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Home My WebLink About2011-00880 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00880 2750 KELLEY PARKWAY f ORONO, MN 55356- �ATE IssuEn: 08/18/2011 + 952 249-4600 FAX: 952 249-4616 ADDRESS : 930 COX FARM RD PIN : 27-118-23-33-0013 LEGAL DESC : SHADOWOOD FARM : LOT O10 BLOCK 001 PERMIT TYPE : ADDiTION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTI V ITY : 434-RESI DENTIAL VALUATION : $ 400,000.00 NOTE: SGPGRATE PERMITS REQUIRED: PLUMBING,MECHANICAL, FIREPLAGE,ELECTRICAL(STATE) ADV. PLAN RF,VIEW PD 2011-0086�$1856.89 8/15/11 APPLICANT PERMIT FEE SCHEDULE 2,856.75 VIKING CONSTRUCTION,INC. STATE SURCHARGE(VALUATION) 200.00 871 JEFFERSON AVE. TOTAL 3,056.75 ST. PAUL, MN 55102- (651)222-3065 PAID WITH CC# 0251 Minnesota State License#: 20332522 OWNER KILLINGSTAD, MR.& MRS. 930 COX FARM RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed 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 pemlission for additional or rclated work which rcquires 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 180 days of the date of issuance,or if construction is suspended tbr a period of 180 days at any time after work has commenced. The applicant is responsible for assaring all required inspections are requested in conformance wilh Cfie State Building Code.This permit may be revoked-ai-a�y-tim�for due cause. , ,� i/J i.; �" , __�b�''� c-�_ '�-' �/,-� �'� l Applicant Per�mitee_Sig urc Date Issued By ' ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO �p" � `\ City of Orono a�� Building Permit Application for Maintenance / Reno ' . � (windows, doors, siding, re-roof, etc.) 3056' oo88a Mailing Address: ��—� Permit number. a0�� ,�.\ PO Box 66 !�Q 4 O ' Crystal Bay, MN 55323-0066 Date received: -/Jr-�( �� `,� ... 1 a ��' �;`�; �. Street Address: Received by: �O.S 's',�, �y ��%� �titi 2750 Kelley Parkway Plan reviewfee: /�S(o, �9 L.sgESH�j Orono, MN 55356 aoi/-Od�t 6 �=- � Plan Review Checklist for New Structures 1 Additions • Address / PID/ LegaL `13� CC�,x f-'� (2�t,•` �Z.pA,/� Description of work: 1(,,�:'l�v�.0�p� Septic review by: _ �/ /4 Date Approved: Zoning review by: �� Date Approved: Buifding review by: � w Date Approved: � - / b -Zo 1 1 Grading review by: �V ,/,Q Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Subm ed: ❑ Yes ❑ No Date of Survey: Pro osed Setbac : Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Other Bui ings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES FOR A BUILDING WITH-A BASEMENTOR CR LSPACE: FOR A BUILDI ON A SLAB FOUNDATION: START WITH the distance between the ba ent floor/crawl START the distance between the slab and the highest space floor and the highest roo eak, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck ' e of a the deck line of a mansard roof, or the mansard roof, or the uppermost poin n a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest win and SUBTRACT half 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 basement floor/cra � ADD the distance between the slab and the highest space floor and the highest existing grade ' in existin rade within the foundation the foundation or 10 feet, whichever is I EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD ermit Received Avera e La shore Setback Bluff ❑ Ye � No ❑ N/A '� � � Yes � No ❑ Yes � No 0 Yes 0 No��,, ❑ N/A Pe it Number: •,. Setback: Hardcover Zones Existin Pro osed Variance Required CUP Required �-��' ❑ Yes ❑ No Yes � No 75-250' Type(s): Type(s}'� 250-5 ' 50 -1 D00' REMA KS (in-house): Updated: 09/11/2009 z:lfortnslplan review checklist.docx Fees to be Charged YES NO �Penm�i��n, ��(�,�� , v i��.� a�� ti 4� __ � �� 3�r �� < a�7°Yx�'L�i�1'3 r I k '�v'� .��.'vl ;�n*�r.M,...4y.ax ':b�,h��{*d.� i� �� .sS'�-t�1�,r -^�u`''•,;� ,_.,h. -`�: Plan Review � �,,State'�+J��'i�[�� E'9 ��i,�",,,�as'��,, y, � ,._� �_ . � i �:�.�. �.. # f..� S� r°�, :, � � � � ., �� ,_��,.� °, .,., ,3 . �s=a. �a. ? s��,�'�,� �� . ��'�. -_, -.._,:��'.._ .P.�.ib38 +'4�.e .. . . Investigation Fee '`SAC--',Number=of"SAC"U:nif`s - ��'��:n��',��`'��i_ �, . , �� :�_� Sewer Connection .Wate.r;�Conne.ction,- _ ,��;�4z��,�t� , A' ��,�� Park Fee ,�sS�ate�lnsp,ection �� .,�r�k� r� ;�� .�,. ' _ ��Yli'.!�"uS+".� M��1,+�'�P7]'F ��.1.4 �'.6�vs'aK.'x-h�e�� _. x.�.�.... .. .�._ . ... „. : Other(specify) �IYlas�ella�ne.ous�F�e�s �`��"'��.. `"�r}� �'"�,"�`��"��.� � � '� , ��,��' .�.�3.��,.��..,�. �p. �} :�N>�2d vkW�rt3, �,yri i '�9iAh�t+.. .''�'�a.-.;i�4. Calculated By: Square Foota e $ per S uare Foota e Basement X = $ 1s1 Floor X = � 2na Floo� X = $ Garage X = $ Estimated Construction Value: � L(a�� fl Q� o, Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �lumbing � Grading/Filling ❑ Well ❑ Hardcover Removal echanical � Fire Electrical ❑ Footing � Septic 0 Water Connection ❑ Poured Wall �Fireplace 0 Sewer Connection � Foundation Survey � Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed �fg. ,�Framing 0 Other(specify) Insulation 0 As-Built Survey �Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Exist;ng: ❑ YES � NO New: 0 YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INiTIALLED BY PERSON PULLING PERMIT) U pdated: 09l11/2009 z:lformslplan review checklist.docx ��l--(,' �z�j / �e � DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �- G' �� !G: �C PERMIT NO. aG!/- GO �':1C coMP�ETE� ADDRESS 930 �-� ��c.h�y�' OWNER TELEPHONE NO. � �a �� CONTRACTOR I�C..��K� C�� f�<rG��7�Sc�-- >; DESCRIPTION ��- °�� ' �� M�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ 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 � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on si e: Inspector. �.t �� •S White Copyllnspector's File Canary CopylSite Notice � DAT '] `/ TIME � F R N CALLED IN �d � ` /` CITY O O O O INSPECTION NOTIC D SCHEDULED a / � PERMIT NO. C� - � co PLETED ADDRESS �?J� ��Y i�� _, OWNER TELEPHONE NOl2-� �� CONTRACTOR C � � >; DESCRIPTION `-� ��- ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y� ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FfNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 a ,�7 �} 1 v i� �¢_� ��'d-�� v� � � 0 � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � Q�CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � / DAT�{ TIME ✓ CITY OF ORONO CALLED IN ` ��J INSPECTION NOTI E SCHEDULED 0- - � � PERMIT NO. � —DD��D COMPLETEn D- -I� ADDRESS /`� �� `y�w`"' OWNER TELEPHONE NO.�� •3�23 b�'�D CONTRACTOR v�� -�� >: DESCRIPTION �r � ❑ FOOTING ❑ PLUMBING L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHAN�CAL Fil ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O ,� c � �"� � S lY� � .�1 � 0 � W � Q � Z W � W � � GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � Inspector. �!/ =� White Copyllnspector's File Canary CopylSite Notice