HomeMy WebLinkAbout2011-01025 - roofing � ~ CITY OF ORONO PERMIT NO.: 2011-01025
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUE�: 09/07/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3099 FARVIEW LA
PIN : 04-117-23-33-0003
LEGAL DESC : FARVIEW
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERAT[ONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 40,742.00
NOTE: VALUATION OF PERMIT: $40742.00
ROOFING PERMITS ISSUED WITHOUT GNOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A F[NAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BF.ON THE PROPER'I'Y DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 585.00
LES JONES ROOFING INC.
941 W 80TH STREET STATE SURCHARGE(VALUAT[ON) 2037
BLOOMINGTON, MN 55420- TOTAL 605.37
(612)881-2241 PA[D WITH CC# 9068
Minnesota State License#: 6560
OWNER
D STREHLOW,M ROTENBERG&
3099 FARVIEW LA
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
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this rype of work
shall be compied wi[h 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 wi[h the State Building Code.This permit may be
revoke at any time for due ause.
, � �� � �/ / �/
Applicant Permitee Si ure Date ssu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� From�LES JONES ROOFING 1 952 881 7009 09/07/2011 13:13 #205 P.002/002
City of Orono .
Building Permit Application for Maintenance / Renovation
(windows� doors, sidin , re-roof, etc.
Mai/ing Address: Pefmit number: a D �j
O.��,�0 PO Box 86
Crystal Bay, MN 55323-0066 Date reoeived:
o. Street Address: Reoeived by:
��" 275Q Kelley Parkway Plan revieW fe
��SSo¢4� Orono, MN 55358
Total Fes: p5 ,37
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 e submitted.
Incomplete app[ications will be returned. (P/ease print)
GENERAL INFORMATION: .— �
Job Slte Address: ,3 O y`� ,���`���P��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes
PI yes, a specia/event permR ls iequJn9d with Police Deparfinent and Ciry Council approval 60 days p�or to the event. Shuttle 6us service w1116e
iequlred unless appllcant demonstrates suAScient on�ite peAUny!s avelleble. Non-parmi(ted ev�ents w!!/not be allowed.
CONTRACTOR/APPLICANT INFORMATI .
Name: �� � 1� .
State License# Expiration Date:
Lead Certification Number. � �—_ � � _ � Expiration Date: ,5`��_ �s
(for work on homes that wero construcfed pr/or to 1978
Phone: �S'� _ $$/- a�'�y/ (office) (cell)
Mailing Address: l (� , 'f�- �-c . Ciry: o - IP: 5
Contact Person_ ` Applicant is: ntract / H eowner �ci�ie o�•�
Email and/or ax: --� _ $
PROPERTY OWN NFORMATION:
Name: p ��j r�a_�- o
Phone(day):
Address: .3 o g9 c'-�-rv�'2 cJ ��-�--p City: Q/'6�j ZIP: ,S3'35'�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movemont may roqulre
❑Door(s) ❑ Remodel ❑Fire Damage MCWD review�permits:
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑Repair ❑StoRn Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
roof,cedar ❑Restoration ❑Water Damage Phone; 952-471-0590
❑Re-root,other(spoclfy) ❑ Siding ❑Other:(specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.ora
Overall Pro'ect Descri tion. ct�- Q � ��6 p
Estimated Construction Valuation of Project(excluding land) $
APPLICANT ACKNOWLEDGEMENT: '
• Agrees to provide all information r�quired or requested by the Building Departrnent;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responslble for suhmitting a complete application being aware that upon failure to do so, the staff has no altemative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on fhis 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 date is information which generally cannot be given to either the public or the subJect of the data. Our
purpose and intended use of thi information is nnually update our records and records of other governmental agencies
re uired b faw. !f ou refuse t u e inf atio the a lication ma not be issued.
Applicant's Signature- Date: -7 — � — � �
1.est Updeted: 08-09-2011 •
��� lD D TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE � �CHEDULED d� -� •�
PERMIT NO.o�-BJ��D��L,�—�COMPLETED
ADDRESS 309 4 �a'rU l L��C> G/U
OWNER TELEPHONE NO. ��� 3� � � 7
CONTRACTOR L�.S D�71� /�����2A
>; DESCRIPTION ����-�' � ��a�' �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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WORKSATiSFACTORY:PROCEED C PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL{NSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
OwnerlContractor on site:
Inspector. �. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME /
CIYY OF ORONO CALLED IN �
IN�PECTION NOTICE SCHEDULED �
PEFiMITNO. e�O/�" ��d��1� COMPLEfED l' a -//� _
a��REss �iY' r,:v�e� ��.
OWNEFi TELEPHONE NO.
CONTRACTOR L Qs ,�s le�'.� __
� DESCRIPTION Re'��f ���¢rJ
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
Q ❑ FRAMIldG ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ F�NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
?� ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OEMIdERfCONTRACTOR TO MEET YOU:_YES_NO
� COMAAEtV'TS:
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� O WORK SATISFACTORY:PROCEED �SRFiA,1ECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANGI'
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. �t •�-� �—
White Copyllnspector's File Cenary CopylSite Notice