HomeMy WebLinkAbout2009 - 00465 - siding CITY OF ORONO PERMIT NO.: 2009-00465
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/1112009
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 55 WEAR LA N
PIN : 33-118-23-34-0006
LEGAL DESC : ROLLING MEADOWS 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S-CENERAL 0 Idj
VALUATION : $ 50,000.00 O
NOTE: REMOVE STUCCO AND RESIDE WITH OTHER SIDING
APPLICANT PERMIT FEE SCHEDULE 681.75
DRY TECH CO LLC STATE SURCHARGE(VALUATION) 25.00
13419 FENWAY BLVD N#104
HUGO,MN 55038- TOTAL 706.75
(651)429-8444
Minnesota State License#: 20457802
OWNER
GROSS,DIANA
55 WEAR LA N
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 Ur State Building Code.This permit may be /
revoked atyff a fo e ca`. . 4 g - '(�LY7
X/ // / cryiAttr
-Applic.� t Permit-- ure Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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UtJ X110
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc)
0 $6-:-)
Melling BoxBB: Permit number: c:26 d -O(7 V 5�2�
Crystal Bay, MN 55323-0066 Date received: 377`U 9
r Street Address: Received by: a�
`;1.i •': 2760 Kelley Parkway Plan review fee:
►�; •.. Orono, MN 55358
Total Fee: 7o 7 5
Main: 952.249.4600 Fax: 952-249.4816 www.cl.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 INFORMATIO
Job Site Address: 5 i14-•1144- LAt , /O,ps,frA
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes o
if yea,a special event permit is required with Police Department end City COURCII approval 60 days prior to the event. Shuttle bus ee/ I
required unless applicant demonstrates sufficient on-afte perking Is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: /f (040
State License It ....sr ,,, __ ._ Expiration Date. - / D O
Phone: % WI- - 5( • (office) 6/' '75 (cell)
Melling Address: J3 / ' 4l ,41, ,i..i1 e j Cl •
. i s ZIP: /Am
Contact Person: Applicant is: 4 _ =« / Homeowner (Circle One)
Email and/or Fax: /tee kr ifec.i Ail/d'ke, iodrM
PROPERTY OWNER INFO-MATION:
Name; r.;itAk I ' ,.4 • .f , i` ..rr/.: _:,.L.4..-._ /xi - i
Phone(day): Air eern -- . - 6'M*c• .A>rP,7 4e, eG/ [ •�- - .- -'-7 • . 9P
Address: - AiG __C1City: �rono ZIP: ��Gr
Email and/or Fax ��
PROJECT INFORMATION:
Type of Project: I Any earth movement may require
MCWD review&permits
❑Door(s) ❑Remodel 0 Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven,MN 55391
❑Siding ffiestoratlon 0 Other (specify) Phone: 962-471-0590
Fax: 952-471-0882
❑Re-roof 0 Fire Damage www.minnehahacreek.org
Overall Project Description: _ �•, jC�e /I'j a/ ' /LG•'J%ice+ /__.eof--
Estimated Construction Valuation of Project(excluding lend) _ >' •
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 ann ipdate our records and records of other governmental agencies
required by law, If you refuse to supply th- .1.rmatl• ,,a plication may not be issued.
(-----) ',, rata. J7• 7- „20
Z0 'd T Si'86Z-O T S9 H331Aela WO 20: 60 6002—L0-nno
Plan Review Checklist for New Structures / Additions
'Address/ PID/ Legal: S GvL-"7�'.. £i4..ie 1V•
Description of work:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: c/ 1J --- Date Approved: a -,0-0^t
Grading review by: Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zoning District Fire Depart •nt Post Office School District
Zoning: Lot Area: SF / •C Width: Depth:
Survey Submitted: ❑ Yes ❑ No Date of Survey:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S N W ) ( N S E W ) Other Buildings Wetland
Side Side
Building Defined Height: Building Peak Height:
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START the distance between the basement flo. / START the distance between the slab and the
WITH crawl space floor and the highest roof p:ak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof, the d•ck of a flat roof, the deck line of a mansard
line of a mansard roof, or the uppermost 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 SUBTRACT half the distance between the highest
window and highest roof peak of a pitche. window and highest roof peak of a
roof pitched roof
SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the
crawl space floor and the highest existing highest existing grade within the
grade within the foundation or 10 feet, foundation
whichever is less. EQUALS Defined building height
EQUALS Defined building height
Lot Coverage: SF
Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff
0 Yes 0 No
I:1 Yes 1:1 No ❑ N/' 0 Yes 0 No 0 N/A ❑ Yes 0 No
Permit Number: Setback:
Hardcover Zones Existing Proposed Variance Required CUP Required
0-75' 0 Yes 0 No 0 Yes 0 No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house):
Updated: 07/01/2009
z:\forms\plan review checklist.docx
r ,
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: IZ Construction Type: vN
Square Footage $ per Square Footage
Basement X = $
152 Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire 0 Electrical
O Footing 0 Septic 0 Water Connection
O Foundation Survey 0 Fireplace 0 Sewer Connection
O Framing 0 Masonry 0 Lawn Irrigation
O Insulation 0 Mfg.
❑ Wall Board 0 Other(specify)
O As-Built Survey
Final
❑ Other(specify) Tt:AR or .
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: ❑ 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
Fax Cover Sheet
Dry Tech Restoration Services
13419 Fenway Blvd. N.
Suite 104
Hugo, MN 55038
To: City of Orono /building department
From: Kevin Johnson
Re: Permit application
Date: 8/7/09
Number of pages: 3 pages
Phone:
Fax#from: 651.429.8451
Fax #to: 952.249.4616
*For Review *Reply ASAP Urgent 'For your information
Comments:
Building Department:
To follow Is the application to perform work in you city. Please have someone
contact Dry Tech with any questions. Thank you in advance for your assistance and
we look forward to hearing from you. We are looking to start the project the week
of the 10`x. Please inform of any issues that would not allow our firm to start.
Kevin Johnson
Dry Tech Co LLC
As always,please don't hesitate to call if you are to have any questions. Thank You.
Office 651.429.8444
Cell 651.775.7978
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SAT. TIME
v
CITY OF ORONO CALLED IN 94
ai
INSPECTION TE SCHEDULED
PERMIT NO v LZ _ COMPLETED
ADDRESS .55
OWNER CONTR./ i/ — 1 -e— _.
TELEPHONE NO. ,<QA, X05/-7(A7-eZ/ 3
DESCRIPTION \/�
❑ FOOTING ❑ MECHANICAL RI ❑ EX**RADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
IQ 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL 0 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES O
o COMMENTS:
cc
cc
O
CC
O
W
CC
ti
W
W
LU0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 sir:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATiE TIME V
CITY OF ORONO CALLED IN 6 `
INSPECTION NOTICE SCHEDULED Ar`r�Sr� i'3e)
PERMIT NO. o2-eiD416., COMPLETED
ADDRESS &t.- /C! nn
OWNER CONTR. Dr C. -I
TELEPHONE NO. '5/ "76,7 c2?7�S
DESCRIPTION Ct " 071. S ccb ,i 'va-
LAI
❑ FOOTING El MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
ti D INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. 0 COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. 0 FOLLOW-UP
❑ PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
a Uicct,ss oC- C-11/3","-vi
cc
O
cc
O
cc
Q
W
cc
LLu ❑WORK SATISFACTORY:PROCEED CIPROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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. L-40
White Copyllnspector's File Canary Copy/Site Notice