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Home My WebLink About2012-00005 - addn/remodel/repair * '' CITY OF ORONO PERMIT NO.: 2012-00005 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OV0412012 952 249-4600 FAX: 952 249-4616 ADDRESS : 220 WAKEFIELD RD PIN : 36-118-23-31-0010 LEGAL DESC : WAKEFIELD FARMS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,500.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) MINOR BASEMENT REPAIR-REINSULATE AND SHEETROCK ONLY APPLICANT PERMIT FEE SCHEDULE 177.00 LECY BROS CONSTRUCTION PLAN REVIEW 115.05 15012 HWY 7 MINNETONKA,MN 55345 STATE SURCHARGE(VALUATION) 4.25 (952)746-3783 TOTAL 296.30 Minnesota State License#:20325555 OWNER DAVIS,RICHARD&BETH 220 WAKEFIELD 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 applic t is responsible for assuring all required inspections are requested' conformance with the State Building Code.This permit may be re:okfd a time for due cause. t / / 04-/ /2-- 6� Applic Pe tee Signa re Date Issued IM Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Plan Review Checklist for New Structures / Additions Address/PID/Legal: ZZ- 0 aA. Description of work: Q ASS-o✓A_ 4- 44c-& o^i Septic review by: 4 Date Approved: Zoning review by: Date Approved: Building,review by: Date Approved: I- Z. Grading review by: /V 44 Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Subm ed: 0 Yes O No Date of Survey: Proposed Setba s: Front(Lake) Rear(Street) ( N Side W ) ( N Side W ) Other B Ings Wetland Building Defined Height:. Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR WL-'SPACE: FOR AB DING.ON A SLAB FOUNDATION: START WITH the distance between the sement floor/crawl STOAT the distance between the slab and the highest space floor and the highest of peak,the top of TH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the d k line of a the deck line of a mansard roof, or the mansard roof,or the yppermost it on a round uppermost point on a round or other archaype or other arch-type roof z roof SUBTRACT half the distance between the highest ndo rrd SUBTRACT half the distance between the highest window highest roof peak of a pitched roof I and highest roof peak of a pitched roof SUBTRACT the distance between the basement fl /c wl ADD the distance between-the slab and the highest space floor and the highest existin rade wit ' existingrade within the foundation the foundation or 10 feet,which er is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF Shoreiand District ZMCWD Permit Received Ave a Lakeshore Setback Bluff 0 Yes 0 Yes 0 No 0 N/A 0 YesXNO 0 N/A 0 Yes 0 'No O N Permit Number: Setback: Hardcover ones Existing Proposed variance-Re uI d CUP Required 0-,7'6' 0 Yes O Nb,, 0 Yes 0 No 7 -250' Type(s): Type(s): A0-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\formslplan review checklist.docc Fees to be Charged YES NO ^y;, k In ,F ad'si.�,"`ux +rur=aww. _ �I `. s, �. ,. �.? 5,i .s 3. �. NO "> Plan Review a Investigation Fee DOWN.,r Sewer Connection sm Park Fee Now~, oftm Other(specify) IN won= Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X $ Estimated Construction Value: $ YS c>c> Orono Inspections Required Work Requiring Separate Permits Required'State Permits 0 Site 0 Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical 0 Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 foundation:Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. 0 Framing 0, Other(specify) ,W Insulation 0 As-6uilt'Survey Final 0 Other(specify) REMARKS(in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 zAformslpian review check ist.dom City of Orono BuildingPermit Application for Internal Work pp (windows, doors, siding, re-roof, etc.) Mailing Address: 0 PO Box 66 Permit number: 0 0 Crystal Bay, MN 55323-0066 Date received: Received b ,� � a `�►^� ` Street Address: y' 2750 Kelley Parkway Plan review ee: t9kESH0 Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / �J 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: Z-0 L %J- 7 d(Lc» 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 e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Lac, ► S �f fc State License# Z031 _SSS Expiration Date: n►hi2__4( 3/ `i Z. Phone: Z - office 6i -_2_Z'SS 3 cell Mailing Address: /T0 Cit : t" A,-%,j-kA ZIP: Contact Person: &tjnWJ- S Applicant is: Contracto / Homeowner (circle one) Email and/or Fax: c _ J(,,Z PROPERTY OWNER INFORMATION: Name: Phone (day): . Z Z - - 4 i Address: �2 3 14_1 I ,�/L�n�7 City: �ct� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ❑ Door(s) XRemodel ❑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.M Overall Project Description: M in,ot; c skae-trod or-&-t Estimated Construction Valuation of Project(excluding land) $ 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 supplyffie information,the application may not be issued. Applicant's Signature. - -.� �/ Date: / G- Last Updated: 05-04-2009 LJ SP- V 5� D//A^TE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED — 4— v PERMIT NO.o?C/c2Qn�0 COMPLETED ADDRESS a270 Wl-A�f7Cif/S—�/- OWNER / TELEPHONE NO. /0/,,? 7 3 a�6s L CONTRACTOR Alf 12.> DESCRIPTION r ��5-ueQl ' ` El FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El 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 vOi COMMENTS: W a O cc O W W Cr Q 2 W Z W � K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne ins n 24 hours in advance. (952) 249-4600 Owner/Contractor Inspector. White Copylinspector's File Canary Copy/Site Notice DAT TIME V/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED - ' PERMIT NO. 00040? -000-0 S COMPLETED ADDRESS CP620 OWNER TELEPHONE NO. &Q 703 a a,&k CONTRACTOR U &W.S . DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O a O W ac Q 2 W Z W cc Z) L cc 11 ❑WORK SATISFACTORY:PROCEED 'RROJECT COMPLETE W ❑CORRECT WORK&PROCEED +'❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN F-1 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: Inspector. White Copylinspectoes File Canary Copy/Site Notice