HomeMy WebLinkAbout2015-00939 - stucco CITY OF ORONO * Z 0 1 5 - 0 0 9 3 9 *
2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
_ � ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2002 SUGARWOOD DR
pl►V : 34-118-23-21-0003
LEGAL DESC : SUGAR WOODS
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STUCCO
ACTNITY : O/S BUILDING-LTNDEFINED
VALUATION : $ 10,000.00
NOTE: REMOVE STUCCO ON CHIMNEY AND REPLACE SHEATHING. INSTALL NEW STUCCO&KICKOUT FLASHING
APPLICANT PERM[T FEE SCHEDULE 201.36
STATE SURCHARGE(VALUATION) 5.00
EQUICORE, INC. TOTAL 206.36
4690 LANNON CT.NE Payment(s)
ST. MICHEAL,MN 55376- CHECK 8610 20636
(612)702-8930
Minnesota State License#: BUIL-20636542
OWNER
GILL, MR&MRS RICHARD
2002 SUGARWOOD DR
LONG LAKE, MN 55356-
AGREEMEI�T 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
Sta[e 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 constru tion authorized is not
commenced within 180 days of the of is ance,or if construction is
suspended for a period of 180 d s at any ti e after work has commenced.
The applicant is responsible r assuring required inspections are
requested in conformance }��the Stat uilding Code.This permit may be
revoked at any time for e,c�ause. �
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Applicant Permitee Signature Date Issued By Si ature Date
City of Orono
�.u.ilding Permit Application for Maintenance / Replacement / Remodel
• (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
���r Mailing Address: �
!VO PO Box 66 Permit number: ? �--
Crystal Bay, MN 55323-0066 Date received: • 7 "
Street Address: Received by:
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y�, G� 2750 Kelley Parkway Plan review fee:
1qkESH��� Orono, MN 55356 � ��� ,
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us G' �
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: -1 � �j � U� �J�� �(�.
Will this be a Parade of Homes, Remodelers Showcase ome 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 suKicient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR/APPLICA INFORMATION:
Name: ��v� �'c��l��•
State License# Z��3�S���. Expiration Date: 3 31 / 7
Lead Certification Number: �.-- Expiration Date: --
(for work on homes fhat were constructed prior to 1978
Phone: (cell) �,� - 7U a-�5 30 (office)
Mailing Address: yo L,�nn�.� �`�-/tJ� _ City: 5 _ �
��t�G z�P: 5�37�
Contact Person: ��., � � .,�ec��� Applicant is: ontractor / Homeowner (CircleOne)
Email and/or Fax: ��u;����nc �� �,�.�� /.�-�,�.
PROPERTY OWNER INF MATION:
Name: ��,�cl�%„f��c ;��
Phone (day): —
Address: �i j� , �j�;�� �� � j�
�( � City: � ZIP:
Email and/or Fax:
u'�"C_ ,S"�Ui[O �:� .M�✓�^a.. C. �ti �y�, 4�,�
PROJECT INFORMATION: Overall project description: ,She���,:� vr�il t.�,� 5���.�, � k.��o�-�U��
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt �Repair ❑Storm Damage Minnehaha Creek Watershed District(MCW D)
❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ �, cJ��
—�
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 appfication 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 gen ly cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to uall update our records and records of other governmental agencies required by law. If
ou refuse to su I the in atio '' e a lication ma not be issued.
ApplicanYs Signature: Date: _ 7 �7 i �
Owner's Signature: Date:
Last Updated:January 2015
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3 p�TE TIME
CITY OF ORONO CALLED IN / � ��
INSPECTION NOT�C��_��gSCHEDULED 3 . �
PERMIT NO.O�UG � COMPLETED
ADDRESS �
OWNER . HONE NOYil�—7Q���'J�
CONTRACTOR �
� DESCRIPTION � `�" " �
4~j ❑ FOOTING ❑ DEMO-F ❑ SEPTIC FI A
Q ❑ POURED WALL ❑ PLUMBI I ❑ EXCAV/GR ING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q tQ�RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑\�PTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:�L YES_NO
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� COMMENTS: ,
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOUFiS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal ext inspection 24 hours in advance. (952) 249-4600
Ow fContractor . �`L
inspector. ��
White Copyllnspector's File Canary CopyfSite Notice
Gri,� �
TE TIME
CITY OF ORONO CALLED IN �"�
INSPECTION NOTI ��� ��� SCHEDULED ��� ��
PERMIT NO. COMPLETED
ADDRESS �-��
OWNER ELEPHONE N ���-��a' �/�� ���
CONTRACTOR G��'� �- � �E�
� DESCRIPTION ���'�'/
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNEiUCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W �"1 WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i dvance., 9 2� 460�
OwnerlConVactor on site:
Inspector. -' `�
White Copyllnspector's File enary CopylSite Notice