HomeMy WebLinkAbout2010-00549 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00549
. �'• 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 07/08/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3423 SHORELINE DR
PIN : 20-117-23-12-0034
LEGAL DESC : REG. LAND SURVEY NO. 1422
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 500.00
NOTE: INTERIOR WALL TO DIVIDE INTO(2)SPACES
APPLICANT pERMIT FEE SCHEDULE 25.00
SADIO PUNJANI STATE SURCHARGE(VALUATION) 5.00
1337 MOUND TRAIL C
CENTERVILLE, MN 55038- TOTAL 30.00
(612)490-9161
OWNER
Brook Investment Group LLC
34321 MYRTLE LA
UNION CITY, CA 94587-
AGREEMENT AND SWORIv 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 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 issuance,or if construction is
suspended a period of 180 days at any time aRer work has commenced.
The appli ant s respoPsible for assuring all required inspections are
requeste in c for nce with,�ie State Building Code.This permit may be
revoked any im
� / � / /
Applicant P mit ture Date Issued y Sig ture te
SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED AB VE.
. \
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� City o Or� o
� � Buiiding Permit Applicatibn for Internal Work
(windows, door�, siding, re-roof, etc.)
Me�r��9,aaaress: ' � ap/D_OU5
�0.� PO Boz 66, Permit number:
� Q , Crystai Bay, MN 55323-0066 Date received: / l0 �O
, , i
(� a. � Streef Addr�ss: Received by:
��`� 2750 Kelley Parkway Plan reviewfee:
���Rog� �' Orono, MN,55356
-- Total Fee: � �.�(�
Main; 952-249-4600 Fax: ,952-249-4616 wwwci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be retumed. (Please print)
GENERAL INFORMATI N: � ' ,
Job Site Address: � �3 �,,r,l i�[ 1 � lv' ��C.h,; . �,{,J o.Sf ��'�1�-
Will this be a Parade of Hames, Remodelers Showcase ome or other Display Home? Yes No"
!f yes,a specia!event permit is iequired wlth Police Department end City Counci/approva!60 days prior to fhe event. ShuttJe bus service wil!be
required unless applicant demonstrates su�cient on-site parldng is available. Non-permiMed evenfs will not be aflowed.
CONTRACTOR!APPLICANT INPORMATION:
Name: S /',-D%d.� P�NJ � N � ' ;
State License# Expiration Date:
Phone: G 12 - `G - ` (affice) , _ (cell)
Mailing Address: 1 3 3� �"� o�rv � n.Q � L r..l City: ��I r e Y V i -ZIP: ._ So a
Contact Person; S A s�i�r .; �Applicant is; Contractor / Homeowner (Clrele One)
Email and/or Fax: S P�:w• ;
PROPERTY OWNER INFORMATION: '
Name: S A-'[�i�' 0��,4 n� �
Phone(day): — ,,� - 1
Address: ��3� n��uh -�l CItY+I/��'�fi�C�'1 ll� z�P• nf�G� �C����
Email andlor Fax
PROJECT INFORMATION: �
Type of Project: ' Any earth movement may require
❑Door(s) ❑ Remodel ! MCWD review 8 permits
❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Oamage ! 18202 Minnetonka 81vd
Deephaven, MN 55391
❑Siding ❑ Restoration ❑ Other:(specify) Phone: 952-471-0590
` Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage WA N G'd�r��Yv�K j�� ��`�y � �.minnehahacreek.oro
Overall Project Description: ���,�,('crW� 5�����-F �u ��A�l 05� G�►lX.
Estimated Construction Valuation of P�oject(excluding land) $
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 c�mplete application being aware that upon failure to do so, the staff has no altemative
but to reject it untEl it is complete;
• Some or all of the information that you are asked to provide an this application is classified by 5tate law as either private or
confidential. Private data is information which generally cannot be given to the public but qn 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, Ou�
purpose and intended use of this information is to annually update our records and records of other govemmental agencies
re uired b law. If ou refuse to su I the information, the a lication ma not be issued.
. � .,v -t„i�
ApplicanYs Signature: � �.� � ' Date:
�
;
LaslUpdated: 05-04-2009 �,
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-: - - . • Plan Review_ Checklist for New Structures / Additions
Address/ PID/Legal: �`'(23 ��}Q2�,L1�V�; tQ2
Description of work: �/y z-L, (Z�c�2 �,��.,L. �.�, v�,l'U I�(�9 Z s Q r9 C.Q 5
Septic review by: /V�/� Date Approved:
Zoning review by: � Date Approved:
Building review by: Date Approved: 7'� �(O
Grading review by: /lIf/� Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office School District
Zoning. Lot Area: SF/AC Width: Depth:
Survey Sub ' ed: 0 Yes 0 No Date of Survey:
Pro osed Setbac :
Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Othe uildings Wetland
Side Side
Building Defined Height: Building Peak Heigh �
FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FO BUILDING ON A SLAB FOUNDATION:
START the distance between the ba ment floor/ TART the distance between the slab and the
WITH crawl space floor and the highe roof peak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof, e dec of a flat roof, the deck line of a mansard
line of a mansard roof, or the upperm roof, or the uppermost point on a round or
oint on a round or other arch-t e r 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 pitched window and highest roof peak of a
roof itched roof
SUBTRACT the distance between the asement floor/ DD the distance between the slab and the
crawl space floor and e highest existing highest existing grade within the
grade within the fo ation or 10 feet, foundation
whichever is les EQUAL Defined buildin hei ht
EQUALS Defined buildi hei ht
Lot Coverage: SF %
Shoreland Dis ct MCWD Permit Received Avera e Lakeshore tback Bluff
� Yes � No � Yes � No 0 N/A p Yes � No p q 0 Yes 0 No
Permit Number: S�tback:
Hardc er Zones Existin Pro osed Variance Re uired '�.,CUP Re uired
0-75' 0 Yes 0 No � Yes�, 0 No
75-250' Type(s): TYPe�s): ',.
250-500'
500-1000' ���.
.�
REMARKS (in-house):__ /l/'� _F�3;rvc�
Updated: 07/01/2009
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Fees to be Cha ed YES NO .
_- '��'� g" ,
Plan Review
��e�,-` . �.
Investi ation Fee
���=�i1�`b�r���f►C���ts
Sewer Connection
�a�t����iier"�i�
Park Fee
���r�,.` ,ec���
Other(s eci
�!'�s"��la�e�a�s`�es•r�
Calculated B :
UBC: Q-2 Construction Type: VN
S uare Foota e $ er S uare Foota e
Basement X = $
1 Floor X = $
2" FIOOr X = $
Gara e X = $
Estimated Construction Value: $ SO 0
o=
Orono Insaections Repuired Work Reauirinq Seqarate Permits Required State Permits
� Site 0 Plumbing 0 Grading / Filling 0 Well
� Hardcover Removal 0 Mechanical � Fire 0 Electrical
0 Footing 0 Septic � Water Connection
� Foundation Survey � Fireplace � Sewer Connection
0 Framing 0 Masonry � Lawn Irrigation
� Insulation � Mfg. �
0 Wall Board � Other(specify}
�s-Built Survey
Final
0 Other s eci
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: � YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
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CITY OF ORONO CALLED IN �Z v/ ' �
INSPECTION OTICE SCHEDULED � O -_�
PERMIT NO. � ' � COMPLETED
ADDRESS `��� 35
OWNE � TELEPHONE N . ���0�'�
CONTRACTOR �� �
>; DESCRIPTION �L�-""-' '"`-`�'�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
p ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site;
Inspector. � S
White Copylinspector's File Canary Copy/Site Notice