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Home My WebLink About2011-00284 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00284 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE IssUED: OS/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1125 SPRING HILL RD PIN : 26-118-23-43-0004 LEGAL DESC : LJNPLATTED 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 61,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) REMODEL ADV.PLAN REVIEW PD 5/3/11$496.76 PERMIT 2011-00283 � APPLICANT pERMIT FEE SCHEDULE 764.25 KYLE HUNT&PARTNERS INC. STATE SURCHARGE(VALUATION) 30.50 18324 MINNETONKA BLVD DEEPHAVEN,MN 55391- TOTAL 794.75 (952)476-5999 Minnesota State License#:BC- 1967 OWNER PIPER,ADDISON&CINDY ` 1125 SPRING HILL RD 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 separate �permits. All provision of laws and ordinances governing this type of work '•-shall be com ied with hether or not specified herein.This permit will `e�ipire and b ome nu I and void if construction authorized is not commenced ithin 1 ays of the date of issuance,or if construction is suspen d fo a perio f 180 days at any time after work has commenced. The ap 'cant s respo s ble for assuring all required inspections are r uest in c form w�th the State Building Code.This permit may be re ked an ime fo e ause. � / / / / >: t1.�i Pe 'tee Signature D te Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) 7�i�� --_-> Mailing Address: Permit number: �0 j(— ;�%�,0,��, PO Box 66 ��`�� Crystal Bay, MN 55323-0066 Date received: J'r ,; �� - ��' Received b �!��,� .l�r�,� ._, ,�;; StreetAddress: Y� \�',�, �{��;, �ti!� 2750 Kelley Parkway Plan reviewfee: .7� � ' ''��f�g�� Orono, MN 55356 �OL��Dd��3 9kEsx� --" 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: ��.�Ij �JV iv i�i •r�� j ��'e�!{ Will this be a Parade of Homes, Re odel s 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 se ice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��ti ��j^�f� �i�✓�r�E'Y.5 f �1'1L . State License# + -�� - Expiration Date: �,�_ f��-�� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 �)L� Phone: ��'t�� -1��(�- --r,_��j� (office) (cell) �1 ��5� Mailing Address: � �2 " n� C,�, "' � City: ' � � ZIP: �� "� ��'' Contact Person: � Applicant is: ontrac or / Homeowner (Circle One) Email and/or Fax: , � y-� �-� PROPERTY OWNER INFORMATION: / • , ��,I Name: �IV i ��ll{1 vl �-�I� r !�",�.,��YY1 ��( ` T'[ �k' Phone(day): - _ � �' ^� — ,, Address: f Cit �� :�' v� � � "l� Y: L�`V� �� Z ZIP: ��2j�' Email and/or Fax 'S yy�� (a � � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits: ❑ Door(s) f�Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration ❑Other:(specify) Deephaven,MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: SeQ, J�'t"(�(,�.O,�Q SC�Q� 0� (�.?8�� Estimated Construction Valuation of Project(excluding land) $ (,p��pQQ 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 ann ally update our records and records of other governmental agencies re uired b law. If ou refuse o su I t infor ation,t e a lication ma not be issued. ApplicanYs Signature: LU � Date: ��/�� Last Updated: 03-01-2011 . • Plan Review Checklist for New Structures / Additi4ns Address/PID/ Legal: _L12 S S��tir�f� 1-}I l.L iZo�4✓� Description of work: lZ-�=- W��0 �—L Septic`review by: rv I✓� Date Approved: Zoning review by: �� Date Approved: Building review by: �-4 �b w.—. Date Appraved: ` �' 3' '2A 1 �t Grading review`by: ►'�► I � Date Approved: Zoning File#: Resolution#: Resolution Date: onin District Fire De artment Post Office School District Zoning: t Area SF/AC Width: Depth: Survey Submitted; �Yes D No Date of Survey: Pro osed Setbacks: front(Lake) Rear treet) ( N S E `W ) ( N S W ) =0ther�uildings Wetland Side S' e Building Defined Height: Building Peak H ' ht' #of Stories Ok?: � YES" FOR A BUILDING YYITH A BASEWIENT OR CRAINL SP CE: FOR A BUII;DING ON�SLAB FOUNDATION: START WITH the distance between the basement oN craw START the distance between the slab and#he highest space flo4rand the highest roof peak,' e#o of WITH roof peak,the top of the comice of a flat roof, the comice of a flat roof,:the deck line of the deckline=of a mansard roaf,orthe mansard roof,or the uppermost point on und uppermost point on a rountl or other arah:#ype or other arch-. e xoof roof ' SUBTRACT half the distance befinreen the high window a SUBTRACT half the distance between the highest window hi hest roaf ak of a: `itched roo and hi hest roof eak of a itched roof SUBTRACT the distance between#he base nt floor/crawl ADD #he distance between.the slab and#he highest space floor and the highest e ' ing grade within existin rade within`the#oundation the foundation or 10 feet,w chever is Jess. UALS Defined buildin hei ht EQUALS Defined buildin hei ht LDt Coverage: SF % Shoreland District MC�IND Permit Received Avera e La shore'Setback Bluff � Yes � No 0 N/A � Yes 0 No 0 Yes G No � Yes � No � N/A Permit Number: Setback: Hardco�er Zon fxistin P.ro osed �/ariance Re uired CUP Re uired 0-75' � Yes � No � Yes � No 75- 0' TYPe(S)� TYPe : 0-500' 500-1000' REMARKS (in-house): N'c� C�+�G�` Updated: 09/11/2009 z:\formslptart review checklist.docx Fees to be Char ed �fS :�I� • ,�:.. _.. - . , :r �z .�: � Plan Review _ .. _. � ;; . , �,_, .,.r. „ .# .. . _. . ,, .� . �T .� :_... .`.. _ _ Investigation Fee .�. ._..r. _ ... :� _ .. . �".- •� _,. , . .w., _ .. . ._ . . 5ewer Connection `Rark Fee Other(specify) . . _ _. _ Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1gt Floor X = $ 2"d FIOor X = $ Garage X = $ 0� Estimated Construction Value: � to ►,U °a Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/Filling � ell � Hardcover Removal �Mechanical � Fire Electrical � Foo ting � Sep tic � Water Connection � Poured Wall G fireplace � Sewer Connection O Foundation Survey � Masonry � Lawn trrigation � Radon Rock Bed C Mfg. Framing � Other(specify) �Insulation � s=Built Survey �inal � 0ther(specify) REMARKS (in-house): Other Review: Revievued by: Date Approved: Access:Existing: � YES G NO New: 0 YES � NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:lformslplan review checklist.docx _ _ ,� ✓ J DAT � TIME CtTY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED < PERMIT NO. —DD COMPLETED ADDRESS �l � OWNER T PHONE NO. � — 5 7� CONTRACTOR � DESCRIPTION v � � ❑ FOOTING ❑ PLUMBIN FIN L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA ICA I ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a o �( o��_� a,. .e �-:�� 1S � � 0 � W � Q � 2 W � W � � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTfONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContract on sit Inspector. � White CopyllnspectoPs File Canary CopylSite Notice � DA TIME V CITY OF ORONO CALLED IN � �� INSPECTION N T CE SCHEDULED '� � � PERMIT NO S — O COMPLETED ADDRESS OWNER T EPHONE NO./�� 7 �17� CONTRACTOR � DESCRIPTION �-� , �� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � W a � J O � � O � W � Q � ? W � W � � � ❑WORKSATISFACT�RY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspec#ion 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: � Inspector. White Copyll�spector's File Canary CopylSlte Notice