HomeMy WebLinkAbout2011-01072 - roofing CITY OF ORONO PERMIT NO.: 2011-01072
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/19/2011
(952)249-4600 FAX: (952)249-4616
ADDRESS : 900 OLD LONG LAKE RD
PIN : 35-118-23-14-0008
LEGAL DESC : UNPLATTED 35 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-OTHER
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 18,585.00
NOTE: VALUATION OF PERMIT: $18,585.00
TEAR OFF AND REROOF BACK FLAT ROOF
APPLICANT PERMIT FEE SCHEDULE 324.50
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 9.29
941 W 80TH STREET
BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00
(612)881-2241 TOTAL 335.79
Minnesota State License#:6560 PAID WITH CC# 9068
OWNER
Okabena Company
DAYTON,BRUCE B
1800 IDS CENTER
MINNEAPOLIS,MN 55402-
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
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.
4/14 -gr /7/ 41A - 9'19 /
Applicant Permitee Si ure Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
From:LES JONES ROOFING 1 952 881 7009 09/19/2011 09:12 #239 P.002/002
. 1.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding. re-roof, etc.)
O MellinnOBox 68 Address:g Permit number. &40//-d/ 7?-�
` � Crystal Bay,MN 55323-0066 Date received:
7/y' i/
Received by:
t'. Stivet Address:
2760 Kelley Parkway Plan review fee: 64%-/......-
�.F,? Orono,MN 55356
Main: 952-249-4600 Fax 052-249-4616 www.ci.orono.mn.us Total Fee: L. �7
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION•
Job Site Address: O0 O/ 40 1,0,t 4: .1c o T,a.
Will this be a Parade of Homes,Remodelers Showcase HdDie or other Display Home? 0 Yes
If yes,
a special
us DCity Council epartment end
60 days prior othe Shuttle bus service will be�sspermit
demonstratesois available. @tedvents event.
allowed.
CONTRACTOR �PLICA��INFO
Name: :1-16)t-e. . �.. .--.
State License# 6-(p Expiration Date: -3/'/Z
Lead Certification Number 7j.q -7- - '%3 '7a - / Expiration Date: �- -R F- /5--
(for work on homes that were constructed prior to 1978
Phone: ' /- a�+ff j/ (off ce) (cell)
Mailing Address: ri .
/� gov-+r- - City i04.'c�,�x ZIP: -- �aContact Person: / - - Applicant is: d -7U Homeowner (Guor.One)
Email and/or 9, —, ,_ g8 t ./7,00 Gj
PROPERTY OWNER INFORMATION
Name: e� {71)--.
Phone(day):
Address: Sao t7/4 1-.4t..-k-.4.- )o CitY e �..r-7`ak_ ZIP: L s J ,/
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(s) 0 Remodel MCWD review& its:
❑Re-roof,asphalt ❑Fire Damage Minnehaha Creek Watershed D District(MCWD)
pair 0 Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar 0 Restoration 0 Water Damage Deephaven,MN 55391
roof,othersPhone:ax: 52471-0682952-471-0590
(specify) 0 Siding 0Other.(specify) Fax: 852-471-0682
F/ 0 Windows) www.minnehahacreek.orq
Overall Project Description: 7 e.r 1 ref es b L 4 c- c1C "oe f-
Estimated Construction Valuation of Protect(excluding land) $ /$,,3-leS v
APPLICANT 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 submitting a complete application being aware that upon failure to do so,the staff has no alternative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this 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 data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information - -nnually update our records and records of other governmental agencies
required by law. If you refuse to the in r• ation the application may not be issued.
Applicant's Signature: ' -' ! Date: 9- /9-/ /
Last Updated: 08-09-2011
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CITY OF ORONO ro e
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PERMIT NO..?rz / —n i c7 COMPLETED
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OWNER TELEPHONE `N`O. "
CONTRACTOR It_4014 74.)-yuJ
DESCRIPTION „Lt--&A_ - C J
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❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
' ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SET FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: /y4 YES_NO
o COMMENTS:
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OWXJ Xi WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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�'❑`C-ORRECT WORK&PROCEED Li ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit-• i
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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O - T TIME
CITY OF ORONO CALLED IN a
INSPECTION NOTIC SCHEDULED ( rl f Z cpm
PERMIT NO. Ga( J I t V A( l/(bCOMPLEETED
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OWNER (., TELEPHONE NO. ���
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LU 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
c") 0 FRAMING ❑ MECHANICAL FINAL
OI=1 TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
• ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
.u.,_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO 15/11
COMMENTS: Nd S nOL0 cV\ rCCI-( " -7
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CI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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White Copy/Inspector's File Canary Copy/Site Notice