The URL can be used to link to this page

Home My WebLink About2012-00627 - stucco CITY OF ORONO * 2 0 1 z - 0 0 6 z 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2012 � � ' ' ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDItESS : 3050 SUSSEX RD PIN 'f : 04-117-23-32-0010 LEGAL DE h : FOX BEND : LOT 004 BLOCK 001 PERMIT T � : MINOR ALTERATIONS PROPERTY ThtP : RESIDENTIAL CONSTRU #O YPE : STUCCO VALUATIO I : $ 12,000.00 NOTE: REM �E S CCO-REPAIR DAMAGE REPAIR WIN C�W � I APPLICANT pERMIT FEE SCHEDULE 221.25 EQUICA , C STATE SURCHARGE(VALUATION) 6.00 4690 LA .NE ST.MICH �,, 55376- TOTAL 227.25 (612)702-8 3I0 Minnesota ta�te ' ense#:20636542 OWNER FEUSS,C &LINDA 3050 SUSS � LONG LA , 55356- AG NT AND SWORN STATEMENT The work fo w ich is permit is issued shall be performed according to the approve pl s specifications,applicable City approvals,and the State Buildi g ode his permit is for only the work described and dces not grant pe i sio r additional or related work which requires separate permits. All r visi s of laws and ordinances goveming this type of work shall be co i d wi whether or not specified herein.This permit will expire and b c�me 11 and void if construction authorized is not commenced i�hin 0 days o date of issuance,or if construction is suspended f r�peri of day at any time after work has commenced. The applic t� res n ' le for suring all required inspections are requested in c fo wi e State Building Code.This permit may be revoked at y tim ue ause. �._.. c'> �� ' / � Applic t e it Signature Date Issued By S' n ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . - � .�: h �i�,/ O� V E'�i'�O r:,:: .;..� .� . � , �� Buifc�ing Permit Appiica�ion for Maintenance / Renovatio� �� ;K; � ' (windows, doors, siding, re-roof, etc.) Mailing Address: � .e2p/a- D C�(o Z �] /,� � Permit number: PO Box 66 � Crystal Bay, MN 55323-0066 Qate received:` 7' z -/ . O �, O ,� � � 3 :� � Received b S ��: �a � ,� , Street Address: � Y• E;:y " ��n ;"�'� �j 2750 Kelley Parkway Plan review fee: ,'` �9g� �'o� Orono, MN 55356 ": �..:, a�' Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 wwv��.ci.orono.mn.us F.; � This appfication form must be completed in full and all required information must be submitted. ° Incomplete appiications will be returned. (Please print) ''` GENERAL WFORMATION: �:= Job Site A dress ,�G�C� �L; S,S�x �� '`'' Will this b a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No �;'� /f yes, a s ec�a/event permit is required wifh Police Department and City Counci�approva!60 days prior to the event. Shutt/e bus service wi!!be required uNess appficant demonstrates sufficient on-site parking is avai/able. Non-permitted evenfs wil/not be af/owed. ��_ CONTRAC OR/APPLICA�IT INFORMATION: Name: ��U C'�,�� , P- State Licen e # ��S—�� Expiration Date: j 3/ /3. � Lead Certifi afion Number: Expiration Qate: (for work n homes fhaf were consfrucfed prior fo 1978 � Phone: �p/.� -�U�.- �-j�j v (office) (cell) �. Maifing Add ess: �y,�yv q � �.� N fc_ City�.._ ,��_ ZIP: S�3 j `c Contact Per on: f%�� Applicant is: Contractor Homeowner (Circle One) . Email and/o Fax: � t�;e�e f �y e��, c;; c• .r� �• ,,,.� __: ��' PROPERTY OWNER INFORMATION: � Name: �'(.�ar�c� '—c �' �s _ Phone(day): �,�� _ �� s3 �� C� . Address: City: ZIP: Email and/or ax ��. PROJECT I FORMATION: Type of Proje t: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Qamage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, as halt �Repair ❑ Storm Qamage 18202 Minnetonka Blvd = ❑ Re-roof, ce ar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, oth r s eci Phone: 952-471-0590 _ ,. ( p iy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 ' ❑Window(s) www.minnehahacreek.orC %`: Overall Froje I t Description: �,T.� S•�lz,�ic�� ;�� ' G.�� E' c � Esfimated Co sfruction Vaivation of Project (excluding kand) f �� .f�� ..:� APPLICANT CKNOWLEDGEMENT: �: • Agrees o provide all information required or requested by the Buifding Department; • Certifie that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are sole y responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to re ect it until it is complete; • Some o all of the information that you are asked to provide on this application is classified by State law as either private or '' confiden ial. Private data is information which rally c not be given to the pub(ic but can be given to the subject of tne � data. C nfidenfial data is information whic enerally cay�not be given to either the public or the subject of the data. Our purpose and intended use of this informa' n is ta annu lly update our records and records of other govemmental agencies i re uired law. If ou refuse to su I ' formafion, e a fication ma not be issued. $ ApplicanYs Sign ture: Date: �/�/j� Lzst Updated: OS-0 -2D11 �� '� ' � � DAT TIME ✓ CITY OF ORO O CALLED IN �-- INSPECTION NOTICE SCHEDULED a=C�[� PERMIT Na�i a-oo�7 co PLETED ADDRESS SD S��L� OWNER _TELEPHONE NO.��-�oa-�3o CONTRACTOR � DESCRIPTION � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z INSULATION ❑ WOOD BURNER/FIREPLAC ❑ SITE INSPECTION Q RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP iDEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ' J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � WNERICONTRACTOR TO MEET YOU:_YES_NO I y OMMENTS: � W a , o � T� C�p Q��/� � 2 '� (� t�C-2 � 0 � W � Q � Z W � W � � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECO�/ERING PERMANENT CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED STOP OHDER POSTED.CALLINSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 ' wnerlContractor on site: nspector. ` /.�J� I White Copyllnspector's File Canary CopylSite NoHce