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 - -
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CONSTRUCTION TYPE : STUCCO .,��no M�v �:.:. �� . � .. . --. -
ACTIVITY . O/S BUILDING - [JNDEFINED �:eceipt Na: 3.UU5i�GE 1�1i •�. _. .-
VALUATION : $ 7,850.00
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NOTE: WATER INTRUSION REPAIRS FOR PARTIAL STUCCO
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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. ( _� ','/�
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• - �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
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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-�
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� ❑ 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
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� ❑WORK SATISFACTORY:PROCEED �RO IECT COMPLETE
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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 �-
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