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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. . \ � � 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 �, i T 'd S9SbEZT , SbEZi dGb ��O Oi ZO i�C -: - - . • 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 z:\forms�plan review checklist.docx 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 z:\fortns�plan review checklist.docx 3� z3 s����f� � ,U �,�. �ro n c� /►'� r� 5 S3�/ '. � C �a��,;��� �s3 y2� . 5--�.-�,=� -��✓� � r���s t;.�r� i��+�`- n �,Y3 t'�U�- ar► t��?c-t-� S'If1-Q _ — _ -�- �– ��� - y�c `� 1 � 1 �r� p�S�Ll h�W �r�L��1 I�o ��.U�-m/� �L.�-r--'-3 S�� . �c/` - - - - -� .r�� _ k`:,� � �_�� ,ti � d�� �� ,�� �� , N�P� C�TY oF oRorvo '� `� 6UILDING P R !T N FiEV1EW � �`� � /,�,y � �j, INSPECTOR_ � � D(��E--A�/��i �� __, ��i�vi�T�JC%. � �' ` � iJ r�r?t;�J'J':�?F.'� �'�1�:',::'��E� 1 V pG^•� _'��:t�:�:.. �, r�,_^'r�r.�„ '�I�i�� �� ( ,�� � �-.� ,��i i�,f�.�.._, ,.,�P,St �, ,,-..r; ,,. -� .�r� �. . -,-- �;� ?' J •,(_�1 r. . . l, t:ii'• !�' _i,� _. ,.�:ivtl �� �� � k`„y I ��(1�•JC::�iR'I;C+`ii9 i f::�fi:`/:)!:T�:1:�)f:i::lACai'�. �i,�7avit.e�:�.;v:��.Ills (. //a •y IT� i.:li (.UlYii.�:a��G: SNIi�; 2.ii i;i:l'(!..1'.7�^ il?il'!:11R .^.��� 71;-�t:`�� �•.^,(�$, '� � �i, I FluqlC,ant9,�'.;i'1!7iuG�.!�ih3^`_:,'vt^Sir.iC'`:c:!1��.�r.O:e�!f,r;i��67:t`W. K��P TNt�P".1�v SET ON 31 St�AT ALL T:i�i�S I F�2�N i J�✓ Cv�`� D � TIME v 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: � W C � � O � � O � W � Q � 2 W � W � � � d 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