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Home My WebLink About2012-00201 - addn/remodel/repair � -- CITY OF ORONO * 2 0 1 2 - 0 0 2 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3333 SHORELINE DR PIN : 20-117-23-11-0024 LEGAL DESC : REG. LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERM IT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : COMMERCIAL- BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION : $ 7,500.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIRE SPRINKLER, ELECTRICAL(STATE) BREAK ROOM BUILD OUT IN INTERIOR BACK ROOM. APPLICANT PERMIT FEE SCHEDULE 162.25 AVATAR CONSTRUCTION& DESIGN PLAN REVIEW 105.46 P O BOX 55 MOUND, MN 55364- STATE SURCHARGE(VALUATION) 3J5 (612)221-6444 TOTAL 271.46 PA[D W[TH CC# 6435 OWNER Lunds,]nc. INC., LUNDS, 4100 W SOTH STREET#2100 EDINA, MN 55424- AGREEMENT AND SWORN STATF,MENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. 'rhis 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 type 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 iss�!ance,ar if construction is suspended for a period of 180 days at�a y time after work has commenced. I'he a licant is re ponsible for assu n all required inspections are r est d i onf ance 'th the St te ing Code.This permit may be evoke at ti e �due ause � � � �/ / �D/ /� Appl' an mitee ignature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. c� � -�� lv C ty of O ro n o Building Permit Application for Maintenance / Renovation ''' '� (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: / — d� �,L,0,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �0 v'� �. ; � a � 4�' -� s, � Street Address: Received by: ��,n '�„„'�,_ �ti�' 2750 Kelley Parkway Plan review e: � L9kESHo4`'� Orono, MN 55356 Total Fee: � � l . 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 INFORMATIO 2 Job Site Address: �/33 Q��,J�� , � VA � . Will this be a Parade of Homes, Remodelers Showcase Home or other Displa Home? ❑ Yes No /fyes,a special event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus se ce will be required unfess applicant demonstrates sufficienf on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP ICANT INFORMA N: � Name: �V �� f �� f � State License# Exp� tion Date: Lead Certification Number: Expiration Date: (for work on homes fhat were consfructed prior ?978 Phone: � � � — (office) (cell) Mailing Address: , p, � City: � �ZIP: — ' �. Contact Person: '�� • -Z�'� Applicant is: Contractor / Homeowner �c��ie o�e� Y� Email and/or Fax: -'"'_ � � . PROPERTY OWNER I FORMATION: � Name: �� —oc> �p1►� � -R� � �i�D� Phone (day): (,��— �2��j(p Address: �� City: �bj�l� ZIP: S�� Email and/or Fax ; PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: ` ' �y�tr� J `v'l� I� '� �,�v._ Estimated Construction Valuation of Project(excluding fand) $ '� ��oZJ E 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 appfication being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or alf 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 subjecf 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 is information is to annually up ate our records and records of other governmental agencies re uired b law. If ou refu to u I he inf rmation,the a Ii atio t be issued. ApplicanYs Signature: Date: � i Last Updated: 08-09-2011 � � Plan Review Checklist for New Structures / Additions �► Address/ PID/ Legal: ��j�j� �`�,-i 01Z1:(- iN�= Description of work: 15�1� r(�x�.�. �� Septic review by: ,N/`/!� Date Approved:-' � Zoning review by: ✓/ Date Approved: Building review by: Date Approved: � — 1 � —�-p , � Grading review by: i^''��1 Date Approved: � Zoning File#: Resolution #: Resolution Date: � Zonin District Fire De artment Post Office School istrict Zoning:� Lot Area: SF/AC Width: epth: � Survey Subi�tted: ❑ Yes 0 No Date of Survey: Pro osed Setba s: Front (Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland Side Side ' Building Defined Height: Building Peak Heig . #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATtON: START WITH the distance between the b�ement floor/crawl START the distance between the slab and the highest space floor and the highest roo#peak,the top WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck{ine of a the deck line of a mansard roof, or the mansard roof,or the uppermost point on round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highe window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched ro and hi hest roof eak of a itched roof SUBTRACT the distance between the base ent floor/crawt ADD the distance between the slab and the highest space floor and the highest isting grade within ' existin rade within the foundation the foundation or 10 feet, ichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � Yes 0 No � N/A ❑ Yes � No � Yes ❑ No 0 Yes � No 0 N/A Permit Number. Setback: Hardcover Z es Existin Proposed Variance Required CUP Re uired 0-7 ' ❑ Yes � No ❑ Yes � No 7 50' Type(s): Type(s): 50-500' 500-1000' �t / /' �/ , � EMARKS (in-house): /V� ✓�'��Jv � Updated: 09/11/2009 z:\formslplan review checklist.docx Fees to be Char ed �ES <�10 - �,�,.,�� " . ..,. � .��, �� . �. � ... _ :,:., . .� . , ,� .�,�� <� r �:r� �� `� �� '' . � .,,� _. , � . _ ,., _, .. ,, , Plan Review * � _ � - ,.��- :-�,�, � r �.-. x� � ��,.. �� q .:�,,. " ,�: . Investigation Fee ,_,.., . .�� . ,. -.<<b,. - .... . _. , . , ,�..m•".x,.�. 4 ::re. y_ :a ' •., e. �--. _ .,,v.. .. -... ,:.:. x. Y ..e. Sewer Connection _ Park Fee . . . _... _ .. . _. , . . Other(specify) : Calculated By: � S uare Foota e $ er S uare Foota e Basement X = $ 1�F1oor X = $ 2nd Flooi _ X = $ Garage X " _ $ Estimated Construction Value: $ ��S�� Or+�no Inspections Required Work Requiring Separate Permits Required State Permits � Site umbing O Grading/Filling 0 Well G Hardcover Removal Mechanical � Fire �'Electrical � Footing G Septic � Water Connection � Poured Wall " a Fireplace O Sewer Connection O Foundation Surirey 0-Masonry G Lawn Irrigation � Radon Rock Bed � Mfg. Framing Other(specify) � lnsulation r,,� SPR�:�xx�-"� � s-Built Su�rey inal � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 NO New: � YES � NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:�formslplan review checklist.doac -, �� " . , �J l�v r�L1�� G-) L- 1�1 �:�1 C�. � � v�J��LL,. t:.n,� ' � , V� Q , � L� , , i (3 ARD� � SGOPE � � --->T�c=�— s-rv�.�5 �, �MpVf/RELOGATE/INSTALL BREAK ROOM EQUIPMENT. � � . a : y. 2. Bl1L..ID OUT WALLS. SHEETROGK/TAPE/PAINT INTERIOR 8 EXTERIOR 51DE5, � u�.o�cK � BREAK ROOM ENV ��,o� � PROVID� � INSTALL PLYWOOD TO 8'A.F.F. AT EXTERIOR WALLS. � � PROVIDE � INSTALL NEW DODR ! �12A�ME(MAPLE DOOR,H.M. �RAM�. �'R'"�� i�GEIVING �D� �' 3. PROYIDE11N5TALL LAY-IN GEILING 4 fL0URE5G�NT LIGHTING letl 4. F'ROVIDE A INSTALL GASIN�TS � 511�. STOGK GA�81NET5 W/P-LAM TOP. Mneo�� 5. PROVIDE ELEGTRIGAL �OR ALL EQUIPMENT SHOWN AND (4) ADDITIONAL 18�_b�� GONVENIENGE OUTLETS. DOGK b. MODI�'(5PI71NkLING SYSTEM A5 NEED�D. L�VEL�R l. PROVIDE � INSTALL NEW VGT FLOORIPIG AND VINYL BASE, � S. GDORDINATE WITH LOW VOLTAGE GONTRAGTOR FOR INSTALLATIDWRELOGATION D� N'S PG GARRELL � TIME GLOGK. q. GOOi2DINATE WITH STORE STAFF TO RELOGATE aNY EXISTING EQUIPMENT TO GLEAR SPAGE. � 10. OBTAIN ALL NEGE55ARY PERMITS. I II. PROVIDE FOR HEATIN6 4 GOOLIIyG. EITHER THROUGH WALL UNIT OR � OFF EXISTING SYSTEM. o � eiTY oF a;;�� :U(t..Dl1�iG�P- M LAN�i�1/1EW �F�1'4R�. ._......�..�...�... UA'�e � --/t�'�L.. Frr�ll7'T iVO.—�..�._,�..,.,,,, , ry p,,� ;�t.5�,.. �-`:. ,.�t�1a�;^r±'TV ti.1 Tu-1'i ..�.`� :.. •.,a f�4. {-� hf;,� ; ' : -�t-�'�...w.•.��iriY�!'=+J�iYV 1 CIl . . �. . 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