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Home My WebLink About2009 - 00275 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00275 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/15/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2500 WOODHAVEN DR PIN : 33-118-23-41-0006 LEGAL DESC : LEVERINGS WOODHAVEN : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,500.00 NOTE: ADDING STAIRS TO EXISTING PORCH ATTACHED TO HOME APPLICANT PERMIT FEE SCHEDULE 88.50 WEST POINTE REMODELING PLAN REVIEW 0.00 265 CRESTVIEW AVE ORONO,MN 55323- STATE SURCHARGE(VALUATION) 1.25 (952)994-6833 TOTAL 89.75 Minnesota State License#:20612814 PAID WITH CC# 0120 OWNER HYDE,TODD&LIESL 2500 WOODHAVEN 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 requested in conformance with the State Building Code.This permit may be rev k gd at an time for due cause. Applicant Permitee Signature Date 41, ss,ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions C6-t ��\ Mailing Address: Permit number: °.(�\ PO Box 66 oZ�O d0�,�5� \\ Crystal Bay, MN 55323-0066 Date received: W5/129 Lk �Y 4 t Received ��i �;,,,=, , a Street Address:' by: lit i, it ` c'. 2750 Kelley Parkway Plan review fee: �Esxos�`v 076, Orono, MN 55356 Total Fee: �� J Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us (S79- / 6� 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: ZS c ° l,,�oc"ON vr_,-a wellyE ` 0it-ci IG Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Z 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: 1aI(S7- pouaTr 0-6mGVi=c.in1t, State License# Zp(o 1Z 8 14 Expiration Date: 3/31 /Z0/o Phone: (451j q44 -(PB33 (office) (cell) Mailing Address: Z(05" CQl=sivti ave Ci Q(�2o�to ZIP: 5535 C. Contact Person: eoz.(,J pi_iER.50 4 Applicant is• Contractor) / Homeowner (Circle One) Email and/or Fax: RoLA,4 L tur_5T—P0i1-1-6-91--Moo r IN6 -co,'C PROPERTY OWNER INFORMATION: Name: TODD HYDE- Phone DEPhone (day): 45Z.) -1101 40 5 to • Address: &SOO I,uWAY}(INV 11M Drzl.rt_ City: Cc tc ZIP: /'[Al Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply &New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck 31 Relocation detached garage CI Office/Commercial CIPrivate Sewer Other: (specify) ODIN11,9 >✓.XT ST,I(6510' ❑ Multiple Family/Condo ❑Warehouse Qom ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ 2.5 0 d -20- STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= g Wood/Frame ❑ Masonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF El On-site Prefab •c. Basement= ❑ Off-site Prefab d. 1St Story = 1:1Other(please specify): e. 2nd Story= f. %Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable 0 Permit Application 0 Proposed Building Plans ❑ .i MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ �! Survey(meeting all requirements) ❑ 1 Stormwater Pollution Prevention Plan ❑ Hardcover Calculation(s) ❑ ll Septic System Site Evaluation Report ❑ Access Permit ❑ Wetland Buffer Improvement Plan ❑ Engineered Plans for Retaining Walls 4 feet or above 0 Plan Review Fee ❑ 0 Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • 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: Date: 413 l09 -21 - CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z CD 6 v"loc>4 Ili r" PID: ++ DESCRIPTION OF WORK: Actck RkY,5 {o ax sh c pc/rc ZONING REVIEW BY: DATEAPPROVED: gioet BUILDING REVIEW BY: c-Xe • DATE APPROVED: 6 •/D - 07 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 PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District. k R-1 (3 Fire Department: Post Office: School District: Lot Area: Sq..ft. Acres Width Depth Survey Submitted: Yes No V. Date of Survey: i9 S 3 Proposed Setbacks: i Frontt ( : h l�. Right Side: S 0 / * l Rear(Street-: Left Side: I CO Adjacent Structures: {')4 Wetland: Vl A- Building Height: Def. Hgt. h/ . Peak Hgt. Lot Coverage: G1C__ Grading: StaffApproval Date: By: Council Approval Date: Septic: Staff Approval Date: 6 --5- 0 ek. By. .„,)(�- Zoning File: # Resolution: # Resolution Date: Shoreland District: AQ MCWD Permit: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: lZ CONSTRUCTION TYPE: U Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Z S 004.2 Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection p< 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): 34 ...,..-- , ,, 1 ..-- t---- -4--t• , , I {I 111 .C..),-• 1 , i li . 1 i i. , i,• _ 1, • ''-‘,:. --- ...,_ ___ SPECIAL NOTE fr‘, ..,... SEE L ATTACHED SHEET 1 3 i •-' _._ ... _ ____ FOR 4/4/4 CP rZA. - CODE REQUIREMENTS '''''k,, -...s.,,,, ii •,:, - I ' . I '',•', *V--.„ . • r t.,''F•I:' I t I ' I I .,' I'''l 1 ' • ; I ' Ii 1 , ! ) ORONO COPY , ... _i, i , ' • ,.• : 'tt .- • :.,07-10„ .,,, . „ . ti ' '4 REVIEW -19,9Q _ 0 , i LI c-...: . . • ,:. .-- - .:;,.;A ci \if;i,D •, . • J itia" i..;6 r•LAN 6E1 al L'ITE " - • . • ,:., .5- • ', ' i's''': ''- •••••.. ...• 1 : i Ail— tr- • \‘''' ..... -,.. L. - . t 1 '..,- - • - , „..__. ...,. .. , . ... .. .-,..-... .. . . . 111, ez Vl ...,..,,...........—..........„....... .... . ., .. -.. : ......--„.........„," . 1 C )63 , A' _. . 1 ,! I , , -• i ., ! - -- , •kt.--,_ '1.. NI . 1.7t.,s4S, i_- , ;' - i '4 , . 1 , ' -I' CO __..., -0. . : •&' .--,- \C-' '"e,,,, •.: - .. . il - ' _ • , .,,<''' s 1 ". - . '/1r" -' • ',r'Ll . 1 I .--- \ 1 - ' ---' \•,.-1. , , ...-_'s_ 7--, c.-".0.'• 1 \----N \-"— i : ( or • .........._......... .. . -4 i 1 ... , -AL', H ,. . ( i \ I — ....... .1 _____ ii li Ni 711 _VI •• i t':''--•."'" os . 1 4 jj:i,..;t 5' 3 op 4-,"..:. 4. . 1 4 8 ,., ,,,_ , i 1 41°P I 1 1 1 TIME CITY OF ORONO CALLED IN ` " /d / INSPECTION NOTICE SCHEDULED °MO 9' 91- d-0 PERMIT NO. -D�61 COMPLETED ADDRESS cmc />�r/ � OWNER CONTR.I� ,14 � a1 nZQ iet/'t TELEPHONE NO. '2 Sa -99V - (P S is RIPTION v LIFOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIR ❑ 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 LU ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: Q. 0 LI? '' F-7Arecl cc � (L —RDFeJ z cc j 2 CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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. l..J (rirrI White Copyllnspector's File Canary CopylSite Notice Ce Dr rETIME CITY OF ORONO LLED IN - /d/D INSPECTION NOTICE SCHEDULED - - - 97 Z-7 PERMIT NO. �U 9 -� '759COMPLETD �(� ADDRESS (77 l�t/g0�_ c%_ eft-) `0.1a_,(/_ OWNER CONTTR �� 7/ .06/ TELEPHONE NO. O - q/5�JG DESCRIPTION ( 4J 51-60(_- ,_ J 4, ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWN ERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q.. O CC O W CC W CC Lu 0 WORK SATISFACTORY:PROCEED AROJECT COMPLETE II CORRECT WORK&PROCEED ,��,❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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. 1A..) - 443 ES White Copy/Inspector's File Canary Copy/Site Notice