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HomeMy WebLinkAbout2009 - 00325 - doors • " CITY OF ORONO PERMIT NO.: 2009-00325 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/16/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 997 WILDHURST TR PIN : 07-117-23-21-0004 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 3,000.00 NOTE: REPLACE SLIDING GLASS DOOR AND ADD PICTURE WINDOW APPLICANT PERMIT FEE SCHEDULE 88.50 TURBEVILLE,BRIAN STATE SURCHARGE(VALUATION) 1.50 997 WILDHURST TR MN 55082- TOTAL 90.00 (612)875-1318 OWNER TURBEVILLE,BRIAN 997 WILDHURST TR ,MN 55082- 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 Buildin ide.This permit may be revoke at any time f c - — >//% 6/6 /09 Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: / �3 04 . PO Box 66 Q 0 Crystal Bay, MN 55323-0066 Date received: CO‘o/49 s� r3 , t Ay Street Address: Received by: rt�tl i 2750 Kelley Parkway �',c `10)! °� o Y Plan review fee: 'IrfEsxo4�' Orono, MN 55356 Total Fee: G; //4" 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: icon Job Site Address: / / 7 ,/��,��S; �"rz I i-y) c:.,v y,,,,,,, -3�y Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? (i 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: 8r;.G-,- .Tv("). 1,-;1(,. State License# Expiration Date: Phone: _ (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: [jr';-o..--, TVrbI0) (( Phone (day): (o)a_ 8-73---).3/6' Address: ?q7 k' - - 7-r2_.,1 City:yr,Uur.'�� ZIP: S .36./ Email and/or Fax Jt-: . 6. WC -,PC— C F.n,I . PROJECT INFORMATION: Type of Project: Any earth movement may require Door(s) MCWD review&permits Remodel ❑Water Damage WindowMinnehaha Creek Watershed District(MCWD) (s) ❑ Repair E Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 E Re roof E Fire Damage www.minnehahacreek.orq Overall Project Description: !?l i)Ai=se_ Si , A-.r`ci G/o-SS ,O(1,C c 19 - - p;e-7'uY'C W,r?-6.0/ Sktz-raru," 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: / ---_:!--7 _ 4 Date: ‘,//' , /G/0 j Last updated. 05-04-200•: r , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 9 g 7 (,v,//yyts; , PID: DESCRIPTION OF WORK: ttlyrvOvws ) lot A ZONING REVIEW BY:: p IA DATE APPROVED: BUILDING REVIEW BY DATE APPROVED: n ' _c/7fia...._ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No '/ SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No em PARK FEE SAC Yes No � SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side Rear(Street): Left Side: Adjacent Structures: Weiland: • Building Height: DelHgt. Peak Hgt Lot Coverage: Grading Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: ;y: Zoning File: # Resolution: # Resolution Date: Shoreland District: MCND Permit: Avg. Setback: Bluff Setba k. Lot Coverage: Existing Proposed Hardcover: 0-75' 75-'50' '50-500' 500-1000' Hardcover T ariance Required: Yes No Date of Council Approval: REMARKS(in house): 33 1 • BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: U Sq Footage $Per Sq Ftg Basement• x = 1st Floor x = • 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Zoo " Inspections Required: Work Requiring Separczte Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) Final Grading/Filling Electrical(State Permit) Other • REMARKS(IN HOUSE): • REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: • REMARKS (TO BE NOTED ON PERMIT): L,,„. a3UU copy IA/ r1_ .,) 17,,,,--c_ $y /fie o,^1"-t.r- 4 dRe I aeCuu� i CSJ:Z , n 3,r- 2- Trr-TsSS r - '11.•--; ka.‘,.-e ,0•+-1s-2- "TINS , mk 3-dxt, a-,?,x 4... 3) fu(- ovr ?-XyIS 1 fV&I,v $Tv�-.s T I ) i:A 10 A,,,i) sv e,(6.r-/- .9-766 o n d%' o pe,,:wi © (Jl_k 'Triple 9f° L .v‘a-1t- - 2c 'S ,' S t,ro w711, ov✓),Je. •tr,;M,.uri 5%6 I' x--��6-X . ti ( ')au ----a:1 D i 1 j` E 4.,! i0 . k �j ion -,e/Ji ,�o./I i ! i .z) i11 foV9).‘ 3- 11241°\4 : Si0IIw.d& , Q ' "t I 1 I 1 IT I ' • -,6 NO 1 ��1 1 ) I r J • - ! 1 ' INSPECTOR _• --- -- SPECIAL NOTE w Ai.-1-i-,Csii_- .aL<• SEE ATTACHED SHEET EC ,^., r. -':• ,...' , 7 ,.;-' . - NOTM FOR C4' i s #11-714:"" • Th-., i,: ;;, done CODE REQUIREMENTS in f. _. . , _,`..t .:1 z,,,;^g code. �— - t Req;:ire,na is;'icitid;1tg ' itc . , ,!; d i-i ae 'r;i.;r•3view. II=Cr]TLJIL 11 01 11 CCT,-'1 tut-re. •t •. . .•..-.. /) V D T8 TIME V CITY OF ORONO CALLED IN /O� INSPECTION NOTI SCHEDULED - & I 0 -() PERMIT NO. � ��-CO3‘;?"--D- COMPLETED ADDRES I a OWNER6 )I • 'TR. TELEPHONE ` . to 0. — x )o —1I' DESCRIPTION TCI ��l��V�C ` (C � Lj ❑ FOOTING ❑ MECHANICAL RI � ❑ EXCAV/GRADING/FILLING Q ID /W FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREETLAND ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL -F\— • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTI Q ❑ FINAL ElSEWER HOOK-UP ❑ PROGRESS 21 Id-,VYP ❑ DEMO-SITE El SEPTIC MAINT. ❑ COMPLAINT ! �J' ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ( or 0 ci Lu ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v CIPLUMBING FINAL //\ ❑ FOUNDATION/REMOVAL O OWNER/CONTRACTOR TO MEET YOU: YES_NO Lk) ( l S v, COMMENTS: CC W Q. CC J 0 a CC 0 U- IQ CC Q W Z W CC d WWORK SATISFACTORY:PROCEED CI PROJECT COMPLETE CC 14/ ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: A _ Inspector. mg White Copy/Inspector's File Canary Copy/Site Notice