HomeMy WebLinkAbout2009 - 00721 - roofing CITY OF ORONO PERMIT NO.: 2009-00721
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/19/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2120 WEBBER HILLS RD
PIN : 03-117-23-34-0010
LEGAL DESC : WEBBER HILLS
: LOT 003 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 6,500.00
NOTE: TEAR OFF REROOF
APPLICANT PERMIT FEE SCHEDULE 147.50
SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 3.25
4100 EXCESIOR BLVD TOTAL 150.75
ST.LOUIS PARK,MN 55416-
(952)915-7227
Minnesota State License#: 0001050
OWNER
SIMS,MARK SIMS&DEBORAH
2120 WEBBER HILLS RD
,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 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 are
requested in conformance with the State Building Code.This permit may be
revoked any tirriclue cause.
pplicant ermttdi Date Is IF By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK I HER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.) -� /
Mailing Address: Permit number: �t� Q —0071
"I-41
\ Cr Bax 66
- \\ Crystal Bay, MN 55323-0066 Date received: /0A9/62 9
a '",' L ti Street Address:
Received by: fd
1,F, 1 ,, 1`'f. o~ 2750 Kelley Parkway Plan review fee:
lN ►•41i�1
gE$HOg�' Orono, MN 55356
Total Fee: /5"D i 75
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATIO
Job Site Address: J� Z% /J//he/ ,//i AV
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/APPLICANT INFORMATION:
Name: S L( Q
State License# %CS C) Expiration Date: 3,,,/4.A6-)
Phone: O'
/ � ,f J _ ;77....i).. .- (office) (cell)
Mailing Address: WI' /,ti(r't J,-'(' Ai
' 72°4L
DATE TIME
CITY OF ORONO CALLED IN `i
INSPECTION NOTIIC -7 SCHEDULED / ,k7r/rf D !�
PERMIT NO. (-)701 -0(-)/ COMPLETED /
ADDRESS o2/ ��a 7t/l/5 `� L
OWNER CONTR. .5.-elQ---2De \5
TELEPHONE NO.d-1Affair._ 9,5-03- ?/5 703/J
DESCRIPTION I� 2 C)7
Lj 9 FOOTING 9 MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q 9 FRAMING 9 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
9 TREE REMOVAL
• 9 WALL BD. 9 WATER HOOK-UP 9 SITE INSPECTION
= 0FINAL 9 SEWER HOOK-UP 9 PROGRESS
0 DEMO-SITE 9 SEPTIC MAINT. 9 COMPLAINT
❑ DEMO-FINAL 9 SEPTIC INSTALL. ❑ FOLLOW-UP
LU 9 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
cc
Q.
o ,/T1—c 'S .X,t) g>
cc
0
W
LU
LU• ❑WORK SATISFACTORY:PROCEED ,etPROJECTCOMPLETE
CC
❑CORRECT WORK&PROCEED ❑\ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: c ) r
Inspector. w ✓ aS
White Copy/Inspector's File Canary Copy/Site Notice
r7P A E TIME
CITY OF ORONO CALLED IN l`DJD
INSPECTION NOTIC /SCHEDULED
PERMIT NO.QIf.Y� 00742- COMPLETED
ADDRESS 02/020
OWNER CONTR.
TELEPHONE NO. 9s2- 9/S 702/3 4ja, .t j
DESCRIPTION / ` /e- d� <J
▪ ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Li-
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
ti ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL 0 SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v 0 DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
Iva .9;cc
cv /�-�
0
C O — S ti! A 1
W
z
W
0
❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
❑CORRECT 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 ❑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 sit _ _
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice