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Home My WebLink About2011-00565 - stucco � , CITY OF ORONO PERMIT NO.: 2011-00565 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/30/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 539 KEENE AVE PIN : 02-117-23-31-0028 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK O15 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : STUCCO ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,750.00 NO"fE: STi1CC0 REPAIR APPLICANT PERMIT FEE SCHEDULE 413.00 DONNELLY STUCCO STATE SURCHARGE(VALUATION) 12.38 2700 30TH AVE S TOTAL 425.38 MINNEAPOLIS, MN 55406- (612)722-4200 Minnesota State License#: 20639062 OW1vER E H LABELLE, T P LABELLE& 539 KEENE AVE WAYZATA, MN 55391- AGREEMENT AND SWORIv STATEMENT The work for which this permit is issued 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 permission for additional or related work 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 date of issuance,or if construction is suspended for a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta Building Code.This permit may be v k d at � e for due ca s . � /�/ ��/ � Applicant ermitee Signature Date [ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions //�\\\ ' MailiPO Bo�r66 Permit number: ��L -�S�oJr O �V Crystal Bay, MN 55323-0066 Date received: �� /� �� , y>^`,� � a � � n;, w� Street Address:' Received by: ��'� '' y�,�j�._ �:� I' 2750 Kelley Parkway Plan review fe : ��SH�4'�/ ' 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: j�`�j - � �. o r-��Y�C% f'17I�/ J S��j � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a specia/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: �Dd�1►� I �u. `��-t C_L� �::►`1S��'uL.-� '�vti1 `J��V�C_e..S �C State License# �O(�3G 0(c�. Expiration Date: �-3� -)a Phone: -7 a- �O office cell MailingAddress: 07700 ��th VY- Cit : ZIP: j " O Contact Person: {,Y Y o-�Sov1 Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � c� S�►� � � t 5 �1 c ��v, Cc;rv� PROPERTY OWNER N ORMATION: ( � ) Name: - �S\ �.G-1EJ S�� ( -� Phone (day): — Address: � �.�,� �� t : � Z�P: � s�3� ( Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project ��C 2. Proposed Use 3.Structure Type 4.Sewage Disposal& � Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition ��V� attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Private Sewer ❑ Public ❑ Storage ❑ Public Water *"Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial Minnehaha Creek Watershed District MCWD ❑ Private Well ( ) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ --� Last Updated: 4/26/2011 - 19- STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width(ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in spuare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = ❑ Other(please specify): e. 2"d StOry= f. '/z Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve (meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is ciassified 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 required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ti ( ApplicanYs Signature: � Date: � `-`�—� � ` Last Updated: 4/26/2011 -20- �� ! I IT�'I 1 TIME CITY OF ORONO CALLED IN -r�� INSPECTION NOTICE �,/� �CHEDULED I PERMIT NO. :�!: '- (�� COMPLETED ADDRESS -`�� LQ�-P"� �� U�-- OWNER , TELEPHONE NO. ��a�7��"-��Li(o CONTRACTOR �DV��kU �`�tlCC,n �; DESCRIPTION �t� �"�' � lLJ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: �He �j�1t ��.�`,1� CA�1,L� . W � � � O >. � O � W � Q ti Z W � W � � �GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAF�CONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WIlLL RETURN ❑STOP ORDER POS7ED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQl11RED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: - Inspector_ G WhitelCopyllrtspector's File Canary CopylSite Notice p�D TIME V CITY OF ORONO CALL i��0-� INSPECTION NOTI E SCHEDULED - -I I � PERMIT NO. O —�D 5 S COMPLETED ADDRESS L�� OWNER TELEPHONE NO. ��Z 703 7��-h CONTRACTOR �: DESCRIPTION � � ��"�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR T MEET YOU:_YES_NO v�, COMMENTS: � W a j O � � O � W � Q � Z W � W � � � W ❑WORKSATISFACTO Y:PROCEED �OJECTCOMPLETE � ❑CORRECT WORK 8 OCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,C LL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE NDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR W! L RETURN ❑STOP ORDER POST D.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUI ED.CALL TO ARRANGE ACCESS. Ca11 for t next inspection 2a hours in advance. (g52) 249-4600 OwnerlContract on si e: Inspector. White yllnspector's File Canary CopylSlte Notice