HomeMy WebLinkAbout2010-00794 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00794
, 2750 KELLEY PARKWAY
' ORONO, MN 55356- �ATE IssuED: 09/08/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2106 SUGARWOOD DR
PIN : 34-118-23-21-0023
LEGAL DESC : SUGAR WOODS
: LOT 004 I3LOCK 004
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENT[AL
VALUATION : $ 25,000.00
NOTE: SEPERATE PERMI"I'S REQUIRED:ELECTRICAL(STA"I�E)
CONVERT SCREEN PORCH TO 3-SEASON PORCH
ADVANCED PLAN REVIEW WAS PAID FOR WITIi CREDIT CARD#5455 IN THE AMOUNT OF$268.45 ON 9/2/10.
APPLICANT PERMIT FEE SCHEDULE 413.00
SUSSEL CORPORATION
654 TRANSFER ROAD PLAN REVIEW 0.00
16B STATE SURCHARGE(VALUATION) 12.50
ST. PAUL, MN 55114- TOTAL 425.50
(651)645-0331 PAID WITH CC# 2209
Minnesota State License#: 1934
OWNER
SCHOMMER, RICHARD
2106 SUGARWOOD DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
I'he 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 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 construc[ion 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
requested in conformance with the State E3uilding Code.This permit may be
revoked at any time for ue causc. /��,
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licant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono � � �a _
' Building Permit Application for Internal Work ���'p � �� �
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(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: c���0 �� 71
�L,�,j� PO Box 66 /�/
Q �\ Q Crystal Bay, MN 55323-0066 Date received: b
a ��3r3
'���T;;� a Street Address: Received by:
�'.� � "w� Gti`� 2750 Kelley Parkway Plan review fee: 8•
r�kESHo4� Orono, MN 55356 ��/O —vU� ;
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: 2�� �C,p�,��,��(;r;, 1�r ,1t` ,�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
/f yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service il/be '`4�
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. t�
CONTRACTOR I APPLICANT INFORMATION: �
Name: �c, ,:�� :�
State License# �� Expiration Date: ?. Z {
Phone: _ C �'� (office) cell `�
Mailing Address: �� : City: 5T, q.UL ZIP:
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Contact Person: {.(N �� � Applicant is: on rac� / Homeowner 1Circle Onel
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Email and/or Fax: l�,1,.�" (- �eC1r ��7�.,,`� �
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PROPERTY OWNER INFORMATION: ;:
Name: Zi CNf�-� ��OMa(E�1�-
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Phone (daY)� �3.r2 - d7� - �'77Cc� '
Address: � I � �Ut���2_c.t�k,.�.1r3 �� • ..,�ay City: �Q.C� � . ZIP: ...�-'r.� `.���r
Email and/or Fax '
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PROJECT INFORMATION: •�;
Type of Project: Any earth movement may require �';
MCWD review&permits �"
❑ 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.or4 ��
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Overall Pro'ect Descri tion: < '� ''�
J p NV�xT �.",�CE'�7V lr�.,t� N/ `!� �'�-�'.�'7��N �:;�,"�� G�
Estimated Construction Valuation of Project(excluding land) $ .�r';�� . 4;
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APPLICANT ACKNOWLEDGEMENT: �;�
• Agrees to provide all information required or requested by the Building Department; ��
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• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they �
are solely responsib�e 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 intende of this information is to annually update our records and records of other governmental agencies ,�
re uired b law. If u refu su I th �nformation, the lication ma not be issued. ��
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ApplicanYs Signature: � � Date: � 2 �!�-��, ��
Last Updated: 05-04-2009
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Plan Review Checkiist for New Structures / Additions
Address/ PID/ Legal: _ 2►C7lo S V 6AJZwOU Q ��Q
Description of work: C..�NU-G�t SG�c-.v Qo/tc� Tc� 3 Sc7�son� �oltcll
Septic review by: n] [IA Date Approved:
Zoning review by: A Date Approved:
Building review by: � Date Approved: 9-"�—�c�
Grading review by: N � /4 Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post O�ce School District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Sub itted: 0 Yes 0 No Date of Survey:
Pro osed Setb ks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wettand
Side Side
Building Defined Height: Building Peak Height:
FOR A BUILDING WITH A BASEMENT O RAWL SPACE: FOR A BUILDING ON LAB FOUNDATION:
START the distance between basement floor/ START e distance between the slab and the
WITH crawl space floor and the 'ghest roof peak, WITH highest roof peak, the top of the cornice
the top of the cornice of a fl oof, the deck of a flat roof, the deck line of a mansard
line of a mansard roof, or the u ermost roof, or the uppermost point on a round or
oint on a round or other arch-t roof other arch-t e roof
SUBTRACT half the distance between the highe SUBTRACT half the distance between the highest
window and highest roof peak of a pitc d window and highest roof peak of a
roof itched roof
SUBTRACT the distance between the basemen oor/ ADD the distance between the slab and the
crawl space floor and the highe xisting highest existing grade within the
grade within the foundation 0 feet, foundation
whichever is less. E UALS Defined buildin hei ht
EQUALS Defined buildin hei
Lot Coverage: SF %
Shoreland District MCWD Permit Received Avera e Lakes re Setback Bluff
0 Yes p o 0 Yes � No 0 N/A p Yes 0 No 0 N/A � Yes � No
Permit Number; Setback:
Hardcov Zones Existin Pro osed Variance Re uired CUP Re uired
-75� � Yes 0 No Yes 0 No
75-250' Type(s): Ty s):
250-500'
500-1000'
REMARKS (in-house): c�
Updated: 07/01/2009
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Fees to be Cha ed YES NO
'�ar��� .: � �. �. ;. :
.�R �,�-.�,� -�r x
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Plan Review
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Investi ation Fee -
��l"��:�'"'��l+i+er����4►���its , �'�
Sewer Connection
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Park Fee
;�te�n` �eac��ia'.,
Other s eci
�sio�(�,et�s�e�e�'.''{ „
Calculated B :
UBC: Construction Type:
S uare Foota e $ er S uare Foota e
Basement X = $
1 Floor X = $
2" FIOOr X = $
Gara e X = $
Estimated Construction Value: $ 2 S,C9C�0 ��
Orono Insaections Repuired Work Reauirinq Separate Permits Reauired State Permits
� Site 0 Plumbing 0 Grading / Filling � Well
O Hardcover Removal � Mechanical 0 Fire Electrical
� Footing 0 Septic � Water Connection
� Foundation Survey 0 Fireplace 0 Sewer Connection
raming � Masonry � Lawn Irrigation
Insulation 0 Mfg. �
� Wall Board 0 Other(specify)
� As-Built Survey
Final
� Other s eci
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: � YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INtTIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
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CITY OF ORONO CALLED IN � —�-�
INSPECTION NOTICE SCHEDULED �
PERMIT NOn,��,/D–Od7�I� COMPLETED n `(
ADDRESS aZ�O� �� � �
OWNER TELEPHONE NO.�y���S d33 I
CONTRACTOR �G��
� DESCRIPTION _T,� � �i'��
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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
v ❑ 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
c� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
{NSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra r t .
Inspector.
White Copyllnspector's File Canary Copy/Sfte Notice
`�-- /D D E TIME . /
CITY OF ORONO CALLED IN --��, ,��
INSPECTION NOT CE�� SCHEDULED � i _�—
PERMIT NO.o? � COMPLETED
ADDRESS ���0 s� �Zh.G�aQ� '��
OWNER TELEPHONE NO. ��� ��S O�3I
CONTRACTOR ti,S�-'��
� DESCRIPTION ������ �
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� ❑ FOOTING � PLUMBING FINAL ❑ 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 ❑ COMPUIINT
v ❑ 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:
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O RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor n site• ��
Inspector. -/ti i
White Copyllnspector's File Canary CopylSite Notice
v`� (� AT TIME �
CITY OF ORONO CALLED IN / ��- �
INSPECTION NOTICE CHEDULED / � _..[tZL�
PERMIT NO. r 0 ' � COMPLETED
ADDRESS `��
OWNER ELEPHON � S��
CONTRACTOR
� DESCRIPTION . ��L�
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� ❑ FOOTING ❑ PLUMBING FINAL �XCAV/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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. OPHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER PdSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UiRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on sit . �
Inspector. �� /� /� %c' �
White Copyllnspector's File Canary CopylSNe Notice
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� � � � JOB # 0929 654 TRANSFER ROAD 16B ST. PAUL, MN 55114 ��5� bIM�N510N5 ANb CONn1110N5 O� 1�N� A130V� bpAWING,
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PHONE# 952•473•7265 W�,SUSSELBUILDERS.COM MN LICENSE NO. 00001934