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Home My WebLink About2009 - 00663 - roofing CITY OF ORONO PERMIT NO.: 2009-00663 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/02/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2100 WEBBER HILLS RD PIN : 03-117-23-34-0012 LEGAL DESC : WEBBER HILLS : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 7,500.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 162.25 JILLSON,MR. &MRS. STATE SURCHARGE(VALUATION) 3.75 2100 WEBBER HILLS RD WAYZATA,MN 55391- TOTAL 166.00 OWNER JILLSON,GEOFF 2100 WEBBER HILLS RD WAYZATA,MN 55391- 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. period of 180 days at any time after work has commenced. The applic. is r.ponsible for assuri'g all required inspections are requested conform. e with the S .te : ilding Code.This permit may be revoked:t any time . gu- cause. ' �.%a/sL . 'i /2 / �,. '., I/ / / o� /O Apilican e Si. atur. Date Is•A d By Signature Date SEE'ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ,{ Mailing Address: Permit number: ?e%09.--6100 ,<--' g,0,� Cr Box 66 O O Crystal Bay, MN 55323-0066 Date received: /67°V . 0. Received by: i Street Address: ii19 Gti 2750 Kelley Parkway Plan review fee: t�gESHo4w Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us /�r/O/ 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: --7--/O-e) c?� j ;) /o- Ai(i( k-1 Gw-evv Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ 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/APPLIQNT INFORMATION: Name: a�%vt=� _A 1 +-,_`_,6'4..J G.:..<, -7—' State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: t--L p-i Phone (day): (sz 1 Z <3g --- ((-t ' Address: —2467) 4)�/s,a,(--___ 4/...II 9 4 City: Cj,z,AO ZIP: `, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 .�g e Fax: 952-471-0682 " ;�' ~ roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $- /7--,5—Cei 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 informati•- which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of thH infor ation is to annually update our records and records of other governmental agencies required by law. If you refuse . suppl the information, the application may not be issued. Applicant's Signature: Z- 1frV A. Date: 4) ..Z —G/ Last Updated: 05-04-2009 co_5 DAT /��M V CITY OF ORONO CALLED IN Li !"±�_ INSPECTION NOTICE SCHEDULED d 4,% . :9 *Kr PERMIT NO. ..?e47—DOW, COMPLETED ADDRESS � W. z� .E s ?1 OWNER • �� CONTR. p 4 TELEPHONE NO. b777 & a `s— /7l o DESCRIPTION y,/ IS W ❑ FOOTING ❑ MECHANICAL RI ❑L%E� AV/GRADING/FILLING yc ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREETLANDS /W Q ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL • ❑ ALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ANAL ❑ SEWER HOOK-UP ❑ PROGRESS • DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP cC La ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET OU: YES NO ' COMMENTS: !/ l L 7e-_—.S.'Y !/� 7 /7//i?� W ccQ. CC 0 >- CC Lu0 p; 6 ‘-f- uro__S l CC Q to .. 7 ij 1-3 f° fr' W Z W CC 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑COR ORK&PROCEED 17 ISSUE CERTIFICATE OF OCCUPANCY O ORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ G PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑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 Owner/Contractor on si -: 416 4111 , Inspector. I tillb White Copy/Inspector's File Canary Copy/Site Notice - 5 oF'.e-el ()peg- 2ATE TIME CITY OF ORONO CALLED IN /O /9 INSPECTION NOTICE SCHEDULED / �' 9 i7 H-- PERMIT NO.42 i . -("6(.�-3 COMPLETED �/' Y� // ADDRESS /OU/ Gizh.6Q�' / 1 �,/ // OWNER G?e}� �l(S - CONTR. TELEPHONE NO. DESCRIPTION /.nL �/I �./ 41 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING L. Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O El TREE REMOVAL ❑ D. ❑ WATER HOOK-UP ❑ SITE INSPECTION '`t FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ---1 ❑ DEMO-FINAL ❑ SEPTIC INSTALL. El FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cz LU Q. /Q(..- �S ti CC r-FINALCC • El WORK SATISFACTORY:PROCEED i1 PROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. cy- I 13__ e_5- / S White Copy/Inspector's File Canary Copy/Site Notice