HomeMy WebLinkAbout2016-01105 - roofing w CITY OF ORONO * z 0 1 s — 0 1 1 a s *
2750 KELLEY PARKWAY DATE ISSUED: 09/09/2016
Y ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1225 LAKEVIEW AVE
PIN : 10-117-23-24-0023
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 9,844.00
NOTE: VALUATION OF PERMIT:$9,844.00
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 201.32
STATE SURCHARGE(VALUATION) 4.92
LES JONES ROOFING INC. MAIL-IN FEE 2.00
941 W 80TH STREET
BLOOMINGTON,MN 55420- TOTAL 208.24
(612)881-2241 Payment(s)
Minnesota State License#:BUIL-6560 CREDIT CARD 2821 206.24
CREDIT CARD 2821 2.00
OWNER
JOHNSON,WAYNE
1225 LAKEVIEW AVE
WAYZATA,MN 55391
AGREEMENT AND SWORI�i 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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with 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 with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
09107l2016 13:43 Les Jones Roofing,Inc. �A��528817009 P.001l003
. •
• ' .����9� City of Orono
Building Permit Application for Maintenance / Rep[acement / Remodel
i.e. windows, doors, siding, re-roof etc. — NO STRUCTURAI. �XPANSION
,�} Malkng Addresa; pertntt number. ' (�b �
0
� �v� Crystal Bay,MN 55323-0088 Dete rocaived: ��
SEreet Address: Received by:
�� 27�lGelley ParkweY Plan revlew fee: � ay
t,���sH ��,� arono,MN 55356
Tot81 Fee: I�I'�P
Ma(n: 952 249-4600 Fa� 952-249-4616 '
This applicatfon form must be completed In full and all required information must be submi�ed.
Incamplete appiications will be returned. (Please pNnt}
(3ENERAL INFORAAATION:
Job Site Address: ���� LAK�'1//EGtf 1/�:
Will thts be a Parade of Homea�Remodelers Showcase Home or other D splay Home? es No
11 y�9s,a apeCle!eve►x permlt la►squlrod Wlth Polk:s Depertmellt end Clty CowxU epproval BO deys prbr to the e�ronk 3huffla bus servk�e w�Be
roqulrod unlesa appNcalk demonaN�tsa au119c1ent on�lts parkb►g ls avallab/s_ Non-ps►n►kted evoents wN!rrot be slbwed.
CONTRACTOR I APPLICANT 1NFORAAATIQN:
Name: /_.� �Il Fj (��G
State License# 5 p Expiratton Date: ,�/ �
Lead Certification Number: /(l,¢�. �p 3'72 .�, Expiration Date: ad
(for work on home�thet were conatrtrcted prlor tn 7978
Phone: (cell) (�v� • � - % � � (offioe) 9J`"��•��/� ��2
MalUng Address: �h �7���-- Ciry: � ZIP: S✓�' ZQ
ContactPerson: y S yQ Applicarrt' _ Ccntractor Homeowner �ckcaaa�
Emai)and/or Fax: �y . 5 Q,
PROPERTY OWNER INFORAAATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall ro'ect descri tion:
Typa of Projact: Any earth movement may also nqulro
❑ r(s) ❑Remade{ ' ❑Rro Damage MGWD revtew 8 permlte:
Re-roof,aaphelt ❑Repalr ❑Storm Demage Minnshaha Creek Water�hed DlstrlCt(MCWD)
❑Re-roof,cadar 18202 Mfnnetonke 8Nd
D R�storadon ❑Water Damage Deephave�,MN 65351
❑Re-roof,ot�er�sp�cNy> ❑Siding D Other. (specityy Phone: A521171-0590
Fax: 852�71-0682
❑Windaw(s) www,minnehah�creek.cra
Estlmated Constructlon Valuation of Projeot(excluding�land) a �'�.
APPLICANT ACKN0INLEDGEMENT:
. Agrees to provide all InPormation required or requested by the Building Department;
• Certifies that the informetion supplied is true a�d w�ract 10 the b9st of his/her knpwledge. The applEcarn recrognizes that they aro
solely responaible for submitting a complete appllca8on being awere that upon feiluro to do so,the etaff has no sd6amative but M
rejed it until it is complete;
• Some or a(I of the infomnatfon that you are asked to provide on this eppOcstlon Is dassHled by Stete lew aa eBher private or
confideMial, private data is irrformadon whid�ganerally csnnot be given to the publlc but can be given to the subject of the dsta.
ConBdentlel data ls Inlbrmatlon whfch generalry cannot be given to either#�e public or the SubJect of the data. Our purpose end
intended use of this information is to 8�nnually upda�our records and records of other govemmental agenaes required by law. If
ou refuse to su I dte 1 rmat�on the a Ilcation me not be leeued.
Applicant's Signature; Date: ��rl�/l
Owne�'s Signature: Date:
Last Updated:January 2015
•
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ...20i6 • ONO`, COMPLETED 3- 6 '/V
ADDRESS i 2°IS' ake vt elive .
OWNER TELEPHONE NO.
CONTRACTOR IGS Ja 0-5 /2a0- `mi
E DESCRIPTION e- eoo-�
W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
• ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP -feLLOW-UP
❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
c OWNI31CONTRACTOR TO MEET YOU:_YES-_NO
COMMENTS: A9ca".& /cdIcOQl r4.fel) 2d Ga I/4r
4 !� cr"iGl/15e.Gei
j Permit has expired per N Building Code Sec. 1300.120 subp. 11
N. Expiration, no record of a Final inspection.
14.
W
12
W ❑WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next Inspection 24 horns In advance. (952) 249-4600
OwnerlContractor on site:
Inspector: (�
Whits CoprInspictor's FIM Canary CopylSlls Notice