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Home My WebLink About2009-00077n (add/remodel/repair) CITY OF ORONO PERMIT NO.: 2009-00077 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 02/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3420 BAYSIDE RD PIN : OS-117-23-13-0012 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT 020 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 13,000.00 NOTG: SEPERATE PERM17'S REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) REMODEL[NG MAIN FLOOR BATH&KITCHEN AND ADDING MASTER BATH APPLICANT PERMIT FEE SCHEDULE 236.00 MILESKI REMODELING PLAN REVIEW 153.40 3420 BAYSIDE RD LONG LAKE, MN 55356- STATE SURCHARGE(VALUATION) 6.50 (612)670-3243 TOTAL 395.90 Minnesota State License#: 20591459 OWNER MILESKI, BLAIR 3420 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc�vork for which this permit is issued shail be performed according to the approved plans and specifications,applicable City approvals,and the S[a[e 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 oY 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 appiicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked an time for due cause. � � �� '� �. P �; � G�'Yl c��n 2`� �� Ap � t Permitee ignature Date Issued y Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application /��\ MailiPO Bo�r66 � Permit number: �,�V �� Crystal Bay, MN 55323-0066 Date received: ��`�� StreetAddress: Received by: � ��°��::� �;, �' �� " ti � 2750 Kelle Parkwa � � ��,. ��j Y Y Plan review fee: L`�kEsxo4`'� 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. tncomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �":>��i a0 ;��: � �cA Will this be a Parade of Homes, Remodeler 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 wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted evenfs will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: 13iu„� M, i�S�� .i2sl_; �ew,�c4c°�,�� State License# �a,G.�y 54 Expiration Date: Phone: (� i� - iv7c - ��N 3 (office) (cell) Mailing Address: �- , . ,p�, Cit : ZIP: Contact Person: � �,,,,- M,'i t�s i�, Applicant is: Contractor / � meowner � �c��ie o�e� _____ Email and/or Fax: �•,�,i1es �� (J i^c>-��., t_ c�.-�, � T u� �_ eo,� t,-u � +�,-- E� ��h � Gw-� PROPERTY OWNER INFORMATION: w �''��,f� a� �y �� +�� Name: ij i�.,� M;��Sk, Phone (day): �v i� 4�70- � �N� Address: 3 y �L ;B a� ,,d e �'�>�,c,C City: (�;o:-,c ZI P: .:5�S j'S(�, Email and/or Fax ��• i�i K, �,� �,�,�,,, i- �;.,,,.., PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits �Door(s) � Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding [X] Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �z�,,,�if? �,v�c� ;N,�i�r -{lcG� GG,�FG� �,�� K��-Cl�e�n 4�nCf ��c�l,G��y w�u�'f�; �a�� Estimated Construction Valuation of Project(excluding land) $ ��G p� - r,� � APPLICANT 8� OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize I 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants or agents, for purposes of investigation of this request. • 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. �'.�-� ApplicanYs Signature: L- Date: �/�3�n �J Owner's Signature: Date: a�c� 31 D�` B UILDING RE ifIEW CHECK LIST UBC: � ' �j CO/�'STRUCTIDI�'TYPE: �1� Sg Footage ,S'Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ I.��Oc�� Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Ha�-dcover Remova! �(_Mechanica! Water Connection Footing Septic Sewer�Connection �_Framing Fireplace Lawn Irrigation �o _Insulation (Masonry) Other Wa[I Boa�-d (Mfg.) YY'ell(State Permit) vC Final Grading/Filling �Electrical(State Permit) Other REMARXS(INHOLISE): REI�IEW BY OTHERS: DATE: Access: Faisting New ,4ccess Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 34 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ' ADDRESS OR LEGAL: 3�� (�M,4� • PID: DESCRIPTION OF K'ORX: -r,v�rQ- �, �� W��S ZONING REVIEW BY.• IV I DATEAPPROVED��u BUILDING REi�IEW BY: � (,�,,,.._-- DATEAPPROT�ED: Z- z 3-o�j FEES TO BE CHARGED: Misc_ Fees Calculated By: � Y � � � PERMIT Yes_� No PLAN REVIET�Tj Yes �/ No SEWER CONNECTION STATE SURCHARGE �'es_f� No u'ATER CONNECTIO�' INVESTIGATIOIV FEE �es No PARK FEE SA C Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �tJ o C(-�,� � ~ YY � �� M � Fire Depm•tment: Post O�ce: School District Lot Area: Sq ft. Acres Y6idth Depth Survey Sz�bmitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: .9djacent Structiu-es: N'e land: Building Height: Def. Hgt. P ak Hgt. Lot Coverage: Grading: Slaff Approval Date: By: Council Approval Date: Septic: StaffApproval Date: j, Zoning File: # Resolution: # Resolution Date: Shoreland District: AICGID Pe�mit: Avg. Setback: BlzrffSetback: LotCaverage: Faisting Proposed Har•dcover: 0-7�' ?S-?�0' ,so-sno� .i 00-1000' Hardcover !"a�•iance Required: 3'es N'o Date of Cozn�cil,9pp�roval: RE'NLARIiS(iir Izouse): �3 I �, ^ �g� .��Q�3. .: .� �.�d St�c �� _q e~ .P,�� - ; � .�,- � �- � � , r � � �CNAU51" �►�:_'� F'Rt"�VIC1�= �t!hah� ,�.��.'�:�;.. . 9 I i T �.�_�'� .'�1� .i �,�� , .;. �" ,<_ �., �. " �t�`�- nfr��'�°T( Y GP'. . �-��::�..�, � _ - .�. f i C��k B�� i� ;i .. ' �e.(1�'� . 1�71-1OV,:��f �jE�_. 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(�..� C�C� t� � f M�,_��-� . ��;�� O 7 . , . ,_ �:� �JTY OF OR4NQ BUILDING P Rh T PLf',y f��1iEW a�srEcroR DATE Z-23_� --------_. - _� _ s'�fitA!T�"�i:.. ,k.,�.._..:_._._.....P.,M_..,,...�, . C} AF-.��.r;y��.�,;3�Ui:!'i;" _.� ---- �. +�,.t,�„ •.-�� r, , 51��,�., �M� � �:, �',� .�;c.,.�• =�� ;�: � � ��r� � ��,.. � � �, : �9E�, �"�"T��."_�.w .. <_.. .":��' �� . �� ' � , :r � � � � , r � V' + � +t� �� e d�l$ ��`tt � SWI�µ� �C�S�'-a!'� Fis� .;.-Y ,r. .r.,, ir� r:.,r;.+, � c :��r c•i�i c^de. i@E�FF TNIS P ` "�;.'•cst.y r�o�su;r,tnu revieNr. COQE ��;�a� ��:=�.��.�T3 �SET ON StTE A7 ALL TiME8 __._ _ _ __._._._ .�e _ � � � � � � a �� o � � � i � y ; � � ' L. ; � � .`_�._ ...._ �.. , �, --� N c.�� t�' -, � � � ' ' : C Ic�J�'[ � � '� q . _ _ , . .._. ,,.�-. c � ,�-*�c, � CA r.- � S � �(t`r F ��k R , .� � � i W ( ,�-______ _ _ _.�___-------------� � , I I -�' � � ; � �a � 5� a ' ro cT S � ;�_� ;--� � �� %� � ;.�, --- —ti _ _ — --, � -� �-�� P�p �:"' ( i��,,. � � � � �� ,° . —� ' --,; - �.� ..� � � f � . � � r � � � �— _�.- � � � � . . ---� M-� � � � ; t--- ; „ r. r '.� •� , � r� C i T�. ..J. i i � ,�. � � S � r- �'� � � � � ' � � � , �r � (v —' ATE TIME " CITY OF ORONO CALLED IN / � INSPECTION NOTICE SCHEDULED ✓�' U PERMIT NO.Q�Q�9_ �� COMPLETED ADDRESS �% �U �� OWNER CONTR. OGC-S ' . /�, /�, TELEPHONE NO. �G�� — �/l� -'f� 7D� �� DESCRIPTION ,C � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-StTE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf Y :_ ES_NO � COMMENTS: � W a � J O / � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit ' Inspector. White Copyllnspector's File Canary CopylSite Notice Ly�e � D TE TIME CITY OF ORONO CALLED IN `3' INSPECTION NOTICE '7 SCHEDULED 3-!!- 02:<SD PERMIT NO.oZDD9'—�DD 7/ COMPLETED �� ADDRESS �3�� OWNER�`�i , CONTR. /�'��-c �4-G�. TELEPHONE N0. �O/oZ �P7O 3Z 7�3 ° � DESCRIPTION � �` l �d�-�« ly ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q �,�FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O .I�J 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance. (952� 24J-4600 OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice � �� DAT TIME �/ CITY F ORONO CALLED IN O INSPECTION NOTICE ' / SCHEDULED � �•'� PERMITNO.oZ��9-b009 `f COMPLETED �� .� ADDRESS D OWNER CONTR. � / KJ TELEPHONE N0. ��.�C.`�� 7(0'�- 4L77 —g/ �1 � DESCRIPTION l� - �- � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ �ftUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL �� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET Y9,N��YES_NO / � COMMENTS: � a — P/1.�v�,a-P Zz� 3 o M-�� L ►q� � S r � � 0 � � 0 � W � Q ti Z W � W � J d W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor n Inspector. White Copyllnspector's File Canary Copy/Site Notice � S� A,T�E -� TIME � CITY OF ORON ��__C��!/t� INSPECTION T SCHEDULED o�-_�C"Zl�� a-�-� a PERMIT NO. � - � C PLETED ADDRESS � � OWNER T HO E�O �y CONTRACTOR � O �; DESCRIPTION �J �'✓��` ��'�-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PL ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � NER/CONTRACTOR T EET YOU:�YES_NO � COMMENTS: � r�. ��r�� 2 ��r r�� S-�e� o ��n ��Gc�r' l2�,�°coc' � i �U�v2 � � ° c.�/� �-u t.�Q��..v�" , F�/`-n�,�� . 5 0�,�-�er � �� ., � W - � ��-�'- � �M �.� � c��.,:�� v � ��C �'��,v�ir�_ j d �,/�' � ��aAiQfiTESATISFACTORY:PROCEED �ROJECTCOMPLETE W O C RECT WORK 8 PROCEED I l ISSUE CERTIFICATE OF OCCUPANCY � '�RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on site: Inspector. L'I I/� f I^�� White Copylinspector's File Canary CopylSite Notice