HomeMy WebLinkAbout2009-00318 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00318
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/06/2009
952 249-4600 FAX: 952 249-4616
ADDRESS 3785 TOGO RD
PIN : 17-117-23-31-0039
LEGAL DESC TOWNSITE OF LANGDON PARK
LOT 010 BLOCK 010
PERMIT TYPE ADDITION/REMODEL/REPAIR
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION $ 10,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
INTERIOR REMODEL ONLY-KITCHEN CABINETS,ADD/REMOVE 3-4 WALLS
APPLICANT PERMIT FEE SCHEDULE 191.75
BRENNAN PROPERTIES LLC PLAN REVIEW 124.64
8452 153RD PLACE
SAVAGE,MN 55378- STATE SURCHARGE(VALUATION) 5.00
(612)616-4447 TOTAL 321.39
Minnesota State License#:20381410 PAID WITH CC# 9512
OWNER
GHERARDI,LORI
1010 WILLOWVIEW DR
LONG LAKE,MN 55356-
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 res onsible for s 'ng all required inspections are
requested in con ance wi a tate Building, ode.This permit may be
revoketan for due a `
l 7l Al
f,�jl � �l �v /De
Applicant ermitee Sr re Date Is BySignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: 02009-0631.8
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Received b
Street Address: y
F, o~ 2750 Kelley Parkway Plan review fee:
� ti
L9xES140 Orono, MN 55356 _ �l
a/ 3�7
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: I
This application form must be completed in full and all required information must be submitted. rn-S3 l-tg-LYYI
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 3705 Ac-)6Q le
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: J
State License# 0 S l$ 1 L4 10 Expiration Date: 3—_,A0,,0
Phone: 617- VI(a-49L,7 (office) (cell)
Mailing Address: S,)L- t53' plc41_{ City: ZIP: 55-4.7 V
Contact Person: Applicant is: Contractor/ Homeowner (Circle One)
Email and/or Fax: Joe . c4(eh ha _en
PROPERTY OWNER INFORMATIO
Name: 1-041
Phone(day):
Address: 10/0 /.i,,,110 6.,o VIPc✓ Or/ve City: z9r'Pily ZIP:
Email and/or Fax
PROJECT INFORMATION: ADD Av CUY y * W1 I S CO (�
Type of Project: Any earth movement may require
MCWD review& permits
ElDoor(s) remodel El 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.arg
Overall Project Description: rwlao C n
Estimated Construction Valuatio of Project(excluding land) $ 110,C100
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
required by law. If you refuse to su e rmation,the application may not be issued.
Applicant's Signature: Date:
Last Updated: 05-04-2009
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 31135 TOGn f2.0)A 6
PID:
DESCRIPTION OF WORK: IZe(n�+o�El
ZONING REVIEW BY.• _/U/ DATEAPPROVED:
B UILDING REVIEW BY.• DATEAPPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN RETVIETf/' Yes t/ No SEYTIER CONNECTION
STATE SURCHARGE Yes ✓ No AIrATER CONNECTION
INVESTIGATION FEE Yes No�_ PARK FEE
SAC Yes No INSPECTION
Number of SAC Units OTHER (spec)
ZONING CHECKLIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sgft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake); Right Side:
Rear(Street): Left Side:
Adjacent Structures: Nretland.
Building Height: Def.Hgt. Pe k Hgt.
Lot Coverage:
Grading. Staff Approval Date: Council Approval Date:
Septic: Staff Approval Date: B
Zoning File: # Resolution: # Resolution Date: $
7.
Shoreland District: MCYGD Permit:
Avg. Setback: Bluff Setback: Lot Coverage.
Faisting Proposed
Hardcover: p_-j'
75-250'
'50-500'
500-1000'
Hardcover t ariance Required: Yes No Date of Council Approval:
REM-4RKS(in house):
33
B UILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE: �(
Sq Footage $Per Sq Fig
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
X =
TOTAL
Estimated Construction Value: $ 1 0,000 00
Inspections Required: Work Requiring Separate Permits:
Site PC Plumbing Fire
Hardcover Removal oC Mechanical Water Connection
Footing Septic Sewer Connection
>e Framing Fireplace Lawn Irrigation
Inst2lation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
_-Final Grading/Filling �_Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
34
! ORONO COPY
F—XHAUST FAN I '
DIRECTLY OUTSIDE •
W
_ ----------- i
$ .,f 22x30
E[ ACCESS
„
i a - -!1!11111 SPECIAL NOTE �
„
R
b • —
---------- $ SEE ATTACHED SHEET
FOR trEc—„v�►
1AT
_ CODE REQUIREMENTS
,, _ _
----------------------------------------- --
AFIRIIE �F-�:�i�T" I==x�-2�.1s;
( 2�1' i1.� .li V. «...1�t..:.}`it��':1
{-f
nJ
WON. 011,
44" NZ,' S l l-L M^—A'E►-:t
CITY OF ORONO
BUILDING P IT
BLAN REVIEW
AIi
INSPECTOR
DATE (6—15 09 0 _ PCRIA01-NO._
AI°ri,UVED AS ::;.';?Ili 61)
VV'! i °,S NOTED
I These c^nlr^1 , for hA ue done
in Illi bG"nfil 1(.Y K�� 211 -"ll,) .�iJll tt Ufil:•?�C
fia ode.
(�/1 ,,,,- qwr r.�•i: me d: lem.rod tv 4::c I/n�iel� n this revim.
J
-_-------_----------------- ------- - - ----------- ---- ---= REEP THIS PLAN .SF7JS?N SUE AT ALL TIMES
All dimensions-size designations given are �( � 20{g This is an original design and must not be Designed: 5/14/2009
subject to verification on job site and TECHNOLOGIES released or copied unless applicable fee has Printed:5/19/2009
adjustment to fit job conditions. been paid or job order placed.
091ori-39 1 Drawing#: 1