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HomeMy WebLinkAbout2011-01134 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-01134 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 3310 WATERTOWN RD PIN 32-118-23-44-0015 LEGAL DESC N/A LOT 002 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 16,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) PARTIAL FINISH OF BONUS ROOM ADV PLAN REVIEW PD 9/28/11$182.16 2011-00132-DEDUCT FROM PERMIT FEE. PER LYLE NO PLAN REVIEW REQUIRED FOR THIS JOB. APPLICANT PERMIT FEE SCHEDULE 98.09 4614 CHURCHILL ST ZAWAHOMES STATE SURCHARGE(VALUATION) 8.00 SHOREVIEW,MN 55126 TOTAL 106.09 (651)387-9054 Minnesota State License#:20345856 OWNER MCCLANAHAN,ROBERT&KRISTIN 3310 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 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 rev ked any time for due cause. / / � Applicant Permitee a Date Issued B gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHM THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) U MailiPO Box 66 ng Address: Permit number: O Crystal Bay, MN 55323-0066 Date received: /�a � �-;`� a Street Address: Received by: 1, " o~ 2750 Kelley Parkway Plan review fee: at t�kES80s'� Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: � This application form must be completed in full and all required information must be su rYuueu. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: 3?)Ic-, V�r,}Cc ,, \), � 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: Zg,� cock 4 � ,-�, �nC_ State License# c�y5 �<.t Expiration Date: ,j l Lead Certification Number: Q -11 - 5? 21 LJ _I _ o ) ���I (�>�r J�Expiration Date- > J (for work on homes that were constructed prior to 1978 Phone: �;)1 - �{ � ) (office) ��I- _ �,L (cell) Mailing Address: lc 1L1 Ll c 1,, \\ �� City: ���i v r ���ZIP: S�1 l� Contact Person: `{ rt�l Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: I rt ` Zia r �� ;-h�,,�r_� c nm ! ,�, I LA PROPERTY OWNER INFORMATION: Name: P o h 3- I,"i f"{< Q Phone(day): l(,2, -�Li 5 -h i, _�;(, Address: �-)a yr City: ZIP: Email and/or Fax ) C C_-, PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ® Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) E2 Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar El Restoration El Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) C Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: ">• P' �f Estimated Construction Valuation of Pro ect(excludin nd) $ r r 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 i ormatio e application may not be issued. / Applicant's Signature: Date: Last Updated: 08-09-2011 ��� Plan �evie,w ' he #cli t fir . 1 vu S.trim, .ur�esdons Address/_PID!legal: Z7 CEJ Cl apt ✓,/� .Description of.work:' �„vYsti / r7y�i/l�2 :5eptic review"by. ( (r— Datefipproued ' Za1.nmg revlewbY: Date:Appioved Bulltlmg�revie�ni by.: Date 4pproved � Grading rev�ean by f�1� Date�i4pprovsr� 7777777 oning file# Resolution:# Resolution.Date: Zvnin ,a.istrict Fire D.ePartment Postffice °Scfiodl'Distr" 4. Zoning: Lot Area-1. SFJAC -Width: Depth. Survey.Subm ed. . 13 Yes '❑ No 'Date.ofiSurvey: Pro ose�Setbac Frontf(:Lake) ear(street) '( S` w .� ( 1�1 ©ther uUtllr gs illletland' -Side ;Slide: Buldlrtg D:efinetl:Height: Bliilding`.i'eak-Helght. . #ofStoriesflk?:, ❑ YES fDR A B1l1LDING Y111TH A:BASEMENTAR`CRA SPACE: FnR`A B ING DN' 1'SLAB•FOUND.ATI STARTIJVITf� the•distance between the`baeie . tit�toorl.crawl. ST;A the distance'•between the slab andithe highest space.:floor antl:the highestroofrp k;thetop°of W H' roof;peak,the top ofthe eonice.ofia flatroofi, -the cornice-of-a#latro6Y,-Ahe:zieck lin f-a they.deck line of a nansardroof,-or;the :mansard roof,or;the:uppermost:point.o round uppermost point oma round orvttier arch.typ`e or other•-arch e-roof roof SUBTRACT half the.distance<between the Highest window ` .SUBTRACT hatfMe;distanae betweenhehighest aniindow ' I.hi hesf'roof eak of a, itched roof and'!n hest_:roof eak of a;"itched-To-of SUBTRACT 'the distance between theibasernent.floor/.cr I ADD the.distance betweatiithe s'laband"the highest spa ce:fl«orantlahe1highestezisting-grad . ithin :existin made within#heoundation` fhe-fotindation°:or 1D'feeti whichever.is'" ss. QUALS Defined 6uildin .'hei 'tit .EQUALS :Defined_buildin hei ht Lot Coverage: SF;' Shoreland Distri t M❑ . Permit'Received ;,Avera et-ak hone Setback ".$lull ;❑ " s 'D No .❑ N/A13 'Yes :No ,yes❑ Yes ❑ No ❑ Yes ❑ No ❑ 'NrA 96 m. it'Number: `;Setback: Hardcover-.Zones Ezistin` Prcvposed Variance'Required 'GUP Re .wired . D 75' ❑ 'Yes ❑ No. u .. 'Yes ❑ No 75725 Type(s): Type ;2 ' =SQD 00=100.0' R ARKS.(in-house): NO Gr�h4rJl-P .Updated: .09/11/2009 z`lforms\plan review checklist>docx >Fees to b&Dhac ed.: PJanIteView _iinvestigation Fee ,; Parkee ;Other: specify, ' Calculatexl zBy: S uareFbebt`a erB uare,Foata e N.Basement X 18'Floor 2"d Floor ( `Garage �( _ Estimatetl0onstructiDn Value: I M,0 Off. Orono?Inspections Req»Jr d Work Req uiring'Separate Permits Requ�rdd--, fte P.ennits '. S'ite =Riun bmg . IM G ding%Filling 43'�IIIEII MI Hardcouer.Removal :JVlechanical D 'Fire Electrical D ;;Foatin.g ;17 Septicllllater Gornnjectiori' D Poured41a11 D Fireplace .Sewsr'Cannection D :floundation:S:ur-gy_ D 1Vlasonry. Lawn.arrigati0n -fl0 'Radon.f3ock:Bed D Allfg. gaming OthOr,specify) nsulation D Built Survey )~anal D Other(:specify) REMARK$ (in-house).: Other"Review: ;Reviewed by: Date:ApprovefJ: Access:Existing ;'D YES D NO 'New 17YES D NO ; REMARKS (TO BE NOTED ON PERIVIMAND INITIALLED-BY;IPERS:ON P-ULliING`l.PEkMiT) Updated: 09/1112009 zVormslplamreView chedklist.docx E —t� Cvf _ D E TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �C/OMP TED 3---3/0ADDRESS 3 �U VV��� OWNER TELEPHONENO. CONTRACTOR �Q ��� � S — -n DESCRIPTION _T s u __ ` UM ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL O El 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE TI NAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: CC W O cc O U_ W QC Q z w W O Uj 1IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: - Inspector. White Copy/Inspector's File Canary Copy/Site Notice H?_ r—pe- DATE TIME F CITY OF ORONO CALLED IN INSPECTION NOTIC(` SCHEDULED PERMIT NO. 02 -bl( COMPLETED ADDRESS � C� C,�Cc-Y C(Y1 lec✓ OWNER TEL ONE NO. &S/ 7 965? CONTRACTOR DESCRIPTIO 1 - ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINYNO ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES o COMMENTS: CC W Q_ cc J O cc O U_ W Q f2 2 W z W GNU ❑WORK SATISFACTORY:PROCEEDtlmoSUE ROJECT COMPLETE cc ❑CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El 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 Copy/Inspector's File Canary Copy/Site Notice