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Home My WebLink About2010-00095 - stucco � CITY OF ORONO PERMIT NO.: 2010-00095 : �_. 2750 KELLEY PARKWAY �---=-- ORONO, MN 55356- �ATE IssuEv: 02/23/2010 �` 952 249-4600 FAX: 952 249-4616 ADDRESS : 3115 NORTH SHORE DR PIN : 09-117-23-32-0013 LEGAL DESC : REG. LAND SURVEY NO. 0269 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : STUCCO ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 60,000.00 NOTE: REMOVE STUCCO AND RESET GXISTING WINDOWS APPLICANT PERMIT FEE SCHEDULE 756.75 SUNDANCE EXTER[ORS STATE SURCHARGE(VALUATION) 30.00 105 W.23RD ST. HASTINGS, MN 55033 TOTAL 786J5 (612)419-1085 Minnesota State License#: 20383035 OWNER VOGT, ELIZABETH 3 I I S NORTH SHORE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speciYications,applicablc 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 reyuires 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 atter work has commenced. The applicant is responsible for assuring all required inspcctions are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. �_/i�'c�� ' / l �' l l Applicant Permitee Signature Date Issucd t3y S,' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO E . � City of Orono Building Permit Application for Internai Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,�.0 PO Box 66 � Crystal Bay,MN 55323-0066 Date received: '� - Received by: a Street Address: �,�, '� Gtiti 2750 Kelley ParkwaY Plan review fee: �.��o.$,�v Orono,MN 55356 � Total Fee: Main: 952-249�600 ax: 952-249-461 www.ci.orono.mn.us This application form mus p eted in full and all required information must be submitted. Incomplete applications will be retu�ned. (Please print) GENERAL INFORMATION: Job Site Address: ��j) 1S NUr`�'�► or� • Will this be a Parade o�Homes, Remodeters Showcase Home or other Display Home? Yes o N yes,a speciaf event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events wil!not be albwed. CONTRACTOR/APPLICANT INFORMATIO : Name: "(� ��UVI;1 � G e State License# Expiration Date: 3 Phone: (7�3 �� office cell �'j' Mailing Address: C� 3'` • W S Ci � ZIP: $03� Contact Person: Gt, Applicant is: ontractor / Homeowner �c�i•one� Email and/or Fax: 1� 5(-q�vc7-,34n 1 PROPERTY OWNER INF R TION• Name: Phone(day): - � , Address: ( IV � r1l� Ci : 2 ZIP: Email and/or Fax C � � U�'v"1 PROJECT INFORMATION: Type of Project: Any eartl�movement may require MCWD review 8 permits ❑Door(s) ❑Remodel Water Damage Minnehaha Creek Watershed Distrid(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 Pro'ect Description: �J `CO iS i't i f� � a ' � [� e Estimated Construction Valuation of Project(excluding land) $ (o ('j 0 (� i�nk 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 c�mplete apptication being aware that upon failure to do so, the staff has no altemative but to reject it until it is�mplete; • Some or all of the information that you are asked to provide on this application is Gassified 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 tlie data. Confidential data is inforrnadon 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 agenaes uired b law. If ou re se to su I the iniormation the a lication ma not be issued. ApplicanYs Signature: � Date: Z"�g'�V Last Updated: 05-04-2009 � �- D� /� TIME CITY OF RONO CALLED IN � INSPECTION OT�� _�D �HEDULED `]' _� PERMIT NO. ��LOMPLEfED � ADDRESS ��l� /1/Or,//t_. .�-��I�UJ`'� OWNER TE P ONE NO. - -535� CONTRACTOR � DESCRIPTION �� - ��L�l- � ❑ FOOTING ❑ PLUMBING FINAL ❑ E C /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ ESHORE/WETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL� ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES�,NO � COMMENTS: � W a � J O >. ° � �` P�� (�c��S W � Q � z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on si : Inspector. White Copyllnspector's Ffle Canary CopylSite Notice