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2011-01486 - addn/remodel/repair
CITY OF ORONO PERMIT NO.: 2011-01486 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/08/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 3710 TOGO RD PIN 17-117-23-31-0027 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 003 BLOCK 010 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) BASEMENT FINISH-WALKOUT WALLS REBUILD APPLICANT PERMIT FEE SCHEDULE 574.25 DAHL CONSTRUCTION PLAN REVIEW 373.26 300 WEST PT RD TONKA BAY,MN 55331 STATE SURCHARGE(VALUATION) 20.00 (952)926-9266 TOTAL 967.51 Minnesota State License#:20272875 PAID WITH CC# 6469 OWNER LINDQUIST,LINDA 3710 TOGO RD WAYZATA,MN 55391- 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 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 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 requested in conformance with tate Building Code.This permit may be revoke t any tim r due ca e. Aff- ca,nTrrbft Sign ture Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Caue� City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: PO Box 66 �O Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: >/f/ 2750 Kelley Parkway Plan review fee: \t9kESH�4� / Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 9(07. S 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: , D -1 D `-fes 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 Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License # f C Z 7 2 �7� Expiration Date: Lead Certification Number: A/617: i 144 U73 —1 Expiration Date: z (for work on homes that were constructed prior to 1978 Phone: q6�)_ N74_7t U (office) - /? _ 270- /a('�2 (cell) Mailing Address: ''� �) � �f�j/ — � Cit ZIP: City- _ . l�e✓ Contact Person.- Applicant, cans: ontractor Homeowner PPlit i �C (CirdeOne) Email and/or Fax: 0,,40C;NZp (, LISA", PROPERTY OWNER INFORMATION: Name: _ r L4,kJ 04 Phone (day): Address: 7S716 '-M • O r1City: 0600 ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) Remodel ❑ Fire Damage MCWD review & permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑Re-roof, cedar ❑ Restoration ❑ Water Damage Deephaven, MN 55391 El Re-roof, other(specify) Phone: 952-471-0590 ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: ' Estimated Construction Valuation of Project(excluding land) $ Ce. 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 hy law. If you refuse to supply the information,the a lication may not be issued. Applicant's Signature: Date: t l Z J Last Updated: 08-09-2011 Plan Review Checkiistfor New Structures I Additions Address/PID/Legal: 3-110 TO(. 0 C2.AA-iQ Description of work: A S%M,4J i S m Septic I•eview by: Date,Approved: .honing>review by: _ Date;4Pprared: Building°review bT. 'Date Approved: 42- 1 - l 1 Grading reviewaby: N 1/4UateJ4pproved; Zoning File#: Resolution#: Resolution:Date: Zoning District Fire Depar#merrtPost'©ffice Scitinnl':District "Zoning: 'Lot Area: SF/AD Width: :De Suraey But3mitte . 'Yes ISD Date of Survey: Pro Dsed Setbacks: frontl:ake� Re (Street) { ;E IV ) "til ) her BuilcfinSs INetlanii' Zide Side Building'�eifrned=Height; Building-PeakHeight: #.:of Stories Dk? n YES =f.OR.ABBUILDING IIT °ABiASEMENT OR AAWLL`SP. E; +ABUILDING:DN Al .SLAB'•FDUNDTA-TION: START WITH 'the,distance sbetweenthe:-basement-' or/crawl 4TART the:distance betweerrthe-:slabanddhelfiighest Space'floor.andAhe�highest roof.peak,t #op_of WITH -ro"ofpeak,the'top dithe_comice ofa", tTDof, the zornice.df,a'flat,,ro.cf,the-bedk_Iine of a the:deck line of..a;mansard mof,.Drthe .mansard roof,orthe;oppermost,point-on aro Vd :uppennost;point on around orother--arch-type =.or otherarch;typerroof roof .SUBTRACT half.the.distance.between,thehighest.vvindo nd SUBTRACT fialfthe-distance:betweenthe~highest*.indow phi hestroof: edk of.a: itchedsroof andhi.hest roof;. eak.ofaz itdhedroof SUBTRACT thwdistancebetween the basementflo crawl D the distance betweendhe;slabznd-thwhighest .space'floor and the�highest ,existing de within ezistin rade•withinthe foundation thOwndation or 10;feet,awhiehev isiess. EQ.UA :Defined building'height EQUALS Definedbuildin -hei ht L-ot Oovsrage: SFIN- Shorela;nd.Distfict MQWDsPerrrmit.Received Average Lakeshore S adk :8iuff es x:17 'No 13 "N1A .17 Yes i7 ''No Yes 3 ',No 13 'Yes D ND NIA ermit Number: - etback: ;t ardcow,er Zon _-Existing Proposed Required OlJPR wired 0-75' M 'Yes M No 13 ".Yes 13 ND 75-2,W' Type(s): Type(s): 25. -:600' b 0-1-0,00' REMATZKS (in=hovse); /Uy CAW/V6 le Updated: 09/11/2009 zftfonnsVian reviewcheckhst.dom Fees to be Cha ed Plan Revie�nr investigation;Fee ZOWOrCIDnnection rPadce 113L'Jiged B - `S iJaTE F 4Ddta e "er` uare rFLlDta e ; Basement i "lamlOC9T X _ . "d Fbor 1esthafted-,Canstructib6VAlue; 'S 410. D&O ;Grano Inspedtim,svRequired :Mlnrk Requifing-%Paste:Permits Regniretl'State Ren,Aits fl 'Site :F�"lurnbing :L Grading/Filling Ul�ell Mardcn�rer RrnovailershaRical fl .Fire "E1eEtrical fl !FDr;tin:9 Sep L alr►AlaterCorine tion G ,Pcaured llllail - Fireplace onnection. o rri<latian ume i t3 NiasonYy fl :Lawn;lrragation don.Ro*'Bed MF9 �Fram'ing #nEr. Pe ify) Jnsulation. '13 _Dther(spe iifjr) REI1fl R�K.$,.jin-fioirs�): `01 ther-ReWbm �Reviewe>d a►te..aA " .rnr e?d: Access,Exist' YY 13 NO <lalew: GI 'SESD t+t0 REMARKS 90'BE NOTED` N:PERMIT AmD,,,jNj A LED BAY PERSON-PULLING PERMM Updated: 09/11/2009 ZVormsVIan•review cheddW.docx 1- _ -Tic) �_ �� ORONO GWY 5 -OWER LEVEL PLAN DAHL CONSTRUCTION INC. 300 WEST POINT RD. TONKA BAY ,MN 55331 /411 11-0" OF O"ONO 1-4- �AN RENIEW Z,3-3Z- cot", �Krr S,"N. Bnd in 9�00 315" 9K • c t4wS PLAN SETT ON SIT X" '-f9r—,—v IEW w U E S T ROOKI U ST �,� 9 x 9 10 x 10 9 10 FULL F,FULL BED HIGHBOY (n in in 0 0 m1w I I xw r FAMILY ROOA a:Om IN; K44 ; 167X 179 A 19 Tv X ShG&ock X 6 de of Stairs And In TH SEE ATTACHED SH T s$ 94 4 FOR r►--OUZ CODE REQUIREMEW LINEN0 -------- ------ REF. SHELVES llu 0 NEW MUD ROOM NEW NEW MECH/LAUNDRY 120 X 176 PANTRY 148X 88 70X 70 F —1 w CHEST D m FREEZER LIL M10 BEH —---------- EXISTING PANTRYEMSMI 0 - _ - G OFFICE UP EXISIING BASEMENT E)QS71NG STORAGE EXISTING LOWER LEVEL PLAN` 1/4" = 1'-O" CITY OF ORONO CALLED IN TIME INSPECTION NOTICE SCHEDULED PERMIT NO. o20!/-O IVF(,VFCOMPLETED ADDRESS 3 /7//2 a-0 Rd OWNER TELEPHONE NO. & a7 O 06 CONTRACTOR Oct- DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O [_1 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W W cc J O a cc O W W QC Q 2 W z W CC LU .4<3ORK SATISFACTORY.PROCEED ElPROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1-1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractorsite: Oq Inspector. White Copy/Inspector's File Canary Copy/Site Notice CITY TIME NO / INSPECTION NOTICE PERMIT NO. -IQ COMPLETED ADDRESS 7/0 OWNER LE 04 E NO. ° _C 0— 5� CONTRACTOR >; DESCRIPTION U ❑ FOOTING [IPLUMBING FINAL ElEXCAV/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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:X YES NO COMMENTS: 7b U cf-,-I cc 6—r A c4 e. A co e klePcS cc W CSO � `` �� Sr Q f z LU CC Uj � l❑WORK SATISFACTORY:PROCEED 'ROJECT COMPLETE Vo. e S 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 INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice