HomeMy WebLinkAbout2012-0067 - stucco CITY OF ORONO * 2012 - 00677 *
2750 KELLEY PARKWAY DATE ISSUED: 07/17/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616 a ,
r
ADDRESS 4119 OAK ST
PIN 06-117-23-41-0110 k
LEGAL DESC LINDEN WOODS
LOT 003 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STUCCO
VALUATION : $ 3,000.00
NOTE: WATER INTRUSION DAMAGED WALL-REMOVE STUCCO AND REPAIR.
APPLICANT PERMIT FEE SCHEDULE 88.50
LAKE COUNTRY BUILDERS,LTD STATE SURCHARGE(VALUATION) 1.50
339 2ND STREET
EXCELSIOR,MN 55331 TOTAL 90.00
(952)474-7121 PAID WITH CC# 4185
Minnesota State License#:20349679
OWNER
HUDDY,MICHEAL&PAULA
4119 OAK ST
LONG LAKE,MN 55356-
AGREEMENT AND SWORN 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
suspend or a perio f 180 days at any time after work has commenced.
T applica resp sible for assuring all required inspections are
requested' fo ce wit the State Building Code.This permit may be
revoke at m or du use.
p c t P t ee S nature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: oZQ�o2.
0, PO Box 66 Permit number.
/o tv Crystal Bay, MN 55323-0066 Date received: 7 —
(a a Street Address: Received by:
2750 Kelley Parkway Plan review fee:
�qkZ 1404 Orono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I
Total Fee:
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: q// 0 j C,dlON22 rw�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes XNo
ff yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servic will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �=a kE 0-d�l A�:J Lj Q
State License # i__�C 34<740 7 <::? Expiration Date: o�
Lead Certification Number: Y1\a:T _ i;--s 7 7 5' Expiration Date: 6� � `S—
(for work on homes that were constructed prior to 1978
Phone: 9Sa-y 7cf_ 7/�( (office) ce /�d'!7-��d'y (cell)
Mailing Address: City: CxcpC C, ,2 ZIP: _K -31T-
Contact Person: �e -e"t vti/ Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: fr c— C � ,
PROPERTY OWNER INFORMATION:
Name: �`J,{�0
Phone(day):
Address: L� l 0�� s7 cl?o -o AL tj City: yr-[> ZIP: ru ff
Email and/or Fax '
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedarRestoration Water Damage g Deephaven, MN 55391
❑ Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.om
Overall Project Description: �,aj,,rt ,r �«w �,, ,t�,� cQ�Q,><LAO
Estimated Construction Valuation of Project (excluding land) $ 3 ppp
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 all 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 gen rally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this in ation is o annually update our records and records of other governmental agencies
required b law. If you refuse to su infor ation,the ppolication may not be issued.
Applicant's Signature: ' Date: 7ZI SS/UJB
Last Updated: 08-09-2011
56/- ATE TIME
ulr�OF ORONO CALLED IN 711
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INSPECTION NOTICE SCHEDULED
PERMIT NO. 2r&2- �_77 COMPLETED ,.
ADDRESS 44119 00 l'�� S� _ �`� ......._
OWNER TELEPH-NE O109a
CONTRACTOR eC9"1-7 �Q
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>; DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
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El POURED WALL ❑ MECHANICAL RI El
H ❑ 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
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTI INSTALL El HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU YES_NO
COMMENTS:
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rr SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
C]STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.- (
White CopylInspector's File Canary Copy/Site Notice
f5 e 7_[�E TIME V
CITY OF ORONO CALLED IN (�
INSPECTION NOTICE SCHEDULED
PERMIT NO. 026'/&7- 6,!:96 77 COMPLETED
ADDRESS ��9 Da�-
OWNER TELEPHONE NO.11612
CONTRACTOR ZI eZ
DESCRIPTION L a_zx_e-
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
El POURED WALL El MECHANICAL RI El LAKESHORE WETLANDS
Q Ll FRAMING El MECHANICAL FINAL E] TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
El FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Q
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
CC
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W/�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _, PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on te:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice