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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 j Ns fed.,- air /%ass/ I .t re,zees fcia 0 cc 124' c yaelt'l4ton afd eO - W cc Vpr ay,f 44,4t71z W ��-- c r .„,rep 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