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Home My WebLink About2010-00005 - addn/remodel/repair � L CITY OF ORONO PERM[T NO.: 2010-00005 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2103 SUGARWOOD DR PIN : 34-118-23-21-0018 LEGAL DESC : SUGAR WOODS : LOT 004 BLOCK 003 PERM[T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 138,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(S'fA7�E) ADVANCED PLAN REVIEW P�RMIT 2010-00004-PAID$835.09-CHFCK#34713 APPWCANT PERMIT FEE SCHEDULE 1,284.75 STE[NER& KOPPELMAN STATE SURCHARGE(VALUATION) 69.00 18340 MINNETONKA BLVD TOTAL 1,353.75 DEEPHAVEN, MN 55391- (612)473-5435 Minnesota State License#: 3'721 OWNER WINKEY, TRAVIS& LISA 2103 SUGARWOOD DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permi[is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding 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 specitied 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 atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be r ed at any ime for due cause. � �.N4J��.� � / l Z / l O /� / � 02 0/c� Applicant Permitee Signature Date ]ss d By Signature Date SEP RATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. ��. � � `� � c� '`' Cit af Qrano � _ : `7 " �, ,��3 v /, 3 5�3 5 L Building Permit Appiication for internal Vlfork (windows, doors, siding, re-roof, etc.) �- ��7'3�' Mailing Address: Permit number: ,�D/6 �� '�j'� �j,�,�. PO Box 66 O �\ O 1 Crystal Bay, MN 55323-0066 Date received: / J� ,Zdl� � � �� ,� �'�h�J� '�' �,J StreetAddress: rieceived 'oy: �� ^� � n �',F, �� ♦,^ Gti 2750 Kelley Parkway Plan revie fee: � C/ L9kE3H 4� Orono, MN 55356 �7��('�Od t/ 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: �/j� �, t�,�r ,�,�. �.�t,�t.��r�:..,':;c;�yn 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 Deparfinent and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availsble. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �7sr��.rz !��'��r�a�-��nn.��.. State License# '� 7,a.,� Expiration Date: -� -�/-/p Phone: q�z- y?s -��`3�,' (office) ,;,r:-yi� - �/: �� (cell) Mailing Address: t K.3�en y��-r-�� 3,..v�� City,;._;,,.�1,�•.��w� ZIP: �.�s�-'�/ Contact Person: ��.,�v� Applicant is,�'° Contractor�/ Homeowner (Circle One) ' Email and/or Fax: '""�"-��- PROPERTY OWNER INFORMATION: Name: ��vr5 cr !1�5r�� G+-,� ,�s�r�+�� Phone (day): Address: �I�, � _ ;;'�.:s c��:��^. �.�,a�r7 ;��r^,.�u�'z. City: Ci�a .x:!� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) �Remodel ❑Water Damage Minnehaha Creek Watershed District;MCIND) ❑ 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.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �� 'bd� 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 refuse to su I the information,the a lication ma not be issued. ..-�' � ,,,,,.r._ „"�� .��.,;,„w„ �u...v.W+�. M Aw.�n ApplicanYs Signature: r�_,�fi' �� ,<.-,,,__;,;7 Date: 1 —�— / �l ,;. r�': Last Updated: 05-04-2009 � � ' Plan Review Checklist for New Structures / Additions Address/PID/ Legai: Zl 0 SU(oA121,�1th[�tA� ,�(2. Description of work: ��o�pt(_,_ Septic review by: /�I/✓� Date Approved: Zoning review by: N�� Date Approved: Building review by: Date Approved: Grading review by: �/ �f� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District ing: Lot Area: SF/AC Width: Depth: _ Surve Submitted: � Yes O No Date of Survey: Pro osed tbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Bui ngs Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: FOR A BU ING ON A SLAB FOUNDATION: START WITH the distance between th asement floor/crawl STA the distance between the slab and the highest space floor and the highes �Qof peak,the top of H roof peak,the top of the cornice of a flat roof, the comice of a flat roof,the dZ k line of a the deck line of a mansard roof,or the mansard roof,or the uppermost 'nt on a round uppermost point on a round or other arch-type or other arch- e roof roof SUBTRACT half the distance befween the highest ' dow 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 basement floor/ ra ADD the distance between the slab and the highest space floor and the highest existing gr e withi existin rade within the foundation the foundation or 10 feet, whichever' less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District M D Permit Received Avera Lakeshore Setback Bluff 0 es � No 0 N/A 0 Yes � No � Yes 0 No 0 Yes No � N/A ermit Number: Setback: Hardcover Zones Existin Pro osed Variance Re uire CUP Re uired 0-75' 0 Yes ❑ No 0 Yes � No 75-250' Type(s): Type(s): 250- 00' 5,00-1000' RE RKS (in-house): 0 � Updated: 09/11/2009 z:\forms�plan review checklist.docx � ' � Fees to be Char ed YES NO :�eran�t��' r �� f � -�� -� - Plan Review � �;'Stat�'�vrcha�,ge x , �- - Investigation Fee � 4 ��"�y,/� ��y, . /� y ]'{'/��w�a��Y��a\�� i 'f' �`Y � ..� 1 ..["v�.l f':�:llh i ��.4':�i xr• .,. n , .. ...«. �... ...:... . _ -.. ..,. n '. ?� r. . .. i.., r. �.. .: Sewer Connection �`!!la#e��e��oc� . � � ;� � .s � ;,t Au.. r�i"'�1,. �'�'"I�. �a. r��- 'x' SA.. ��. .i'�Yc.- Park Fee =��"�1�Sp��."�IDII��°"dt��? ° ��,, � ,:,� ��,�i �'wr�,"�. �'�*; �t 'f�� ,h" �_ ., .� . , ., ._ r ,.. .. ,,.,. . . ... _ _ : . . .. Other(specify) �'u„"�Y;$ ' "d7�'6Ai9�5F��e'�S`4`�+�'.k. , . w r}5�� .5��;{ � x. x�' � ,�r . � �;: Y � , ��H.�r_.+- .�w .,:�'M s.*4e,..,,:�k�'`4.�`F _.:�.,'Y:;'�Y'�a'7�F. :IL'L.J� �',� 3','T^"�l..,�.::r� at'��.t��r•..f^., -h� r Tim��.r��-.-'�. Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1� Floor X = $ 2nd Floo� X = $ Garage X - � Estimated Construction Value: � I 3 Sd,n�O �� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing 0 Grading/Filling � WeII � Hardcover Removat ,� Mechanical 0 Fire f� Electrical 0 Footing 0 Septic 0 Water Connection � Poured Wall � Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. ,� Framing 0 Other(specify) �'Insulation � As-Built Survey �Final - � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 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 � _ � / / `� DAT TIME CITY OF ORONO �'�CALLED IN � l �} INSPECTION NOTICE CHEDULED �� _� PERMIT NO.,�U�lJ' �d4��0 LETED ADDRESS �ro 3 � �� OWNER TEL HONE N CONTRACTOR `ti�� - ��" T ^ �l� . � DESCRIPTION �� ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � W ��/ GVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑�60RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice �� V � TIME CIn OF ORONO CALLED IN �� y �O INSPECTION N TICE SCHEDULED T> �Dl��D PERMIT NO. �/D-DOO COMPLETED ADDRESS �� OWNER CON . �� TELEPHONE NO. �� ` �_� — ��-� ` � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O�lNSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � � 1NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTiON REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4f)�0 Owner/Contractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice