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Home My WebLink About2011-01499 - addn/remodel/repair ,. .� CITY OF ORONO PERMIT NO.: 2011-01499 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/15/2011 952 249-4600 FAX: 952 249-4616 ADDRES : 3190 SUSSEX RD PIN : 04-117-23-32-0007 LEGAL D SC : FOX BEND : LOT 001 BLOCK 001 PERMIT YPE : ADDITION/REMODEL/REPAIR PROPER Y TYPE : RESIDENTIAL CONSTR CTION TYPE : ADDN/REMODEL/REPAIR ACTIVIT : 434-RESIDENTIAL VALUAT ON : $ 150,000.00 NOTE: SE ERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) NEW KITC EN AND LAUNDRY/MUD ROOM APPLICANT pERMIT FEE SCHEDULE 1,356.75 M A PETE SON DESIGN BUILD INC. STATE SURCHARGE(VALUATION) 75.00 6161 WOO ALE AVE S TOTAL 1,431.75 EDINA, 55424 (952)925- 55 Minnesota tate License#: 6704 OWNER KENNEY, OHN&MARY 3190 SUSS X RD LONG LA ,MN 55356- AG EEMENT AND SWORN STATEMENT The work for hich this permit is issued shali be performed according to the approved lans and specifications,applicable City approvals,and the State Buildin Code. 1'his permit is for only the work described and does not grant pe ission for additional or related work which requires separate permits. All rovisions of laws and ordinances goveming this type of work shall be com ied with whether or not specified herein.This permit will expire and be ome null and void if construction authorized is not commenced ithin 180 days of the date of issuance,or if construction is suspended fo a period of 180 days at any time after work has commenced. The applican is responsible for assuring all required inspections aze requested in nformance with the State Building Code.This permit may be revoked at an tim r du se. �� 6� � �� /02� J�l// Ap cant P rmitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. „ 5�� t �� 55 • � v1� � City of Orono � , /J ��3� .75 � Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: G��l—(`j/�g q �g,0,�� PO Box 66 �� ;k, •O\� Crystal Bay, MN 55323-0066 Date received: / -�/- / � �,r� I! I,�� „ a,�� Street Address: Received by: 3 �_:� . $9 �' 2750 Kelle Parkwa �c�, ' ��. �� Y Y Plan review fee: 9kE'gH�¢� Orono, MN 55356 -_— Total Fee: a�l/-D / � 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) GEN RAL INFORMATION: Job iteAddress: � �q0 5�7SS�.yL �aJy� Will his be a Parade of Homes, Remodelers Showcase Hnrne or other Display Home? Yes No If es,a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATIQN: Nam�: M/} ��-�RSO� State License# (D7Oc� �_ Expiration Date: r�1,q�H Z012 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: q S.?-9�S” t f()U �jCj �(office) (cell) Mailing Address �(p J QO 1�t,E,�'•,!G City:E� ��y ZIP: Contact Person: A S 0� �C d J(ZKouc.F�J Applicant is: ontrac / Homeowner (Circle One) Email and/or Fax: ,��}SOr.1K M•�PCT:23o�./ .�aM PROPERTY OWNE INFORAI�ATION: Name: �� 4��r��E� Phon�(day): q5?� �{7 5' YQC��- Addr�ss: 319v SvSS�-r �� City: rj2ptiob ZIP: 553��e Email and/or Fax PRO,UECT INFORMATION: Type f Project: Any earth movement may require ❑ Do�r(s) �Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt �, Ftepair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-�oof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-oof,other(specify) ❑Siding ❑ Other:(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Overall Project Description: (,J r E Q/1 (�Q !�/✓� Estimpted Construction Valuation of Project(excluding land) $ /�j"b,oon APPL CANT 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 I 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 Idata. 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. Applica�nt's Signature: Date: ��".��o�� Last Upd ted: 08-09-2011 � � Plan Review Checklist for New Structures / Additions Addr ss/ PID/ Legal: � � � � .s� -S S� � j�p� c� Des iption of work: � �.- �o d � � — �X--�Pl.�o r C�✓ o` C !C - 1 Septic review by: w� Date Approved: �� .� � ( Zoning review by: Date Approved: �� Building review by: 41C� �a(i1n,r,�-- Date Approved: �Z � �`{ - � � Grading review by: /J/I� Date Approved: Zoni g File#: �{�" Resolution#: �V i"'s Resolution Date: (�I� Zonin District Fire De artment Post Office School District �� Zonin : Lot Area: ��I b 1� Z 7 3�F/AC Width: Depth: Surv y Submitted: �s 0 No Date of Survey: 11 — ZZ J i � Pro sed Setbacks: Fr nt�,�a� Rear(Stre�t) ( N S E � ( N S E W ) Other Buildings Wetland r Side Side �. � � �� , � � N� Buildi g Defined Height: Building Peak Height: #of Stories Ok?: 0 YE� FOR BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: STA T WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mans of, or the mansard roof,or the upp ost point on a round uppermost poir round or other arch-type or other arch-t e r roof .,..---" SUB RACT half the distange-between the highest window and SUBTRACT hal�the distance between the highest window hi hest rop� �eak of a itched roof �end hi hest roof eak of a itched roof SUB RACT the di ance between the basement floor/crawl ADD .:- '" the distance between the slab and the highest �space floor and the highest existing grade within � � � existin rade within the foundation ..�� the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht EQU LS Defined buildin hei ht Lot C verage: �� SF % horeland District MCWD Permit Received Avera e Lakeshore Setback Bluff � Yes � No 0 N/A 0 Yes No Yes �o � Yes �No � N/A Permit Number: Setback: H rdcover Zones Existin Pro osed Variance Re uired CUP Re uired 0-75' 0 Yes � No 0 Yes 0 No 75-250' �,. Type(s): Type(s): 250-500' 50p:1000' REMA KS (in-house): � /c.�,v� �'� �f 7 � ,G'7 Gf��GC�tiC'� ��iG�L�iILl�- � � Update : 09/11/2009 z:\forms lan review checklist.docx Fees to be Char ed YES NO Permit;� ,., :; , Plan Review �Sta�e Surcha�rge �/' ' Investigation Fee ;:SAC ;�Number�of.SAC'l�nits - Sewer Connection �a�er Connection °: `- , ;.., ,,_ =' _ Park Fee S�te Inspec#�nn�., `` Other(specify) 'Miscellar�e�us;Fee.s .:, - - n . _. . Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1 gt Floor X = $ 2nd FI00� X = $ Garage X = $ Estimated Construction Value: $ 1Sc�, C�Ot� `� Orono Inspections Required Work Requiring Separate Permits Required State Permi � Site P Umbing 0 Grading/Filling � Well � rdcover Removal Mechanical 0 Fire Electrical F ting 0 Septic � Water Connection Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. �'F aming � Other(specify) Insulation � As-Built Survey ,p�inal 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 NO � New: 0 YES � NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 � � z:\forms\plan review checklist.docx G/`� / ATE / TIME � CITY OF ORONO �ALLED IN ( / INSPECTION N�j TICE/`�/ SCHEDULED � � /l� PERMIT NO. v ��v ` �� COMPLETED ADDRESS � 9v OWNER TELEPHONE NO.�S�-� `��`� CONTRACTOR �� U � v �L! �G�� DESCRIPTION !�� ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � D � �v b�/ 0 � W � Q � � � Z W � W � j d W�ApRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE WsCi CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector._"�.t �jr J}--� White Copyllnspector's File Canary CopylSite Notice �� :�`� '1 a / �T �� TIME � ITY OF ORONO CALLED IN ` � INSPECTION NOTICE � SCHEDULED /�� PERMIT NO.��l�I � " L I�I q9 COMPLET � ADDRESS �L C��- � � � �'�'� 1� OWNER TELEPHONE NO. ��a ��50� CONTRACTOR �� `��6� >; DESCRIPTION �-�-�� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE �❑ SITE INSPECTION Z 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 ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOii TO MEET YOU:�YES_NO � COMMENTS: � W 0. � J O �. � O � W � Q � 2 W � W � � d W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice l�:• Li � "� DAT7E TIME �/ CITY OF ORONO i)�� CALLED IN � �[ ' �� r 1 INSPECTION NOTICE ,../ . SCHEDULED � �� ;! �;(, PERMIT NO. :�l!/J� ��/� ( �I COMPLETED ADDRESS �! `�/'�' ;`�� t_ F;--.�� ;l /<<��! OWNER TELEPHONE NO. � `�� U ��1`_� CONTRACTOR � �- ' �' �GyJ ,_ _�l- ( \ � �, c� l �;l,_ Z.<, >; DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: J � W a � J O � � O � W � Q � Z W � W � j � W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: ' Inspector. ,��! � � White Copy/lnspector's File Canary Copy/Site Notice � � �� a AT TIME v CITY OF ORONO CAL�ED IN � �„' INSPECTION NOTICE /� SCHEDULED �� l,'� PERMIT NO. ��I-�� ,` � C MPLETED ADDRESS �� 5�� OWNER TELEPHONE NO. ��i-38�i-�� CONTRACTOR - `' �� > DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � J � �2,,_,e ��(� � 1 U/� � S � � � � C� SS �-� W � Q � Z W � W � � O ��WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice