HomeMy WebLinkAbout2009 - 00203 - addn/remodel/repair • CITY OF ORONO PERMIT NO.: 2009-00203
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 05/19/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 835 WINDJAMMER LA
PIN : 07-117-23-11-0008
LEGAL DESC : PIRATES COVE
: LOT 004 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 225,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE),LAWN IRRIGATION
REMODEL ENTIRE INTERIOR OF HOUSE,NEW WINDOWS,SIDING,ROOFING-ALSO INCLUDES ADDING ENTRY PORCH&
ENCLOSING UNDER EXISTING OVERHANG.
ADVANCED PLAN REVIEW WAS PAID-PERMIT#2009-00202 ON 5/1/09 OF$1,174.39.
APPLICANT PERMIT FEE SCHEDULE 1,806.75
T J B REMODELING&DESIGN,INC. STATE SURCHARGE(VALUATION) 112.50
9100 BALTIMORE ST NE TOTAL 1,919.25
BLAINE,MN 55449-
(763)780-2944 PAID WITH CC# 0444
Minnesota State License#:20396490
OWNER
HANSON, SCOTT&JENNIFER
835 WINDJAMMER LA
MOUND,MN 55364
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 confo ii . • wi I, the State Building Code.This permit may be
rev • . .ry t due ca y e.
�, s/ / C, /Q �' K) coma -519-0?
App leant Permitee it at e Date /
Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono 5Ay
Building Permit Application ivq, 2S
Mailing Address: permit number: 2009-00 Z.03
.¢,O� Cr Box 66 C I
O Crystal Bay, MN 55323-0066 Date received: ) ( OCI s
}�' Received by: V Q I lJ 0
,-1, 1CC� , ti Street Address: ; I 2eX q u ozoz 1 �9
,t, I;04'1 G~ 2750 Kelley Parkway PA. W/ V ,cp--- Plan review fee: i I `[
lyxEsxog•
�i Orono, MN 55356 Z)
Total Fee:
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) .J
GENERAL INFORMATION:
Job Site Address: 835 WINDJAMMER LANE ORONO, MN 55364
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑✓ Yes ❑ No LA
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. V
CONTRACTOR/APPLICANT INFORMATION: S
Name: T J B REMODELING AND DESIGN INC -v)
State License# BC-20396490 Expiration Date: 03/31/10
Phone: (763)780-2944 (office) (763)286-4299 (cell)
Mailing Address: 9100 BALTIMORE ST NE City: BLAINE. MN ZIP: 55449 S
Contact Person: RICK BUDZYNSKI Applicant is: <Contractoj / Homeowner (Circle One) n
Email and/or Fax: RICKTJBHOMES.COM 763-767-1372 1T
PROPERTY OWNER INFORMATION:
Name: SCOTT AND JEN HANSON -kr)
Phone (day): (952)567-0601 s
Address: 835 WINDJAMMER LANE City: ORONO, MN ZIP: 55364 6
1 Email and/or Fax
i PROJECT INFORMATION: ✓I
I Type of Project: Any earth movement may require 4
MCWD review&permits 0
0 Door(s) El Remodel 0 Water Damage v
Minnehaha Creek Watershed District(MCWD) s
D Window(s) 0 Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391 0
0 Siding IM Restoration ❑Other: (specify) Phone: 952-471-0590 V1
Fax: 952-471-0682
8 Re-roof 0 Fire Damage www.minnehahacreek.orq
Overall Project Description: REMODEL ENTIRE INTERIOR OF HOUSE, NEW WINDOWS,SIDING, ROOFING
Estimated Construction Valuation of Project(excluding land) $ 225,000.00
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: • ., . ,.,,, 41$ Date: - Q
3a 9
Reset Farm
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1.3 s v „ ck. a A r-�.2J—
PID:
DESCRIPTION OF WORK: '4(QvlcK' N.-e/1N cc J tiny 1 J 241,C,/ ;c?
ZONING REVIEW BY: Z 47/:1' DATE CV/L6:7�'exist0Hy
Lill
BUILDING REVIEW BY.• �fi�G'f rc�'/ '
DATE APPROVED: s -12-0q ("("2"` //
624-.�J''!Lvl/'�
FEES TO BE CHARGED: Misc. Fees Calculated By: 0/,/0,5 C.--
PERMIT Yes ,� No firs)1'/®'�
PLAN REVIEW Yes ,/ No o a ,..v cy.
/
SEWER CONNECTION e
STATE SURCHARGE Yes 17" x sh co o
/ �L
INVESTIGATION FEE YeS NO WATER CONNECTION ky pv7
No__� PARK FEE cv cs
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (spec)
ZONING CHECK LIST Zoning District: _____V - a
Fire Department: Post Office:
School District:
Lot Area: Sgft. • Acres Width
Depth
Survey Submitted: Yes No of y �
ZG �,
Date Survey: C
Proposed Setbacks:
Front(Lake): . Right Side:
•
•
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt n C Cl1ons67 .. .
Lot Coverage: --: I`I S y.1S1)n y '' 2 2. 1 7r e p o 1q 7, 'f %
a
n Ct
Grading: StafJApproval Date: i�,/�J
By: Council Approval Date:
Septic: Staff Approval Date: /vA By: (J(I-
Zoning
IZoning File: # Resolution: # Resolution Date:
Shoreland District:
MCWD Permit:
Avg. Setback /2 (4- BlufSetback:
1•7 a- Lot Coverage:
Existing Proposed
Hardcover: -0-75'
75 250' ` 7 c} c�irrYti
250-500'
500-1000 7 t i 4)co 00 (4.4i,f2
Y g`c/ 6 %767 Ct i (y.--
.
Hardcover
t-
Hardcover Variance Required: Yes No ;/
Date of Council Approval:
REMARKS(in house):
33
• 1
BUILDING REVIEW CHECK LIST
UBC: R CONSTRUCTION TYPE: \L
Sq Footage $Per Sq Ftg
Basement x
• 1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 2 ZS 000 6-9-
Inspections
uInspections Required: Work Requiring Separate Permits:
Site )( Plumbing Fire
Hardcover Removal ,C Mechanical Water Connection
oC Footing Septic Sewer Connection
of Framing ,e-Fireplace K Lawn Irrigation
g. Insulation (Masonry) Other
Wall Board o4- (Mfg.) Well(State Permit)
A. Final Grading/Filling (>4.. Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
•
34
DA TIME
CITY OF ORONO CALLED IN Fw�,
INSPECTION NOTIg SCHEDULED 7-6-09 /;OD
PERMIT NO.cO1 000249,3 COMPLETED
ADDRESS g.3 5 W t hcic)a- vi,rita'l f
OWNER 2 CONTR. Pd 8 e-e41(,(� _
TELEPHONE NO. 76 3 2-g6, - 2_
DESCRIPTION 165 ACX a'° t n -
L ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
c CI FRAMING El MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
❑ 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. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
W
fs) I -e Use ( S'
0
cc
0 70 0 e (C
cc
z
cc
0
1 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑ ••RRECT 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
CI CITATION ISSUED
11STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractoro�n site:
Inspector. 'C_.i �` Sr
c
White Copy/Inspector's File Canary Copy/Site Notice
TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 94,0
PERMIT NORL2 —ODc203 COMPLETED
ADDRESS '35 Gly/, d &y 4.,
OWNER CONTR. 7V/3 aof de'& '
TELEPHONE NO. 763 a7!S'6 * q
DESCRIPTION File
Lu ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
14.1 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
▪ OWNER/CONTRACTOR TO MEET YOU:_YES NO
CC
• COMM NTS:
eL
CC
cc
cc
W
cc
WCC CIWORK SATISFACTORY:PROCEED PEIVIROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 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 on si •:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
hk
TE TIME ( /
Cf V
CITY OF ORONO CALLED IN �4 I
INSPECTION N Cke. SCHEDULED
PERMIT N 7) COMPLETED
ADDRESS , j � 1/L (i .k / A
OWNER CON rR. --1-7 P3, I N/9
TELEPHONE NO. tF .—� tCJ7
DESCRIPTION 1 n ilj 1 M
L ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING I
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
ci) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
• ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
W
ccQ.
CC
O
CC
O
U-
W
CC
W
W
CC
O�s411,ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑Ca RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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 si ..: V r5
Inspector. `fp`J�
White Copy/Inspector's File Canary Copy/Site Notice