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Home My WebLink About2009 - 00511 - roofing CITY OF ORONO PERMIT NO.: 2009-00511 • 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/27/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 155 WEAR LA N PIN : 33-118-23-34-0013 LEGAL DESC : ROLLING MEADOWS 3RD ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 16,071.00 NOTE: TEAR OFF&RESHINGLE HOME APPLICANT PERMIT FEE SCHEDULE 295.00 LES JONES ROOFING INC. 941 W 80TH STREET STATE SURCHARGE(VALUATION) 8.04 BLOOMINGTON, MN 55420- MISC FEE 0.00 (612)881-2241 TOTAL 303.04 Minnesota State License#: 6560 OWNER WINSTON&C WERSAL,JOHN 155 WEAR LA N 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 time after work has commenced. The applicant is res nsible for assuri all required inspections are requested in confo ance with e to B ilding Code.This permit may be revoked atany a for due c se Applicant '•rmitee Sig/ "re vv Date Issued Cy / ature / • Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE S AND E. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Vu O Cr Box 66 Crystal Bay, MN 55323-0066 Date received: • Street Address: Received by: �,E,, I?1„ v r�� o` 2750 Kelley Parkway Plan review fee: 4 IP-"�+ Orono, MN 55356 9X'ESHctg' -- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 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: j 5-5 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/PyPPLICANT INFO TION: Name: .5 ar A-e 5 ill-GT-DP, -12,-c-- - State License# (p 5"420 Expiration Date: -j-- .3q _ )D Phone: � � V4 --- (office) (cell) Mailing Address: (34( W . (74'4- Ci • `Mt 5'S"24j Contact Person: tri, / Applicant is: COntraCtor..--)/ ?Iomeowner (Circle One) Email and/or ax' q 5 2 (, 7 9' PROPERTY OWNER INFORMATION: Name: Phone (day): - 3 A))_ "/S o— Address: J 5-z- City/41-s ZIP: S` Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair storm Damage 18202 Minnetonka Blvd / Deephaven,MN 55391 ❑Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 \�- �f77 Fax: 952-471-0682 roof ❑ Fire Damage www.minnehahacreek.org verall Project Description: 7 ' r em^ , Estimated Construction Valuation of Project(excluding land) $ 1(,,I 0'7 l ,0-0 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 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 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 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 you refuse to supply the• ormation,the application may not be issued. Applicant's Signature: �.� Date: C� �a -a Last Updated: 05-04-2009 State of Minnesota Construction Codes and Licensing Division `' .111# Department of Labor and Industry Telephone: (651)284-5065 f443 Lafayette Road N. E-mail address: dli.license@state.mn.us St. Paul, MN 55155 Website address: www.doli.state.mn.us RESIDENTIAL BUILDING CONTRACTOR LICENSE Legal Name: LES JONES ROOFNG INC Business Structure: DBA: CORPORATION Address: 941 W 80TH ST BLOOMINGTON, MN 55420 License Identification Number: 6560 Qualifying Person: LESLIE B JONES License Expiratfbn Date: 03/31/2010 Continuing Education:7 hours due by 03/31/2010 l� / 0? ♦ DATE TIME CITY F ORONO ALLED IN I 3 D INSPECTIONMOTTI SCHEDULED D d PERMIT NO v7 Zb// COMPLETED / / ADDRESS /6S /(21,,>f/ ,- OWNER CONTR ) 'em! -1 // TELEPHONE NO. Zit ✓t,- "�/ ''"�� /E� �-` / DESCRIPTION ��rL/6- Seer, 1.... u.J ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING cr ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y E INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO—SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO—FINAL LISEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v CIPLUMBING FINAL CI FOUNDATION/REMOVAL , OWNER/CONTRACTOR TO MEET YOU: YES_NO cii COMMENTS: OW .JILC-i cc Let /48tej , ,y ., � 2r) G % ht/74,e _30(,710.,e.:,z,x.cc0 4. W Q op `TeA-c oc F — ICUo 12,- c4 re.S WN 0 / NA- \ z W cc S WQ• 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN 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 sit Inspector. l: l�' -�J J�3 White Copy/Inspector's File Canary Copy/Site Notice