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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 )/-1 C1I-2 B CITY OF ORONO ro e ��CA�.(�LLED IN DATE 1r- /2 _ J/ TIME !/ INSPECTION NOTICE SCHEDULED /'/(? — /(' / 1 1'l — PERMIT NO..?rz / —n i c7 COMPLETED ADDRESS Cl/(C (" /cel ( (- I-CLf(e l�c OWNER TELEPHONE `N`O. " CONTRACTOR It_4014 74.)-yuJ DESCRIPTION „Lt--&A_ - C J W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING cc ti ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS ❑ 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: cc W cc O cc O W cc Q W W cc j OWXJ Xi WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW �'❑`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 1) ) 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 ADDRESS CM° C id r_) 7 0179 lx G ?- OWNER (., TELEPHONE NO. ��� CONTRACTOR` Lc U da c P c >: DESCRIPTION /n6 1 Poe-f-L 1.... 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 cc a IC 1101 ► I 'f,tcli' C fE- (-1-,,, s,„ cc e a.,".1 . Larnk 0(53 - awl - GPIS ccW w z W Glu ❑WORK SATISFACTORY:PROCEED , PROJECT COMPLETE CCW 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 ::: t1t01. onctor. p White Copy/Inspector's File Canary Copy/Site Notice