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Home My WebLink About2011-01352 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-01352 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 505 WILLOW DR S PIN 04-117-23-41-0012 LEGAL DESC MAJESTIC SPRUCE ADDITION LOT 2 BLOCK 1 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 150,000.00 NOTE: INTERIOR REMODEL -ADV.PLAN REVIEW COLLECTED$881.89 PERMIT 2011-01353 SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,LAWN IRRIGATION ELECTRICAL(STATE) PRAAPPLICANT PERMIT FEE SCHEDULE 1,356.75 3500 W ILOW LAKE BLVD HOMES STATE SURCHARGE(VALUATION) 75.00 3500 VADNAIS HEIGHTS,MN 55127- TOTAL 1,431.75 (651)429-8032 Minnesota State License#:BC000001 OWNER MOORHOUSE&SHAYNE ERNZER,MARK 505 WILLOW DR S 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"has commenced. The applicant is responsible for assuring all required in ections are requested in conformance State Buildigg Cod .This permit may be revoked at any time for due cause. / �6� Applicant Permitee Signature Dae Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) O MaIIing Address: PO Box 66 Permit number: ioll— aL,3 0 Crystal Bay,MN 55323-0066 Date received: Received by. a '✓ a I Street Address: 2750 Kelley Parkway Y Y Plan review fee: 9xEsfiog� Orono,MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: Q/ /o/Z// I( 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: 525 Will w ;1e so, Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No H 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-perdtted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 112ft Home 5 State License# 1 Expiration Date: Lead Certification Number: NA1- I05159- I Expiration Date: (for work on homes that were constructed prior to 1978 Phone: CV- (office) 614- ( -64!P (cell) Mailing Address: 3 1 k I City: ZIP: S Contact Person: Applicant is: Contractor / omeowner (cards on.) Email and/or Fax: PROPERTY OWNER INFORMA�1TION(- Name: m6f�k Moor►IDU.'S�. Phone(day): 7,0_ 3 Address: g05' ,140 City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ®Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682 Window s) www.minnehahacreek.ora Overall Project Description: 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 infory0ation,the application may not be issued. Applicants Signature: Date: /6 Last Updated: 08-09-2011 Plam-Review C eeklist or New Structures J Additions Address]PID i Legal: SOS W 1 b /\ Sv Description of work: 02 rZ 7V*3 e en ) ow SepticDate.;i4pprnued: ZGWTIg4mew bY: N Date,,Approvad: Biiilrfing,reviewi�Y: Date•'A;pproved T!- 7 • I f ,Gradin,g r4view by: /V/(4 Date Approved; Zoning.File#: Resolution*: Resdlution Date: Zoning:District Fire De artment Post Office S DisftiK:9 :Zoning. Lot Area SF/yAD Width: /Depth- �bd_ Survey BuD'Yes MND Date of Survey: Pro osed" s: or front.(ljake) Rear fBtrse#j' 'N S B _ ) til S B .other�Buildinw iNettantl :Bide Ririe Building'Def'Ined°Height` Building Peak Height: #:df Stories Ok?: .n YES FDR•�4BLIILD1NGil/ITli�11$ASEMENT CR1r SPACE: R,4LilLDING oN Y1'SLx\B'Ft93UND1Tt(�N: 'STARTWITH Ihe:distance:betweenthe:bas.eerttfiloorl�crawl START the,.distancebetweenrthe.slaband he"highest 1space-floorandthehigtrestrodfp k,:thetop<:of WITH rodfpeak,`thetopdithe:comiceofa.flatrodf, '.the coriiice of a'flatrodf:the deck.lin `f a the deck line of•a mansartl rodfi,or-the mansardTodf,or the uppermost,poirit o rouppermosfi;pdint on,.a.rouni�nro#herarch-hype or other.;:arch= e,roof roof SUBTRACT halfthedistance.between-,thefiighestanri ow: .d 'SUBTRACT halfthe-distancebetweenthe•highestw.indow `higfiest,mdfpeak bf a. tched xodf and.hi"hest.roof.. eak of aitched roof SUBTRACT the distanca-between'the basernent oor/crawl ADD the distance between the;slab:, n i.:the:highest space floorandihe�highest:existi grade°:within ezistin radevithintheloundation• he!foundation or 10 feet,whit ver isless. V.UALS I-Defined buiidin bei ht EQUALS Defined buildin °hei ht �\ Lot Coverage: SF \ neo Bhorelarld':X3istrictO1Ili'D; ermtt=Received Avera a:Lake ore Betbacic3iuff Yes -17 No i7 VAD Yes D No M. Yes 17 ''No D Yes 0 No n "AI1A Permit Number: Setback: iiardcover:,Zo:nes -Existigg Proposed osed Variance Required N.,. CUPRL wired 0-75' 17 'Yes ''D No &,.Yes D No 75-250' Type(s): 7ype(s): 25,0= 0' REMARKS fin-house); AM C t4A^.I&,!e Updated: ,0911112009 =Vormslptan review checklist dom Fees to be Charged Plan Revieanr INNEW Investigation Fee FINE S'ein►er{CnnEction ,,,at f'aeE . .s Mhert(ape r) ?; ioitlaud Si►; r Sq luar$3F�,ota e er aaref- pob E Basement ' f oar 2"d Fbar" garage. _ $ Esmated�Constructron'�Jaiue: 1 S C3 f) O.rono<in4pedbcvns tequired Work Requiring"S�Aarate i ern�'its Required State,Peimits 1?lumbin .Grading Filling ZI '�,lWell - D ,Hardco�rerflemovaf . ,1��9e> hanical 17:Eire_ Electrical :1r1 rFsao ing "3 -Se :tic "'il�taterOannection' " : .irl Poured Wal ; ;D :WASP ace CI.L. wer=�onnection L7 r�undation Sur ':Masonry ,Lawn ion o� :Raoon.Roj*Sed Mfg. Fra "in 9 I er sped �nstalation. . .. , im : cult e - `13 -Dther:speciifijr) EW t#aer Re r"ae>vv: E i�awed Date Approved. Awesa:ExWing- M YES I3 NO New: -tfl 'SES G 'SND REMARKS (TO`�BE NOTED`CSN:P.E IIIT AND IAIITIALLED BY P�1 PlJLLING`PfRMV IT) Updated, 09111/2009 z iformslPlan reuiew cheeldist.docx DATE TIME v CITY OF ORONO CALLED IN /.2 — 7-1,%P-- INSPECTION -1YINSPECTION NOTICE SCHEDULED /a2-/0-/,;z PERMIT NO. b; -o/35�c PL ED ADDRESS OWNER T LEPHONE NO.4l�—��-�� CONTRACTOR >; DESCRIPTION t4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL El SEWER HOOK-UP El ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a T�� ,g A,-t-e A) Co r S b N o Ll O P2n ti q W Q Z W z W W tAj ❑WORK SATISFACTORY:PROCEED .44*ROJECTCOMPLETEcc S + W j>=QQRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCC PU ANCY Q ❑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 site: Inspector. L4_A(Z7 43 4—S White Copy/Inspector's File Canary Copy/Site Notice A E TIME t/ CITY OF ORONO CALLED IN INSPECTIONN TICE SCHEDULED PERMIT NO. 0/7Lo COMP ED ~ ADDRESS OWNER op ELEPHONE NO. A CONTRACTOR 3� DESCRIPTION I'_ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ElPOURED WALL ElMECHANICAL RI ElLAKESHORE/WETLANDS y El FRAMING El MECHANICALFINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS: W a J O Cr O W W QZ Q 2 W W cc W AVQRKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE 4j W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN 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 sjte: Inspector. L White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. 0141 0/3,52 COMPLETED ADDRESS Sn�7 GuIlImv AZ• s' OWNER // TELEPHONE NO. CONTRACTOR O)�I/Le{ �t'_ &W4-J DESCRIPTION l n s td a -c a ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q E-1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES—NO COMMENTS: W Q. o �t -1-1yn,j cc 0 UL W CC Q z W Z W 0 U .VftORKSATISFACTORY:PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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: Inspector. White CopylInspector's File Canary Copy/Site Notice