HomeMy WebLinkAbout2011-00035 - windows, interior remodel & extend beam CITY OF ORONO PERMIT NO.: 2011-00035
� 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE rssuE�: O1/18/2011
� t 952 249-4600 FAX: 952 249-4616
ADDRESS : 1350 REST POWT LA
PIN . 07-117-23-32-0039
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 021 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN /REMODEL/REPA[R
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 140,000.00
NOTL-;: SGPEIZATF;PERMI"I�S RGQUIRED: PLUMBING, MI;CI�IANICAI,. F[RGPLnCI?, ELI3CTRIC�IL(S"fATI;)
WINDOWS. INTGRIOR REMODEL& I;X"I�END BGAM
APPLICANT PERMIT FEE SCHEDULE 1,296.75
.ION PEASE CONSTRUCTION STATE SURCHARGE(VALUATION) 70.00
9470 DUFFNEY DR
ROGERS, MN 55374- TOTAL 1,366.75
(612)202-5372
OWNER
HOXIE, MIKE
1350 REST POINT LA
MOUND, MN 5�364-
AGREEMENT AND SWORI�STATEMENT
"]�he work for���hich this permit is issued shall bc performcd according to
the approved plans and specifications,applicable Ciry approvals,and the
State(3uilding Code. "Chis permit is for only Uie work described and does
not grant permission for additional or related work which requires scparate
perniits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This permit will
erpire and become null and void if construction authorized is not
commenced wiUiin 180 days of the date of issuance,or if eonstruction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assurinc all required inspections are
requested in conlormance with die State Building Code.This pennit may be
revokcd at any tii or d�ie cause.
1 �
- � � �8 � t ���.�. � ��-� �;-� i�� � ��,��i/
ppl ant Permitce Signature Date Issued I3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AE30VE.
City of Orono
� Building Permit Application for Internal Work
� (windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
O�v�,�0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
,� �� '�;- Received b
. .4,:,.� �, StreetAddress: y�
�'.�nt ' �'� G� 2750 Kelley Parkway Plan review fee:
�kESH�g'� 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: '3.�0 �t.-r�,<�'� p1 r �c�.vt,:�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If 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 sutficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLIC�4NT INF�MATION: � , I �
Name: _le1yL ��� �.a�}"(�
State License# 'Zp(�'�'��30 Expiration Date: _3 � ( �o)Z
Phone: (p[Z - zoZ - �37'Z. (office) (cell)
Mailing Address: 94�p ,�u�1�.,�.1 �?�- City: (Zoc�.s5 ZIP: SS�3"74
Contact Person: ,..,�,�,� ,j������ Applicant is: Contracto / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ���C;�. ����
Phone (day): �{SZ - -- y'7 �'� \
Address: (��>`� ,�.5 � � QcL�IR.,�;�;`c=.;.� City: C fr�,ci,51� ZIP: JS.3�
Email and/or Fax � >
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8�permits
�Door(s) `'�.Remodel ❑Water Damage
Minnehaha Creek Watershed District(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 C?�'�*�Q ��J�� www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ � p�� —
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 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 su I the information, the a lication ma not be issued.
Applicant's Signature: Date: /�-�7�- f�
Last Updated: 05-04-2009
• Plan Review Che�cklist for New Structures / Additions
' Adcfress/ PID/Legal: 1 3J� �ST DO���
Description of work: _ GJrn�Dow,s��Z�,`»'1'`,O t�.� E:'X -r€�v/� c�j�.74r---
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: � - /� - 20 !J
Grading review by: /1/( rg Date Approved:
Zoning File#: Resolution#: Resolution Date:
nin District Fire De artment Post O�ce School District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitt : ❑ Yes � No Date of Survey:
Pro osed Setback � �-
Front(Lake) ear(Streetj ( N S E W ) ( N S E W ) Other uildings Wetfand
Side Side
Building Defined Height: Building Peak Heigh �
FOR A BUILDING WITH A BASEMENT OR WL SIPACE: FO BUILDING ON A SLAB FOUNDATION:
START the distance between th a$ement floor/ TART the distance between the slab and the
WITH crawl space floor and the h hest roof peak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat of, the deck of a flat roof, the deck line of a mansard
line of a mansard roof, or the up rmos roof, or the uppermost point on a round or
oint on a round or other arcl�-t e other arch-t e roof
SUBTRACT half the distance between the hig st SUBTRACT half the distance between the highest
window and highest roof peak a pitche window and highest roof peak of a
roof itched roof
SUBTRACT the distance between th a�ement flooN ADD the distance between the slab and the
crawl space floor and e highest existing highest existing grade within the
grade within the fo dation or 10 feet, foundation
whichever is les . EQ LS Defined buildin hei ht
EQUALS Defined buil � hei ht
Lot Coverage: SF %
Shoreland D' rict MCWD Pe it Received Avera e Lakesho Setback Bfuff
❑ Yes 0 No 0 Yes ❑ No 0 N/A p Yes ❑ No N/A � Yes 0 No
Permit Number; Setback:
Hardcover Zones Existin Pro osed Variance Re uired CUP Re uired
0-75' 0 Yes � No Yes 0 No
75-250' Type�S�: Typ S�:
250-500'
500-1000'
REMARKS (in-house): /1/d C/-/-�K'ti�
Updated: 07/01/2009 I
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Fees to be Cha ed �ES �NO '
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Plan Review � `
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Investi ation Fee
�i����ti�a'ber�f��9►'���a�ts ��
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Sewer Connection
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Park Fee
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Calculated B :
UBC: Construction Type:
S uare Foota e $ er S uare Foota e
Basement X = $
1 Fioor X = $
2" FloOr X = $
Gara e X = $
�
Estimated Constructidn Value: $ /yc�, ov o �
Orono Inspections Reauired Work Reauirinp Separate Permits Required State Permits
0 Site ,P1` Plumbing 0 Grading / Filling 0 Well
� Hardcover Removal ,�'Mechanical � Fire Electrical
G Footing � Septic � Water Connection
0 Foundation Survey .d� Fireptace � Sewer Connection
�'Framing � Masonry � Lawn Irrigation
� Insulation �Mfg. �
� Wall Board 0 Other(specify)
0 As-Built Survey
�Final
� Other s eci
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES � NO New: � YES ❑ NO
REMARKS (TO BE NOTED ON PERMtT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
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CI I RONO �caLLED IN
INSPECTION NOTICE SCHEDULED �
PE�tMIT NOc�Ddl- � � COMP ED
ADIDRESS ��� _,'�
OV�INER LEP ONE NO. 37
C�NTRACTO �� ' �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ �RAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ �RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ 'FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑,DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ S TI FINAL ❑ FOUNDATION/REMOVAL
� OWINERICONTRACTOR TO MEET YOU: YES_NO
c�n CO MEpITS:
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W 6]WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 �7 RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V � BEFORECOVERING PERMANENT
�]CQRRECT UNSAFE CONDITION WiTNIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
b STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
j❑INSPECTION REQUtRED.CALLTOARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
iOwner/Contractor on site:
;Inspector. �
, White Copyllnspector's File Canary CopylSite Notice