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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 � PERMIT NO.�� � MPLETED ADDRESS a d�- � ���- OWNER EPHO E NO. �°�'��-� CONTRACTOR ' C-- � DESCRIPTION �'- � � ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FIWNG 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 � COMI�AENTS: a�� 1C�iN►O �icC � GJ�✓ G�*i �� J �O � C$ nti,�a�f�� �+r r�al�ce w��� c��•�� 0 �ra��K4 + pr»dtas ao��v�as � � �/ Q � �� N4 0/dr �'�k,Gzv�4� ��GNt4i� a�/c4�7 Z T Lt ���se�u � W � J d W� ❑WORKSATISFACTORIf:PROCEED ❑PROJECT COMPLETE w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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. White Copyllnspector's Fite Canary CopylSite Notice D/�E TIME r / CITY OF ORONO CALLED IN L " INSPECTION NOTI SCHEDULED — — � PERMIT NO. '" COMPLETED ADDRESS ���a SGc��h.C-Ut�G�-� OWNER TELEPHONE NO. ��a 7Da 89� CONTRACTOR �.��2GP�Z- �� � DESCRIPTION � � O FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Vf ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 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 � COMMENTS: � � r G�'tQi c✓ — � . � 4 r — O o� ° �'� —� cb�c✓ W � Q � W � W � � W�� RK SAT�SFACTORY:PROCEED ❑PROJECT COMPLETE WORK S PROCEED �ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY 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� ADDRESS oZ�O� cS44wkJo �O/' � 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 y COMMENTS: a� � oS f ��,o r�Pa.... co .+�,o /s.L`e. �!- � �t��tai S a� � O � W � Q � W � �er•.�...� ��.�..�� W � j � ❑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