HomeMy WebLinkAbout2010-00606 - remove/replace sheetrock CITY OF ORONO PERMIT NO.: 2010-00606
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/26/2010
F �
952 249-4600 FAX: 952 249-4616
ADDRESS : 3403 EASTLAKE ST
PIN : OS-117-23-14-0060
LECAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 001 BLOCK 008
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 500.00
NOTE: RL;MOVE&REPLACE SHEETROCK AND INSULAT[ON [N KITCHEN AND MASTER BEDROOM
APPLICANT PERMIT FEE SCHEDULE 25.00
WHITMORE, KAYLEN
3403 EASTLAKE ST STATE SURCHARGE(VALUATION) 5.00
LONG LAKE, MN 55356- TOTAL 30.00
OWNER
WHITMORE, KAYLEN
3403 EASTLAKE ST
LONG LAKE, MN 55356-
AGREEMENT AI�D SWORN STATEMENT
The work}or which this permit is issued shall be performed according to
the approvcd plans and specifications,applicable City approvals,and the
Statc 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 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.
"I�he applicant is responsible for assuring all required inspections are
requested in conformance with the�State Building Code.This permit may be
revoked at any t me for � � `��j, '"7 — 7 �, --�C�
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pp � ant Permitee Signature Date � Issued By Sig�nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
. �,i�
G�ty of Orona �f?r
, . Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
�1�lai6ngAddress: Permitnumber: D O/O—���0
� �,�,�. ` PO Box 66 7/
;/Q � O��II Cryshal Bay,MN 55323-D066 Date received: /! � ld
(� �$'��'°� I Received b
�a ����.�: s,� StreetAddress: Y'
��`'�` � 1 2750 Kelle Parkwa ��
���• ,, ' ''"� ��;' Y Y Plan review fee:
�L � ��� Orono, MN 55356
�ESH04`'� � .'
- - To4al Fee:
Main: 952-249-4600 �ax: 952-249-4616 wwvr.ci.orono.mn.�s
This application form must be compleied in full and all required information must be submitted.
Incomplete appllcations witl be returr�ed. (Please print)
GEN ERAL INFORMATiON: `/
Job Site Address: 3`f U� �i�'S✓ GF'i�t .S'T-
Will this be a Parade of Nomes, Rem�delers Showcase Horne or other Display Home? Yes No
lfyes,a specia!event permil is required with Police Departmen�and City Councii aop�va!60 days prior to t';e event. Shutt(e bus serviee will be
requi�ed un�ess apprica;f demonstrafes sufficlen!on-site parking is available. Non-permrCed avenfs w,71 no!be allowed.
CONTRACTOR/APPLI ANT INFORMA I N:
Name: ��YL�/Y �?/��/I��� (/`h�/i��01'�//Y
State License# Expiration Date:
Phone: L- Z ZS office - L,SI- a(�8� cell
Mailing Address: �TGlG��¢NN� �l2• Cil :�oGO�i✓
Contact Person: L�/1/ /�/��D2 Applicant is: Contractor / Homeowner (Clr�le One)
Email and/or Fax: /j/ �/G• �.O","Y1
PROPERTY OWNER INFORMATION:
Name: ,+��yCE/✓ �'1/�7�T�7�'2�
Phone(day): �p.S - -z S/- o ���,P
Address: �� v� ��5 T G z S' T� City: U��'�✓�> Zf P: .J 5 3 -� �
Email and/or Fax KA>GE�v W'F�/�2�7�/n�/L -�'..vm
PROJECT INFORiV1ATION:
Type of Praject: Any earth movement may require
MCWD review 8 permits
� Door(s} ❑ Remodel �Water Damage
M;nnehaha Creek Watershed District(MCWD)
�Window(s) ❑ Repair ❑Siorm Damage 18202 Minnetonka Blvd
Deephaven,MN 55391
❑ Siding ❑ Res�oration ❑Other. (speciFy) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage � ww�v_,minnehahacreek.orq
Overall Project Description: E j+tiB�/�� ��'�E AcE- .r'ff£�TRFcK�LSKL�o�/ /�✓�/�Gf��/�/ �//`�"S��'
Estimated Construction Valuatiun of Project(exciuding land) $ Sva . � '��
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all informalion required or req�ested by the Building Deparlment:
• Certifies t�at the information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that Ihey
are sclely respo�sible ior submiiting a complete application being awarE that upon failure to do so,ihe staft has no alternative
but to re�ect ii until it is�omplete;
• Some or all of the information that you are asked io provide on this app3ication is classified by 5tate law as either private or
confidential. Private data is information �vhich generally cannot be given to the public but can be given to the subjecE of Ihe
data. Confidential data is information which gene,rally cannot be given to either ihe public or the subject or the data. Our
purpose and intended use of this information is to annually updale o�r records and records of other governmental agencies
re uired b law. If ou refuse to su I thz informalion. he a lication ma not be issued.
ApplicanYs Signature: Date: �l Q
Lasl UpCaled: OS-04-20G9
L'd 8Lb8-OL8-Z69 eaoua�iyM ue��ey{ dOt��£0 06 LZ Inf
Pian Review Checklist for New Structures / Additions
�
Ad�+ress/ PID 1 Legaf: 3�10� L ViS i L141�`. S�
Description of work: �-W�;�� � ,--A/,l t�..�:�ta c.F ��t„�-7-e'l�-�� ,,vs v i.�;��n.{' ,•,�J
k �•�e H�,�3 E,�n:n -� , � �YZ .�� �y�
Septic review by: __�,ir� Date Approved:
Zoning review by: �1 �v� Date Approved:
Building review by: <- Date Approved: '"7 - 2� -1'D
Grading review by: - A`-%�� Date Approved:
Zoning File #: Resolution #: Resolution Date:
Zonin District Fire De artment Post Office School istrict
,
Zoning: Lot Area: SF /AC Width: pth:
Survey Submitt : ❑ Yes ❑ No Date of Survey:
Pro osed Setbacks:
Front(Lake) r (Street) ( N S E W ) ( N S E W Other Buildings Wetfand
� Side
Side
.
,
i
Building Defined Height� Building Peak eight:
FOR A BUILDING WITH A BASEMENT OR CRA SPACE: OR A BUILDING ON A SLAB FOUNDATION:
START the distance between the ba ment floor/ START the distance between the slab and the
WfTH crawl space floor and the high t roof peak WITH highest roof peak, the top of the cornice �
the top of the cornice of a flat roo , the d of a flat roof, the deck line of a mansard
line of a mansard roof, or the upper roof, or the upperm�st point on a round or
oint on a round or other arch-t e o other arch-t pe roof
SUBTRACT half the distance between the hig�est SUBTRACT half the distance between the highest
window and highest roof peak,df a pitched � window and highest roof peak of a
roof / itched roof
SUBTRACT the distance between the asement floor/ ADD the distance between the sfab and the
crawl space floor and e highest existing highest existing grade within the
grade within the fou ation or 10 feet, foundation
whichever is less. EQU S Defined buildin hei ht
EQUALS Defined buildin ei ht
Lot Coverage: SF %
Shoreland Distr' t � MCWD Permit Received Average Lakeshor Setback � Bluff
❑ Yes No � Yes ❑ No ❑ N/A � p Yes ❑ No N/A � Yes ❑ No
Permit Number: Setback:
Hardco� r Zones � Existin ; Proposed � Variance Required ' CUP Required
-75� � I ❑ Yes ❑ No ❑ es ❑ No
75-250' !
250-500' � Type(s): Type ; i
500-1000' i I �
REMARKS (in-house): `� C I�l����E�
�
Updated: 07/01/2009
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Fees to be Char ed YES NO
��errriit, .,:.. . ,
Plan Review ,/ �. �
;St�atE-:���c�har e
Investigation Fee
`S�1'C—:�N�rriber�f SAC=U,nyts
Sewer Connection
�Ilfate�r S�C�on�ecfion
Park Fee
:�ite 7ns{�ection
Other(specify)
�Nfiscellaneous:Fees '
Calculated B :
UBC: Construction Type:
S uare Foota e $ er S uare Foota e I
�
Basement X ' i = $
1 S Floor X = $
2" Floor X = $
Gara e X = ; $
�
Estimated Construction Value: $ s OC`� ��
Orono Inspections Required Work Requirinq Separate Permits Required State Permits
❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical
❑ Footing ❑ Septic ❑ Water Connection
❑ Foundation Survey ❑ Fireptace ❑ Sewer Connection
❑ Framing ❑ Masonry ❑ Lawn Irrigation
�nsulation ❑ Mfg.
❑ Wall Board ❑ Other (specify)
❑ /�s-Built Survey
Jc1�Final
0 Other (s ecif )
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 PERMIT)
Updated: 07/01/2009
z:\forms\plan review checklist.docx
� � < �/ AT / TIME (/
CITY OF O ONO CALLED IN � c�
INSPECTION OTICE SCHEDULED j D 3� �
PERMIT NO. b � � c�PLETED
ADDRESS
OWNER ���ELEPHONE N �.��-����—?�7�
CONTRACTOR
>: DESCRIPTION G�`r v+ �'l ""' ` �'
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l� ❑ 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 ❑ COMPII�INT
� ❑ DEMO-SIT ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINA SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBWG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW L�VQ(ORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE '�
W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
,�� /`�� � ATE TIME
CITY OF ORONO�G/C- C,CJ�,'.�r�ALLED IN � ��
INSPECTION�N�OlTICE ,/ SCHEDULED _=��'� �
PERMIT NOs�'T�IC�`D�C7� COMPLETED
ADDRESS ��7 .� � L- ��/L�'_- r�� -
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION /�'lc� ���U: I�/Y�
� ❑ FOOTING ❑ PLUMBING FINAL .� ❑ EXCAV/GRADIN LING
Q ❑ POURED WALL ❑ MECHANICAL RI ���.1�� � ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Q �{�%C/
Z ❑ INSULATION ❑ WOOD BURNER/FIRE LAC>E, ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP 7��ff�r-❑ 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:
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d �� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46��
Owner/Contractor on si e:
Inspector. L�'� S�
White Copyllnspector's Fite Canary CopylSite Notice