HomeMy WebLinkAbout2013 - 01201 - roofing CITY OF ORONO II II I2III II I I Il II II II IIII III
2750 KELLEY PARKWAY DATE ISSUED: 11/12/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 355 WOODHILL RD
PIN : 02-117-23-24-0010
LEGAL DESC : WOODHILL RIDGE
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 73,000.00
NOTE: VALUATION OF PERMIT:$73,000.00
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 854.25
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 36.50
941 W 80TH STREET
BLOOMINGTON,MN 55420- TOTAL 890.75
(612)881-2241 PAID WITH CC# 0543
Minnesota State License#: 6560
OWNER
MCGUIRE,WILLIAM&NADINE
315 WOODHILL RD
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
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By gnature { Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1111212013 11:23 Les Jones Roofing,Inc. (FAY)9528817009 P.002/002
14(-2-4-19,56. City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
A r
Mailing Address:
PO Box 68 Permit number:
ION 0
jV
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
�R6SH0�4 Orono,MN 55356
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: 3SS" rEay.420
Will this be a Parade of Homes, Remodelors Showcase Home or other Display Home? ❑Yes ❑No
If yes,a special event permit Is required with Police Department end City Council approval Bo 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/APPLICANT INFORMATION:
Name: �. �5 3;rvES /E0oFi4/6` /nuc. .
State License# Expiration Date: 3/3111,4
Lead Certification Number: NAT_tko 2, l Expiration Date: 5.-/Z?/ t g—
(for work on homes that were constructed prior to 1978
Phone: (cell)(Pty,- 2,37- (PS' (office) q,2.-7(7- 22/
Mailing Address: qt q( fo Sr/Le-&---r" City:Strobru cnyafon! ZIP: 5-542-4o
Contact Person: C,efp.s AN 14 Applicant is: I<'n71 / Homeowner (circle one)
Email and/or Fax: c{+r15 � doh p� Gawp
PROPERTY OWNER INFORMATION:
Name: Mc.an,2 ! d-S-cp 62u c.6-
Phone (day): _
Address: 5^yv4e *3ou City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project descrjption:
Type of Project: Any earth movement may also require
❑Door(s) ❑ Remodel ElFire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
El Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
ARe-roof, cedar ❑ Restoration LI Water Damage Deephaven, MN 55391
Re-roof, other(specify) 0Siding ElOther:(specify) Phone: 962-471-0690
Fax: 952-471-0682
❑Wiindow(s) www.minnehahacreek,orq
Estimated Construction Valuation of Project(excluding land) $ --)9) aoo
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all Information required or requested by the Building Department;
• Certifies that the Information supplied Is true end 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 rmation,the application may not be issued.
Applicant's Signature: • � Date: t r l(.21/2
Owner's Signature: Date:
Last Updated;03108/2013
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. (2013 -0/02 o I COMPLETED 9'- - Ce
ADDRESS 3..5=4— Woof?4.g Q.
• OWNER TELEPHONE NO.
CONTRACTOR 4 -5 ,6 A Cy 4eod rg.ic.y G Lci1 e✓
Nkriteel
DESCRIPTION RL'- e.oo - e,f24) 65/-4/eta-G005'
❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
❑
et POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
y 0 FRAMING 0 MECHANICAL FINAL
0 TREE REMOVAL
Z
0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
F4NAL 0 SEWER HOOK-UP 0 COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT KFOLLOW-UP
Lu ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
v 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
oy COMMENTS:
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W14-)Of K 0, ,,,,J -/i.sieear `e____
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Lu 0 WORK SATISFACTORY:PROCEED 'PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 site:
Inspector-
White Copy/Inspector's File Canary Copy/Site Notice