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HomeMy WebLinkAbout2009-00536 - add master bath/windows/door , CITY OF ORONO PERMIT NO.: 2009-00536 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 09/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2700 ETHEL AVE PIN : 20-117-23-24-0013 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMB[NG,MECHANICAL,ELF,CTRICAL(STATE) ADD MASTER BATH,ADD 3 WINDOWS,ADD EXTERIOR DOOR APPLICANT PERMIT FEE SCHEDULE 22�.25 BRENNAN PROPERTIES LLC PLAN REVIEW 143.81 8452 153RD PLACE SAVAGE, MN 55378- STATE SURCHARGE(VALUATION) 6.00 (612)616-4447 TOTAL 371.06 Minnesota State License#: 20381410 PAID WITH CC# 7119 OWNER GHERARDI, LORI 2700 ETHEL AVE WAYZATA,MN 55391- 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 S[ate 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 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. The applicant is responsible for assuring all required inspections are requested in co nc with the State Building Code.This permit may be revoked a�,a�iy ti e for u cause. � �� � �� � /- ' / / � ��--�� ��C G� / / pp�cant P mitee Si ature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , ��� . Cit of Oron � `��\'� Y Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) —_��� Mailing Address: ,-� _ , c'- � ��v�.(��� PO Box 66 Permit number: ( i� ,i0 ;, Q�� Crystal Bay, MN 55323-0066 Date received: � 7 C%�' � � � a ���'t�,�_�;� �,;� StreetAddress: Received by: � �' � � � ti'% 2750 Kelle Parkwa � �'t9 �����o y Y Plan review fee: �kESH�� Orono, MN 55356 -- Total Fee� �� / Main: 952-249-4600 Fax: 952-249-4616 ti^�ww.ci.orono.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: ,� ��?�� �; 7jL/ , /-) V�� 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 Police Department and City Council approval 60 days prior to the event. Shuttle bus service will e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � r'�N e'�y r�- �T: t> - State License# .�U 5�,i `1 I Expiration Date: 3 �� Phone: i - 'y 'j office cel I Mailing Address: �,y��t /�3 f'/ct t�' City: �Jc;c�� ZI P: iy��, ��j 7,�' Contact Person: J�i r ��,e n n�h Applicant is: Contractor` / Homeowner (Circle One) Email and/ Fa � �'S� ' `�`Zt�- 'S D � j PROPERTY OWNER INFORMATIO,�.1: Name: L t1�' i l� N�k'R�'1�i Phone (day): (o l'�— Ga 7p— `l 'Z,�,, Address: City: ZIP� 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) ❑Window(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: A 1�;� � '.-� -' , , -, � ` � C,�, Estimated Construction Valuation of Project(excluding lan $ � _ , �`f'.�;, 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 classified 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 � infor is to annually update our records and records of other governmental agencies re uired b law. If ou ref e to su I e i ormation,the a lication ma not be issued. ApplicanYs Signature: Date: -���� �� Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: Z'7 �L� ��.�L'Z �},,..r� Description of work: /��7���Z Septic review by: -- Date Approved: Zoning review by: — Date Approved: Building review by: Date Approved: ?� �3�-��i Grading review by: Date Approved: Zor�ng File#: Resolution #: Resolution Date: Zonin District � Fire Department I Post Office School District , I ! I -- � Zoning: Lot Area: SF /AC Width: Depth: Survey Submitted: ❑ Yes 0 No Date of Survey: Pro osed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E ) Other Buildings Wetland Side Sid i ,- Building Defined Height: Building j�ak Height: i FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: . �r FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement flooF/ START the distance between the slab and the WITH crawl space floor and the highest root�eak, WITH highest roof peak, the top of the comice the top of the cornice of a flat roof,;ifie decK . of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermost � roof, or the uppermost point on a round or oint on a round or other arch-f e roof �" � other arch-t e roof SUBTRACT half the distance between tMe highest �'SUBTRACT ' half the distance between the highest window and highest roof peak of a pitched '` window and highest roof peak of a roof itched roof SUBTRACT the distance betwe�fi the basement floor/ ADD '`, the distance between the slab and the crawl space floor and the highest existing ,, highest existing grade within the grade within the foundation or 10 feet, ' undation whichever is less. EQUALS D��i,ned buildin hei ht EQUALS Defined b�ildin hei ht Lot Coverage: SF % ' Shoreland District MCWD Permit Received ; Avera e Lakeshore Setback '�. Bluff 0 Yes ' ❑ No � Yes � No ❑ N/A ' p Yes ❑ No ❑ N/A � Yes ❑ No Permit Number. `Setback: Hardcover Zones Existin Proposed Variance Required I CUP Required 0-75' � Yes ❑ No � Yes ❑ No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): i/�' Z�,U,� ✓�.��-�Yr��� � ;.;� Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO , Permit � Plan Review ;i State Surchar e �/ Investigation Fee SAC— Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: UBC: iZ Construction Type: �/ I S uare Foota e $ er S uare Foota e Basement X = $ 1 S Floor X = $ 2" FlOOr X = $ Gara e X = $ Estimated Construction Value: $ � ?TL'���v 4� Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading / Filling 0 Well � Hardcover Removal echanical ❑ Fire �Electrical 0 Footing � Septic ❑ Water Connection 0 Foundation Survey ❑ Fireplace � Sewer Connection �'Framing ❑ Masonry 0 Lawn Irrigation � Insulation ❑ Mfg. ❑ Wall Board ❑ Other(specify) ❑ As-Built Survey Pd Final ❑ Other (specif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES 0 NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms\plan review checklist.docx . �. � ,� -�.: ..._. �,� �; ..� �.�;� � � � existing�,nrinaot�r �^�alkout B�S@t1l@C3� ���IEI expan�ed to S' ireplaGe ` repl��e��indo�fv�vith ne�nr � oryrind��v ..,... _. -. BE[JR��� ��,�;; � �� y . .. ; , �-- ,� :. -. ; � F;f�t� �=:;s s �;,-�' . .. . .._ _. � , aF ��„ _.�:�r.,� c_':� '<_� '- � ,� .. i ���� "��::��� Y'. F `.�u..� r Y z . . s yt ��3. * �� j : .. . -.. `' _-.i. � E . 'S. -.,� � .i.. . �...: � �„�N_� �;�i���.;+�x�-�i j ��`�:: ti,_i:aj.. �� starage SP���AL 1'�:��'� SEE A�t"T/a��-yE� �����T F�j CZ��-F S M 0)�.C. '�C '�'ECY1• �'.+��� R�� 'lr� � ..�.. � L':' ➢i'.i'�'.��. : �� �j ,y� ��� C� { T Of" t3. V. C%UIL�IFV\� r,"r{ rl7 FL�.P: �L.`�':E�A� Front�f hause 27Q�0 Ethei A�,�� wsPecro�_— -------- DA�E-��1� _-- — r�::;+:L �;.�;�_,_T ❑ f�i!�r�:�./�,'..._. � �;� ,.-.�.i�:i i t�i�._J �� i- ��. - . �;,r ` .r. ,�T_� �h-i'f��t�.�':�J 1':��.1 � ...a J� �.r 1:...�. /��.� ....�� [� �V�: f',.'. �����'::� •-- ..r,'�..._., . _: .' ._ _.....Y ��c �t Thas_ cc:Y:��._..cs �:.. , ys..r :!; „ .�:i�;;�:i. ,;'.�•: ., ...�.. 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Il� �J�fx � - 'j.. � ` �.'" . . ,r• �, , ; `�^���� �� `y.r;' ,. p,r �.:� - �+ 'r, �. .. t � `� � � D TIME CITY OF ORONO CALLED IN � INSPECTION NOTI �E/J'� SCHEDULED � � PERMIT NO u"/''�� COMPLETED ADDRESS �70� �7�'� � OWNER CONTR. Lrt-�J (� . TELEPHONE NO. (��� ���P ��`-C 7 � DESCRIPTION � � �VI I�'I f YI�CLC � ❑ FOOTING � MECHANICA R XCA ADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL � E/W TLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE EMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � .� �� ��S c� ( �A- -�-�-* 0 a � 0 � W � Q ti Z W � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO CT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: ' Inspector. � White Copyllnspector's File Canary CopylSite Notice �`v DATE TIME � `� CITY OF ORONO CALLED IN �- ���U '—" INSPECTION NOTICE 53� SCHEDULED — ��''"1� �%3d PERMIT NO.a ��� COMPLETED ADDRESS 2 �d� �� C� � �--� OWNER � nr� ( ,� ►"C1rr[ � CONTR��Ue ��✓\Q n TELEPHONE NO. I� • �D V' Z Z _� �°`� 2 �{� � DESCRIPTION ��°�-1 ���-`��''�� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q [�INAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a a �-i..� ���� ; +�.� i� ��t= c L���%c ic% i� �. � ° 7 � �, �- '� r` f e�..�c�r �� l-�o�s-c'_ W � � �-.- ( . }- " i�c.;c�vt,c (G i.c� 1 ,l1 c-r- 7 c� Q � (� � ; .�� �'� � � , (J. �. Q t�/�'c'� z g �c.�C� �� �• � .�►c� ��c'. ,�� ��% ��:r W ��'I � � d W� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE W ❑ CORRECT WORK&PROCEED r ISSU CERTIFICATE OF OCCUPANCY O ❑ 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 forthe next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: � � � Inspector. � �� � 7 ���, \� White Copyllnspector's File Canary Copy/Site Notice <J�` D TE i TIME � CITY OF ORONO CALLED IN /� INSPECTION NOTIC ` SCHEDULED � � � PERMIT NO. �� �J��COMPLETED � � "� ADDRESS a 7D� �'^�TLQ.� � OWNER CONTR.��h��� Q/�1'� TELEPHONE NO. �lZ ��� � ��`" 7 � DESCRIPTION � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � i� e ��`/Ll� r�"lht--e ��ti,A 2T�Q (�/ 1 o —'S o��✓� C� /L-� (� o 0 2 0�R ?� w��..� (�4�'I^� '� ��T lj�4-�-�P � �- �-��S f� C�-�=, 6-t=' ��,(� ��i � �S� �.��1 Q ��-l�G���_ ��' L�i�S i� rvw`z.t� /� ►� z -�-'-���.D v�� �(�.��c��� �2 L��.� ,r-1�� � /3-�� �,-�� C�N 4 ��� �� � -G�� 1-hArM�.,�- � � �� i � 0 � ❑�VO�A SFACTORY:PROCEEDy 1l PROJECT COMPLETE ��/y�.�'f W ❑COR CT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � RRECT WORK,CALL FOR REINSPECTION TEMPORARY ���� PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContra r si Inspecto . White Copyllnspector's File Canary CopylSite Notice 1 t ` � � �� 6DAT TIME J CITY OF ORONO CALLED IN �� ��� INSPECTION OTICE SCHEDULED � � PERMIT NO. � �S COMPLETED ADDRESS 1�C%� f'� OWNER CONTR. � �� � " FI���.f TELEPHONE NO. G� - � � � /�� � DESCRIPTION /�Z C�� l-�Y��-��Yt � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Y�'F(NAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT Q O DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a � � O �. ' � ° -� ��C_1� ( C� � 1-�uS � ,�d`� Q �� �C�� (��1 C_`�v�?.C� G� � �-��,��c_ ;-a r` z ��� l � �� -� l�vt f� (�n�A1� � �` � DU� ��.���t � �-c, ��r �� Cv n u ef�� �7� �`�1�� a � W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �'�ORRECT WORK,CALI FOR REINSPECTION TEMPORARY V� BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: � Inspector. � � / .�, b White Copyllnspector's File Canary CopylSite Notice