Contractor on site:
Inspector. 613
White Copyllnspector's File Canary Copy/Site Notice