HomeMy WebLinkAbout2008-00169 - stucco �' , s . I I
• CITY OF ORONO PERMIT N .: 2oos-oo�69
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssU D: 09/04/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 539 KEENE AVE
PIN : 02-117-23-31-0028 I
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK O15
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION T PE : STUCCO
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 13,350.00 i
NOTE: INSTALL 1,44 SQUARE FEET OF TRADITIONAL STUCCO TO MATCH EXISTING.
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APPLICANT pERMIT FEE SCHEDULE 250.75
ALPHA STUCCO, C. STATE SURCHARGE(VALUATION) 6.68
2288 LJNIVERSITY VE
ST PAUL,MN 5511 TOTAL 257.43
(651)6444040
Minnesota State Lice se#:20631292
OWNER
BOYD,DUSTIN& HRISTINA
539 KEENE AVE
WAYZATA,MN 55 91
AGREEME T AND SWORN STATEMENT
The work for which this ermit is issued shall be performed according to
the approved plans and s cifications,applicable City approvals,and the
State Building Code. 's permit is for only the work described and does
not grant permission for ditional or related work which requires sepazate
permits. All provisions f laws and ordinances governing this type of work
shall be compied with w ether or not specified herein.This permit will
expire and become null d void if construction authorized is not
commenced within 180 ays of the date of issuance,or if construction is
suspended for a period f 180 days at any time after work has commenced.
The applicant is respons ble for assuring all required inspections aze
requested in conform with the State Building Code.This permit may be I
revoke any time r ue cause. � I
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App ic t Permitee S gnature Da e Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE.
�?iG-25'2008(MON) 14:57 ALPHA (FAX)6516444616 P. 002/004
- _ ,
Total �cc: $ � � DatcRcccived: O ��
Enter By: I'ern�it#: D
CTI'X OF ORONO -BUiLDIl�I G PERMIT APPLICATYON
All information must be submitted in full bcfore plan review witl be startc .
(please print u/l infurmatinn)
T� PPLICANT IS: (circle one) OWNER O CONTRACTOR
.i0i3 TE ADDY2CSS: �"��J / rl��N� �,�� ZLP:
Witl t i� be u Parade otHom�a,Rcmudclers Showcase Humc or otlier Aispl�y Ho e?
❑ e� �No /f pes,a spe•cial c��enr permi�is recluired irirh Police l7epartmcnl an�!Gilp Gou i!approra/
GD duys prior to!he evenl. $hu11lc�bus ren�ic��M�i1l be rcquired u��/ess upplicu�rr emonslrares
su�cien�nn-silr purking is avai/ahlc. Nun-per�rriticd cvc�ts ivill n�t he allm�� .
NA OFOWN�R: ����1� �D 1�� PHONC: (home)
(work)
M GADD1tC$S: S39 K�N� �4V c��: o�oNo zrn:
CO CTOR: S G PI�ONC: 6 — - 0 yp
CON ACT PERSON: MOi3LGE/PAGER: 3 - —6 3S7
G ADDRESS: Z ►V T C1TY: ZIP `s s—r� ,�
STA LYCENST: #_o�0 6 3 I Z 9 v EXl'lltAT101�T AATE: 3-3! o
ARCi TECT/ENGI'N�CR: PHONC:
MAl INC AADRESS: CITY: _ .,
N 1t�CISTRATION: #
TYPF OF WOR1C: New Homc Addit'ton Accessory Struciu
Move t•lome I�rmodel/Alte�ttiun(ic: Siding, Windaw ) �_
Any earch movement may require MCWD review and ermits!
PROl OSCD WORK d�'crihe in detai�:
J �I 0 � ' • �, s cG ►n�►.a , '
STO S: � SQ.FE�T 4F rACH FLOOR: 6�f�
IYO. F BEDROOMS: GAI2ACC STA�,LS: ATTAC�U AETA 'H.�D
�STI ATED CONS1'RUCTION VALUATION(c,xcluding land): 3 . �
1 liere apply for a building permit and I acknawledbe that tlit information�bovc is complete d aceuratc;
thlt th work will bc in canformanca with thc ordinances�»d code�s nf lhc Ciry and with che St e Building
Code; iat I undersrand this is not a pc.�rmi�and work is not to stan withdut a perni ii;and that the ork will he
in acc dancc with the approvzd plsn.
APPL CANT'S SIGNATURT: �l llATE: �� �
3i '
AJ�-25�2008(MON)I14:57 ALPHA (FAX)6516444616 P. 003/004
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s�c.�3.oa K�c��r��oM sus.iFc-rs or•n�Tn
Sulxl.1. 'I'ype vf duw. Thc righcc of indivi�iw�l on wlwm the Jaw is smrod er tn hc crnrcd xl�all Iw as s�l fvrth in�his s •don.
SuUJ.2. Infumwlionrequimdtc�bcgivcnindivi�lual.MinJividuuluskedmsu�lyprivarcarrnnfidcr111alclatu�wn�ning imsell:shallhc
infornud f: (�)Ih�purposa arul imendeJ use ol'thc rcqucstcd Aa11 wltldn lha Cullecling swle ngcncy,palitical sulklivigi0n.oP s1:tl iJt system;(b)
whethcrli moy rcfu�or is I�Ually rayuirexl�o supply thc rcqucstcd dm�:(�)���y knv�m cunseyuence orising fmm hia�upptying or rc using lu sup�ly
pnvuteor onlidcntialda4�;and(d111�ciJentiiyul'othapersansnrcntitirsaulliori�Jbysw�aurfakralluwtorccoivcthcd�t�,Tllis pilrcmentshull
nul uPply hcn un individu�l ig ask�d lu�upply investigutive dam,punu�nt lo sectlon 19.62,subdivisiun 5,to a law cnCnrcrniclll �COC.
Tltc commiaainncr of revenue m:rv n�q�,5,}ho neticc rrnuircci w�dcr tliis y��lxl;���loq j�ah ' divid I i cam K • �uq�J
I�;�� IIO S II19 CtItI f on I �
Subd.3.Accc�e�o dala Uy individual. Upon rcquca<<o a rc.vponsiW��u11��rily,an inJivi�uul shup hc inFomtcd wh�hliCr 11e is ll�e subjccl uf
slarrr,cl Ju un inclividuals,and wlictl�cr it IS rlasSifiexl a�public,privutc o�cnntidcntinl, U�xnl IIiS fiiAl�er tsyucs�un individual whe c Il�c subjeCl uf
slore[I pri a�e ur public dum on inJividualk xlydl l�e shuwn�hc duw without any clnrgc to I�im aiK9,if lir desircy,shull be iNortncd ol�hc ronl�nl�nd
m�ning P lliat Jalu. Alter an individual lue bct1�slluwn Ihe pnvute dutu und int'omud nf ilg mcanlly;,Ilie Jau�need not be disclas to him for cix
mpnlhs IU rr.dlcr unlws u Jispuu or aainn pur.aupnt to Ihi��liun is pending or addidnnal dop on Ihc Itk'llviJu�d hus bexn collectcd r ercatod. The
rcsponGlb e uull�vrity xhull providc copics of ihc rriv�Ic oP pul�lic daw u�n n;qucst try thc individl�l Subj�Ct Of Uie J��W. 'f'ha rospo siblc�uthnriry
nuy rcqu rc IhC royue�ling person ro pay thc actu�l coals uf makiny,cenil'yin�,and cnmpiling Ihc copi��s.
Tl�aras4wnsibleuuthoriryshallcomplyimmMllalaly,ifpussible,withonyra7ucstmadcpu�stw�nitvthusubdivision,orwi iintivcdaycqf
thc datc o Ilw R'[�ucsl,e:wlu�ling Suturdays,Sunda�n�nd lel:rl huliduys,d'immediatc cnmpliancc iG nol pussibla. If he annotwmply 'tli thc rcqik�sl
wiU�in t cimc,li�S1Y,111 sv i�J'urm lhc individuol,and ma�'111Vv 011�1lI�IlIUlWI IIVC d71ys within w�hicli ro cao�ply witl�tl�e royues�,excl ing Saturdaya,
Sundaya nd IC�,aI h011daiy�.
SUbd.�. I'ruaJurewhendataisnrnaccunlapPCou�plele.AnmdividunlmaycenkS�Ih�lcqn:iCyureumplelenassol'publ�corpriv�lcdol;t
cnnecrni gl�ims4lf.'I'vesen:isethisright,yiindividualslydlnu�ifyinwriungthcric.a�nail�lcaullloi'ilyJas�7ibingthenuwreofthcdi. �rxmcnt.'171c
r�pcfnsi c oulllurlly sl�.dl wilhin 30 duys cithcr: (A)cori�:t II�G dalu lound w hc inaccumtc or incomplele auid allempt w notify at rccipicnlg�f
inaccurs� or incamplale Jaw,including rocipirntc nlnled Uy lbe irulividuul;or(b)notity thc individull Ill�l hc Ixlieve;the dutato hc mcct. 1�11 in
Jisputc al all I�;dls�lo�al u►dy il'lhe individual's at�tomenl of dis:�grocment ie includcd with th�disclus�d J�da.
Thc d�hernlinatiun uf lhe rasponsihlc authariry m;ry bc uppeulad punuant m the pmviaions of Iha��Jminislrauvo procalu act rclatinp,lo
cun��tcd cu.sav.
DATA 1'1tIVA(:Y ADViSQRY
I �ccorda�ice wich M.S. 13.04,Subd.2,"Itigh�,s ol'suhjccts ul'J:d.a",wc would lika to in I'urm you lhsi yottr rcquacc
1'�r a p'rmit ur liccnsc from the(:icy ol'Orunu or any of its depa�vranls muy requirc you to furnish cx in priv;�tc ur
conl�id tial inti�i7nu4ion.
Y u ure nuGlicd that:
' I. "I'he ini'qrmAtiun yuu I"urnish �vill bz usr�l lu det�aminc: your qualifcntiun �ur Lhc p� it or licens�
rcquc�ted.
� Yuu mr�y rcfusc to surply d�l.�.but rcfusal may rcquire thuc the Cily dcny thc ptxmit or li ns�.
3. 'I'hz inlurmation may he sharerJ wi4h ather lucal, statc�r feder�l ag�noies tu lhc c:xtcnt nece.ssnry to
proeess thc permil or liccnse.
4 If youc raquastct!pctmil or liccn�e requires Gouncil�+cliun to apnrove,srnna infom�rtitiun'�nay bccome
public. I
5 Yuu havc ccrtain rights und�r M.S. 13.04(availahle upon r�v:�ucst)lu rcvicw privatc data�n yuursrlf.
6 Your I'ull nilmr is rcyuircd tn pi�cess th is:�pplicaliun ur permit.
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1 und ta my ri�ht�as stated abovc.
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