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Home My WebLink About2012-00702 - addn/remodel/repair CITY OF ORONO * 2 0 1 z - 0 0 7 0 z * 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2012 � � R ORONO,MN 55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 2007 SUGARWOOD DR PIN : 34-118-23-21-0012 LEGAL DESC : SUGAR WOODS : LOT 004 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) KITCHEN REMODEL ONLY&INSTALL ENGINEERED STEEL BEAM APPLICANT pERMIT FEE SCHEDULE 250.75 RD BULTMAN CONSTRUCTION CO PLAN REVIEW 162.99 10205 HEATHER LANE CORCORAN,MN 55374- STATE SURCHARGE(VALUATION) 7.00 (763)475-3223 TOTAL 420.74 Minnesota State License#:4012 OWNER PINTENS,MR&MRS FRANK 200'7 SUGARWOOD DR 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 State Building Code. This permit is for only[he 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 for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques d in conform� with the State Building Code.This permit may be revo d at any time,t`or�e cau . � / /Zs1 / / A 'cant Permit e Signature ate Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB V _ n ;T7 a"T,�f�, b"*c � x �.r-* ,y�r+{',�`� -' . . I .... '�' . • �. ri : �1 �1�y �f 0�0�� : � z � ro� Building Permit Appli�afio� for IVlaintenance / Renovatio� ��- � �a 3 , . � (windows, cioors, siding, re-roof, etc.) � Mailing Address: �7 ��,0,� PO Box 66 Permit number: ,:� Cl.� 'C 7� •^� O �� O Crystal Bay, MN 55323-OOo6 Date received: � �� ^-� �,) StreetAddress: Received by: +� � ��'�, �'��Gti/ 2750 Kelley Parkway Plan reviewfee: �'��C2/� � t9'kESH�4 Orono, MN 55356 Total Fee: ,�� J yf Main: 952-249-4600 Fax: 952-249-4616 wwv,�.ci.orono.mn.us Tr��, ,�� `- This appfication form must be completed in full and all required information must be submitted. �,. ``' Incompfete appiications will be returned. (Please print) � GENERAL INFORMATION: ' ,��; ,; Job Site Address: Oo S' C�A l�o i� ZJ , ��d �l � . .� Will this be a Parade of Nomes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a specia/event permit is required with Police Departmenf and City Council approva/60 days prior to the evenf. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed. `# � - CONTRACTOR/APPLICANT INFORMATIOI�: Name: � t tl �v C-d-n,S� . State License # � G Cp��Ci�(� Expirafion Date: 3� Za�3 Lead Certification Number: Expiration Qate: (for work on homes that were constructed prior to 1578 Phone: (A(�_7 p�j-33,�'1 (office) (cell) .� Maifin Address: � 9 Cit : ZIP: � Contact Person: �� y �,.�A�j Appficant is: Contract / Homeowner (Circle One) �� Email andlor Fax: � >� � . � ',�' PROPERTY OWNER INFORMATION: � � ` Narne: � � '��'IZ,�W� � l Al�� qr f �� Phone(day): � � >' Address: y ��n� ; �oa�7 S t, ��n.,�,,.,d�d 12 D, c�t : z�P: :; Email and/or Fax {s� �:.: b'� �ri: PROJECT INFORMATIO�E: �;: � Type of Project: i Any earth movement may require �; � ❑ Door s �Remodel MCWD review&permits: �, � , � ) ❑ Fire Qamage Minnehaha Creek Watershed District(MCWD) �� ' ❑ Re-roof, asphalt ❑ Repair ❑ Storm Qamage 18202 Minnetonka Blvd '�` � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � � ' Phone: 952-471-Q590 � '' ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � � ' www.minnehahacreek.orq u�� ❑ Window(s) �; �; '`� Overall Rroject Description: �=` �= n �na�o� ns cJ �h c n�� - `,� l -, � ' Estimated Construction Vafua4ion of Project (excfuding fand) $ / �' r. APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; '� 4�u • Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they , :�� are sofely responsible for submitting a compfete applicaiion being aware that upon failure to do so, the staff has no alternative i but to reject it unti(it is complete; • Some or all of the information that you are asked to provide on this applicafion is classified by State !aw as either private or confidenfial. Private data is information which generally cannot be given to the pubfic but can be given to the subject of the data. Confidenfial data is information which generalfy cannot be given to either the pubiic or the subject of the data. Our purpose and intended us this information is to annually update our records and records of other governmental agencies �;�� re uired b law. If ou r fu to su iv f nformafion.the ao lication ma not be issued. '`� Y� ApplicanYs Signature: Date: ., � Z�. ZoIZ ;x �' Last Updated: 08-09-2D11 � �r �.'°;' Plan Review Checklist for New Structures / Additions � Address/ PID / Legal: �—��%� S��A��c c��'1 5 Description of work: �C � �c.l-.��; �Lc'1'�-�;�'�c � Septic review by: (�,'/ f� Date Approved: Zoning review by: /'�1/✓� Date Approved: � -� Building review by: , � � Date Approved: ''� Z�- Z L+ 2 Grading reviewby: /��I� Date Approved: Zonin File#: Resolution#: Resolution Date: onin District Fire Department Post Office Scho District Zoning: ot Area: SF/AC Width: Depth: Survey Submitted: ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front (Lake) Rear treet) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buitding Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES `FOR A BUILDING WITH A BASEMENT OR CRAWL SP CE: OR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement Qor/crawl START the distance between the slab and the highest space floor and the highest roof peak,�tv top of WITH roof peak, the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of the deck line of a mansard roof, or the mansard roof, or the uppermost point on a r nd uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest ' dow an SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the baseme floor/crawl ADD the distance between the slab and the highest space floor and the highest exis' g grade within existin rade withinthefoundation the foundafion or 10 feet;whi ever is fess. UALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreiand District CWD Permit Received Average•La shore Setback Bluff � Yes 0 No ❑ N/A ❑ Yes ❑ No � Yes 0 No 0 Yes ❑ No ❑ N/A Permit Number: Setback: HardcoverZon s Existin Proposed Variance Required CUP Required 0-75' 0 Yes ❑ No ❑ Yes ❑ No 75- 0' Type(s): Typ s): 2 -500' 500-1000' �REMARKS (in-house): Il! �-� C 1-1 /1 ti � � Updated: d9/11/2009 z:lforms\plan review checklist.docac Fees to be Charged YES NO <Perm��i�t� � � � ,,. �<;�f� �,'.�. Plan Review 1" • � State,Surcharge - � =:f' � �-a�;'i fnvestigation Fee • "SAC �:,�N�rt�tiex.-of=SAC�U,ra:its �;- _... , _._ _ _ ... _�,. . . , ..,. Sewer Connection ':�1Na��e��ru�n�:c�sio.n��`�"�. ��, ��'��t�� t�.� ,�J ;� �.w Park Fee '�te�l�s;p,esc�'innq�'�y^' �`1- ,x��yy � ..e a�aas��..l r�'1�tV��'.`��.'1F�i�� ) fit�'tFt�� ya� -�'a'vA� - �' h�,.�� Other(specify) ;�IYI�sc��la�e�.�'s�F�es Y �`�'�� . � -�� . . „� �� r{>�� .;� _ �., - z, r: `�.�., �? '�:.,,.�-'t,�„[�t4,:�Fv r '�..�r- aa,�.-,`nt,.,n4+t•; �'k_,"-.��.': . ,-_,.. ..�... �.. ,.. _ . .: ,. ,� r . �r,.�; . .,.� Calculated By: Square Foota e $ per Square Foota e Basement X = � 15t Floor X = � 2nd FIOo� X = $ Garage X = � Estimated Construction Value: � I��,(;�C; y�` Orono fnspections Required Work Requiring Separate Permits Required State Permits ❑ Site Plumbing � Grading / Filling � Well 0 Hardcover Removal � Mechanical � Fire Electrical � Footing � Septic ❑ Water Connection � Poured Wall 0 Firepiace D Sewer Connection ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed ❑ Mfg. Framing � Other(specify) � Insulation � s-Built Survey Final 0 Other(specify) REMARKS (in-house); Other Review: Reviewed by: Date Approved: Access:Existing: � YES ❑ NO New: ❑ YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND iNITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\formslplan review checklist.docx � � ��- Q � � „�ltrATE TIME CITY OF ORONO CALLED IN �6L Y � INSPECTIO OTICE SCHEDULED PERMIT NO��,L,,��_GO�ebMPLETED ADDRESS DD 7 S ` OWNER ELEPHON NO.�"` �-70��'3`�7 CONTRACTOR �- - �S � DESCRIPTION � �v`�L�� ❑ FOOTING ❑ PLUMBING FINAL ' ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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 ❑ PLUMB ❑ SEPT FINAL ❑ FOUNDATIOWREMOVAL � OWN ONTRACTOR TO Ei YOU:�YES_NO c� COMME S: � W a � J O �� — /l � • O � W � Q � 2 W � W � � d t�WO�CSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advanc:e. (952) 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice