HomeMy WebLinkAbout2014-00322 - roofing l �
CITY OF ORONO * Z 0 1 4 - 0 0 3 Z 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616 �
ADDRESS : 1025 HERITAGE LA
PIN : 10-117-23-13-0008
LEGAL DESC : FOXHILL
: LOT 002 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 26,745.00
NC)I�l�:: V,1LtiA�I'ION OF P[�:RMI"I': $26.745.00
ROOPING PERMCTS ISSUF;D WI"CI IOUI�ENOUGH NOT[CF. FOR�I�EAR OFF INSP�CTIONS. (WL REQU[RL,24-48 NOTICE, PRIOR TO
WORK E3EING STARTI�D) MUST PROV[DF.COMPLETF,SET OF PICTURES OR A T[NAL INSPECTION MAY NOT E3E ISSUED.
SIGNS-ADVER"CIS[NG SIGNS MAY ONI,Y BE ON"I'HE PROPLRTY DUR[NG THE TIME THE ROOF IS BEING DONE.
ONCB WORK IS COMPI,F"I�ED THI:SIGNS ML1ST BL RI;MOVED.
APPLICANT PERMIT FEE SCHEDULE 434.50
STATE SURCHARGE(VALUATION) 13.37
LF,S JONES ROOFING INC. MAIL-1N FEE 2.00
941 W 80TH S"IRE ET
BLOOMINGTON, MN 55420- TOTAL 449.87
(612) 881-2241 Payment(s)
Minnesota State License#: BUIL-6560 CREDIT CARD 0543 449.87
OWIYER
BYRNES, STEPHEN& PAMELA
1025 HERITAGE LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issucd shall be performed according ro
the approved plans and specitications,applicable City approvals,and the
State Building Coda This pennit is for only the work described and does
not grant permission for additional or related work which requires separate
pemiits. All provisions of laws and ordinances governing this type of work
shall be compied ti�ith whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenccd within 180 days of the date of issuance,or if construction is
suspended t�or a period of 180 days at any time atter work has commenced.
�'he applicant is responsible for assuring all required inspections are
requested in cunformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant ermitee Signature Date Iss� E3y Signature Date
�!
,� �,4l15l2014 14:27 Les Jones Roofing,inc. �A}��528817009 P.0011002
City ofi Orono #�����
Bui�ding Permit Application for Maintenance / Replacemenfi / Renovation
(No structural expansion. Only windows, doors, sidtng, re-roof, etc.)
O Meiling Address: Permlt number: �O/ — �.�
� �� PO Box 66
Crystal Bay, MN 55323-0086 Date received: �—1�P '/
Sfreef Address: Recelved by:
�. �' 2750 Kell�y Parkway Plan review fee:
�1�'� SNo�`�'G Orona, MN 55358
Total Fse� ��g � '
Maln: 9b2-2a9-Rt600 Fax: 952-Z49-4816 �vww.ci.orono,mn.us
Thls applfcatfon form must be completed ln full and all required information must be submitted.
Incomplete appllcatlons w(II be returned. (Please print)
OE(VERAL INFORMATION:
Job Site Address: /d� �7��,�G� �A,NS"
WII)thts be a Parade of Homes, i�emodelers Showcase Home or other DlSplay Home? Yes No
!f yas,e speclal event pennit!a requJred wlth Po!!ca Deperfment errd C7ty Cauncll epprovel 60 deys prior to the event. 5huttle bus servlce wlll be
roqulred unless�ppllcenf damonst�ates suflklenf ornslle parking/s evellsble. fVan-permltted evenla wp(not be a!lowed.
CONTRACTOR/APPLIGANT 1NFORMATION:
Name: ��5 �'ou� Ro�'rnfG,i NG , ,.., „_
State Llcense# (�,�6p Expiration pate: 3/g� j/6
Lead Certification Number: N�Y" N3077—I Expiretian Date: ���g��,z- �_
(for work on homes the!were constructed prJor to 9978
Phona: (cell) �i�_ �,�?- ���� (ot�ce� q52- 8�i- z2wr
MailingAdttress: Qy� ** gra Clty: ��,y ZIP: ,r���b
Contact Person; GI�R�s �4No�'R g� Applicant is: ontractor I hlomeown�r �c,ra�o ono�
Emall and/or Fax: �{,r�� � (� fcs �an�s ro o�'.�o, • [..avr�
PROP�RTY OWN�I�IN�OI�MATION;
Name: 5r�epH�N ��NES
Phone (day): �j�Q� �!2� 4 SS�{
Address: City: ZIP;
Email and/or Fax;
pROJ�CT INFORMATION: Overall ro'ect dascri tion: � av� �piaca N� !� °� �
Type of ProJect: Any earth movement may afso requlre
❑DoOr(s) ❑Remodel ❑Flre Demage MCWD revlew�permlts:
Minnehaha Creek watershed District(MCWD)
�Re-r0of,asphalt ❑Repalr ❑Storm Damage 18202 Minr►etonka Blvd
[�Re-roof,cedar 0 Restoration ❑Water Damage Deephsvgn,MN 55391
Phone: 852�71-0590
❑Re-roof,other(sp�clfy) �]Siding [f Other,(specify) Fax� 952-471-p8$2
❑Wlndow(s) wv�w.minnehehecreek.or�
Estlmated Gonstructlan Valuatlan of ProJect(�xcluding land) $, �fo. '7yS.00 „
APPLICANT ACKNOW�EDGEMENT:
. Agrses to provlde all Informatlon requlred or requested by the Bullding Department;
• Cert(Fies that the informetion supplied is true and correct to the best of his/her knowledpe. The applicant recognizes thet they are
solely responsible for submltting 8 complst9 appllcatlon being aware that upon fallura to do so,the steff hes no alternat�vg but to
reJect It untll it Is complete;
• Some or alI of the Informatlon thet you are aeked to provlda on thfs appllcatfon ls claealflad by Stafe taw as elther prlvate or
confidential. Private data is inform2tion which g6ne�&Ily C&nnot be$iven to the public but can b�given to the subject of the data.
COnfldentlaf dat�ls Information whlch generelty cannot be glven to efther the public ar tha subjact af the data, Our purpoee and
intended use of this information i�to annually update our records and reoords of other govemmantal agencias required by law, If
ou refu9e to su I the Inf atlon th a Ilcatlon ma not ba ieaued.
Applicant's Signature: �-� Date: ��l��/fF
Owner's Signafiure: Date:
Last Upd&ted:03/06/2013
DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTION NOT CE � SCHEDULED / �
PERMIT NO. � � � c P�� �
ADDRESS � -� �'L"�� �' - '"�
OWNER E PHONE NO.
CONTRACTOR 1' '�- ' -' o I
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� DESCRIPTION
�
W ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRAOING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ IN ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. ) 249-4600
OwnerlContractor on site: '
Inspector.
White Copyllnspector's File Canary CopylSite Notice