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Home My WebLink About2011-00329 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00329 � 2750 KELLEY PARKWAY f�' ORONO, MN 55356- DATE ISSUEn: OS/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 145 BROWN RD S PIN : 03-117-23-21-0007 LEGAL DESC : UNPLATTED 03 117 23 : LOT 000 BLOCK 000 PERM[T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 37,500.00 NOTE: SEPERATE PERM[TS REQUIRGD: PLUM131NG,MECHANICAL,�LECTRICAL(STATG) BASEMENT FINISH ADD BATHROOM&2 L3EDROOMS APPLICANT PERMIT FEE SCHEDULE 552.75 MIKE NORTH CONSTRUCTION PLAN REVIEW 359.29 574A NORTH BROWN ROAD LONG LAKE, MN 55356- STATE SURCHARGE(VALUATION) 18.75 (612)246-0027 MISC FEE 0.00 Minnesota State License#: 20636890 TOTAL 930.79 OWNER W[NTON, JOHN M. 145 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned 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 hercin.This permit will expire and become null and void iCconstruction 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 alter work has commenced. The applicant is responsible or assur g�II required inspec[ions are requested in confo �ance th the �tate Ruilding Code.This permit may be revoked at any ti e fo us , , � � � - � /' � ,� „�/ ,�� j --�� l l / � � / / pplica t er lit Signature Date Issued By ' g�ature D e SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A V . Cit of Orono G�� Y 5 � •• Building Permit Application for Internal Work /�5� ` (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: d b!/-�O 4v 0,� PO Box 66 �--_� Crystal Bay, MN 55323-0066 Date received: �/ / �� (,� ��' ��;; s, I StreetAddress: Received by: �'�,n ��A,"�, ��' 2750 Kelley Parkway Plan review fee: L�s��o4w Orono, MN 55356 �ESH� '- Total Fee: g 3 �. 7 g 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: '``75 �r'�.�� I�:� - � �- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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: %�� L r'�U ��-t-. State License# ,�U �, �� v Expiration Date: zC� i� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �'��z� 2�j(� -- ��? (office) (cell) Mailing Address: ,�� =7_`l —� ,�--��.�� , citY:I�.c,.1 L�l�� zIP: S�5��L Contact Person: �, �,� ��,� Applicant is: Contrac r / Homeowner (Circle One) Email and/or Fax: !�� ,�.(1 S�{ ( �1 �_�,z c;��1�-} , ��--� PROPERTY OWNER INFORMATION: Name: ;..5�;1�n � ��1 -�� Phone (day): �I'��r �f�7 3' 7�o � Address: f y �- 5� '�,��,� �, City: �t��:: -� p ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement may require ❑ Door(s) Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.min nehahacreek.orq Overall Project Description: ,.�,7�, b�,,.� y��,.:-} v, c. �vF.� �.r��, ,�-. Z — �c� �t:�,L, � Estimated Construction Valuation of Project(excluding land) $ "�� s� 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 re uired b law. If ou refuse to I the information,th� � lication ma not be issued. i' Applicant's Signature: � Date: �� l 1 Last Updated: 03-01-2011 . Plan Review Checklist for New Structures / Additions � Address/ PID / Legal: __ �`�� `�CJC.c-%t11 �:�/� 5 Description of work: QASL/1'V(:iV j �i N�5 Fl Septic review by: Date Approved: � � / (v. - ) ) Zoning review by: '/a Date Approved: Building review by: Date Approved:_ �- + 3 - � I Grading review by: i�U l � Date Approved: ning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office Sc ol District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitte � � Yes 0 No Date of Survey: Pro osed Setbacks: Front (Lake) r(Street) ( N S E W ) ( N S E } Other Buildings Wetland Side Side Building Defined Height: Building Peak Heig : #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the base nt floor/crawl START the distance between the slab and the highest space floor and the highest roof p k, the top o WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck lin of a the deck line of a mansard roof, or the mansard roof, or the uppermost point a ound uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest indo and SUBTRACT hatf the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basem t floor/crawl ADD the distance between the slab and the highest space floor and the highest exi ing grade within existin rade within the foundation the foundation or 10 feet, w ' hever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District CWD Permit Received Avera e keshore Setback Bluff 0 Yes ❑ No 0 N/A ❑ Yes 0 No 0 Yes 0 No 0 Yes 0 0 N/A Permit Number: Setback: Hardcover Zo s Existin Proposed Variance Required CUP Required 0-75' � Yes ❑ No � Yes 0 No 75- 0' Type(s): e(s): 0-500' � � 500-1000' REMARKS (in-house): YvU CK�ArVV � Updated: 09/11/2009 z:\formslptan review checkfist.docx Fees to be Charged YES NO , Permit ' � Plan Review `State Surcharge Investigation Fee SAC—.Number of SAC Units Sewer Connection Water Connection Park Fee "'Site Inspection .K _ ,., Other(specify) iMiscellaneous Fees Calculated By: S uare Foota e $ er Square Foota e Basement X = $ 1 S' Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � 37, 5 DU `�� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing ❑ Grading / Filling � Well � Hardcover Removal Mechanical 0 Fire �'Electrical 0 Footing � Septic � Water Connection � Poured Wall � Fireplace � Sewer Connection ❑ Foundation Survey � Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. �'Framing � Other(specify) Insulation 0 As-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES ❑ NO New: 0 YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx �� DAT TIME � CITY OF ORONO CALLED IN �Z� INSPECTION NOTICE �j SCHEDULED '� �p ,� PERMIT NO.�� OO�� / COMPLETED ADDRESS �ys /-�' � �� OWNER TELEPHONE O. 1Z�77D�jZ�S� CONTRACTOR >; DESCRIPTION ��"X � i "� �� ❑ 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 � ❑ 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 a � J O a � O � W � Q ti Z W � W � � � . ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑COR CT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑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. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 � OwnerlContractor on sit - Inspector. � � � � White Copyllnspector's File Canary Copy/Site Notice