HomeMy WebLinkAbout2010-00739 - roofing CITY OF ORONO PERM[T NO.: 2010-00739
k 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEu: 08/19/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 111 CHEVY CHASE DR
PIN : 36-118-23-41-0011
LEGAL DESC : H[LL O'WAY MANOR
: LOT 006 BLOCK 001
PERMTT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIV[TY : O/S BUILDING - UNDEFINED
VALUATION : $ 12,521.00
NOTG: RESHINGLE HOME AND INSTALL NEW GUTTERS
APPLICANT PERMIT FEE SCHEDULE 236.00
LES JONES ROOFING INC. STATE SURCHARGE(VALUAT[ON) 6.26
941 W 80TH STREET
BLOOMINGTON, MN 55420- TOTAL 242.26
(612)881-2241 PAID WITH CC# 9068
Minnesota State License#: 6560
OWNER
CURRY, THOMAS
l 1 l CHEVY CHASE DR
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
permi[s. All provisions of laws and ordinances goveming this rype of work
shall be compied with whether or not specitied 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 penod 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.
��'LC-Q-C.� �'N- l l l l
Applicant Permitee Signature Date Issued B ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
From;LES JONES ROOFING 1 952 681 7009 08/19/2010 14:37 #262 P.002/002
1
City of Orono '
Building Permit Application for' Internal Work
(windows, doors, siding, re-roof, etc.
Malling Address: Permit number:
O'�.+O.�O PO Box 66
Crystal Bay, MN 55323-008B Date received:
� a StreetAddress: Reoeived by:
��' 2750 Kelfey Parkway Plan review fee:
��o�'� Orono. MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This appltcation form must be completed in full and all required information must be submifted.
Incomplete applicatlons will be returned. (Please print)
GENERAL INFORMATION: ��, � �
Job Site Address: / ����-r�> �a �. 1?r--� V�.
Wlll this be a Parade of Homes, Remodelers owcase Home or other Display Home? Yes o
l/yes,a special event permit is requlred wfU�Police Departmvnt and Clry Councll approva/60 days pr/or to the event. Shutt/a bus servfce ll be
required unless applicant demonstrates su�ciont on,s/te parking fs evailab/e. Non-perm/fted events Will not be allowed.
CONTRACTOR/AP LICANT ORMA �
Name: ' � ;J.-�c�c:1 . '
State License# Expiration Date: � ._� _ ��
Phone: 5' _ — office cell
Mailing Address: � , �!-� Ci : t IP:�� S� ��
Contact Person: ` Applicant ls: ontractor / meowner �ci.�ie ono�
Email and/or Fex: �,y�y
PROPERTY OWN,ER�NFORMATIO�
Name: `�I cc-�.P..�,r �-c,,P
Phone(day): n'��_ ,�.�i� — ,��e d� j
Address �// C'�L, ,,�c,, (i�i � �� �. Cpty�Gz.�2� ZfP' SS 3 cJ/ �
Email and/or Fax CJ
PROJECT INPORMATION:
Type vf Project: My earth movement may require
❑Door(s) ❑Remodel MCWD revlew 8 permits
❑Water Damage
❑Wlndow s Minnehaha Creek Watershed District(MCWD)
( ) ❑Repair ❑Storm Qamage 18202 Mlnnetonka Blvd
❑Slding ❑Restoretion Deephaven,MN 55391
❑Other. (specify) Phone: 952-471-0590
Fax: 952-471-0682
Re-roof ❑Flre Darrlage www.minnehahacreek vrq
Overall Projeet Description: �h �� _
Estimated Construction Valustion of Proj (excluding land) $ ����� d�
APPLICAN7 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 submltting a complete application being aware that upon failure to do so, the etat�has no elternetive
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on thls appUcatlan is classified by State law as either private or
confldential. P�vate data is information which generally cannot be given to the pu6lic but can be glven to the subject of the
data. Confidential data is information which generally pnnot be given to either the public or the subject of the date. Our
purpose and intended use of this information is to annually update our records and records of othar governmental agencies
re ulred b law. If ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature� �,����� � —l — ��
Date: �
Last Updated: 05-04-2009
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CITY OF ORONO CALLED IN ���
INSPECTION NOTICE SCHEDULED � � __����
PERMIT NO.ao/o-oa739 COMPLETED
ADDRESS ��� C�i'��,< /c�/i
OWNER l TEL PHON NO��Z-3��p�S�S7
CONTRACTOR LeS ��� �
>; DESCRIPTION ��0� �'`�'�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑rPROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO�LD COMPLETED '
ADDRESS ��� '�� ��"�"��
OWNER TELEPHONE NO. ��Z 3�0 ���
CONTRACTOR �Ps v�� ��� L��
�: DESCRIPTION �
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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Q ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE tNSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W O CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CAIL{NSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on ite:
Inspector. f,�„ �
White Copy/lnspector's File Canary CopylSite Notice