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Home My WebLink About2010 - 00164 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00164 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/24/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1030 WILLOW VIEW DR PIN : 28-118-23-41-0012 LEGAL DESC : WILLOW VIEW : LOT 002 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,AND ELECTRICAL(STATE) INSTALL BASEMENT WET BAR AND BASEMENT WINE CLOSET. APPLICANT PERMIT FEE SCHEDULE 250.75 PHIL KIRKEGAARD PLAN REVIEW 162.99 3941 COLGATE AVE (952)404-1380 STATE SURCHARGE(VALUATION) 7.00 Minnesota State License#: 20224948 TOTAL 420.74 PAID WITH CC# 9877 OWNER WALLANDER,RAPHAEL&LAURA 1030 WILLOW VIEW DR 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 reque in conformance with the State Building Code.This permit may be rev:1 .t any timesfor ue cquse. I% / . • ' ..5/Zq /20/o IOW Applicant Permitee Signa Ire Date Is ir :y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �o City of Orono /►q :, , X877 çpi „ � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �0 MailiP0 Box 66 ng Address: Permit number: 6:770D /D” Z;10/421/--- Crystal Bay, MN 55323-0066 Date received: 04 7/.2,011) a ,.,3y•`,' A, Street Address: Received by: `74 1�t OVA 2750 Kelley Parkway Plan review fee: -keski Orono, MN 55356 Total Fee: A079 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: /O$'7 Z- J v</i 41_2 Die 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/AP LICANT INFORMATION: Name: Pl--(c-.- I<,(4-lCE 6'A R-i2/.� State License# •Z 0-az Expiration Date: 3/ /0 Phone: 2- -33 el— 3oo 6, <z11 (office) 952_ --yo f-<3 8 o (", ,-.7,--,---,c_..,: (cell) Mailing Address: .:gq. f CDLc5-4-r /¢t/ . Cit : ZIP: Contact Person: -EL /.0/,e<z m4 ,- Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: y —yo(/ -/3S d f- PROPERTY OWNER INFORMATION: Name: Z(9 0/2/i- 4-4..L 61--.vnf Phone (day): 9S-a- =y ZCo _ 'lam 7 Address: io 3 o Gv/LC_UL,1 LJ J ��sC City: e=75,26-)ik2o ZIP: S-5-3,c-c:, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) XRemodel ❑Water Damage ❑Window(s) ❑ Repair Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd El Siding El Restoration Deephaven, MN 55391 ❑ Other: (specify) Phone: 952-471-0590 ElRe-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description:/•v�7-4 -e_,,,, ;; w,sr L7 6 )34s4(4,` w//E_ cLc2S Estimated Construction Valuation of Project(excluding land) $ ,/47 Ono �, 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. /Zq,e/rApplicant's Signature: iei �t Date: Qr Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 4 0?o �--.) + -t..x.t u I Liv 42rZ Description of work: (,.;e---s'f?3AliL .,..,J t'i 'v e L _;_A-f , ►.i Lc,us t ( _L., ‘i-P L Septic review by: NI t/i Date Approved: Zoning review by: N ) Vl, Date Approved: Building review by: Date Approved: 3-2-2 \o Grading review by: A) I IA Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Sub . ed: ❑ Yes 0 No Date of Survey: Proposed Setbac : Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Othe :uildings Wetland Side Side Building Defined Height: Building Peak Height: # of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CR• • L SPACE: FOR • :UILDING ON A SLAB FOUNDATION: START WITH the distance between the bas-• ent floor/crawl S'ART the distance between the slab and the highest space floor and the highest roof•-ak,the top of /WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck li of a the deck line of a mansard roof, or the mansard roof, or the uppermost point .• a round ' uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest windo -i d SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/drawl ADD the distance between the slab and the highest space floor and the highest existing grade within \ existing grade within the foundation the foundation or 10 feet, whichever is less. `EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF Shoreland District MCWO Permit Received Average Lakeshore Setback Bluff 0 Yes 0 No 0 N/A „ ❑ Yes 0 No 0 Yes 0 No 0 Yes 0 N ', 0 N/A — 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): 250-540' 500,1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Plan Review State;:Surcharge Investigation Fee SAC ,,Nurriber.of SAC Units Sewer Connection ?aiNa#er Connection Park Fee Site ins ection Other (specify) I M1 Irl Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site Z Plumbing 0 Grading / Filling 0 Well O Hardcover Removal ,Mechanical 0 Fire ,,Electrical ❑ Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. I'Framing 0 Other(specify) insulation ❑ As-Built Survey gKFinal O Other(specify) 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: 09/11/2009 z:\forms\ptan review checklist.docx I' qq D TSE TIME \/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -" : (1 f PERMIT NO. <'I C `I_ -" COMPLETED ADDRESS I C .3C t L I C 3 OWNER TELEPHONE NO. Y - CONTRACTOR tiC i" ` f !C c_ ( E i f C • DESCRIPTION ,a '17? — i / Y` ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? 0 DEMO-FINAL ❑ SEPT INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEP, C FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q.. cc O O W CC W W CC CG� WYLYWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑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 ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor op site X� Inspector. - White Copy/Inspector's File Canary Copy/Site Notice