The URL can be used to link to this page

Home My WebLink About2009-00364 - addn/remodel/repair �w. CITY OF ORONO PERMIT NO.: 2009-00364 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE Iss[1En: 07/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1710 SHADYWOOD RD PIN : 17-117-23-21-0018 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERM[T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) BATH REMODEI. APPLICANT PERMIT FEE SCHEDULE 574.25 VERTICAL GRAIN BUILDERS LLC PLAN REVIEW 373.26 273 GEORGE ST W ST PAUL,MN 55107- STATE SURCHARGE(VALUATION) 20.00 (651)225-1374 TOTAL 967.51 Minnesota State License#:20520571 OWNER FITZPATRICK,JOHN&JOAN 1710 SHADYWOOD RD WAYZATA, MN 55391 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion 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 work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cau . - Ls i!7 v/ '/ l ;' l ,J � �7 / / � �/ � Applicarf'f ermitee Signature Date I s ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' CHECg OFFLIST FOR ISSUANCE OFPERMITS FOR OFFICE i1SE ONLY ADDRESS OR LEGAL: �-- ��.� � PID: DESCRIPTIpN OF WORg:_M�s n� /3,4rh+ 2�iwc,o� ZONING REVIEW BY.• _� DATEAPPROVED: BUILDING REi�IEW BY.• DATEAPPROT�ED: 7-I- o� FEES TO BE CHARGED: Misc. Fees Calculated By: PER.MIT Yes � No P��E� YeS—� NO_ SEWER CONNECTION STATE SURCHARGE Yes �/ No INVESTIGATION FEE YeS — R'ATER CONNECTION �qC No �/ PARK FEE -- Yes No � SITEINSPECTION l�umber of SAC Units OTHER s eci — (P .f') Z4?VIlVG CHEC%LIST Zoning District: p Fire Deperrt�nent: Post O�ce: Schooll3istrict: Lot Area: Sq.ft • Acres Width - Depth Survey Submitted.• Yes No ate of Sra-vey.• Proposed Setbacks; � _. .. .. Front(La1re}: Right Side: Rear(Street): Left Side: •-• . _ Adjacent SYructures: Wetland,• _ Building Height: Def.Hgt. Pe�H� � Lot Coverage.• .. Grading: Sta,fJ'flpproval Da1e: B3'� Council Appruvcrl Date: � Septic: Stufj'Approval Date: By, r, r�� 1 A�/�/ Zoning File: # Resolution: # Resolution Date: - Shoreland I}zstrict: .4vg. Setback: C�Permit: Blzr„�"Seibacl�• LotCaveruge: Fxisting Proposed Hardcover: 0_7j� 75-250' • 250-500' 500-1000' ` Hardcover Yariance Reguired.• Yes No Date of Council Approval: REMARKS(irc house): 33 � _ � BULLDING REVIEW CSEC%LIST UBC: � CONSTRUCTION TYPE: � Sq Footage $Per Sg Ftg Bdsement' x = ' Ist Floor x — � � � Znd Floor x — Garage x = x = _ TOTAL Estimated Cortstruction Value: $ �{0�OOd � Inspec�ions Required: Work Requiring Separate Per►eits: Site _D�Plumbing Fire Hardcover Removal -_�Mechanical Water Connection Foofing Septic Sewer Connection _�_Framing Fireplace Lawn Irrigation _�, _Insulation (Masonry) Other -_ Wall Board (Mfg.) �ell(SYate Permi�) �Final Grading/Filling aC Electrical(State Permit) � Other _ REIIYIARSS(I1V HOiISE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARSS(TO BE NOTED ONPERMI7�: _ 34 ,, - , � - s� 3 ti(�� ll ��'� � a� Cit of Orono �� . . . Y ` s Buildin Permit A lication for Internal Work ` J pp �� (windows, doors, siding, re-roof, etc.) �;; Mailing Address: � � 4v�,� PO Box 66 Permit number: �D�q— DO� a ; � Crystal Bay, MN 55323-0066 Date received: G—Z9—D 9 � t j O �� O ', � �"� ��a �� ;�;�. s,�� StreetAddress: Received by: � "� V`S� Z �n� � �n �� 2750 Kelley Parkway Plan review fee: "� �t�v ,�� Orono, MN 55356 � - �, k�sg�/ ,, ; Total Fee: �;rY, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 9�7. � � ��,�` 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: � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes, a special event permit rs required with Po/ice Department and City Counci/approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. � a; CONTRACTOR/APPLICANT I FORMATION: p� �- �@ �--�.� . ��:: Name: ' ( IC ��,�.. ,t� �,�_� G ;�) �� State License# 7_Gj 7( Expiratiqn Date: �3� zo 0 �:' Phone: S ZZS office) ��Z C r�'' .�� cell Mailing Address: 2�3 Ge.�r S Cit : �,, ZIP: SS o� Contact Person: ; Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: U v� c�` a. �G ,Cc; �1 oJ< 6S1 Z..,`�� PROPERTY OWNER INFORN�1TION: �`� Name: �nl�n � 5nr�v� '��T`�i�r�(�C� �"°� Phone (day): U S� 6 �-7 S; �Z ` ��_ �"`' Address: (7(�> .ti �.��„ /2� Cit : C�t)+�9� ZIP: �„ Email and/or Fax - ;,�,}. ;a: �" PROJECT INFORMATION: ��, a Type of Project: Any earth movement may require ��" MCWD review&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 �.F; Fax: 952-471-0682 �.: ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq ��; Overall Project Description: h,,,�;,� �� i , � -f' �- �'s ��;�� ' Estimated Construction Valuation of Pro'ect e ludin land $ �` 1 ( 9 ) 4c��o c�o �= -_ � k� . :� 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 � ti*a _ 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. �, �:� � r � -� � � �`�; Applicant's Signature: � Date: �� ;� �'� � ,�::, :�� 2� 'd' }; Last Updated: 05-04-2009 ,� � >; �G '� �� ,a� ,.., j ,: �.�..__�_ _ �. .. .. ._ _ � _....,. ......�_e..__�..�_ .. , . .:s �'.:.i f.� a5S au`,��r .. �., . ..._.... .,_. . „_......_......,a..._._.� . . >.,�3C]�'. � / �.� ri--- ATE/ Q, TIME CITY OF ORONO (l �CALIED IN � I / � J �— INSPECTION N TICE {� SCHEDULED �� `� PERMIT NO. � - ��-/ ��COMPLETED ADDRESS ` �� C'�-G C�-<� (�c�'G^�;c�' � . OWNER CONTR._�'� �'�'�� TELEPHONE N0. � � �' � � � �" "— �� DESCRIPTION ' ' C�-E�l�'��'l� `� � (`� ��'lY ��n'l � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAI Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SE TIC.FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO : YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (J52� 249-46�� OwnedContractor on site: �' Inspector. r'> % 1l j� White Copyllnspector's File Canary Copy/Site Notice �_ � � TIME � CITY OF ORONO CALLED IN � � INSPECTION NOTIC cHeou�Eo � PERMIT NO. �G ' � COMPLETED ADDRESS �`'Cu6C � . OWNER CONTR. /� TELEPHONE N . � � — � � ��gg � DESCRIPTION ��.�G �2' '`/��I7Z0� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILIING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ��❑///WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET Y�YES_NO c�., COMMENTS: � I � W a o ,`�'/'j/ � �CPS S ��d��r � �.2 a � ° ��-��. ��.v ��G'�� , r Q � W J Q ,IG� �C`� �' l Q � J�IJ� � w � �� . C� • '� Q�G � (' �i Qv � �� t(� Ur"'1 � �'v� --I ��!'oarv� , Sn�oKeS ��t�rc� � W �WORKSATISFACTORY:PROCEED �^ ❑ PR�JEC�COMPLETE �Q��Ct,�/� � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ��RRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN iNSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. . �o ^�,t �v s � .G ;�3S �� . - orv . �- Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on sit : Inspector. lv,d / � White Copyllnspector's File Canary CopylSite Notice d�` DAT TIME �/ CITY OF ORONO CALLED IN ��/ INSPECTION NOTI E n� SCHEDULED -�� PERMIT NO.�DO l�36 COMPLETED ADDRESS l�� S��(1_l_�D� F-� OWNER, /7�Z�J'/C..�-- CONTR. TELEPHONENO. QSZ �� ?�� Q.� �/ 537� ,�e�rsj� � DESCRIPTION !f?Q.G ""d `'�ilyt0 � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAI J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � � ❑WORK SAT{SFACTORY:PROCEED "PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITlONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on sit : Inspector. � White Copyllnspector's File Canary CopylSfte Notice