HomeMy WebLinkAbout2012-00456 - roofing CITY OF ORONO * 2 0 1 2 — 0 0 4 5 6 *
^�a � 2750 KELLEY PARKWAY DATE ISSUED: 05/25/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1405 PARK DR
PIN : 07-117-23-42-0016
LEGAL DESC : SAGA HILL REVISED
: LOT 001 BLOCK O15
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-OTHER
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,911.00
NOTE: REROOF-EPDM
APPLICANT pERMIT FEE SCHEDULE 88.50
LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 1.46
941 W 80TH STREET
BLOOMINGTON,MN 5542a TOTAL 89.96
(612)881-2241 PAID WITH CC# 9068
Minnesota State License#: 6560
OWNER
SHEARER,FRED&KAREN
1405 PARK DR
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
7'he 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 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 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 aze
requested in wnformance with the State Building Code.This permit may be
revoked at any time for du cause.
�. � ���la- � i ��
Applicant Permitee S' ature Date ssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
05l25l2012 10:11 Les Jones Roofing,Inc. �A�q85�8817009 P.0021002
. �. +►
City of Orono
Building Permit Appiication for Maintenance ! Renovation
windows, doors, siding, re-roof, etc.)
Malling Addresa; permit number: o� -O D T`-j
Q�O�Q Cryatal8ey, MN 55923-0088 Dete recelved: - 5�
Sfreef Addiess: Recelved by: -
2T50 Kelley ParkwaY Plsn reWew fee•
� �,6� Orono,MN 55358
7otal Fae: ��, ��
Main: 952-249-4600 Fex: 952-249-4816 }�,qro�o•mn•�s
Th�s�pplicet�an fonn must be wmpleted In full and sll requlred Informatlon must be submltted.
tncomplete appllcatlons wlll be returned. (Please pHnq
OENERAL INFORMATION:
JobSiteAddress: %ypS ID/�f2K L7��V�
WIII thls be a Parade of Homes,Romodelere Showcase Home cr vthe�Display Home? Yee No
If yes,e ipsc/al.vent pe►m�k roqulrod n�th PWrca Deparfmont end C�jr CouncA epp►vvef 80 dey8 prda�to fhe eVs� Shu�le bu8 se►�s w�be
Aqtdred un�eta eppHcant dsmonahaha au�c�nf a►Nalta pa�Mny Is evellpble. Nor►�pem►Rtod ever►ta w�not Da a�d.
CONTRACTOR/APPUCANT INFORMATION:
Name: �'oa �v iN6 /N
State Llcense# (e p(os' Expiratio� Date: ,� /
Lead Ce�tiflcatlon Number: /�T- —I Expiration Date:
(for work on homos thst vwn eonat►vcte p�lo►to/97a
Phone: ys�-Ssi- az�c coff�) c�u�
Malling Address: �y. �� �� City: 7y�r/ ZIP: y
Contact Person: � ,s ���, Appllcant ls:�Tj / Homeowner �c�ro�o ono>
Email�nd/or Fex; les n �
PROPERTY OWNER INFORMATIOId:
Name: f�R�qn/ ,fJy�'h.�b'�.
Phone(dey): S5�- y 7�- /�79
Address: Cit)►: ZIP:
Email and/o�Fax
PROJECT INFORMATION:
Type of Pro ect: � Any eartfi movement may nqulre
❑Door(s) ❑Remodel ❑Flre Demege MCWD revlew&permlts:
Minnahsha Creak Watershed Distrlct(MCWD)
❑Re-roof,asphait ❑Repeir ❑Stonr Demege 18202 Mlnnetonke Bivd
❑Re-�ocf,cedar ❑Reetoredon ❑Weter Damape Deephaven,MN 55391
Phone: 852-471-0580
�Re-roof,other(9pociiy) ❑Slding ❑Other.(spedty� Fax: 952-471-0982
�POA�t ❑Window(s)
www.minnaha hacnek.ora
Overall ProJect Descriptlon:
Estimated Construction Valuation of ProJect(excluding 18nd) $ a. 9//. ��
�---
APPLICANT ACKNOWLEDC3EMEN?:
. Agrees to provlde all infonnation required or requestod by ths Building Dapertment;
• C�rtifies that the InFonnadon supplled Is true and corred to the best of hisfher knowled�e. The applicsnt rewpnizsa that they
ere solety responsible fvr submitting a complete epplicatlon bein8 ewere that upon fellure to do so, the steff hes no altemative
but to reject it uMil it is complete;
• Some or�II of tht infortnatlon that you ere askod to provide on this application is classifiod by State law as oithsr pfirete or
confldentlal. Privete dat� is inform�tion which gsnerelly cennot be glv�en to the public but can be �Iven to th� 'ubjaa of the
data. ConBdentisl dsts is inbnnadon whldt genereUy oennot bv oiven to eith�r the public or ths �ubject of ths dete. Out
purpose and IMended use of this ir�formation is to annueily update our records and recards of other govemmvntat a�enaes
ulred b law. If ou refuse to a the Informsdon e a li ' m m �ot be issued.
ApplfcanYs Signature: ' Dete: 5����/�
�..t i��.+.►e.r• nar��n��
D T TI E r /
CITY OF ORONO CA lED IN � ��
INSPECTION NOTICE �U�� SCHEDULED — 7� -��
PERMIT NO.o2 C MPIEfED
ADDRESS `7"D5 �i`� �
OWNER TELEPpHO_N�E O.��a o�3� � �O�
CONTRACTOR �D /1
� DESCRIPTION �e�( � — ��� ���
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER H K-UP ❑ COMPLAINT
v ❑ DEMO-SITE � SEPTIC MAI ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
2 OWNER/CONTiiACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� /X��KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECO'VERING PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUiRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site.
Inspector.
White Copylinspector's File Canary CopylSite Notice
J
DAT u / TIME
CITY OF ORONO CALLED IN y
INSPECTION OTIC SCHEDULED
PERMIT NO. '�� C PLETED
ADDRESS �
OWNER TELEPHON O � 3��
CONTRACTOR
a DESCRIPTION
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS: �
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0
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� 0 WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
inspector. � .
White Copyllnspector's File Canary CopylSite Notice