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Home My WebLink About2010-01021 - addition/remodel/repair # v CITY OF ORONO PERMIT NO.: 2010-01021 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 10/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3225 CARMAN RD PIN : 20-117-23-14-0009 LEGAL DESC : CARMAN COVE : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,000.00 NOTE: INSTALL(�)WINDOWS INTO EXISTING OPENINGS,INSTALL(1)NEW GARAGE SERVICE DOOR AND OVERHEAD DOOR APPLICANT PERMIT FEE SCHEDULE 250.75 C N OSTROM AND SON INC STATE SURCHARGE(VALUATION) 7.00 23400 PARK ST PO BOX 758 TOTAL 257.75 EXCELSIOR, MN 55331- Minnesota State License#: 1907 OWNER HOUCK, BILL& MARY 3225 CARMAN RD EXCELSIOR, MN 55331- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issucd shall be performcd according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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. "Che applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked t any time for due cause. -� �-- ��l j� l��o�o G�l�� l �l �d Applicant Permitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) _ Mailing Address: Permit number: �Q ^ l� Oy O�O CrysBtal Bay, MN 55323-0066 Date received: �d—� � �� '� � Received by: - Street Address: �,� �i� •"�` �ti 2750 Kelley Parkway Plan review fee: l 4� Orono, MN 55356 '�?rEsxo4' Total Fee: ��'7 � �C' Main: 952-249�600 Fax: 952-249-4616 www ci.orono.mn.us /�-J This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATIO�V: Job Site Address: �Z2.� �,�'-�-t'� (',.;�. 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 rolice Department and City Council approva160 days'ri�r t�the event. Shuttle bus service ll be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: C ►�l �C1='--c�t-� .c-��! N c� State License# �j 0' Expiration Date: a 3 a.._ Phone: 1-��' ��.- `�' � ��' office cell Mailing Address: 3 y u G /t+� � S Ci : j«�-5 i o� ZIP:�S�� Contact Person: � �5?72�-�t Applicant is: ontra / Homeowner �ci�cieo�el Email and/or Fax: ' /?S� ��►" �C� PROPERTY OWNER INFORMATION: Name: ��w� h-tL.� b vt- � Phone(day): �� '7 I� I �7 ' „ l Address: �12� �� City: C�C=C�rJ c' ZIP: .�S�.�/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits �Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �mdow(s) ❑ Repair ❑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 orq Overall Project Description• lN 5 fh�w �r1b��y ��Ny b��.'��5, i^'�tt,� ( N�"''G�.G S�v'c�Drfi u�a�r��p.►�. Estimated Construction Valuation of Project(excluding land) $i'�, c;c�U "� 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is Gassified 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. Applicant's Signature: � �� Date: !�� 1�1 � Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions Address/ PID / LegaL _ 3�-ZS ��2� ��.j� Description of work: t��n��/Jpv..s S -t- �Q c� (2.S Septic review by: _ /��/1 Date Approved: Zoning review by: /J�� Date Approved: Building review by: �� Date Approved: io �� - �0 Grading review by: �� Date Approved: Zoning File #: Resolution#: Resolution Date: Zonin District Fire De artment Post Office j School District Zoning: ot Area: SF /AC Width: Depth: Survey Submitted: Yes ❑ No Date of Survey: Pro osed Setbacks: i Front (Lake} Rear (Street) ( N S E W ) ( N S E W ) Other dings Wetland Side Side Building Defined Height: uilding Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE; FO BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ RT the distance between the slab and the WITH crawl space floor and the highest roof peak, WIT highest roof peak, the top of the cornice the top of the cornice of a flat roof, the dec of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermo oof, or the uppermost point on a round or oint on a round or other arch-t e of o r arch-t e roof SUBTRACT haff the distance between the h est SUBTRACT ' half th distance between the highest window and highest roof pe of a pitched window a highest roof peak of a I roof itched roof SUBTRACT the distance betwee e basement floor/ ADD the distance bet n the slab and the crawl space floor d the highest existing highest existing gra ithin the grade within t foundation or 10 feet, foundation whichever less. EQUALS ' Defined buildin hei ht EQUALS I Define uildin hei ht Lot Coverage: SF % Shorel d District � MCWD Permit Received � � , Average Lakeshore Setback Bluff ❑ s ❑ No � � Yes ❑ No ❑ N/A ❑ Yes ❑ No Permit Number: ❑ Yes ❑ No ❑ N/A � Setback: ardcover Zones Existin � Proposed Variance Re uired � CUP Required 0-75' � ❑ Yes ❑ No ❑ Yes ❑ No ! � 75-250' i ! Type(s): ; Type(s): 250-500' I � 500-1000' � REMARKS (in-house): �v �/�!�-e Updated: 07/01/20Q9 z:\forms\plan review checklist.docx Fees to be Char ed YES NO .;P�rniix Plan Review �S�tE'�ur.c�har e Investi ation Fee �;S�A'C—`�N�rr�ibe.r�of'SAC xU:nits _ Sewer Connection °:�Ilfater.��:on'ne.ction: ' Park Fee >�ite.�lns}�ection Other(specify) ':°An3scellaneous:Fees Calculated B : UBC: Construction Type: Square Foota e � er S uare Foota e ' i Basement � X = $ 1 S Floor X = $ 2" FIOOr X = $ Gara e X � _ $ o� Estimated Construction Value: $ /`1, OUO—� Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading I Fi{ling ❑ Well 0 Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical ❑ Footing ❑ Septic ❑ Water Connection �oundation Survey ❑ Fireplace ❑ Sewer Connection Framing ❑ Masonry ❑ Lawn Irrigation ❑ Insulation ❑ Mfg. ❑ Wall Board ❑ Other(specify) ❑ As-Built Survey Final 0 Other(s eci ) 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 PERMfT) Updated: 07/01/2009 z:\forms\plan review checklist.docx . � ^ ��.,rr �� 9��'�� ,"_��= t�F?'�;�,?�;, S�L � ��` 1 Lr ;i� r��.jr� �•,. ,1�... —.� ,.t ��_V�_�"V V!� �:{.��..1.�;i\. � .,� ��.,,.� ;.�_ cl EE AT'TAGt-�� ;-�'�T ��s��-c-rOr`__:_1, �`'j��l.s�-t,�— S �.7� f)l;i�" / f� C� c� � ,�' i�i0. F'�R �„1 .�„��cF: /,��- �-�,:, , �,.,. - : . : ,} ---- - COD�E REL�L��c 1V'��f+��'� � ❑ :�,i � ,_. ,.,� . . , q��,��Y"�� --""".,.�'._� I'; �y. , .�.� _`�' • . : . .. �r Thr•g.r,r•:'.,1 S:," ;+16�"��i � ,�„ . . , A; .:�:�'i. .;ii�i19 1'i l: . .�ii;f � W�'_h ... �r,.�...1i7!u .t ��.... �9 . _:)�el. RL'y:�r• _u.i.�!<<,'. . .. �� .. .. :7t7. �l:i�.'� I I'l:J:��I�J JG"1 i�!: .., _. ... . ....... .i�,...�..r7 -- _ _.----- j � �I�C`..t C�'^I7�-T/l. . , � ; _1�7�..iJ 1 f��s- �(.�..>1� I I ` `a �� l.1�,.-i ' . , T�_� �-��r�o��r+��F�� -}c-,�-��-. ��uP ��f� e�� i�,�tt�� _ _ _ . _ T�zs�Z".vV�-1t�� -- — —— — — — —— — .___ _.__ — _ _. — .� I I I ��1-{�--��. � ( A __-"._ ��i t� �c-(Sfi�� -�vv�d.��fir c��-c�r�t�r-s-�� I I T�f�`�� NC-�l 2-13/yx l�7��-}��v��h� -- _ __ _ _ _ _ .. - ---_ _ . ___ __ _ . � I I �� , �C� - 3 - - ---___ ____ _ ____ _. _ --- , ---- - _ d,. ------___ __ �`f-` (� " _ __ _ _ _ . 3� 0�� I � ��1- 1 a)DATE� ,� TIME ✓ �� CITY OF ORONO <,`'� CALLED IN ! I5 / C INSPECTION NOTICE ) SCHEDULED t�1U I�' �^'�� PERMIT NO. �IL—�/�� COMPLETED ADDRESS �a�`� C c� ��'1'Y�-� �� OWNER TELEPHONE NO. ��5�a�� y�C' CONTRACTOR ��1�/�� /'�iy7��YY? >; DESCRIPTION ��a� �`��rG�. � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU��YES_NO � COMMENTS: V� � W 0. j �, {. p � �1/ �,� �{� � �� 1' � � `�� i � �� l��l(7 � ('C�� c� , r S ° �7 � �:J �� \ � � W � Q � Z W � W � � d � W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. A � l White Copy/lnspector's File Canary CopylSite Notice