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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 t ��i � � � , i, �; ! �Qq�F� TIME 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� �'`�'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � -7—�' �� /' �? ,�� �it _�� i�c' C---�r, �;� o � � - �� �1 r I .Q c� 1�1 o , � 1U� ���� Y-�-�.;r'� S ..f_ �� rc-��'..� W � Q Z IU (�� �,� �.� ��1 � t.J-_..; , i T3� � t.'-- � � c� �/�,� / W � --:. _. _.._.....__..... _ __, � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY 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: r r Inspector. �� L`�( � V � White Copylinspector's File Canary CopylSite Notice 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 � � lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti 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 � COMMENTS: � � • � . (�✓J � � O � � O � W � Q ti Z W � W � � � ❑WORKSATISFACTORY:PROCEED i�PROJECTCOMPLETE i 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