The URL can be used to link to this page

Home My WebLink About2010-00355 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00355 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/18/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4045 WATERTOWN RD PIN : 31-118-23-41-0003 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,500.00 NOTE: REPAIR ROOF APPLICANT PERMIT FEE SCHEDULE 88.50 KELLENBERGER, DANA&GREGORY PLAN REVIEW 57.53 4045 WATERTOWN RD MAPLE PLAIN, MN 55359 STATE SURCHARGE(VALUATION) 1.25 TOTAL 147.28 OWNER KELLENBERGER,DANA&GREGORY 4045 WATERTOWN RD MAPLE PLAIN,MN 55359 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 any time fordc use. / Y/8/0 ', [91,0-sC_ Applicare it Signature Date Issued By aif ature SEPARATE PER ITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. • (aliA__/ City of Orono ` _afj8/z, Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ‘111"OO PO Box 66 Permit number: aQ/Q-(J�/ S 3$ Crystal Bay, MN 55323-0066 Date received: 57/7// ,"` Received by: �fi/7g A �ij Street Address: �„^,��S'�� 2750 Kelley Parkway Plan review fee: 9kEsOrono, MN 55356 Total Fee: >� /171. 7 A. 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: i Job Site Address: 4-64-c (,Jw -Ota u-___. Z-Q(_.0 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: (p(Z 77_3 ----523c1 Name: CikEq 4 DAK, 1 )=G.u_EAISCIZ I — State License# Expiration Date: Phone: (office) 95L_ -7(p--b---7 LS celll Mailing Address: s ck- c�S cxAoay.ti City: �' Contact Person: (z 1= ILE/hhEP---� Applicant is: Contractor / H mem owne (Circle One) Email and/or Fax: _ v•---434--- --0.0.—Si \,....._w—A---, 11-01".---- PROPERTY OWNER INFORMATION: CgSL 7S- ��4' Name: �.f�E 4 l�Nk )tel t zNit(� �� Phone (day): Cp> 9s-a.._ 4-7u — to"-(,S— (r•) 1,(2_ "7 Z -- 3 Address: 40115 ti3 2-1-.0 ;' -- R--p 3 City: Q — - -c ZIP: Sc-3S� Email and/or Fax crpci , lo- 'v,,005>; AN ,---. ' 'N---- -C-01._ is-a_ 475- -69e 4— PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) `j Repair IZ�'C'� CI 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.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 'go C'C, 1 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: ()/ 1G7 .1C Date: e� r ) '- 7_0 t 0 1)0 Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: V 0 y S GJr4Tt 2T0,--ity 494 Description of work: k.1et.`3 (1-93 e`r 5-nP.uic ✓LL, n,,-1 A 21 Cr:► 6-P 6,4,e N Septic review by: ,<A1(14 Date Approved: Zoning review by: A/(di Date Approved: Building review by: ' e/6 C\. _ Date Approved: 5--( 7-r0 Grading review by: « Date Approved: Zoning File#: Resolution #: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF /AC Width: Depth: rvey Submitted: ❑ Yes ❑ No Date of Survey: Propo =• Setbacks: Front(La' - Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT 0- RAWL SPACE: FOR A BUILDING ON A SLAB . NDATION: START the distance between th- easement floor/ START the •.- ance between the slab and the WITH crawl space floor and the hi• •-st roof peak, WITH •.hest roof peak, the top of the cornice the top of the cornice of a flat roo , he deck of a flat roof, the deck line of a mansard line of a mansard roof, or the upperm• roof, or the uppermost point on a round or point on a round or other arch-type roof other arch-type roof SUBTRACT half the distance between the highest : BTRACT half the distance between the highest window and highest roof peak of a pitched window and highest roof peak of a roof pitched roof SUBTRACT the distance between the basement floo ADD he distance between the slab and the crawl space floor and the highest exi .ng hi. - t existing grade within the grade within the foundation or 10 -et, foundati• whichever is less. EQUALS Defined buil•I - height EQUALS Defined building height Lot Coverage: SF ok Shoreland District , CWD Permit Received Average Lakeshore Setback Bluff ❑ Yes 0 No ' Yes 0 No 0 N/A ❑ Yes 0 No 0 N/A 0 Yes 0 NN\ Permit Number: Setback: Hardcover Zo •s Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No _ 75- :0' Type(s): Type(s): 2,I-500' 00-1000' ' MARKS (in-house): lLi J G l� Updated: 07/01/2009 z:\forms\plan review checklist.docx • Fees to be Charged YES NO Permit Plan Review State-Surcharge +/ Investigation Fee SAC-Number.of SAC'Units Sewer Connection Water.Connection Park Fee Site Inspection Other(specify) Miscellaneous-Fees Calculated By: UBC: Construction Type: Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 2,5-0o '931 Orono Inspections Required Work Requiring Separate Permits Required State Permits O Site 0 Plumbing 0 Grading / Filling ❑ Well O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical O Footing _ 0 Septic 0 Water Connection O Foundation Survey 0 Fireplace 0 Sewer Connection .ZrFraming 0 Masonry 0 Lawn Irrigation ❑ Insulation 0 Mfg. O Wall Board 0 Other(specify) ❑ As-Built Survey ❑ Final ❑ 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: 07/01/2009 z:\forms\plan review checklist.docx DATE TIME t/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED G '3-r O oPeanJ PERMIT NO.a0 id-` 00.355 COMPLETED ADDRESS 1oYc (AJ'ATE2-1-106()n0 gtA4 OWNER 6/126 ggiadvii6cice,A TELEPHONE NO. 6/2 -/ -3%73 CONTRACTOR DESCRIPTION011i Dr-1 A00/ /3,4i2N ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ElSEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W a CC O CC O W CC W W • CC • [ 1(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 6 Inspector. White Copy/Inspector's File Canary Copy/Site Notice d) SC"- D' TIME 1 CITY OF ORONO CALLED IN i / a INSPECTION NOTIcCHEDULED /`V 0 3O PERMIT NO. 2P/O 5- OMPLETED t^ ADDRESS %C ( (4d:e/L5/-e"N / OWNEReil�� 1� TELEPHONE NO. / CONTRA TOR V -. DESCRIPTIOP6 / ' a-' + Of\e ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN' .LLING ct 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS HAOFRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL z Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP LI PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 44-1 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc O cc O U- W cc Q 2 W Z W cc ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK 8,PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contrac • • Inspector. 1/ / White Copy/Inspector's File Canary Copy/Site Notice