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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 z:\forms�plan review checklist.docx .�. ::.�yy Fees to be Cha ed �ES �NO ' . ._. .:���.�F�-a+w-.�.��w�-,�,f�' �....,:.9 �' �r.i�`...,.,..:_.� .. '4,..�'� ' . . "fi ..,m .. .., �. , . . . . .,. ... ... ..: ... .a... .s , .n� .� ! Plan Review � ` �'��e e = gr� � , Investi ation Fee �i����ti�a'ber�f��9►'���a�ts �� < . , , Sewer Connection ����� _y� ;:;., ,, � -: x t .,. : �: : .;. �. ..� ... .,.... , �_ <, �., :� , ., .: , r ..._.,x Park Fee �t�e�n �;ec�i�:ta.�, ,, . ..� s .., . .., , ,,. „ r. . . . y. , . ,. , � - ,.., . . Other(s ecify . .. . �lssca�ta��s�es��=n�`. .� ., � - � .: ; ; :.. ,f ...�_. ., ._ � . . _. .. .., ..: -.. 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 z:\forms�plan review checklist.doac ` ' �I �_ � � � � _ � f �a � '� ;a a �� � � � � � ; _ : � : i t � � ; � �: 9����`� ,� � /'� "\ "°ea+` %:�,"`"'� .....� ..�....`•-�f � ��� ........................ ` `'ti.,_,' s ..._................ t7Q � : _ � , i t : l•t'��..�' � . % 1 : : _ ; � ; 1 j �.�._...;.._�. _ � 13/ � � p,EPsf�t�(� .�- � �� C� 'VJ�d..�..- � /Z"� 3�i��LL� [� [3�"-k^� V��-�... � � �� f � ��STi 1�S(� �����-�i` ��.��;��� � � � Z.r�� r_(;-�-j:->�:-- .._..._� �.___�_...__...�.-.------.�•__ �.1�� }�c���r= � � �350 �'-'���- F'�'�����"� �._��-� �:�h��'�.c�r��t�_.: ��rZ �..:,,��<.��- �N��.Y�'�J ' CnIZ-7�Z- �.?72 t � , � � ' . _ ._.__.w__. 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Cail for the next inspection 24 hours in advance. (952) 249-4600 iOwner/Contractor on site: ;Inspector. � , White Copyllnspector's File Canary CopylSite Notice