HomeMy WebLinkAbout2014-00468 - stucco ' ``"� CITY OF ORONO * Z 0 1 4 - 0 0 4 6 B *
2750 KELLEY PARKWAY DATE ISSUED: OS/19/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 2102 SUGARWOOD DR
PIN : 34-118-23-21-0021
LEGAL DESC : SUGAR WOODS
: LOT 002 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STUCCO
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 6,500.00
NOTE: STUCCO REPAIR
APPLICANT PERMIT FEE SCHEDULE 147.50
STATE SURCHARGE(VALUATION) 3.25
EQUICARE,INC. TOTAL 150.75
4690 LANNON CT.NE Payment(s)
ST. MICHEAL,MN 55376- CHECK 8423 150.75
(612)702-8930
Minnesota State License#: BUIL-20636542
OWNER
JASPER,THOMAS F&JENNIFER J
2102 SUGARWOOD DR
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 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 th e of issuance,or if construction is
suspended for a period of ays at y time after work has commenced.
The applicant is respo le for assur' g all required inspections are
requested in confo ance ' he ate Building Code.This permit may be
revoked at any � e fo u cau .
`�
� .5�/�'�� S� i /�3 i�
Applic t e ' nature Date Is ed By Signature Date
. � City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number: o�/5/—6�
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �' —/
Street Address: Received by:
y� G� 2750 Kelley Parkway Plan review fee:
`�'rESH��� Orono, MN 55356
Total Fee: /Jr��7S
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 INFORMATION: ;, /
Job Site Address: ,��(C;� -a-- ��,:= C�� C �����- � r
Will this be a Parade of Homes, Remodelers owcase 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: �'<:�.: ���, z_ _i ��c -
State License# ;�j�. �;�j �_,S �� ;�_ Expiration Date: ; �i v�,, —
Lead Certification Number: Expiration Date:
(for work on homes that wer,.e constructed prior to 1978
Phone: (cell) ,��!,3 - ,'_, - ��� � (office)
Mailing Address: � [.,�, �,� �� City: Sfi,����� ZIP: S�-3'�7
Contact Person: Applicant is: ntractor / Homeowner (Circle One)
Email and/or Fax: �r; � I��,( �d ��q�;�u�-� . C'o -�
PROPERTY OWNER INFORMATION:
Name: ---�---��,,,���-:��,zs •
Phone (daY)� �' �- �/ b - &"3`��
Address: �-(�� �v��-��,�� �r• City: ��J ZIP:
Email and/or Fax: �
PROJECT INFORMATION: Overall project description:
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(MCWD)
18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(specify) ❑ Siding ❑ O her: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) ' i���S}��'�Ln�'�^ www.minnehahacreek.orq
S cc�
Estimated Construction Valuation of Project(excluding land) $ � � !�
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 apptication 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 ar s e to provide on this application is classified by State law as either private or
confidential. Private data is information ich gen rally cannot be given to the public but can be given to the subject of the data.
Confidential data is information whic er ly nnot be given to either the public or the subject of the data. Our purpose and
intended use of this information is t u u ate our records and records of other governmental agencies required by law. If
ou refuse to su I th inform ti , h li tion ma not be issued.
ApplicanYs Signature: Date: � �� /�
Owner's Signature: Date:
Last Updated:03/06/2013
�� � DATE TIME v
CITY OF ORONO CALLED IN � �
INSPECTION TICE CHEDULED �
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OWNER EPHO E NO. �°�'��-�
CONTRACTOR ' C--
� DESCRIPTION �'-
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q p RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INST/,U.L ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 br the next inspection 24 hours in advance. (952) 249-4600
OMrneHCartractor on site:� 1_
Inspector.
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OWNER TELEPHONE NO. ��a 7Da 89�
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� DESCRIPTION
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ SLAB ❑ WATER HOOK-UP O PROGRESS
�y��� ❑ SEWER HOOK-UP � COMPLA�NT
O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUM8ING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOH
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Ca�i ror the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspect �
WhiM CopyAnspector's File Canary CopylSite Notice
DATE TIME •
CfTY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMITNO. r����1'Dl��/6�S COMPLETED _�,3i_ES�
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OWNER TELEPHONE NO.
CONTRACTOR �9,u•G�s✓'e f .T�'1C-
� DESCRIPTION 5��4 ���•�
W ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ COMPLAINT
v ❑ FINAL ❑ WATER HOOK-UP �LL�W-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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� ❑YVORK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT YYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR YVILL RETUflN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAI.L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwmenContractor on site:
Inspector: �r�/�� �
White CopyAnspector's File canary copy�sne Na�e