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HomeMy WebLinkAbout2011-00655 - water intrusion repair/partial stucco CITY OF ORONO PERMIT NO.: 2011-00655 ti, 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE 1sSUEn: 07/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1510 GREEN TREES RD PIN : 11-117-23-23-0015 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL - - `�,� ('��'�1C - -. CONSTRUCTION TYPE : STUCCO .,��no M�v �:.:. �� . � .. . --. - ACTIVITY . O/S BUILDING - [JNDEFINED �:eceipt Na: 3.UU5i�GE 1�1i •�. _. .- VALUATION : $ 7,850.00 ':���ei�Ge,��, �:_:;:s:r,__.:::, NOTE: WATER INTRUSION REPAIRS FOR PARTIAL STUCCO r�its �.i-Ij _ __... - ---.._� _� �� 'JfCJ: �:U�Zdli:�.. � .,;_ .. -�'tAitS -�!-UU555 1��. — -: _: Rd -+ - o ��.,:-�t7 � `:,2 tr �ovt5-__ �:. _. =�31: iG�. ... i"C�{ �0: �Li�i Su�J. _ ,�rberg Con�tr•ucti�n �Pp2ied: =�- .� Tender�d: -- APPLICANT PERMIT FEE SCHEDULE 162.25 HUNERBERG CONSTRUCTION CO STATE SURCHARGE(VALUATION) 3.93 11102 86TH AVE N MAPLE GROVE, MN 5531 1- TOTAL 166.18 (763)463-5040 PA[D WITH CASH -2.00 ?���-� �'`� �V'� c'�7._;t` Minnesota State License#: 3243 OWNER DANKO, GEORGE&NANCY 1510 GREEN TREES RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT fhe work fi�r evhich this permit is issued shali 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 goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after 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�y time for dy� use. ( _� ','/� � � �/ ��l ' • - �i �li /'C.c �_ �. � � �-�v�tc r�r � `7� %� —�� Applican rmitee Sign ure Date Issued By Signature Date 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: j:¢,0,1� PO Box 66 ;ii� y ��, Crystal Bay, MN 55323-0066 Date received: �I �"'`�''�" ��'' Received by: ,a ?'�`;� �,1 Street Address: ''�s{,..-> F�/ 'S',E, ' ��� t'� �ti�� 2750 Kelley Parkway Plan review fee: l9gE$H�gF'� 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: i5(u Gr�Cn Tr-e�5 �cad Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑Yes � No lf 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: l�lurtcrher� L�nStru�ri�n �'�mp.�nu State License# ;��q3 � Expiration Date: ��j.ji�ac�;L Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 74 3-ti4��.�oyu (office) ��z-�iz-9�o� (cell) Mailing Address: /�jo,� s�1,rn !}vcnuz �Y�rFt� City: a �c C�ro�� Z�P� y53�:y Contact Person: �j�f�. �ph�„�n Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: ac}}� C h�n�rh�r��.ecm �� PROPERTY OWNER INFORMATION: Name: Lecrqe n"1 ��nd h`=�na� �. �D�nK� Phone(day): Address: l�It� Grezn irec� �,�ad City: IN�uz3ta ZIP: 553��, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel �Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) � Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration ❑ Other:(specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Wa)cr Infru�rcn�'}�patrs k.~ �n�rh��1 �'I����� Estimated Construction Valuation of Project(excluding land) $ �, Y SJ `'" 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 afl 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 I the inf ation; e a lication ma not be issued. ApplicanYs Signature: Date: �f y✓ l l Last Updated: 03-01-2011 D�j TIME � CITY OF ORONO CALLED IN �./ INSPECTION NOTI E /�/�, SCHEDULED ' `� 1 � PERMIT NO. '"-D`��� COMPLETED ADDRESS ��I�0 ��n �re�S �- OWNER TELEPHONE NO. ���Z-Z�S-sp3� CONTRACTOR �u.�n e�b�q Cr�yt/1 l`- >: DESCRIPTION �a-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 TIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE TI INAL ❑ FOUNDATION/REMOVAL � OWNER/CONT CTORTOMEETYOU: YE _NO � COMM � W a � J O >. � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �RO IECT COMPLETE �� W ❑CORRECT WORK 8 PROCEED _: ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on si : Inspector. � f �- White Copyllnspector's File Canary CopylSite Notice