HomeMy WebLinkAbout2011-00542 - roofing .. ` CITY OF ORONO PERMIT NO.: 2011-00542
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 06/28/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 400 OXFORD RD
PIN : OS-117-23-41-0016
LEGAL DESC : STIELOWS ADDN
: LOT 008 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 52,200.00
NOTE: TEAR OFF REROOF-CEDAR SHAKES
APPLICANT pERMIT FEE SCHEDULE 704.25
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 26.10
941 W 80TH STREET TOTAL 730.35
BLOOMINGTON,MN 55420-
(612)881-2241 PAID WITH CC# 9068
Minnesota State License#: 6560
OWNER
ANDERSON,DAVID&LINDSAY
400 OXFORD RD
LONG LAKE,MN 55356
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 retated work which requires sepazate
permits. All provisions of laws and ordinances goveming 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 l80 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caus
C � � � �i �'l //
Applicant Permitee Sign e Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
From:LES JONES ROOFING 1 952 681 7009 AA , 06/28/2011 14:27 #030 P.002/002
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City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Ma1/Ing Address: Pertnit numbe�: d/�-»
O•�O�O PO 8ox 86
Crystal Bay, MN 55323-0088 Date recefved:
Sh�ef AddresB: ReCeNed by:
� � 2750 Kelley Parkvvey Plan review f�ee:
Orono, MN 68356
Ma1n: 952 249�600 Fa�c 952-249-4816 www.cl.orono.mn.us TnffiI Fee: / 3D. 35
This application form must be completed in full and all required iri#orrnetion muat be submitted.
Incomptete application�wlll be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Add�s:
Will this be a Parade of Homes.Remodelers howcase Home or othe��Isplay Home7 Ye�
n y.s,.9pscra�e�►n�r�a���wr�Po�ce vep.�ar,�.,t e�d cuy aou►,a��P,o�eo�y:p.ror ro me evsr� snr�rao aus ss u ae
requl�sd uMeas eppllcarM demonsb�tes sufllcfent o�rsNe pa�Mr�y/s eva/leblie. Non-p�imMted e►rents w!Il not be dlowed.
CONTRACTOR/AP LICANT I RMATIO �
Name: �.S d�..e..5��• ���-e_. .
State License# Expiration Date: --�j _/ a„�
Lead Certification Number: '7'jGj�7_ �4 3�7a"Z — / E�iration Date: �j'. a ._ 1�--
(fbr work on homos war+�constructvd pr/or to 1878
Phone: ,5� .. $$`/ a��f/ (office) (cell)
Mailing Address: (,�j � w-- ' City. � ZIp: a
Contect Person: �,�„ Applicant is: orrtractor / meowner �cm�e or�.�
Email and/o�
PROPERTY OWNF�R INFO�TION: ��
Name: J�
Phone(day): _ _ „5��3
Address: ' Clty: Qj'��.p ZIP:S�35"Yc
Emall and/or Fsx
PROJECT INFORMATION:
Type of ProJec� Any earth mowmont mAy r9qulw
❑Door(s) ❑Remodel ❑Watar Damage MG'VW revlew 8 permits:
Minnehaha Creelc Watershed Dist�id(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephavan,MN 55391
❑Sidin ❑Reaboration ❑Other.(specify) phone: 952-471-0590
of ❑Fire Damage Fa�c 662�71-0682
�e�tuw_m in nehahacreek_ora
Overall Project DesccipUon: �aa � w�_
F_atimated Conatruction Valuat on of ProJoct(excluding tand) S ,S'a2 _ �Od �c?�
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provfde alf infonnatlon raquired or requested by the Building Departmer�
• Certifies that the intormation aupplied Is true and correct to'the best of his/her knowledga, The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so,the etaif has no altemative
but to roject it untll it is oomplete;
. Some or all of the infortnation that you are eaked bo provide on thls application is cla�sified by State lew as either prlvate or
conflde�al. Private data la infortnation which eenera(y cannot be piven to the public but cen be given to ihe subject of the
data. Confldentlal dats Is Iniormation which penerally cannot 6e enien to efther the public or the subject of tha data. Our
purpose and intended use of thia informatio ennually update our records and r�ords of othe�govemmental agencies
uirsd b law. If ou refuse nbrma on fhe a lication ma not be issued.
AppllcanYs Signffiure: Date: �-`� ��l�
Last updated: 03-07-2071
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ���'�'Sy�— COMPLEfED ����f
ADDRESS �d0 b,�C�,ord� /2� � .
OWNER TELEPHONE NO.
CONTRACTOR L e s T6��' ��-+f•,�
j DESCRIPTION R�''�f �C e�4'r I
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL 0 MECHANICAL RI p LAKESHORFJWETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �$FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YE3_NO
� COMMENTS:
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� ❑VYORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT VYORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COUERINR PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector. ^^-
White Copyflnspector's Ffle Canary CopylSita Notice