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. � �� � ��
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pp�cant P mitee Si ature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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. Cit of Oron � `��\'�
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Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
—_��� Mailing Address: ,-� _ , c'- �
��v�.(��� PO Box 66 Permit number: (
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,i0 ;, Q�� Crystal Bay, MN 55323-0066 Date received: � 7 C%�'
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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 ,
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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
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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
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: '
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