HomeMy WebLinkAbout2011-00252 - roofing CITY OF ORONO PERMIT NO.: 2011-00252
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 04/28/2011
952 249-4600 FAX: 952 249-4616 11
ADDRESS 985 TONKAWA RD
PIN 08-117-23-21-0016
LEGAL DESC PARWOOD
LOT 002 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 27,122.00
NOTE: TEAR OFF AND RESHINGLE HOME.
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APPLICANT
PERMIT FEE SCHEDULE 445.25
LES JONES ROOFING INC.
941 W 80TH STREET STATE SURCHARGE(VALUATION) 13.56
BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00
(612)881-2241 TOTAL 460.81
Minnesota State License#: 6560 PAID WITH CC# 9068
OWNER
JABBOUR,GABRIEL
985 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 due cause. Z//
.Applicant Permitee Signatufle Date Issuo By Signature Date
i SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
From:LES JONES ROOFING 1 952 881 7009 04/28/2011 10:39 #889 P.002�002
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City of Orono
Building in9 Permit Application for Internal Work
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(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. oW -a
O•¢.0,j�O PO Box 68 .411015-11
Crystal Bay,MN 55323-0066 Date received:
StreetAddress: Received by.-
2750
y:2750 Kelley Parkway Plan review fee:
g� Orono,MN 55358 �y p
Main: 952-249-4600 Fax: 952-2494616 www.ci.orono.mn.us Total Fee. (,,
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: qX5
Will this be a Parade of Homes,Remodelem Showcase Home or other Display Home? 0 Yes o
fr yes,a special event permit is required with Pollee Department and Clay Council approval 60 days prior to fire event Shu(tfe bus d6rvke wAl be
required unless applAcent demonsdates suffAcknt on-sft parking is available. NonpemdHed events wff not be a/lawd.
CONTRACTOR/AP UCANT RMATIO
Name: e—A— S JLrTb i 1- --�-- .
State License# Expiration Date: 'i
Lead Certification Number. '71 Q _ �/, 0,3 7,y _ Expiration Date:
(fbr work on homes OW were com r&u~prior to 1878
Phone: c7 ;2 (office) ( II)
Mailing Address: City: ZIP: S
Contact Person: a. Applicant is: ntmctor / &meowner tciroi.
Email and/or Fax - 6 6E Gd-rx---
PROPERTY OWNrNFORMATION:
Name: "
Phone(day): & _ _IV Z39
Address: 8'S d x a�.�rL City: Q�� .o ZIP: ,$`S'.3�S`
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
[IDoor(a) ❑Remodel [3 Water review S permits:Watar Damage Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Siding ❑Restoration ❑Other.(specify) Deephaven,MN 55391
Phone: 952-471-0590
of ❑ Fire Damage Fax 952471-0682
www.m innehahacxeek.ora
Overall Project Description: -C.r� p e.
Estimated Construction Valuation of Project(excluding land) $ /19.1? Od
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 his/her knowledge. The applicant recognizes Jthat 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 data is information which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is information which generally cannot be given to either the public or the subject of the d . Our
purpose and intended use of this Informaliong.A to annually update our records and records of other governmental agencies
required by law. If you refuse !*Ply the bftrmaftq,the application may not be Issued. p
Applicant's Signature: Date:
Last Updated: 03-01-2011
yCITY®E�®R®N® CALLEDINDATE TIME
INSPECTION NI�� a� SCHEDULED ��
PERMIT NO. COMPLETED (, 6,
ADDRESS
OWNER TELEPHON
CONTRACTOR P/
j DESCRIPTION
I—
tQ ❑ FOOTING El PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
® ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INLATION El WOOD BURNER/FIREPLACE El SITE INSPECTION
❑ ADON SLAB El WATER HOOK-UP El PROGRESS
iz_ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ EMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
a ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNIDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES—NO
o COMMENTS:
*OLD PERMIT - NO FINAL INSPECTION REQUESTEI
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LQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W rt ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
9 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
v BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
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 Copylinspector's File Canary CopylSite Notice
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