HomeMy WebLinkAbout2013-00324 - roofing CITY OF ORONO * Z 0 1 3 - 0 0 3�
� 2750 KELLEY PARKWAY DATE ISSUED: OS/07/2013
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1209 FRENCH CREEK DR
PIN : 10-117-23-23-0002
LEGAL DESC : FRENCH CREEK
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 77,000.00
NOTE: VALUATION OF PERMIT: $77,000.00
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 884.25
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 38.50
941 W 80TH STREET
BLOOMINGTON, MN 55420- TOTAL 922.75
(612) 881-2241 PAID WITH CC# 9068
Minnesota State License#: 6560
OWNER
LUX, ROBERT&NANCY
1209 FRENCH CREEK DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved plans and specifications,appiicable 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[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construc[ion authorized is not
commenced within 180 days of the date of issuance,or if construc[ion 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 dae cause.
�71'�,C,(, �� / / [/Y�� / /
Applicant Permitee Signature Date Issued B ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
05l07l2013 11:07 Les Jones Roofing,Inc. �AH�528817009 P.001l002
� - Gity of Orono
Bui�ding Permit Application for Maintenance / Renovation
(wfndows, doors, sidtng, re-raof, etc.) �# 2k?�
( MeUing Address:
Permit numbar:
Q��,�0 PO Box 66
Crystal Bay,MN 55323-0088 Dete received:
� � ShaetAddress: Fteceived by:
2750 i4eUey P�rkway Plan rgvfew f9e:
�.� o�;O Orono,MN 5635B
7atal Fee:
Main: 952-249-4600 Fax: 952-249-4618 w�n�w.cl.orono.mn.us
This application farm must be completed fn full and ail requlred lnformatlon must be submltted.
Incomplete appllcations wfll be returned. (Please print)
OENERAL INFORMATION:
Job Sfte Address: �� �L�� �2l V��
Wlll thls be a Parade of Homes,Remodelers 5howcase Home or other Display Home? Yes
If yes,a apeclel evant parmlt!a roqulrod wlth PolJce Deparfinent and Clty Ceuncl!epprrave/60 dAys prlor to the event. Shunle bua servfce wl11 De
roqulred unlesa applKant demonatrates sufNclent orwatte psrking!a ava/lable. Non parmfKed events wf�not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: L�4 5c,nt�s RaoFi r� t
State License# �jC pp�,5(PD _ __ _ _ __ _ _ ExpiraEion Date: 3I�� f 11J,
Lead Cettlflcatlon Number: NA�Tw S10372 —1 Expiration Date: s'f 2p��,�-� �
{for work on homea fhat we�e constructed prlor to 9978
phon�: �'1 $2� �l�?T2�l7 (offic�) ��2- Z37— �968 (cell)
Mailing Address: ��{� �/, gp� �Y-��� City: , „/ �Ip: ��
ConE�ct PerSon: GµQ,�5 ,�N D�San{ Applicant is: o / Homeowner �Clrolo one)
�mail andJor Fax: Ch r rg a. � ��s Sdncs �'od�cna. e.crn
�ROPERTY OWNER INFORMATION:
Name: (R l,.Jin) �/bCopS
Phone (day): ���,.. ��'�� J�pQ
Address: Clty: ZIP:
Emafl and/or Fax
PRQJEC7 INFORMA710N:
lype oi ProJect: Any earth movement may require
�poor(s} � Remodel ❑Fire Damage MCWD revlew&permlts:
Minnehaha Creek W�tershed aistrict(MCWD)
p R�rooF,asphalt ❑Repair ❑ Storm Damege 18202 Mlnnetonka Blvd
e roof,cedar ❑Restoratlon ❑Water Damege peeph2ven,MN 55391
Phone: 952-471-0590
0 Re-roof,other(spacfry) 0 Sidirtg ❑Other.(apeGfy) �ax: 852-471-U682
❑Window(s) www.minnehahacresk.ora
Overall ProjectDescriptian: /2�sMm ��-�NGL� ,4�» R�F'c-�r� w�r� C ��
Estlmated Constructfon Valuation of Project(excludfng land) $ "7�, dQOg
APP�,lCANT ACKNOWLED4�MENT:
• Agrees to provlde alI Informetlon rsquired or requested by tf�e Bullding Deperiment;
. Certifies that the information supplied is true and correct to the best of his/her knowledge. The appllcent recognlaes thet they
�re splely responstble for 9ubmftting a complete appllcatipn being awara thai upon failure to do so,the Staff has no altemative
but ta reject It untll it is complete;
. Some or all of the fnformatlon thet you are asked to provlde on thla appllcatlan Is cl8ssifled by State law as elther priv�te Or
confrdential. Priva�e data fs inforrnati0n which generally cannot be giVen to the public but can be given to the subj�ct of the
� dete. Confldentlal dete fa informatlon whlch generel[y cannot b0 given to elthar the publlc or the subfect of the dsta. QUr
purpose �nd intended use of this information is to annually update our record� and recorda of other government�l agenGleS
re ulred b lew. If ou refuse to su the fnlorm�don the e IfcaUon m� no#ba issued.
ApplicanYs Slgnature: Date: �/ 7���
G.ae�Updatea: aB-Og-ao��
Ge��us �,u�� T
� DATE TIME ✓
CITY OF ORONO CAL E't �iN
INSPECTION NOTICE 2 SCHEDULED �� �
PERMITNO.c�D�3'"���✓�'� COMPLETED
ADDRESS I a�"� �r�� C�Z- /�
OWNER TE EPHO E NO. �O l�j d�2���7
CONTRACTOR �s �b �-'�'t"�
>; DESCRIPTION �vL�""�� � T�� — �L(,� (_l?P'Q'�
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB 0 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
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ tNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME V
(°,(��F'����OJQ CALLED IN
INS�EC�'10�1 �10 "IC� �—
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PERIIAIT FgO, �� COMPLETED �
i � � � ������! 11�t�v
�1��R��
OWNER � TEL.EPHONE tVO.
CON'TFtACTo� '�) ' ��y�,� �—
i
a DESCF$IPTION ��'"�'
t� ❑ FOOTING ❑ PLUMBING N L ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/Ef�P,NDS
�
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
� , ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT Cfl FOLLOW-UP
T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� 01MIdERlCOfdTFiACTOR TO RAEET YOU:_YES_Yd0
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� *OLD PERMIT NO FINAL INSPECTION REQUESTED
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W ❑WORKSATISFACTORY:PROCEED ROJECT CONIPLEfE
� ❑CORRECT WORK R PROCEED . ❑ I SUE CEfiTIFICATE OF OCCUPANCY
�
o ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORECOVERiNG PERMANENT
❑CORRECT UNSAFE CONDITION WITHIPJ HOURS. � pHOTO TlaKEN
INSPECTOR WiLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI IfVSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRAMGE ACCESS.
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