Loading...
HomeMy WebLinkAbout2013-00122 - addn/remodel/repair CITY OF ORONO * 2013 - 00122 * 2750 KELLEY PARKWAY DATE ISSUED: 02/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 315 TONKAWA RD PIN 06-117-23-14-0021 LEGAL DESC REG.LAND SURVEY NO.0540 LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 65,000.00 NOTE: TAKING OVER EXISTING PROJECT FROM JENSEN HOMES SQ9, 2-011 - 01501 - Cava br A4dh Zo 12 - 00357 - Iku I *L Peart 2-012-- 00(007 - DR.c Y— Mldn APPLICANT PERMIT FEE SCHEDULE 794.25 HNH HOMES 13911 RIDGEDALE DRIVE#406D STATE SURCHARGE(VALUATION) 32.50 MINNETONKA,MN 55345- TOTAL 826.75 (952)288-3746 PAID WITH CC# 6746 Minnesota State License#: 654037 OWNER Waycrosse,Inc. MACMILLAN,MARTHA E 15407 MCGINTRY RD W 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 the State Building Code.This permit may be revoked at any time for due cause. oZ pp icant Permitee Si ature Date Issue$43y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. + r City of Orono Building Permit Application for New Structures or Additions _ Mailing Address: Permit number: �20l;7 "b a •g,�,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: Received by: Street Address:' \ t o~ 2750 Kelley Parkway Plan review fe Orono, MN 55356 Ess Total Fee: r / 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: 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: "IV H e-s. State License # + 03 7 Ex 'ration Date: 3-3)- ZDl�f Phone: �sZ� Zg —�7y� (office) 'i) t�7 S Z_gS (cell) Mailing Address: 3 ,d Ll06 City: /lf;�,,,c o.� ccs ZIP: Contact Person: �� /-E,%(w/c��� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: -�nrS • mor., PROPERTY OWNER INFORMATION: Name: Phone (day): Address: )e 11.1Q City: ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: -s i _c Phone (day): 61? a — 76 Address: 16/Z'z y7.1 ^Ie- /i/ City: ZIP: Email and/or Fax: PROJECT INFORMATION: r f " r�i•r �F-'s� � �7�;. - t. 1.Type of Project . Proposed Use T Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction (Single Family with Residence V Addition/-L i.,,cdeattached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial Private Sewer JQ Other: (specify) be--C-K ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.org v� Estimated Construction Valuation (excluding land) STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms= Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1 sc Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 supply the information, the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: ( L Date: ZZ-16 —/ 2—. Owner's Signature: Date: CITY OF ORONO PERMIT NO.: 2012-00357 2750 KELLEY PARKWAY DATE ISSUED: 05/03/2012 ORONO,MN 55356- = `" A t F�k92) 24.9 4600 FAX:, 057) 249-4616 PERMIT APPLICANT: THOMPSON PLUMBING DES EEG LA13D SUItVE ISO 05.40 15001 MINNETONKA IND RD F 1 O!T 000: BLOCK 000 .i MINNETONKA,MN 55345 "' �ERNII'��1YPE 1'LIJNIBII`TG��$soak c Jr��1•�.1_ yS 2t, S vR01' RTYr TYPE _ RESID`ENTIAL �CO1UGTION TYPE BIXTURES MULTIPLE >sl';A`7,IrTUB, 1 SHOWJ✓R, 1 1*I'©©RDREIIN1 WASHER, 1 WETBAR s\' "T' BUILDING INBPEMON AEC QRD NOTICF REQUIRED FOR ALL.INSPECTIONS. INSIdEC'FIQNS WEEI(DAYS`: �" ObF.YY E DATE' } IN PEO QR INSP ,TI�31 TYPE` DATE INSPECTOR �tl .yftTti F + L VlY1D �JGi11LV 1. F2 j-_iVti Tk 2y"fi' l '- -C.' r Y •v' ... t. tT9: 7 Ro riar �: to ti•. f j-t� w -11 r E 3 f ` i s r K t t,•�A v .c7 J.dk' rtea t* �-`ry'd r •e t ,� t - c.�; f +�raFi.ryy���T r kh t tl.i_ .ti ���� { C? h'-M t ..i��,£�✓: I., it I'•^ v - TYE 'INgE�O COMMENTS r A i 1� tf t o P` a, > f".;t S{^'SN �h.�">-�tif;r.•.� ? ,r\ 1 f, -.' r - Fc".� _ - 71 I IACCORDANCk1 WITH EIS I'ORDIN GE NEW OR AMB ' ANTIAL�Y REMODELED BUILDINGS SHALL NOT$E OCCIJPIEll UNT'1L ALL WQ�tK HAS BEEN APRROVED,ANIIA R IFICA�IE OF O_CCUPANCY HAS BEEN ISSUED$Y THE BUILDING DEPARTMENT. 14 gnr­ s 'PHIS CARD MUST BEP©STED;AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. CITY.OF ORONO PERMIT NO.: 20].2-00958 2750 KELLEY PARKWAY CIAL ftO W ,7-013;0012.2, DAT ISSUED: 09/26/201 ORON09 MN 55356- rF` , (952) 249-4600. FAX: (952) 249-4616 g- ADIaRSS 315:1T0NICAWA RD PERMIT APPLICANT.: r pIN - 06-j17 23=14 0021 SELECT MECHANICAL SERVICES INC. LECAL_DESC 'REG Y,AN SI3RVEV'NO0540 6219 CAMBRIDGE.ST i - LOT 1000_:-BLOCK 000' ST.LOUIS FART{,MN 55416- F RMIT T'aYPE MECHAIVLCAL{ SDO):;' PROPERTY'1PE RESIDENTIAL (952)926-4488 CONSTRUCTfION,TE MEMUL TIPLE >; f x .-VALUATION . $ 31,4.00.00 BUlLDlNG jNSPEMl0P+ RECORD . 24 i�UIt 'E R. UWD P'DR AL SPECTIONS. CALL Fo INOECTloris WEETMAYS:_ . IlATSEECTIOi�[`TXPE,` _ _ D1f,TE I1ITSPEGTOR INSPECTION TYPE DATE. INSPECTOR '.:MECHANICAL AIRTEST` .. .• M$CHANICAT, 'ROUGH IN rad y x . MECHANICAL FINAL u J Sav"f'Tf - � f fs r t.. _ _ - t - y is I•• - . IN�P�C�ION C-01VIi1'IENTS .` - - , a - r IN ACCORDANCE WITH CITY ORDIlVA TCt,NE W OR.SUBSTANTIALLY REMODELED BUILDINGS SHALL,NOT BE OCCUPIED UNTIL ALL �VRK HAS:BEEN APPROVED AND A CE( IFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPAR'T'MENT. ulil o VV THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. { t + CITY 4 ORQNO PERMIT NO.: 2011-01507 4 .Ej.tX--Y PARKWAY ' "0%, ;1tiIN 55356- DATE ISSUED: 02/24/2012 4 a�ixr 3d; 1 ( X 44 ! 4 (� X :{9SZ).249-4616 ADDTfESS 315 TO p( r P21vUT APPLICANT: _k�Ily - 06117 31- .40021 0021 x. JENSEN HOMES LEGALDESC R70—LAX. SURVEI'NO OS4 601CARLSON PARKWAY#1225 r j LOT 000 `bLOC*4 666 MINNETO NKA,MN 553:05= PERNIIT TYPE - ADDTLi/REMQ> 1{T�/RE' AIR }FROFERTY TYPE RESIDENTIAL {�F, EO-STUCTION TYPE ADDN/REMODEL/ 4 TIYITY434 RESIDENTIAL r ' "t SEPERATE PERMITS REQUIRED PT UMBIN0 MECH CAL-ELECTRICAL(STATE) 41 ,5r SMALL ADDITION FOR ELEVATOR. w _ BIJIt GIP 8 11 �IQL�T,REC0 �13-P*01� 48 HOUR NOTICE REQUIRET� ESR ALL INSPECTIONS. _ CALL FOR Il SFEC'I'ION$WtEI�pAYS: RkcTION TYPT'; _ DATE INSPEa'O$ 11 $PE TION TYPE DATE INSPECTOR i f 53 cE00TING s . ,FEZAIVIIN( nw K £ 5' *3 SIN 1 CATION ,'fir:•sr.a= {S Es a clra..p r' s kIIAF;y' t i 4 IlYSPE I0 CaNW, TS At -;IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL W'6k BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.. 0^5 5�t T TIME CITY OF ORONO CALLED IN INSPECTION N TICS SCHEDULED - — -f2 PERMIT NO. COMPLETED ADDRESS OWNER TELEPHONE NO CONTRACTOR DESCRIPTION e 44 ❑ FOOTING ❑ PLUMBING FINAL [IEXCAV/ RADING/FILLING H ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v Cl DEMO-SITE ❑ SEPTIC MAINT Cl FOLLOW-UP i ❑ DEMO-FINAL Cl SEPTIC INSTALL ❑ HARD COVER REMOVAL .1 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNNIIMCTORTy O YOU:�e YES_NO COMMENTS- Proyrn� l4. ��`!a L - Ah r �.fa• /moi�Q l Prov rrE1 a /C r-?de Pra��►s9t �/�va�F r 1�/Nt L 1�f�ST Sgt Q LU W a Uj ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY )q:oRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. C inspection 24 hours in advance. (952) 249-4600 ctor on site- Inspector. White Copyllnspector's File Canary CopylSite Notice