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Home My WebLink About2011-00015 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00015 � . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUE�: OU07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2080 SPATES AVE ; PIN : 10-117-23-31-0104 # LEGAL DESC : N/A : LOT 000 BLOCK 000 � PERMIT TYPE : ADDITION/REMODEL/REPAIR ;: PROPERTY TYPE : RESIDENTIAL ; CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 28,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) MAIN LEVEL BATH REMODEL APPLICANT PERMIT FEE SCHEDULE 445.25 JLM DESIGNBUILD PLAN REVIEW 289.41 7141 AMUNDSON AVE EDINA,MN 55439- STATE SURCHARGE(VALUATION) 14.00 (952)941-9818 MISC FEE 0.00 Minnesota State License#:20225595 TOTAL 748.66 OWNER MORSE,TERRY&CHRISTINE 2080 SPATES AVE WAYZATA, MN 55391 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 sepazate 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 l80 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 are requeste in conformance with the State Building Code.This permit may be revo� t an m or u c J � 7 � � / i i / � .Applicant Permitee Signature Date Issu By Signature Date ., SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �.G�-"�- � —b- ID - c� f a �`5� � ty o Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permit number: ;Z,O//—b0�/.� O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� � � a Street Address: Received by: � " G'tiF 2750 Kelley Parkway Plan review fee: �'�x'Esxo�''� Orono, MN 55356 Total Fee: �?�S��pb 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: 2 O F3�j s �/�y-�S �v a ra k o _. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�'No If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: ..r M. e 'I � L� State License# Expiration Date: 3 - ,3!- Z G 1� Phone: - �/ - ♦ office - - ' z y cell Mailing Address: �T1 ,¢y„��5��L�¢,� City: ,� ,,�,,,'�� ZIP• S�i'y34 Contact Person: ��r}v/ w i.v�,�,s Applicant is:( �Contractor� / Homeowner (Clrcle One) Email and/or Fax: �,�,�5 � T�,�,r �,�s,��a C b�__.-_.--' PROPERTY OWNER INFORMATION: Name: T�.--�..� �/l 6��E Phone(day): y�� 2 S-2 �..j Address: � n�6� s,� �,c� .,¢� City: �� .�, ZIP: Email and/or Fax �. PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) MCWD review&permits emodel ❑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.or Overall Pro'ect Descri tion: ,— G � � y �� Estimated Construction Valuation of Project(excluding land) $ E � Ova APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Departrnent; • 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 altemative 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 refuse to su I the information,the a lication ma not be issued. �� /,,/ Applicant's Signature: C �i7/�c Date: �-3- /C� Last Updated: 05-04-2009 �� a�� _ �� . � � _ _� �� .� : �� w- � �► . . . , ., - �` JLM l� ' , L.L.�. �` � ; � R_ ' � has fi�Ifiill�.the��uirem�ts of��Tu '. . b� , Q 44�.an ��ceiv�d certi�ication to�onduct lead- . ` bas�c�paint.' tia�,r ', ��it to �art 7�5.�9 � ` �" : � ; - ` � , ... � :.. ,. � ; .� � �� rv � � �� : � . .��► : f�ll �P'�Adr�i�istered State�, T�iE�es, �nd TerritQri�s This certific�tipn is Yali�.��m�he date o�i��nGe an�expires D�c3e►11�e1' 16 LO"I`� � � . �. . . � .. � ... : � - � 1. . . . .. .. . . . . .. �� .f"'�"..�+- NAT-94Q49:� : ��-"�- Certification# �,�K`�a s�'�ar� . Mlchell!e P�ce, Chi�f Decernber2, �Q10 �' 7� Lead, He�vy Metals, andJnorgani�s Branch Issued On -°z ` , c ��M� �� , "�E�r�o��' . � �Plan_ Review Checklist for New Structures / Additions Address/ PID/Legal: 2 D�Q S f'��3 Description of work: 1_,.�Pt�TI-{ i 2-� �)IQ GZ_ Septic review by: /t111'4 Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � -7 -� 6 � Grading review by: /U�/'�- Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office chool District Zonin . Lot Area: SF/AC Width: Depth: Survey Su itted: � Yes � No Date of Survey: Pro osed Setb ks: Front(Lake) Rear(Street) ( N S E W ) ( N S W ) Other Buildings Wetfand Side ide Building Defined Height: Buildi Peak Height: FOR A BUILDING WITH A BASEMENT O RAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between e basement fio / START the distance between the slab and the WITH crawl space floor and th ighest roo eak, WITH highest roof peak, the top of the cornice the top of the cornice of a t roof, e deck of a fiat roof, the deck line of a mansard line of a mansard roof, or the rmost roof, or the uppermost point on a round or oint on a round or other arch- e roof other arch-t e roof SUBTRACT half the distance between t high t SUBTRACT half the distance between the highest window and highest roof ak of a pi ed window and highest roof peak of a roof itched roof SUBTRACT the distance between e basement floor/ ADD the distance between the slab and the crawl space floor a the highest existing highest existing grade within the grade within the f undation or 10 feet, foundation whichever is le . QUALS Defined buildin hei ht EQUALS Defined buil ' hei ht Lot Coverage: SF % Shoreland Dis ct MCWD Permit Received Avera e Lak hore Setback Biuff 0 Yes No � Yes 0 No 0 N/A p Yes � No 0 N/A � 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 0 Yes 0 No 75-250' Type�s�: pe�s�: 250-500' 500-1000' REMARKS (in-house): 4 GNf�NG Updated: 07/01/2009 z:\formslplan review checklist.doac Fees to be Cha ed XES NO v , �� w,�- ,, �TlJ'!�"��,�°�.�„._w x �^"..-� � �.; �„ ,� , � � : �._ . � _ �: _.. ..,_ � �. .4 >d, ;. . ._ Plan Review ,/ ';�� e =��'� _ _ Investi ation Fee -��1'��=��ra"r��91'��its , �' � -�� , ,, . .. Sewer Connection � ��`:x' �� , � ��_� p � ._� �. _. � ,�; .�. ,S.S� ..� ..a.;^„Arx ...w .k,.. 'N A ...� ' a.': r ..� �T.i .,....._ �. ., . „ .,:.i ..i � ,. ,Y ,: ., , ,. ' Park Fee �t�ee�n:" ie!c��o':�.�,�w - ; � .s � Other(s eci .. �. ..:, ... . �1'A'i��e�s�aes��.� � � ; , ,. �. =a .�x Caicutated B UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X - $ 1 Floor X = � 2" FlOor X - $ Gara e X = $ Estimated Construction Value: $ Z�3,000 °= Orono Inspections Reauired Work ReQuirinp Separate Permits Reauired State Permits 0 Site Plumbing � Grading / Filling 0 Well 0 Hardcover Removal � Mechanical � Fire ,0' Electrical 0 Footing � Septic � Water Connection 0 Foundation Survey � Fireplace � Sewer Connection ,0'Framing 0 Masonry 0 Lawn Irrigation �'Insulation � Mfg. . � Wall Board 0 Other(specify) 0 As-Built Survey �Final 0 Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 NO New: 0 YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INtTIALLED BY PERSON PULLING PERM(T) Updated: 07/01/2009 z:lfortns�plan review checklist.docx DATE TIME � CITY OF ORONO CALLED IN �i � INSPECTION NOTICE SCHEDULED 1�[1 __J�.�C15LJ.` PERMIT NO.dd//-0�/S COMPLETED ADDRESS�v c�'Z�� OWNER TELEPHONE NO. ��z 36�i �ZS�� CONTRACTOR �L,� Q�.G�L,C.L, >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 a a i r�1��e?�� S �Ztic. i��v�,�3.�� '' j�Q %�;,.�,,, a' 7 � 0 � w Q i��,��' �'� �: .,�A�� z w � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: � , � J ; Inspector. �� C/ />`?��, White Copylinspector's File Canary CopylSite Notice ��v �� /� �y �� I DA E / TIME CITY OF ORONO CALLED IN �'f"l�.l� INSPECTION NOTICE �HEDULED �-�1J— �` f F�' PERMIT NO.��I �`�� I ""C%C)MPLETED ADDRESS �� '�� ' OWNER TELEPHONE NO. �a ��'~ �� CONTRACTOR '� r� {� I�S �� >; DESCRIPTION � `�`-� ��`� h � `�`� ' � l� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ 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 IN ❑ HARD COVER REMOVAL J��BING RI ❑ SEPT�FIN � ❑ FOUNDATION/REMOVAL �' O� WNERI ONTRACTOR TO MEEf YOU:1,,�YES_NO Q��' .1� � — ' ",�'—�� '--'�� v, COMMENTS: � � � � '' � � J� �� < < ) �S� r ' S a O 1, /�'�(/� ��r�f� �'C� ( � � N�7 � � �( �� 3 �.�5 c��r,� - ;� ��%� � �- C�l a v:� w � Q Z C � C� , a�e -�-� G�Fc��' 12 c� C� ., ; cc� ct W �� , � `� � a� 13 Q��'� s j G C, �. �� e +o � -'C n '��S �ri9 i 1 GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED � ISSt1E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. l� l�1' � � � White Copyllnspector's File Canary CopylSite Notice