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Home My WebLink About2011-00030 (Bldg) CITY OF ORONO PERMIT NO.: 2011-00030 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ►SSUEn: OU13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1425 BAY RIDGE RD PIN : 10-117-23-34-0017 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,000.00 NO�I'E: SGPERATE PLRMI'l'S REQUIRCD: GLI�:C"CR[CAL(STATE) RI;MOVG DINING/KITCIiGN WALLS-RF:PLACG VVITII SUPPORTING C3EAMS/COLUMNS PROVIDG SMOKL;AND CO DGTEC"I'ORS"I�O CODE_/J__`' _ _ (IN[TIAL) v APPLICANT PERM[T FEE SCHEDULE 88.50 WIENS, ROBERT&JULIE STATE SURCHARGE(VALUATION) 5.00 142�BAY RIDGE RD WAYZATA, MN 55391- TOTAL 93.50 OWNER � WIENS, ROBERT&JULIE 1425 BAY RIDGE RD WAYZATA, MN SS391- 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 thc work described and does not grant permission for additional or related work which requires separate perniits. All provisions of la�<�s and ordinances governing this type of work � shall be compicd�vith whether or not specitied herein.This pennit will expirc 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 requestcd in conformance with the State Building Code.'I�his permit may be revoked at any time for d e ca se. �.Q-e.e,� ��;w� � � � � �� Ap ant Permitee Signature Uate Iss e y Signature Date i � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FROM,: NOR;HSTA SALESALES � PHONE N0. : 952 544 1643 Jan. 10 2011 05:02PM P1 " D� I /f � i Ihi 1 i �'� I, Ci of Orono � � � tY I Buildin� Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) - •��::-. Mailing Address: � / QQd� ��"�" Permit number: � � PO Box 66 - .- --�---••---- �°��,y,� ��`�, � Cryscal Bay. MN 55323-0066 Date received: � / �R�, �, ° � -�- i � � � �.�,':;_ �, StreetAddress: Received by: ��,�� '�� '/ 2750 Kelley Parkway Plan review fee: .�g o¢6:.i Orono, MN 55356 ,J�' � �_.�H ___.. "x 9� i _`. --- Total Fee: ain: 952-249-4600 Fax: 952-249-4616 WWW.CI.orOnA.mn.us his application f m must be completed in full and all required information must be submitted. ncomplete applications wilt be returned. (Please print) GENERAL 1NFORMATION: y) .� Jpb Site Address: � �1,1 (�, _ ill this be a Parade of Hom s, emodelers owcase me or other Display Home? Yes No !f ycs,a spec�al event permi!is roq ied wrth Po/ice Department end C/ty Council approval 60 days prior to the evenk Shutt/e bus service will be quirsd unless applic t de�onstrates suA'iclent on-site parking is available. Non-permitted events will not be allowed, CONTRACT R/APPl��C NT F. RMATION: Name: �-�� •- C�I'l.� _....,�- � _ State License# , ,^� Expiration�Date; � Phone: _ _ (office) �µ" (cell Maili�g Add ess: �_,_� City: �Ip� � Contact Pe on: _ _ � Applicant is: Contractor / Homeowner (Circle Ono) � Email and/or Fax; ___, PROPERTY OWNER FORMATION: Name; ��.�u�i P.n S _.. Phone(day): g��, �.�e�_ �� w"'� Address: f�f Z S (��k�_d�c� City: 1 �,�c� ��-C, ZIP; C""�?,�1 Email and/or ax �_�Q�,E> �m4�d,��,,,�,� �—��,,,, ' PROJECT INFORMA710N: Type of Project: ��^ � Any earth movement may require MCWD review&permits � ❑Door(s) (�Remodel ❑Water Damage Minnehaha C�eek WaSershed District(MCWD) ❑Window(s) � ❑ Repair ❑ S�orm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 � �;�sidin9 Cl Restoration ❑Other: (specify) . Phone: 95�-d71-Q590 Fax: 952-471-0682 I ❑ Re-�oof ❑ Fire Damage www_mirinel1ahaCrer�k.,org Ove�all Project Description: i ,, : ��4,_ '�'�,�� _,; �'�,,,�,�,��-f�ms/ vEstimated Construction Valuation of Project(excluding land) $ 3r-� �- � --.� _.._..,�_---�n7�s I APPLICAN7 AGKNOWLEDGEMENT: � Agrees t provlde all information requ�red or requested by the Building Department: ~^ �� I • Cefifies that the i�formation supplied is�rue and correct to the best of his/her knowledge, Thc applicant recognizes that they are solely responsible for submitting a cqmplete applicaYion being aware that upon failure to do so, the staFf has no alternative but to reject it until it is complets; • Some or all of the inFormation that you �fe asked to provide on this BG�plication is classified by State law as either privat0 or, confidential. PrivatE data is informdiionlwhich generally cannoS be givan to the public but can be giVen t0 the subject•of the data. Confidential data is information which generally cannot be given to either the public or the subjeCt �f the data. Our, purpose ar+d intendad use of this information is to annually update our records and records of other governmental agencies requir d b Iaw. If you r�fuse to supply the inform2tion,the appliCation may not be ISsi�ed_ _.. .:..__.. �,L�—_..... _. I � / Applicant'sSi nature: 1C� ��/d�� _,.,_ Date: 1��__�,� . Last Updated: 05-Od-2009 1 Plan Review Checklist for IVew Structures / Additions Address/ PID / Legal: l�'I2S �AY21�.7iGi� (Lty�Q Description of work: Q,ErvWV� QE�Qi,�,iE, ( ,(�/}.LL5 Septic review by: N 1 A Date Approved: Zoning review by: A Date Approved: Building review by: „ Date Approved: 0� /L - �i� Grading review by: /��/�- Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District i Zoning: Lot Area: SF /AC Width: D th: Survey Sub �tted: ❑ Yes ❑ No Date of Survey: Pro osed Setba s: Front (Lake) Rear (Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � Building Defined Height: Buifding Peak H � ht: FOR A BUILDING WITH A BASEMENT O RAWL SPACE: F A BUILDING ON A SLAB FOUNDATION: START the distance between e basement floor/ START the distance between the slab and the WfTH crawl space floor and th ighest roof peak, WfTH highest roof peak, the top of the comice i the top of the cornice of a t roof, the dec of a flat roof, the deck line of a mansard � line of a mansard roof, or the ermos � P roof, or the uppermost point on a round or oint on a round or other arch-t e ro other arch-t e roof SUBTRACT half the distance between the hig t SUBTRACT half the distance between the highest window and highest roof peak o p t hed � window and highest roof peak of a roof itched roof SUBTRACT the distance between the sement floor ADD the distance between the slab and the crawl space floor and th ighest existing highest existing grade within the grade within the foun tion or 10 feet, foundation i whichever is less. EQUALS j Defined buildin hei ht EQUALS � Defined buildin ei ht Lot Coverage: SF % Shoreland Distric MCWD Permit Received Average L eshore Setback I Bfuff 0 Yes No � Yes ❑ No ❑ N/A p Yes ❑ ❑ N/A i ❑ Yes ❑ No Permit Number: Setback: Hardcove ones Existin Proposed Variance Require CUP Required 0- 5' 0 Yes ❑ No ' ❑ Yes ❑ No 7 -250' Type�S�: 50-500' ype(s): , I 500-1000' � REM RKS (in-house):_ N J C��'�1r`�-^v� Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO �,,Pxer,rn�it�' � Plan Review '�S�te:S�ur.c�ac e _ - , Investigation Fee 'S�i'C—'`:N�rn'ber of'SAC�U:nits ' Sewer Connection :��1[ater°:G�on necfio:n " Park Fee -;Site Ins�ec#ion . °: Other (specify) 'M�sce;lJa neo�s:,Fe:�s Calculated By: UBC: Construction Type: S uare Foota e $ er S uare Foota e ' Basement X � _ � 15 Floor X I = � 2� FIOOr X = $ Gara e I X = $ Estimated Construction Value: $ 300(� °=� Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ hiardcover Removal ❑ Mechanical ❑ Fire Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection � Framing ❑ Masonry ❑ Lawn Irrigation �'Insulation ❑ Mfg. ❑ Wall Board ❑ Other(specify) 0 `1s-Built Survey �'Final ❑ Other(s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMfT AND INfTIALLED BY PERSON PULLING PERMIT) 1 I�.O�J�J1Q s rw.�Ll.l: t� !O ��. T'�C.xv!�S "'['-� C��L Updated: 07/01/2009 z:\forms\plan review checklist.docx DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -7 ` PERMIT NO.a��-e o 0 3c� COMPLETED C � .�../ � 1 ADDRESS� zS o a-� �Cl.�� - OWNER ��.[��1� ,s TELEPHONE NO. CONTRACTOR �: DESCRIPTION / �� lV ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��F1NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o , . �"C�%S � � � �� ,✓ A i � c,_�n � P� � A � �� W Q �-�1��=" � �� W C�)- � � /� i- }—�'`J✓� � � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ,�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: n tnspector. � . / �.�� White Copyllnspector's File Canary CopylSite Notice