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HomeMy WebLinkAbout2011-00685 - stucco / CITY OF ORONO PERMIT NO.: 20��-oo6g5 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: 07/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 120 COX FARM RD PIN : 27-118-23-31-0021 LEGAL DESC : SHADOWOOD FARM : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : STUCCO ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 5,600.00 NOTG: THIS PGRMIT IS FOR WATER INTRUSION REYAIRS FOR PARTIAL STUCCO. APPLICANT PERMIT FEE SCHEDULE 132.75 HUNERBERG CONSTRUCTION CO STATE SURCHARGE(VALUATION) 2.80 11102 86TH AVE N TOTAL 135.55 MAPLE GROVE, MN 5531 I- (763)463-5040 PAID WI7'H CC# 1341 Minnesota State License#: 3243 OWNER PIPER, WILLIAM& TIFFANEY 1120 COX FARM RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The«�ork for�vhich this permit is issucd 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 pennission for additional or related wark 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 the datc of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsibie for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a ny time for c �l �v l �r �r�� �7/ �d l l Appl ca Permitee Si ature Date Issu�, By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Frdm:HUN�RBERG CONSTRUCTION 763 463 5046 07/20/2011 09 : 14 #456 P.001/001 City of Orono Building Permit Appfication for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ' � ' O.��,�0 PO Box 66 Permit num6er: aC�E l—U Crystal Bay, MN 55323-0066 Date received: ZU . � � �-�r � StreetAddress: Received 6y: � ' 2750 Kelley Parkway Plan reviewfee. iqR��ogrv° Orono, MN 55356 � _ - Total Fee: /�`'` 4-�� Main; 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �..� This application form must be completed in full and alt required information must be submitted� !� ,55 Incomplete applications wifl be returned. (P/ease print) ��� / 3 GENERAL INFORMATI�N: Job Site Addresa: �lao Cox f�rm cad Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No lf yes,a special evenf permit is required with Police Departmenf and City Council approva!60 days prior to the evenf. Shuffle bus service will be required unless applicant demonstrafes su�cient on�site parking is availab/e. Non-�ermitted events wlll not be allowed. CONTRACTOR 1 APPLICANT INFORMATION: Name: Hunerbcr� L'Qns�-rucf�on �om�3nu State License# 3ay� Expiration Date: c,�/,��/,�oi.�t, Lead Certification Number: Expiration Date: (foi work on homes that were constructed prfor to 1978 Phone, 74 3-H4�-SoH� (office) ��a-g�a-y s�L� (cell) MailingAddress: lll02 ��� PruG IVor' City: a )c C-rcv� Z�P: 5�3L�) Contact Person: JeF� �hcv�n Applicant is: Contractor / Homeowner (CircleOna) Email and/or Fax: ;e�F� t' �un rh rn. ��rrt PROPERTY OWNER INFORMATION: Name: 1�l�ll�am L ��pCr Phone(day): Address: llaa L'cu farm Ruad City: �;ony ��1�� ZIP: 553.5� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Do�r(s) ❑ Remodel �Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) � Repair ❑ Siorm Damage 18202 Minnetonka Blvd �Siding ❑Restoration ❑ Other:(specify) Deephaven, MN 55391 Phone: 952-1471-0590 ❑ Re-roof ❑Fire Damage Fax: 952-47�-0682 www.m i n n��ha�reek.orq Ove�all Project Description: a;cr Infr sion C a, s -�A I'ar a .5�ucao Estimated Construction Valuation of Project(exc uding land) $ � APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; . Certifies thai 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 altemative but to reject it until it is complete; • Some or all of the lnformation that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generelly cannot be glven to the public but can be given to the subject of the data. Confidential data is infvrmation which generally cannot be given to either the public or the suhject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the Information,th lication ma not be issued. Applicant's Signature: Date: �'J'�'�`— � l' Last Updated: 03-01-2011 DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED __L��� PERMIT NO. �dL/-�l�G���1 COMPLETED ADDRESS l�a-b �� /�a'�J'�^ �✓ OWNER TELEPHONE NO. ��Z �l z ��� CONTRACTOR � >; DESCRIPTION ��� � ' C� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �DS C(��. �f'Y� � W a � J O � �- �^' O 1 � W � Q � 2 W � W � j d W� ❑WORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V�ORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice QDA, TIME J CITY OF ORONO CALLED IN U� � INSPECTION NOTICE SCHEDULED � � PERMIT NO.aDI I -Gb�S COMPLETED ADDRESS ��°�-� � ���� � OWNER TELEPHONE NO. 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/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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a . � O � W � Q � Z W - � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ ORRECT WORK 8 PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-460� Owner/Contrac or on�te� Inspector. � White Copylinspector's File Canary Copy/Site Notice