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Home My WebLink About2011-00132 - addn/remodel/repair � CITY OF ORONO PERMIT NO.: 2011-00132 ; � 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE ISSUED: 03/2U2011 F 952 249-4600 FAX: 952 249-4616 ADDRESS : 1305 SIXTH AVE N PIN : 26-118-23-34-0004 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 320,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,LAWN IRRIGATION AND ELECTRICAL(STATE) ADVANCED PLAN REVIEW$1544.89 PD CHECK#5795 INTERIOR REMODEL-NEW ADDITION OVER OLD FOOTPRINT APPLICANT pERMIT FEE SCHEDULE 2,376.75 ANDERSON WOODCRAFT INC. STATE SURCHARGE(VALUATION) 160.00 1438 85TH ST NW BUFFALO,MN 55313 TOTAL 2,536.75 (612)30&2722 Minnesota State License#: 20229148 OWNER DAYTON,MARY 1305 SIXTH AVE N LONG LAKE,MN 55356- 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 Sta[e Building Code. This permit is for onty the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and ecome null and void if construction authorized is not commenc � m 18 s of the date of issuance,or if construction is suspende a period of ays at any time after work has commenced. The app c is responsible r assur' g all required' spections are 'reques d i onformance th the S te ilding C d .This permit ay e revo t� e for d ca e. ' � Z ` � , a� A 'c t Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � .�� :� . City of Orono `.�s � � Buildin Permit A lication for Internal Work � 9 pp Y (windows, doors, siding, re-roof, etc.) ��`S� � �� Mailing Address: Permit number: ��" �G /� � g,�,�. PO Box 66 '� � � O Crystal Bay, MN 55323-0066 Date received: a� �',�%/ � �_,�� _ � . a �'� �!:�, �, Street Address: Received by: �G'. � �'.�,t '� �;;,q�,��ti 2750 Kelley Parkway��I IQ 1�� Plan review fee: �� . �� 9kESx0g Orono, MN 55356 � � c�?��// - �"'G/�3/ `� Total Fee: 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: ��'1'(-�`f„-�{ �� a ��;-� � '� 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 INFORMATION: ►vame: J�N'Dl-�. ��f.�1 . l V\)C,� �� State License# ()'Z'Z l� Expiration Date: '' �l Phone: C ' 2 office cell � Mailing Address: =� Cit : � ZIP: ' � � Contact Person: Applicant is: tra or / Homeowner �c��ie o�e> �� s! Email and/or Fax: � ;� �� " dV� � ; � PROPERTY OWNE INFOR TION: � Name: lt'Ul 4 4 �Ati �, �� Phone (day): 1 Address: " �,t -- ��' City:l��}� ZIP: S�J�I � Email and/or Fax � — n � PROJECT INFORMATION: � Type of Project: Any earth movement may require 'a MCWD review&permits ry ❑ 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.orp � Overall Project Description: � (�t �, � G t i Estimated Construction Valuation of Project(excludi g land) $ Z,� � � � j— � :$ 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refu e to I the information,the a lication ma not be issued. ApplicanYs Signature: Date: � I Last Updated: 05-04-2009 `r:, i; t , ' Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 13�S 5 � y,—r� FL,v.2 (�l ol��-I Description of work: I�VYW�L L Septic review by: (� 6 Date Approved: 3-1 � - Z0/�� Zoning review by: Date Approved: Building review by: Date Approved: 3 — �� Grading review by: N (� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office Scho istrict Zoning: Lot Area: SF/AC Width: Depth: Survey Submi d: 0 Yes � No Date of Survey: Pro osed Setbacks. Front(Lake) ar(Street) ( N S E W ) ( N S E Other Buildings Wetland Side Side Building Defined Height: Building Peak Heig . #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAW PACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basem t floor/crawl START the distance between the slab and the highest space floor and the highest roof pe ,the top WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line f 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- e roof roof SUBTRACT half the distance between the highe window nd SUBTRACT half the distance between the highest window hi hest roof eak of a itched roo and hi hest roof eak of a itched roof SUBTRACT the distance between the base nt floor/crawl ADD the distance between the slab and the highest space floor and the highest e sting 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 L eshore Setback Bluff 0 Yes 0 No 0 N/A 0 Yes � No 0 Yes 0 N � Yes 0 0 N/A Permit Number: Setback: Hardcover nes Existin Pro osed Variance Re uired CUP Re uired 0-7 ' � Yes � No 0 Yes 0 No -250' Type(s): Ty (s): 250-500' 500-1000' REMARKS (in-house): �v C��''Mrbe Updated: 09/11l2009 z:\formslplan review checklist.docx Fees to be Char ed YES NO Permit _._... .. ,. . _ . Plan Review S�ate;�urc�a;�e ' ;,. , . ;;_ , . ,.. .i T . :..� .:'. ' ..'.. ;:.. .. .. .... .......... ..... . _.. . . . ._.. . :.. .,�. _..._... .. , �_.. . _ ._ Investigation Fee `:�J4� .=a+lumtier of�;'S�►C Units. , ''` �'_: . ._ ___ . _ ... . , _ . _ , , _ ... . . , �.. . Sewer Connection ��at�ar,C�onr�;ection Ta - . . . . . .... . . . . .. .. . ._ .: . . � . . . , . „ � _.. Park Fee :�Site�i�spec��on � } :� � ,r. . . , . , _ , .. , : _ . .,. , . Other(specify) _ . ��Ilf�scellaneous Fees . ` ; . _ - ,,, ,; ,; ; ,: : : _ _ .. . . ,, _ . . _ Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1�Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ 3"Zl�� C�O O � Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site ,P�Plumbing � Grading/Filling � Well 0 Hardcover Removal �Mechanical 0 Fire �Electrical ,�Footing 0 Septic � Water Connection � Poured Wall �Fireplace 0 Sewer Connection 0 Foundation Survey � Masonry � Lawn Irrigation G Radon Rock Bed ,D�Mfg. �� raming 0 Other(specify) nsulation �s-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx � DA E TIME � CITY OF ORONO CALLED IN - � INSPECTION NOTI SCHEDULED - Z- /l'' � /� PERMIT NO�D��OD�.3�OMPLETED ADDRESS �305 5�� ITG�P /V • OWNER TELEPHONE O. Z 3 CONTRACTOR d�� VL�t- � DESCRIPTION d n � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WAL� ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING �fC. ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION �—�� ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o � S -� l...� X , s �f ��.q 5e�✓� � �i�� '( � J�C� t� cI .- ° � S �,�►-�e (�, C t� W , Q � A Y�Qc�Q _ � z W � W � � � �RK SATISFACTORY:PROGEED ❑ PROJECT COMPLETE W/'�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REiURN �STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECT�ONREQUIRED.CALITOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: inspector. �.c Z � White Copyllnspecto�'s File Canary CopylSHe Notice �' DATE TIME v CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED i l�=� PERMIT N0.4�OG�� DD13�COMPLETED` __� ADDRESS �.�D� c.��._,/��`'(�� OWNER TELE HO E NO. -� �y 7�'� CONTRACTOR �� . � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o C �r rli/t r %�- � � � � � '' �.�,.� ��9� 1 D!�� v � � `" -r' c�� e Qe�e � �r Q z �C�-�.� I ��e �, .� W � W � � � ��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� Owner►Contractor on sit : Inspector. 1 A � L � White Copyllnspector's File Canary CopylSite Notice S�/� G D T TIME V CITY OF ORONO CALLED IN o INSPECTION OTI E SCHEDULED - -/ .0 0 PERMIT NO. D -DD�3Z�pLETED � ADDRESS �31.5 � �l/`P OWNER TELEPHONE N�Oj 1��Z 3OK Z72�- CONTRACTOR �Nlj��'_�'1. GU��4-T( � DESCRIPTION ! � �`-� ��-� � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � W C � J O � d t� � �� 0 � W � Q � z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTEO.CAIL INSPECTOR ❑IIVSPECTION REQUIREO.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. C � �� White Copyllnspector's File Canary CopylSite Notfce � q DA E TIME � CITY OF ORONO CALLED IN r � INSPECTION NOTICE SCHEDULED - -/� � PERMIT NOa20�1-DD/3Z.. COMPLETED ADDRESS I�OS �S �G'f-Gt j�'!�� OWNER TELEPHONE NO.��Z �� Z7Z-Z- CONTRACTOR `,��'D[�� C� � DESCRIPTION /��t � �-- � ❑� � FOOTING ❑ PLUMBING FINAL ❑ E AV/GRADIN /FIL Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � ,_ ( �C� � OC' 1C 0 � W � � � � 6v �' Q � z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on 'te: 7 Inspector. ��-S White Copyllnspector's File Canary CopylSite Notice � DA E TIME ✓ CITY OF ORONO CALLED IN �' � � INSPECTION NOTIf E SCHEDULED � 3: 3 a PERMIT NO. �l i'DD� Z COMPLETED ADDRESS �30� � �. OWNER TELEPHONE NO.�� Z �o Z7 Z� CONTRACTOR ��87'l C��da��"4. � DESCRIPTION `�Sl.(.��6��'l � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � r 0 a � 0 � W � Q � Z W � W _ � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V RE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit Inspector. White Copy/lnspeclor's File Canary CopylSite Notice