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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. /��, ,. ,� -, /` �% ..---� I �' I�) — _. / (�'� �'G" _ c� l � � l� �-_ ��.,C._.-�. C%YYI��!'� / / licant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ���_x �... L—L^ C� L�� City of Orono � � �a _ ' Building Permit Application for Internal Work ���'p � �� � .� (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: �� Contact Person: {.(N �� � Applicant is: on rac� / Homeowner 1Circle Onel _�.,.,.,�.��..- � Email and/or Fax: l�,1,.�" (- �eC1r ��7�.,,`� � .,� r. PROPERTY OWNER INFORMATION: ;: Name: Zi CNf�-� ��OMa(E�1�- � 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 ' :; 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 �� k;, 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; �� 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 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. �� ;�� ,:� ApplicanYs Signature: � � Date: � 2 �!�-��, �� Last Updated: 05-04-2009 . x �� ..�`�.x � _. ;,. 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 z:\forms�plan review checklist.docx \ Fees to be Cha ed YES NO '�ar��� .: � �. �. ;. : .�R �,�-.�,� -�r x _ _ . __... ._ . _ � , Plan Review . .: :.:._.., ..._ _ ;�°� � �..�., ;.: . �, .. ,.: _. _.. ,._, ,� ' ' : : ,,., „ , , . .. z, . . Investi ation Fee - ��l"��:�'"'��l+i+er����4►���its , �'� Sewer Connection �a �tiei�a�ox�� w _ �.: �' � .�, _ ,. ,, w . .� .., .> . r - .. ... , 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 z:\fortns�plan review checklist.docx �� � Q TIME ✓ 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'�� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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: � W C � � O >. � O � W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 ������ � � � � ❑ 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: � W a � J O >. � O � W � Q � Z W � W � � � O � � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE 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� � � ❑ 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 c�n COMMENTS: � W a o ��.1�� (G P �C� .-�e� �-f-��S �Q� ;.; � T Q c� '' - ,eI �--C � �' c� �OO � ° Q . � � -�v r.s C�� ...�' � P Q C�� 1 f L., �ll I��` C�� � cI �1�-f' � � Q c� roo�v, ti a � � r A C �-� (� ' n �' 1--4 �(I • (..�s e r' W � ,--rn � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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 � '�' _ ��J�� ����,�c� p�r5�/� �����_. ��� :�. � � d� 0°O� J C1TY OF ORp�p BUILDING PE IT P i,d �,=VI�W � � INSf'ECTOR / I URTC_ �"_7-�� �.. _�,;f:il7 t!J.. ------ NO�f�S: ❑ Af�PF;�:i�: �'�:��:t�° :�f��,�r:�J / �MOV� �XI511NG `��NING�f:OM C�bA� �i ";'i�.�_ �;' , � ^.; � �� ^ �r^-.�!:�.��'!,D I f'051"5 ANn�I:AM�AS N�C�SSAf:Y�OK ^ ` .,�f� �. _� -i ,,�;,� � '; �; .',�ir 9'-33�6" N�W WI NI�OWS ANI�f'A110 I�OOK'WITNIN i�� r ,;�r r+3<re i y,;:ir:�c�rrn�t�c�i A� ,,,<�_� , / - �XI51�NG Op�NINGS, 25" NIGN 1�MI'�I?�I� �' ' ' r� ,n " v��� I aFi��i � �� �_ ,! c �n� z r 7 , : / I?��I?AM� 51i;p51' �IX�f7 WINI�OWS 13��OW AL� G�II���ANI� "�'�.�: `� � n',,':r_,� ,irs:��t �..�;��.t, �,a,:���I, , o: , ...�?l�riio PL,;N SET O;v 3i;E AT,'1LL't;;�iE: I'A�IO n00�TO n� CAS�M�N1"WINnOWS, UI'p��VAU�1'AIZ�A / TIZAf'AZOIb ANn TKIANGL� WINnOWS t0 13� _ � �XISTING C�nAP.n�CK CU51"OM SIZ�n �OI:�XI511NG Op�NWGS, j � \ SPECIAL N�TE � �, �EE ATTAC6-�ED SI-�LE'f" ' \ � �� i �y,,��I T�MI'�f:G�A55 IN TN� G�In�p ON�Y �3 �=Qj� C.� �'5��� DG?�'��j � \ v /6 ���_ ���i_.�il^.t'..a'ti!�.����� � \ INStAL� OWN�f:S�II�1'�AC�ANI7 �NC�OS� 13�NINn �I�I'�AC� �Of: V�NTING f'�I: MANU�A�TUI��'S - Sf'�CI�ICATIONS �XI511NG SC��N I'O�CN iNSTaL� ��4�� r&G os� sur���oo�ov�p C�nAP.f7k�CKING ANn WSU�A1� 2XI0 KItCN�N ANb nINING A��A �O, ��001:SYST�M ANn �NC�OSU�� WITN 9� 3/e" A� !'�YWOOb �6�, ��001?COV��ING 13Y OWN�f: NOUS� 2,_31�6„ KITCN�N ANI7 nINING Af.�A ��C�O� ��/�N ��� �� ��� _, �_o�, � � � d RICHARD SCHOMMER SUSSEL BUILDERS — � �o � � 2io6 SUGARWOOD DR. N01�; VV�:11"1�N nIM�N510N5 ON 11-1�5� p�ANS SNAL� NAV� � N � LONG LAKE, MN 55356 pp�C�b�NC� OV�f? AI�� SCAL�n nIM�N510N5, SU55�� � � 0 � � z OFFICE 651.645.0331 FAX 651.645.0331 COppOpA110N MU51"13� N011�I�b O� ANY VAl?IA110N5 �pOM � � � � JOB # 0929 654 TRANSFER ROAD 16B ST. PAUL, MN 55114 ��5� bIM�N510N5 ANb CONn1110N5 O� 1�N� A130V� bpAWING, h---] • • .. PHONE# 952•473•7265 W�,SUSSELBUILDERS.COM MN LICENSE NO. 00001934