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Home My WebLink About2009-00239 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00239 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/20/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 102 CHEVY CHASE DR PIN 36-118-23-41-0031 LEGAL DESC HILL O'WAY MANOR LOT 026 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR VALUATION $ 7,000.00 43 y-CQ-Yau-D NOTE: SEPERATE PERMITS REQUIRED: NONE REPAIR WATER DAMAGE APPLICANT PERMIT FEE SCHEDULE 147.50 RONCOR CONSTRUCTION PLAN REVIEW 0.00 10740 LYNDALE AVE S- 1 I E BLOOMINGTON,MN 55420- STATE SURCHARGE(VALUATION) 3.50 (952)888-5578 TOTAL 151.00 Minnesota State License#:2337 OWNER YOKIEL, SCOTT&JENNIFER 102 CHEVY CHASE DR WAYZATA,MN 55391 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 'me after work has commenced. The applicant is responsible for assurin 11 required inspections are requested in conformance the St "Building Code.This permit may be revoked at y ti or cause. d�� /, , Applicant Permitee Sijdature Date Issued ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . City of Orono Building Permit Application Mailing Address:PO Box 66 Permit number: oJDo .DDa23 9 Crystal Bay, MN 55323-0066 Date received: S Q 9 r, j Received b AA Street Address: Y t✓ ti,: 2750 Kelley Parkway Plan review fee: 00 \9kESH0G Orono, MN 55356 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) GENERAL INFORMATION: Job Site Address: 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/APPLICANT INFORMATION: Name: U/1 i',1)r- �U� f' �� L . State License# 2 3 }- Expiration Date: /,/Zo Phone: `j 2- S (office) (cell) Mailing Address: / 7y 0L S . Cit : ZIP. Contact Person: 1��.,� Applicant is: (ContractW Homeowner (Circle One) Email and/or Fax: _%rte p ry %• L,�, ,,, PROPERTY OWNER INFORMATION: S Name: Lr -'1 F ✓1 yG'��Lam, Phone (day): 7(03 y73 y� L.vO Address: /() 1 Or. City: VV-7t, ZIP: S532_/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ❑ Door(s) ElRemodel Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) [:1 Repair El Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; j I • 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. i Applicant's Signature: - Date: t7//1r1106� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE' USE ONLY ADDRESS OR LEGAL: (�Z �-{ u c A t - 101z. PID: DESCRIPTION OF WORK: -.W,t.v-v-,,z IQ Aw,,A(. PAA ZONING REVIEW BI. _� DATEAPPROVED: BUILDI.NGREVIE N'BY. DATEAPPROVED: FEES TO BE CH4RGED: / Misc_ Fees Calculated By: PERMIT Yes ✓ No PLAN RETVIETT YesNo c/ SEYT'ER CONNECTION STATE SURCHARGE Yes No Tf ATER CONNECTION INFESTIGATION FEE es No ,/ PARK FEE SA C Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECKLIST Zoning District Al d Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres kFidth Depth Survev Submitted: Yes No Date of Survey Proposed Setbacks: Front(Lake). Right Side: Rear(Street): Left Side: Aayacent Structures: Wella d. Building Height: Def Hgt. Peak gt. Lot Coverage: Grading Staf"Approval Date: BY. Council.4pproval Date: Septic. StaffApproval Date: Bl, Zoning File 9Resolution. I Re olution Date: Shoreland District: MC dD Perish: Avg. Setback: BitijffSetback, LotCovera2v. aisting Hardcover. Proposed : 0-'�' -50-500' 500-1000` Hardcover T'ariance Required: 3es No Date of Council Approval: RENEARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: 12 CONSTRUCTION TYPE: U Sq Footage S Per Sq Fig Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 71 004.0., o., Inspections Required: Work Requiring Separeve Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection C�Framing Fireplace Lawn Irrigation D Inst2lation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _ X Final Grading/Filling Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 34 D TIME V CITY OF ORONO CALLEDIN INSPECTION NOTICE �� SCHEDULED PERMIT NO.cRXq-QQo?ZCOMPLETED ADDRESS `Oz- OWNER CONTR. TELEPHONE NO. 452- 8?9 5578 DESCRIPTION 4z ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. -1WATER HOOK-UP ElSITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W W CC O cc O W W CC Q Z W Z W CC d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY QO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING 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. (J52) 249-4600 Owner/Contractor on site: Inspector. l P White Copy/Inspector's File Canary CopylSite Notice