HomeMy WebLinkAbout2011-00124 - replace strucco ' ' � �""� CITY OF ORONO PERMIT NO.: 2011-00124
2750 KELLEY PARKWAY
, + ORONO, MN 55356- DATE ISSUED: 02/23/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2580 FOX ST
PIN : 04-117-23-41-0009
LECAL DESC : BEAU MARAIS 2ND ADDN
: LOT 001 B LOC K 00 I
PERMIT TYPE : M[NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STUCCO
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 144,000.00
NO'I E:
RGPLACG S1�UCC0. WINDOWS AND SCRGEN PORCH FACELII�T
APPLICANT
PERM[T FEE SCHEDULE 1,320.75
SCOTT HANSEN CONSTRUCTION, LLC STATE SURCHARGE(VALUATION) 72.00
13250 440TH AVENUE
WASECA, MN 56093- 'I'OTAL 1,392J5
(612)250-1451 PAID WITH CC# 0873
Minnesota State License#:2052031 1
OWNER
MARKS, JAMIN &:MARIA
2580 FOX ST
, MN 55391-
AGREEMENT AIVD SWORN STATEMENT
Thc�cork for��hich this permit is issued shall bc performed according to
thc tipprovcd plans and specilications,applicablc Cit}�approvals,and thc
State t3uildins Code. This permit is for only the work dcscribed and does
not grant permission for additional or related�rork�chich requires separate
permits All provisions ot�laws and ordinances governing this type ofwork
shall bc compied with whether or not speciticd herein.This permit will
expire and become null and void if construction authorized is not
commenced�vithin I 80 days of Uie date of issuance,or if construction is
suspended 1br a period of 180 days at any time atter work has commenced.
I�he applicant is;esponsible for assuring all requircd inspections are
requ �d in conf rmance with the State Building Code.l�his permit may be
rcvo e at ai � � �ti�r duc causc.
2 i �'3 i 11 GL- i �� �/
Appli it � mi �Signaturc Datc
Iss d 13y Signature Datc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, .� ,�,
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: o���—v���
O.¢,O,�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received: � .3 /
,� � ��y� �, Street Address: Received by: �-��•
'�,�, � `. Gti 2750 Kelley Parkway Plan review fee: �
l9xE$x0¢'F' Orono, MN 55356 l3 9oZ ,75�
— 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: 7�5�'JGr � S�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a special event permit is requrred 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 INFOR ATION: �,� 1
Name: � � (. � '�C�
State License# 7,�5�4' t Expiration Date: '3.'S i,tt
Phone: �Z office — � � cell
Mailing Address: ' �' +-��-1 "7� Ci : " ZIP: E'f 3
Contact Person: �C� Applicant is: tracto / Homeowner �c�.��o�e�
Email and/or Fax: G � �, '�t 1t� t%
PROPERTY OWNER INFORMATION:
Name: Y�V�t' J?(W1� � w���..�
Phone(day): 5 L � �l�� 1 ,�
Address: Z� ����5� , City: �''ON`U ZIP: ����v
Email and/or Fax V►�(,'vyryL�,. � q��,r����\,�;,;u�^
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PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8�permits
❑ Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www minnehahacreek.orq
Overall Project Desc�iption: � t;(:�,� � �, �v SL tv '' i.-�
Estimated Construction Valuation of Project(excluding land) $ � (;C�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all infoRnation required or requested by the Building Department;
• Certifies that the information supplied is true and corcect 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 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
re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: Date: Z "2� '�`
Last Updated: 05-04-2009
�� _y�_ T TIME ✓
CITY OF ORONO CALLED IN � ��
INSPECTION N TICE_�/a,/ SCHEDULED 9.' �3 D
PERMIT N0. �t COMPLET
ADDRESS �
OWNER TELEPHONE . 4�r���-�yTa��, g3�
CONTRACTOR C � �L�� ��3( ' � 11C�L�i�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL F�NAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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❑CORRECTl1NSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. ���`Z ,�, _
White Copyllnspector's File Canary CopylSite Notice
��� Cy-C.� DAT�j TIME �/
CITY OF ORONO CALLED IN � ��� J �I
INSPECTION N TICE SCHEDULED �� ����
PERMIT NO. � — �� COMPLETED
ADDRESS �� �S� �['> ��.,�f` �
OWNER TELEPHONE �(c �"�—`��(}'"�--��f,(�
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>; DESCRIPTION �f`�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI F AL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO M Fr vn�i• ES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR =� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site•
Inspector. � .� / Mi,���l
White Copyllnspector's File Canary Copy/Site Notice
� � /� TIM E ` /
CITY OF ORONO D IN � v
INSPECTION N ICE /) SCHEDULED �b'�l�
PERMIT NO. ��L OMP ETE
ADDRESS �
OWNER TELEPHONE NO. �- �`
CONTRACTOR �
>; DESCRIPTION �/��%���%L
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice