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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. it 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 If f City of Orono Building in9 Permit Application for Internal Work u (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 J cc D Qh9- Uj cc w cc a 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 e