HomeMy WebLinkAbout2012-01078 - roofing CITY OF ORONO
2750 KELLEY PARKWAY * 2 1 - 0 1 0 8
•
DATE ISS - 0
10/24/22 012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 465 ORONO ORCHARD RD S
PIN : 02-117-23-32-0001
LEGAL DESC : UNPLATTED 02 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 35,308.00
NOTE: VALUATION OF PERMIT:$35,308.00
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 531.25
LES JONES ROOFING INC.
941 W 80TH STREET STATE SURCHARGE(VALUATION) 17.65
BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00
(612)881-2241 TOTAL 550.90
Minnesota State License#: 6560 PAID WITH CC# 0543
OWNER
HAMM,EDWARD H
408 ST PETER ST#434
ST.PAUL,MN 55102-
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 S Building Code.This permit may be
revoked at any time for due cause
et-Cf "yrtcc-P,
Applicant Permitee Signa re Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
10/24/2012 14:28 Les Jones Roofing, Inc. (FA)()9528817009 P.001/001
• , City of Orono . \
• Building Permit Application for Maintenance / Renovation t(1.
�'h(windows, doors, siding, re-roof, etc.) q4, sy
Meiling Address: Permit number: c Olo� - ) l
0:6- PO Box 66
.,
0 0
Crystal Bay, MN 55323-0066 Date received: I O/ 2_y /iz
.
; Received by: Z/D
"‘ ,1i�.,���;��_. Street Address:
'i i;J'.1 , 0 2760 Kelley Parkway Plan review fee: "--
® Orono, MN 55356
_®c_ Total Fee: jr
I/8 90 -7t aw - bC- qo
Main: 952-249-4600 Fax: 952-249-4816 www.cl.orono.rnn.us 5 ).
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: 495 Q2oNn QRc D 'Q ooh 5.
Wf1I this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes El No
If yes,a special event permit Is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking Is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: LEs TONES QooFIi r; IltC.
State License# 8C oo 654.0 Expiration Date: 3/31 /13
Lead Certification Number. //A-Y- yogl2-/ Expiration Date: 512k/IS—
(for work on homes that were constructed prior to 9976
Phone: 9 52- 1477- 2217 (office) 4.12.- 231— /968 (cell)
Mailing Address: 1Yi W. g0m erg - City:g��..00�� , fir/ ZIP: -q-2_0
Contact Person: G .pt g Q.N �
p ,oni _ Applicant is: [CoiIrac1or}¢1 / Homeowner (circle Ono)
Email and/or Fax: Chrr�a- a ic,s jonm, coact
rro. earn _
I
PROPERTY OWNER INFORMATION:
Name: EDWARD WA-M
Phone(day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: ' Any earth movement may require
❑Door(s) ❑Remodel 0 Fire Damage MCWD review&permits:
Mlnnehaha Creek Watershed District(MCWD)
XRe-roof, asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
0 Re-roof,cedar ❑Restoration 0 Water Damage DeephaPhone:v85 MN 65391
Phone: 952-471-0580
❑Re-roof, other(specify) ❑Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www,minnehahacroek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ 35, 30 g OD
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 is to annually update our records and records of other governmental agencies
required by law. If you refuse to�supply the information,the application may not be Issued.
��
Applicant's Signature: � � LLndadD7LDate: /o%J-W//1--
Last
/2-Last Updated: 08-09-2011
310 DATE TIME v
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
of
PERMIT NO. 3I -C3/6/?-sv COMPLETEDO19`1?
?ADDRESS -A6--- £x-s-.
OWNER TELEPHONE NO.
CONTRACTOR L-teid 8-2S,1-05" doe 4 N f
DESCRIPTION
1i
0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FIWNG
0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS
0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. SLEOLLOW-UP
Z0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a *OLD PERMIT - NO FINAL INSPECTION REQUESTED
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im ❑WORK SATISFACTORY:PROCEED />@'PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED II ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 2494600
Owner/Contractor on site
Inspector. c?ri^r"
White Copylinspector's File Canary Copy/Site Notice