The URL can be used to link to this page

Home My WebLink About2010-00274 - addn/remodel/repair • CITY OF ORONO PERMIT NO.: 2010-00274 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: OS/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 600 BIG ISLAND PIN : 22-117-23-31-0034 LEGAL DESC : ISLAND POINTE : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: REPAIR EXISTING FOUNDATION, PARTIAL WOOD FOUNDATION-SMALL BERM IN REAR YARD. APPLICANT PERMIT FEE SCHEDULE 221.25 STRUCTURES UNLIMITED, INC. STATE SURCHARGE(VALUATION) 6.00 5425 CLAYTON DRIVE MAPLE PLAIN,MN 55359 TOTAL 227.25 Q PAID WITH CC# 4787 Minnesota State License#: 20173396 OWNER ADAMS, DONNA L 203 MILL ST#202 EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The wor or which his permit is issued shall be performed according to the a roved plans a d specifications,applicable City approvals,and the Stat Building Code. This permit is for only the work described and does no grant permission for additional or related work which requires separate rmi[s. All provis ns of la d ordinances governing this type of work hall be compied th wh er or ot specified herein.This permit will expire and beco null nd void' construction authorized is not commenced wi in 1 days of t date of issuance,or if construction is suspended for peri of 180 d s at any time after work has commenced. he app ica is resp nsible f assuring all re inspections are r queste conform ce w� the Sta uilding Code.This permit may be re ked a an r cau . / / � ��`� Applicant Permitee ignature Date Iss 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: �D/Q— DiDZ7`� 4,i+�.j� PO Box 66 Q `\ Q Crystal Bay, MN 55323-0066 Date received: `�,Z 7�� i� �s,.�..a � ��.�;e�':>��. a. � Street Address: Received by: ,�j �'�n '�� ti�' � 2750 Kelley Parkway Plan review fee: ��kESH�4'� Orono, MN 55356 � Total Fee: �f a �''� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � / 7(/�.J This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: �bO �� ,��, Job Site Address: Will this be a Parade of Homes, Remodelers owcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required wrth 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 1 APPLICANT INFORMATION: , �7-- Name: :__�:- �^ �'> �1 I Y�1� `t'� ,1—hL . State License# 2-G� 7 3 �`l� Expiration Date: ,y� 2;.� / � Phone: 3 ��1� office �uiZ- 3 "� �- � (-6� cell Mai ling A d dress: Z G) 0-�� Cit : j� �Ic,,.-� ZIP: S� �,� Contact Person: , j,..L. Applicant is: nt / Homeowner (Circle One) Email and/or Fax: e_;S o��,'r,,� e v� ,n.;��..�Yc��e.cc<r. PROPERTY OWNER INFORMATION: }� Name: __ I��V\ � �� »�,S Phone (day): z-- ��Z Address: Z i�l (�-��-�',h�;� >� City��`ic^ <;--�-� ZIP� 5�3/� Email and/or Fax - PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) �Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration Other: specify) -r f Phone: 952-471-0590 ❑ Re-roof � �'y,y� ��„c� � (�th�'� Fax: 952-471-0682 ❑ Fire Damage 1 www.minnehahacreek.orq Overall Project Description: �°� Z `r' ��` �e�� N Estimated Construction Valuation of roject excluding land) $ Z �''JO ►?.�..'v4✓L ►�}✓140 � 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 u are asked to provide on this application is classified by State law as either private or confidential. Private data is i rmation which generall nnot be given to the public but can be given to the subject of the data. Confidential data is � formation hich gener y c not be given to either the public or the subject of the data. Our purpose and intended use f this i rmation is t a ally update our records and records of other governmental agencies re uired b law. If ou refu e to I the infor � n,the a lication ma not be issued. � ApplicanYs Signature: Date: _�7�G�� Last Updated: 05-04-2009 � Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 6�v Q(b TS(,JE�v� Description of work: o... A �2 Septic review by: _ /V/14 Date Approved: Zoning review by: N/ Date Approved: Building review by: Date Approved: �" -/2- ! � Grading review by: /V t/a Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire De artment Post Office School District Zoni g: Lot Area: SF/AC Width: epth: Survey ubmitted: ❑ Yes ❑ No Date of Survey: Pro osed S acks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland Side Side Building Defined Height: Building Peak eight: FOR A BUILDING WITH A BASEMENT OR AWL SPACE: OR A BUILDING ON A SLAB FOUNDATION: START the distance between th basement floor/ START the distance between the slab and the WITH crawl space floor and the hest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a fla oof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, or the u ermost roof, or the uppermost point on a round or oint on a round or other arch-t oof other arch-t e roof SUBTRACT half the distance between the highes SUBTRACT half the distance between the highest i window and highest roof peak of a tc d window and highest roof peak of a � roof itched roof SUBTRACT the distance between the base ent floor/ ADD the distance between the stab and the crawl space floor and the hig est existing highest existing grade within the grade within the foundation r 10 feet, foundation whichever is less. I QUALS Defined buildin hei ht EQUALS Defined buildin hei h Lot Coverage: SF % Shoreland District MCWD Permit Received � Avera e La eshore Setback � Bluff ❑ Yes ❑ No ' Yes ❑ No ❑ N/A p Yes ❑ p N�A � Yes ❑ No Permit Number: Setback: Hardcover Zones i Existin � Proposed i Variance Re uire '� CUP Required i 0-75' ' ❑ Yes ❑ No � ❑ Yes ❑ No 75-250' Type(s): Type�S�: 250-5 ' 500 000' I I REMARKS (in-house):_ NU C(�C Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO ' Permit Plan Review �/ State'Surchar e Investi ation Fee SAC-'Nwmber of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous;Fees Calculated B : UBC: Construction Type: Square Foota e $ er S uare Foota e Basement X = $ 1 S Floor X = $ 2" FIOOr X = $ Gara e X = $ Estimated Construction Value: $ Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well �ardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical Footing ❑ Septic 0 Water Connection �oundation Survey ❑ Fireplace ❑ Sewer Connection Framing � Masonry ❑ Lawn Irrigation ❑ Insulation � Mfg. 0 Wall Board ❑ Other (specify) 0 As-Built Survey �Final 0 Other(s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES 0 NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01l2009 z:\forms\plan review checklist.docx � ., .� �, . , �Y/ f' � � �� , lJ" ' � � � , / � �36'-4" _ � - 4'-6" �. _ 30'-4" __—._ ___ : {_ _- -- - - -- - - -- - _ _ - - - -- --- -- -- - - _ , ._ - — — __ -- — - � _-- i ' � -- - - - --- - -- - --- - -- - - _ . - -- - - -- - - - � ' ' I I �, , I'I �� , . I I 4x4 POST TO 2 x2 FROST - I I � PROTECTED FOOTING,TYPICAL M U N I � ZO II I NX� II W�J I�I III . �. II �. I�I I � � .... I �I��I ', � I �I I I � ,�'�,. 1'-1" 1'_1" 1'-1,� 6'_4" � .w g�_3�� .�: _ g 3^ _.`� 6'_3��__ � I o0 � _ _ — -- - — __ _, � _ —:-„ -�� ---� ---— -- � —_— —,� � _" N 2 925"MICROLP,MS PROPOSED SUPPORT BEAM,. I �� .. j_..- — ———� TO REPLACE EXISTING 2 2x6 BEAM ''.., ' ..� �i �'-6° � '� �� { PROPOSED STORAGE DOOR � — —' �� i , „ I 2 925"MICROL4M BEAM,PROPOSED,TO . � \�� . � � ;r- REPLACE EXISTING 2x8 BEAM � — -- �— — —4--�— —. _._ -.-- .— . . � _� . . .. . �.. � � f � . —_ i .�__ — __ ' � I . _... � � -�— __. . __ Y I ' --_.—, —_ —. —_I ____..___,_ I I � ——. ._� I � _ _—__ �2�'2° ___—� 6'-0" I o0 i�l o � , � o !�' I � , ,� �i I ' : � � -- -- -- -ln r N N I I�I � i._ v I, — – - - - _ _ _ � ;� �� ,u i I I , I ��i ' i,, , , o I i+� c+� I II . I � ;' I I II � �� I Ii -----_----- _-- _ _ _��_ � �� . _- � ___ _ � 18'-2" -, LIVINGAREA ,�`�'�"�� y�FZs��?�� 1421 s4ft �! •� •� r - . � .,,_.. ,:-.jl,f . � .. r...-,.. r�. , , , Bl, l.�.�i�. .� . �_�ti l 1. �,� H i '•:: . �:_. M45°��TG!� ...__.__ i�l!�.:= --_._--- �� ; .. _._ — C)k`-;� S�-I i-IG� ---� . " ;," r • + SFECIA�L. NOTE �r s=� , .,` ;� � _.__._ r�E AT'['AC�-!ED SH�ET G ',��; .; ��; �� y ._ ,:. j, , -r:!a ❑ . '.?,�e� � ;.. ,:_� - .. . . . .... . .. . .. . . ,... ��1� ['A}�tu£ dc�~'�"rsc.,T1_Q� T�ic�^ c,.� � a... y .� ,� , .� � ,- � �� ir�tKEEPjTI-,ia P�tJ,tv SEt'O�V g, f � !, , ,, c, . �^ " �'JTS CC�[?� F�� - , . Ar� �n 5 , .. � � �� &�� F t � l R6U��i8^.''�'�it �i � ��. i � � L � E - a. � y .�� Ir . .,�. �;�V . ..._.. ._._.._._ . � .. .-` � _.. .... ..... . 1 � 1 f' � DATE TIME _� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ` �/O PERMIT NO.��I�-��7� connP�ErEo �� ADDRESS i� ::' . ;; �a ; i._ --. OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �'7�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FpLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � , 0.0. (i � � �-f � .1�-i� � J� � i� � SC� S'- �' ..: � i o � �-z� Sfl t,�(c � -� v 2� T-:=�:�L-��z< � �' - o � � ��.�1��y+` {.�� lu f' � 1 ' 4_ � ~ � �7 L�� . � �, Q - f 7` �- C� � ��}� � !J ''ro f7' ' i .� � l ��' ��, '' W W TED INC � 5425 CLAYTON DRIVE j G ' W� O WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE W p'CORRECT WORK&PROCEED �'G❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING �CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT INSPECTOR WILL RETURN O PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspecti 24 hours in advance. (952) 249-46�� OwnedContractor on sff�e:f' inspector. - 1 � � �,,.,,� White Copy/lnspector's File Canary Copy/Site Notice