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Home My WebLink About2009-00301 - addn/remodel/repair r � � CITY OF ORONO PERMIT NO.: 2009-0030� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/i U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2224 SHADYWOOD RD PIN : 17-117-23-42-0003 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT O10 BLOCK 001 PERMIT TYPE : ADDITTON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) REFINISH BATHROOM APPLICANT pERMIT FEE SCHEDULE 162.25 CASTLE ROCK COMPANIES,INC. PLAN REVIEW 105.46 2850 LINDGREN LN INDEPENDENCE,MN 55359 STATE SURCHARGE(VALUATION) 4.00 (612)308-6832 TOTAL 271.71 Minnesota State License#:20445193 OWNER GRIFFIN,MARK&SUSANNE 2224 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 pertnit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applic onsible for assuring all required inspections are requ m con ance with tate Building C is permit may be voked at time for caus . G� /i � �� j % t e ' e �gnature Date I ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �- � City of Orono Building Permi# Application for Internai Work (windows, doors, siding, re-roof, etc.) �•�-� Mad�Pg�Bd�d�ss. Permit number: o2�O�I- OD,30 � OY '`Y� Crystal Bay, MN 55323-0066 Date received: �P�� Received b � a G� �, Street Address: y� '�, • Gtiti 2750 Kelley Parkway Plan review fee: ,-- �g�xog*� Orono,MN 55356 -_� Total Fee: �� / �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono mn us / �,c_. This application form must be completed in full and all required information must be submitted. �}-,-�� Incomplete applications will be returned. (Please print) C� ��_ GENERAL INFORMATION: � JobSiteAddress: ��[;� �;j-lF�'1�`� �,;�,�v�(� jc"_ ;.��(��r�l�� .l��ti/ � `��j`i � Will this be a Parade of Homes, Remodelers Showcase Home or other Display ome? 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 wrll be required unless applicant demonstrates sufficient on-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �' - `��LL� I��C.r� C�vf" � ' ��.n-!l �`� . /�L State License# ''�•�� I Expiration Date: :� -� � - /�� Phone: (��%—�i)'� - ,��, �;% (office) ��"��#� (cell) Mailing Address: j�h'� L;�- ,'r,!-,,:�=, _l` /�/=,.;,= City:�":�";= ;��.�-iv a ZIP: �;--=<�-- Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��j�_Y�-S C�fl L � ,�c n fi��vv^ G��t .�� T PROPERTY OWNER INFORMATION: Name: ��.�f��'},� � ��,'��{�a`i,r-!�= ��l�� Phone(day): �--:, - �i�1 - ��1�� . Address: ��__i�r ;r?n--�� a:'�.:;� I:�� City: ^�:;�,� ZIP: .��:-=} 1 Email and/or Fax PROJECT INFORMATION: 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 Fax: 952-471-0682 ❑Re-roof ❑ Fire Damage www minnehahacreek.orq Overall Project Description: j�� ,��,�� :-�H-T('G��M Estimated Construction Valuation of Project(excluding land) $ �, C.-Y�� , �(; 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 altemative 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�nformation,the a lication ma not be issued. /� C _ �C ApplicanYs Si�nature: Date: (Si`� � � Last Updated: 05-04-2009 CHECK OFF LIST FOR ISSU.4NCE OF PERMITS FOR OFFICE US£ Oe�NLY ADD.RESS OR LEGAL: Z,zZ�-1 C H A�u i.�c�o PID: DESCRIPTION OF T�i�ORli: 3 r}T-\.� �2�,�p�-L ZONING REVIEW BY.• / DATEAPPROVED: � B UILDING REi�IE N'BY.• DATEAPPRO ifED: !� -i v-v g FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT �'es �/' No PLAN REVIEW Yes � No SEArER CO.NNECTIDN STfITE SURCHARGE Yes �� No N�ATER CONNECTION WVESTIGATION FEE �es No �/' PARK FEE SAC �'es No�— SITEINSPECTION Num ber o f S A C Units OTHER (spec�) ZONING CHECIf LIST Zoning District: n/tJ ��.i4. � p Fire De artment: �" P Post Office: School District: Lo�Area: Sq.ft. Acres Width Depih Survey Submitted: 7'es No Date of Survey: Proposed Setbacks: Front(Lake): Right Side Rear(Street): Left Side: ' � Adjacent Structures: N et nd.• Building Height• Def. Hgt. Pea Hgt. . Lot Coverage: Grading.• Staff Approval Date: B1'• Council Approval Date; Septic: StafJ',4pproval Date: gl,. Zoning File: # Resolution: # Resolution Date: ,� Shoreland District: MCND Permit• Avg. Setback: BIz�Setback: Lot Coverage: Ezisring Proposed Hardcover: p_'j' ??-'.i 0' '�D-.i 00' .i 00-1000' Hardco»e�� 1 ariance Reqzcired: I'es Ido Date of Coau7cil,9pproval: REM4RKS(inn house): 33 B UILDING REVIEN�CHECg LIST UBC: lZ CONSTR UCTION TYPE: '�! Sg Footage �'Per Sq Ftg Basement • x = 1 st Floor x • _ . 2nd Floor x = Garage x = x = TOTAL Estimated Construdion Value: �' g_(�0C3 � � Inspections Required: Work Requiring Separczte Permits: Site � Plumbing Fire _ - Hardcover Removal Mechanical YL'ater Connection Foo[ing Septic Sewer Connection . �C Framing Fireplace Lawn Irrigafion ':' ''°"'"` Ins�llation (Masonry) Other YY'all Board (Mfg.) YY'ell(State Permit) �_Final Grading/Filling K Electrical(State Permit) Other REI�IARKS(INHOUSE): � REVIEN�BYOTHERS: � DATE: Access: Existing New Access Approval: Date By: � REMARPiS (7'O BE NOTED ON PERMIT): 34 . � , � � _�� 1�� `1 �I� -�� , � � _� � �1s�� /�� i�l� i�� `�v�lo �� (� N-�'��J j��' .:. . .Tr�:;;� ._...�._.._.... CItY OF O��oN� ,'':�" SPECIAL NOTE BUILDING P �i �IT �'LAR ;;+�.-+%IEW ��'E ATTACHED St-�E'ET fNS�EC�'OR__.,,� �„�(�,,, _ FC)R G2f.�ivwic� D c nc�o �a�T.�I�.�l �� oh_ _r , � .r� s.____ (/! flr�( '�(! .� A�� 1 .� . ! I �... _ Cf3i3E RE�U��i��bEf�'ITS ! � � ,�, ��^.._ --i t , :� , �;; �z=:� ❑ .,, �� , ,�. �� , ,,.', ; �_ � . ._ �...�.;> > __. �. 7f1G"i. ,i: ...... �i`,1Cf �. .� .'?::.:f�.�a.iL... .i.. ..._Y. . �,il _�_ �04@ ifl iC" r�. ..L� .,... ...i'i !1 �i.�]Sf .�i,'i(r.-.� ...�.. .. _lli� CO:j@. Rb,`_ w. , i ., �i�'._ ,;�f�(!. �4`r1 i�ti 't�,,,cti:i�Pl. k�t"r' irii':i l=lAtV SET'O�1.�3.iTE R7'lkLL TiA:1ES C� � � DA TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE �/ SCHEDULED �� PERMIT N0.�9��I PLETED ADDRESS OWNER CON . �G i TELEPHONE NO. — �`� —�D�� /� �� o� , � DESCRIPTION — � �OOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ V�QOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � O ER/CONTRACTOR TO EET�YES_NO / � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � a W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on si e: '' Inspector. White Copyllnspector's File Canary Copy/Site Notice C � �� y DAT TIME V CITY OF ORONO CALLED IN / v INSPECTION OT E SCHEDULED 4 .`D PERMIT NO. -� D� COMPLETED ADDRESS OWNER ` ONTR. TELEPHONE NO. u/� � � —��3� � DESCRIPTION ��'�t� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ ALL 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 FI � ❑ FOUNDATION/REMOVAL � OWNE TRACTOHT MEETYOU: YES_NO c�., COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on ite- } � r. Inspector.�,J White Copyllnspector's File Caoary CopylSite Notice