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Home My WebLink About2010-00863 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00863 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 3240 WATERTOWN RD PIN 32-118-23-44-0017 LEGAL DESC SENN ORONO ADDITION LOT 001 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION $ 34,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) ADVANCED PLAN REVIEW PAID BY CONTRACTOR FOR$331.34 SCREE PORCH TO FOUR SEASON PORCH UPPER DECKS APPLICANT PERMIT FEE SCHEDULE 509.75 545 2ND ST#281 STATE SURCHARGE(VALUATION) 17.00 EXCELSIOR,MN 55331- TOTAL 526.75 (612)308-0680 Minnesota State License#:20096706 OWNER JURAN,DAVID& SHEILA 3240 WATERTOWN RD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a per' d of 180 days at any time after work has commenced. The applicant is r ponsible or assuring all required inspections are requested in co orin ith the State Building Code.This permit may be re oked at for d e cause. Applicant Pe i gnature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono `a� (iv Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) 5a*.75 Mailing Address: Permit number: O D^LSO PO Box 66 Crystal Bay, MN 55323-0066 Date received: /�Zo /D Received by: 411 Street Address: 2 2750 Kelley Parkway Orono, MN 55356 Plan review fee: �• cJ L9gE$Hog�' 41 yTotal Fee: 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: ��w 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: to P P e _ p Z J" ( L State License# A00 5.& `?o U Expiration Date: O it Phone: &I A - 3 c,'i3 0 W Ye(office) Fj (cell) S � Mailing Address: °-,-1P"A' L -1- /: City: ZIP: Contact Person: jvt i kr- 59-k0 4---ave' Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: Z.o x 9 S'!-- Y7 Y_ S f PROPERTY OWNER INFORMATION: ff Name: i�%��t: 4- 5he`.t-1 �.1a.pti, Phone (day): L-/'7 5 — T3 f Address: City: CV10 A d ZIP: j,�- 3 SG Email and/or Fax PROJECT INFORMATION: Type of Project: h�^5;.+� 5crct f,5Lc'�> JAny earth movement may require MCWD review&permits ❑ Door(s) Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 5a Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: 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 supply the information,the application may not be issued. Applicant's Signature: �� Date: Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions Address/ PID/ Legal. L-cJ �} 4—t.)- Description of work: 51CAAE�N Septic review by: �� Date Approved:__f-,-, 212_ Zoning review by: Wlt4 Date Approved: Building review by: on Date Approved: q a Grading review by: 0-1/4 Date Approved: Zo g File#: Resolution#: Resolution Date: nin District Fire Department Post Office School strict Zoning: t Area: SF/AC Width: D the Survey Submitted: ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front (Lake) Rear treet) ( N S E W ) ( N S E W ) ther Buildings Wetland Side Side Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL SP E: FO A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement or/crawl START the distance between the slab and the highest space floor and the highest roof peak,t 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 mansard roof, or the mansard roof, or the uppermost point on a ro d uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest windo and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and hi hest roof eak of a pitched roof SUBTRACT the distance between the basement flo crawl DD the distance between the slab and the highest space floor and the highest existingde within existing rade within the foundation the foundation or 10 feet, whichev EQUALS Defined buildin height is less. EQ LS Defined building hei ht Lot Coverage: SF Shoreland District M D Permit Received Average Lakesh a Setback Bluff E3 es 13 No [3 N/A E3 Yes ❑ No ❑ Yes 13 No 13 Yes 13 No N/A ermit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' ❑ Yes ❑ No ❑ es ❑ No 75-250' Type(s): Type(s): 250 00' 0-1000' REMARKS (in-house): 126 CHAn�G L Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO `Permit� Plan Review State"S:urcharge ,,,/ - Investigation Fee ,SA,C RNumbgT-.,n .SACUnits Sewer Connection Water,Conn:e.ction Park Fee Site Inspection Other (specify) 1Miscellaneoys'fees; ti Calculated By: Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ ,3y, 000 Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. XrFraming ❑ Other(specify) insulation ❑ As-Built Survey Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/1112009 zAforms\plan review checklist.docx b`al :ze-P_ TIME/�A V/ CITY OF ORONO CALLED IN 1D INSPECTION IJOTICE a ��j SCHEDULED PERMIT NO. � — UD�r COMPLETED ADDRESS R)At - �� OWNER TELE,PHON,E N04/h -300' 00 CONTRACTOR 3Z DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING QURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS y FRAMING ElMECHANICAL FINAL ❑ TREE REMOVAL ZINSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: W a J O cc O W cc Q W W cc J WWORK SATISFACTORY:PROCEED 13 PROJECTCOMPLETE W �RRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL 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. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DAT TIME TY OF ORONO CALLED IN INSPECTION NOTIC //--�SCHEDULED whe PERMIT NO. dd8f�COMPL D ADDRESS OWNER &ELEPHONE NO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOUXYES_NO vdi COMMENTS: cc W a J O O W c Q 12 Z W W cc d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra sit Inspector. White Copylinspector's File Canary CopylSite Notice