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Home My WebLink About2010-01045 - addn/remodel/repair ., . .. CITY OF ORONO PERMIT NO.: 2oiaoioas 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 1 U15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2058 SHORELINE DR PIN : 15-117-23-21-0003 LEGAL DESC : HARTWOOD : LOT 004 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 55,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) SUNROOM REMODEL APPLICANT pERMIT FEE SCHEDULE 719.25 KEITH WATERS&ASSOCIATES STATE SURCHARGE(VALUATION) 27.50 6216 BAKER ROAD SUITE 110 TOTAL 746.75 EDEN PRAIRIE,MN 55346- Minnesota State License#: 1508 OWNER TERRY,JOSEPH&KAIMAY 5109 RIDGE ROAD MINNEAPOLIS,MN 55402- 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 rype 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 suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at � e ue cause. ." �� ./ � ►5� �.�t... ' � /5� � Applicant Permite ature Date Is e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCWBED ABOVE. - - ro Cit of Or n � �7�/ �\1�� Y o o � 7 �Cv - Building Permit Application for Internal Worf� �r ;,� �,��f�wsF �, windows doors sidin re-roof . �.�``� ( , , g, , etc ) Mailing Address: Permit number: !D � /D � �g,�\ PO Box 66 �� : �O�\ Crystal Bay, MN 55323-0066 Date received: �D � / � � '�l a �`�� ,i Street Address: Received by: �',�, � �': k`�`�� ti 2750 Kelley Parkway Plan review fee: l9kE$H�g�' Orono, MN 55356 � � _ — Total Fee: �p/��`D 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: � 8 c��CL.EL(/�/E p_{V —Q �C1--►1,�� 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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I.NFORMATION: Name: �lTf-f W�"fE�S � p'C�SOC�l�P�1��' . !1�L State License# Expiration Date: 3' 3l— �IZ. Phone: — �{—L�'jQ office u t�, cell Mailing Address: �Z A — ( Cit : (z, z�P: 553�f Contact Person: —�.{� � L ,� Applicant is: n rac / Homeowner (Circle One) Email and/or Fax: I�EI�lSE l� � K�/Tff��?��-rS •COI� PROPERTY OWNER INFORMATION: Name: �,�E�Sj�Ff- � �-/M��-f Phone(day): qSZ- YS�-55 SS Address: �(O�T R�DhF ��n_; �KK�'�c��s c�ty:ll�(i�n�.�,c��l,�S ziP: 55�34� Email and/or Fax -�-Crry Oo��u� •ecrU PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits � Door(s) ❑ Remodel �Water Damage Minnehaha Creek Watershed District(MCWD) [�J 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: � ¢�� ,A�ti( �'(� (2.q�n�j Estimated Construction Valuation of Project(exc uding land) $ �$�vp d 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 'nformation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to I the information,the a lication ma not be issued. Applicant's Signature: Date: IO'7 Z"—�� LastUpdated: 05-04-2009 . . _ Plan Review Checklist for New Structures / Additions Address/ PID/Legal: 2,.C�S � �1-4 OR.EL�Nt=, �(L_ Description of work: _ �v N �,c�w� 12�,=�N i/J L, Septic review by: IU� I� Date Approved: Zoning review by: N 1 i4 Date Approved: Building review by: Date Approved: ,(�- /J-J-/ (7 Grading review by: _ /U//.� Date Approved: Zoning File#: Resolution#: Resolution Date: nin District Fire De artment Post O�ce S ool District Zoning: ot Area: SF/AC Width: Depth: Survey Submitted: 0 Yes � No Date of Survey: Pro osed Setbacks: Front(Lake) Rear treet) ( N S E W ) ( N S E ) Other Buildings Wetland Side Side Building Defined Height: Building P Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPA FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basemen oor/ START the distance between the slab and the WITH crawl space floor and the highest roo c, WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, th e of a ffat roof, the deck line of a mansard line of a mansard roof, or the upper ost roof, or the uppermost point on a round or oint on a round or other arch-t roof other arch-t e roof SUBTRACT half the distance between the ghest UBTRACT half the distance between the highest window and highest roof pe c of a pitched window and highest roof peak of a roof itched roof SUBTRACT the distance between e basement flooN ADD the distance between the slab and the crawl space floor an the highest existing ighest existing grade within the grade within the f ndation or 10 feet, fo dation whichever is le . EQUALS Defin buildin hei ht EQUALS Defined buil � hei ht Lot Coverage: SF % Shoreland Di rict MCWD Permit Received Avera e Lakeshore Setback Bluff ❑ Yes � No � Yes 0 No � N/A p Yes � No ❑ N/A � Ye � No Permit Number: Setba : Hardc ver Zones Existin Pro osed Variance Re uired CUP Re uir 0-75' � Yes 0 No 0 Yes 0 No 75-250' Type�S�: Type�S�: 250-500' 500-1000' REMARKS (in-house):__ /� C1�(/infC'� Updated: 07/01/20Q9 z:\forms�plan review checklist.docx Fees to be Cha ed YES NO � . �,�� „� �t � _� � Plan Review '��e� e �' � _ Investi ation Fee ��;.`��r�'��a� .; x..... ..... ..: �a Sewer Connection �,...�. � � w� ��1�s0A1s�-'�='° .�� Park Fee ;�te�ii'" iec�'�:��.z,r.� �.� . .- Other(s eci ) 4 �fAt&re��ast1!e�s�ele��;' ,.,..�.:' . .,� ,:, , ,., ..: �� ;.. , , 'N 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 Construction Value: $ S S�(�('k� `'�-° Orono inspections Reauired Work Requirinq Seqarate Permits Required State Permits � Site Plumbing 0 Grading / Filling 0 Well 0 Hardcover Removal Mechanical ❑ Fire �! Electrical ,�'�Geetfi�g 0 Septic 0 Water Connection 0 Foundation Survey � Fireplace 0 Sewer Connection raming � Masonry � Lawn irrigation �nsulation � Mfg. � � Wall Board 0 Other(specify) � -Built Survey Final 0 Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERM(T) Updated: 07/01/2009 z:\forms�plan review checklist.docx �� e,J�/� TE TIME � CITY OF ORONO CALLED IN �"� INSPECTION NOTI E SCHEDULED - "�� j PERMIT NO.�D I� D�D�S COMPLETED ADDRESS a�0 � � OWNER � TELEPHONE NO. ��a �D 7�j� CONTRACTOR � �� Z� � DESCRIPTION r'G�m i n � ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE~INSPECTION Q ❑ RADON SlA6 ❑ WATER HOOK-UP ❑ PROGRESS� � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � d/� � 4�'�I WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE WO CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. 1 I� White Copyllnspector's File Canary CopylSite Notice cC7l v � OATE TIME ✓ CITY OF ORONO CALLED w � � INSPECTION N TIC SCHEDULED � �� PERMIT NO. ��1� COMPLE ED ADDRESS o OWNER TELEPHONE NO.��_ $��7 CONTRACTOR � hy � DESCRIPTION ��1- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � W 0. � J O � � � O � W � Q � Z W � W � � i� W �I WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on sj�e: Inspector. �' - White Copyllnspector's File Canary CopylSite Notice