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Home My WebLink About2010-00534 (add./remod/repair) � � CITY OF ORONO PERMIT NO.: 2010-00534 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEv: 07/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3265 CARMAN RD PIN : 20-117-23-14-0011 LEGAL DESC : CARMAN COVE : LOT 005 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 26,000.00 NOTE: SEPERATF,PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) ADVANCE PLAN REVIEW PAID 6/29/10$275.44 BY CREDIT CARD 2010-00533 REMODEL BATH-CONVERT 2 BATHS INTO 1 APPLICANT PERMIT FEE SCHEDULE 423.75 C N OSTROM AND SON INC STATE SURCHARGE(VALUATION) 13.00 23400 PARK ST PO BOX 758 TOTAL 436.75 EXCELSIOR, MN 55331- Minnesota State License#: 1907 OWNER HECTOR, MARK& BONNIE 3265 CARMAN RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buiiding Code.This permit may be /G�7✓ revoked_at a�me f ue cause. "7 /� 1 � �7 i /3 / i � � G�YyI C� l l� Applicant Permitee Signature Date Issued By Si nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . . ?�� I.� �' ��,�5 City of Orono !� Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 070/�"d�53( /O�O�Q C rysBtal Bay, MN 55323-0066 Date received: b Zq /� ( � ~?�^' Received by: 5 ,� ��.�� , Street Address: '�,�, � °� titi 2750 Kelley Parkway Plan review fee: 0�0�0�06 S33 1.9X.E$xOg,`YG Orono, MN 55356 �7S � �y � -_-� Total Fee: / Main: 952-249-4600 Fax: 952-249-4616 www a ororo 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: �2-.�S C,-�-��,�,1 � ��(l C-LS c vr'� ��5 3�f Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permrt is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP�ICANT I FORMATION: Name: �'� C� Q-�� N� State License# 4 D' Expiration Date: 3 3� ZU l�- Phone: `j j�- � Z- �7 c5 v office cell Mailing Address: �3�� P i� ST� Cit : C�LS s c:` ZIP: S 33 Contact Person: �tLE�,v 05�7'�._art Applicant is: Contractor Homeowner �c��iao�e� Email and/or Fax: �nrt��G N o s'tn�t''�- ��r'1 PROPERTY OWNER INFORMATION: Name: J'�� $ ��n1Nf� H�C�"��. Phone (day): '7W3 - 3`1 �-8� �1 Address: 3 Z65 G.�-2�� '�-' City: �X«t.si�r ZIP: .SJr3.3)_ Email and/or Fax �sri/c:.(�$u�f PR�.c O r1 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 ❑ Restoration ❑Other: (specify) Phone: 952�71-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: /��`�1G0 �L - ,,'� �/t9}t-S �p� fi0 ! Estimated Construction Valuation of Project(excluding land) $ ,;?��p pv� -� 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 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. ApplicanYs Signature: � Date: � � �1 /a Last Updated: 05-04-2009 Plan Review Checklist for Nevrr Structures / Additions Address/ PID/ Legal: �:� �� /�„'� �;� r ; � Description of work: Septic review by: --+�� , Date Approved: C�' -• �`�— l C! Zoning review by: �� Date Approved: Building review by: , �..�,;�-- Date Approved: ? '�Z - �U Grading review by: � /lf ��- Date Approved: `oning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office ' School District �� ,-� � �� Zoning: Lot Area: SF/AC Width: % / Depth: ,..\ Survey Submit��d: ❑ Yes 0 No Date of Survey: Pro osed Setbacks' Front(Lake) Rear(Street) ( N S E W ) ( N S E ,�11 � Other Buildings Wetland Side Side '' . ,% i Building Defined Height: Building Peak Heigfk� # of Stories Ok?: ❑ YES ,.., ;: FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: i� FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the baseme�t floor/crawl � START the distance between the slab and the highest space floor and the highest roof peak;,the top of�'�� WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line o`�.� � the deck line of a mansard roof, or the mansard roof, or the uppermost point on a'r�nd uppermost point on a round or other arch-type or other arch-t e roof % � roof SUBTRACT half the distance between the highest w} dow an SUBTRACT half the distance between the highest window � hi hest roof eak of a itched roof ' ; and hi hest roof eak �f a itched roof SUBTRACT the distance between the basemen�.filoor/crawl �� ADD the distance between the slab and the highest i space floor and the highest existin( grade within existin rade within the foundation the foundation or 10 feet, which ver is less. EC��.JALS I Defined buildin hei ht EQUALS Defined buildin hei ht �., Lot Coverage: � sF � `� o /o Shoreland District IIIFCWD Permit Received Avera e Lakesh e Setback Bluff ! Q Yes ❑ No ❑ N/A � `. ❑ Yes ❑ No O Yes ❑ No ' ❑ Yes ❑ No N/A Permit Number: Setback: i I Hardcover Zones ' Existin Proposed Variance Re uired CUP Required 0-75' I ❑ Yes ❑ No Yes ❑ No 75-250': TYpe(s): Type(s): 250-500' I 504=1000' `�.. REMA S (rn-house): i"Vu CN/�rt✓L� t Updated: 09/11/2009 z:\formslplan review checklist.docx Fees to be Charged YES NO • Perm it_ ,: Plan Review � State':Surcharge , ;/ Investigation Fee SAC-'Number of SAC'Units Sewer Connection 1Na#er Connection Park Fee Site-lnspection Other(specify) 'Miscellaneous Fees . _ ._ ,.:> Calculated By: ; Square Foota e $ per Square Foota e Basement I X = � 1 St Floor X = � 2na Floo� X = $ Garage X = $ Estimated Construction Value: $ �V,OUC� `'= Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal Mechanical ❑ Fire �Electrical 0 Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. �Framing ❑ Other(specify) Insulation ❑ As-Built Survey �Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx � DA TIME ✓ CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED � '�d _s� PERMIT NO�D��--DO�3 S� COMPLETED ADDRESS 3a�s ��- OWNER � TELEPHO'I��xO�J.�I�l'L Z9 Z Y�OL� CONTRACTOR C/U D 7 �U!n � >; DESCRIPTION ' ` �� ` �� "�� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 O HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 1 ;1r U ILC� !7�? -f C�C'�'U�S �/i e� �. � � �..tU/�' � �'p _ C�-� � - � - � � Pc'� �'� c� �C'� W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BE RECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on s'te: Inspector. . f �� • � White Copyllnspector's File Canary CopylSite Notice — � —' �-�v ' ATE TIME ✓ CITY OF ORO O ALLED IN � INSPECTION TI SCHEDULED � d�� PERMIT NO. d�� MPLETED ADDRESS OWNER TELEPHO NO. Z � CONTRACTOR N n�U V� >; DESCRIPTION c-/��''��-�`� `-�/ � �� Lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �y�OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. 1 � i � White Copyllnspector's File Canary Copy/Site Notice �� d' _ D T TIME � CITY OF ORONO CALLED IN 7— INSPECTION NOTICE SCHEDULED 7� � - � % PERMIT NO�+ al0 �0 OS3� COMPLETEo� ADDRESS 3 a6s ��'-✓L►'`'�0.-i. � OWNER TELEPHONE NO. �52 Z-�JZ Q�UD CONTRACTOR C� D S��Y✓�J j; DESCRIPTION �/LG�'��c � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a O /�Q � C� /—a—� ��—F' i9�1./ /l.. -('j � �N �C�`,+ /a � - 0 � W � Q � Z W � W � � �L�K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. � � � White Copylinspector's File Canary CopylSite Notice