HomeMy WebLinkAbout2014-00231 - stucco CITY OF ORONO * Z p� 1 4 - P1 0 2 3 1 *
- 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2655 COUNTRYSIDE DR W
P[N : 04-117-23-13-0006
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 006 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STUCCO
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 25,000.00
NO'CE: RF_,MOVL' STUCCO IN HIGI�I MO[STURE AREAS TES"1'BY CMT&REPAIR AS NEEDED. PATCH STUCCO
APPL(CANT PERMIT FEE SCHEDULE 413.00
STATE SURCHARGE(VALUATION) 12.50
SUNSET CONSTRUCTION GROUP, INC ' TOTAL 425.50
5101 HWY 55 SUITE 5000
MINNEAPOLIS, MN 55422- Payment(s)
(763)546-1100 CHECK 6066 425.50
Minnesota State License#: BUIL-BC375069
OWNER
LEVY, NEAIL& IRENE
2655 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
I�he 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[he 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 no[specified hercin.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of iss�iance,or if construction is
suspended for a period of 180 days a[any time after work has commenccd.
The applicant is responsible for assuring all required inspections are
requested in conformanee with the State Building Code.This permit may bc
revokec�at any time for due cause.
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licant Perm� ee Signaturc Date Issued By S'g ature Date
� City of Orono ���j �
� Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
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Street Address: Received by:
��, G� 2750 Kelley Parkway Plan review fee:
lqk�SHO4�, Orono, MN 55356
Total Fee:
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: �� _`�� , -�: � ;�,t�� � � �'°J�'�--�.
Will this be a Parade of Homes, Remodelers Sh wcase Home or other Display Home? ❑ Yes No
/f yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service wi//be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �Ltin�� <-�-r;5-� s-t�<�����•-� � �-'��,P �I:i � .
State License# ,��5 ���� �y r� Expiration Date: 3 -,��- �,�
Lead Certification Number: j/�;;,.� ,'S � �>'��„ Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) C��� -�� J -�/�`��,�„1- .���-.1z3 i(office) i�� �- ��� -//�c�
Mailing Address: Si�� i N� ,S� 5��,��1. Sr�t>�'� Cit :�,;�� ,, �,, /; �s ZIP: �S�Z Z-
Contact Person: �����,�� o� �,;� ���,,,�nh Applicant is: Contractor '/ Homeowner (Circle One)
Email and/or Fax: r,,f�,,,��,� � ����_��-�� . ��-,�,.�
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PROPERTY OWNER INFORMATION:
Name: L+�r� �� /.��� � l��'`�`�
Phone (day): �i� -�y� - �l,.Z�� �
Address: ��S< <-���-,, -��• �s�<,Is �� �.rJt�s-L City: �lY`03",U ZIP:
Email and/or Fax:
a-e_r�u� s��.��_�.�> ;n y,f� n-�c:s-��.�.�_ �:�:�-�,> -��s�t�1
PROJECT INFORMATION: Overall project description: !� �=�i ^�_ ��, � �^-; .� , �.�P P�-�'�� s��� ��,
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 ,�'Other: (specify) Phone: 952-471-0590
� / �. � Fax: 952-471-0682
❑Window(s) S��-�-«-�' �-���, G`"" ° a s, �t..� �.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ Z S �rv
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 application 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 generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the i rma � ,the a lication ma not be issued.
ApplicanYs Signature: � �` � �----�_- Date: 3 `� , J � ��
Owner's Signature: Date:
Last Updated: 03/O6/2013
� / DATE TIME ✓
CITY OF ORONO ' ED IN "�
INSPECTION NOTICE SCHEDULED — D— _�
PERMIT NO. `� COMPL ED _,_
ADDRESS � �
OWNER TE�N�O. �� /I —o'� 3/
CONTRACTOR S GL�
� DESCRIPTION ������ �
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRA NG ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ MO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W4LL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. � � 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME v
CITY OF ORONO CALLED IN —
INSPECTION T�C� � 7 SCHEDULED — — ���3�_
PERMIT NO. U � COMPLETED
ADDRESS � �
OWNER TEL ONE N . "' "�/
CONTRACTOR '
� DESCRIPTION �I�I�G'YC/
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y �RAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO .
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal n_ext inspection 24 hours in advance. (g52) 249-4600
Own Contractor on ' �GT�o�L
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�`�' Dy� TIME �
CITY OF ORONO CALLED IN ��a ,-y-
INSPECTION NOTI SCHEDULED -�f "7—� 7"' -��
PERMIT NO � D � COMPLETED
ADDRESS _a�0�� �1�" � .�li
OWNER TELEPHONE NO.��Z 3b� ZZ�I
CONTRACTOR ���%�%Q�
� DESCRIPTION �J
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO .
� COMMENTS: ���eS ��D4•r�� v�r wi K,�wS�k��
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� ❑ ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
T WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WIIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C next ins ion 24 hours in advance. (952) 249-4600
OwnerlCo on site:
Inspector. �'�+
White Copyllnspector's Ffle Canary CopylSite Notice