HomeMy WebLinkAbout2010-01160 - kitchen remodel/new windows • , CITY OF ORONO PERMIT NO.: 2010-01160
' 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE issuED: 12/13/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2740 ETHEL AVE
� PIN : 20-117-23-24-0010
LEGAL DESC : CASCO HEIGHTS
: LOT O10 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/ REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 50,000.00
NO"I'I:: SEPTRA7'E PERMITS REQUIRGD: PLUMBING,MECI IANICAI„ GLECTRICAL(STA'f't�:)
KI"I�CHF,N REMODEL AND NEW WINDOWS
nllV. PLnN Rf;VIGW PD$443.14 PD ON PERMIT 2010-01 1�9 E3Y HOMGOWNGR
APPLICAIYT PERM[T FEE SCHEDULE 681.75
VICKNAIR, LANCE& RHONDA STATE SURCHARGE(VALUATION) 25.00
_740 ETHEL AVE
WAYZATA, MN 55391 TOTAL 706.75
;
OWNER
� VICKNAIR, LANCE K RHONDA
27�}0 ETHEL AVE
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
Thc�cork for���hich this penni[is issucd shall bc performed according to
the approved plans and specitications,applicable Cit}�approvals,and the
State 13uilding 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 la���s and ordinances governing this type of work
shall be compicd���ith whether or not specitied herein.This permit�vill
expire and bucome null and void if construction authorized is not
commenccd within 180 days of thc datc of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State I3uilding Code.This permit may be
� xev�ked at any timc for ue cause. � � ,� � � � �� �� �
��y�� C�z,n�i�- !�L � 1 � i i�_� ,� �: L..r c``7'v�c_.�, �L� .
�--- i i
���� Applicant Permitee Signalure Date Issued[3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � io �
, City of Orono v ti� 70�0. ��
� �
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: a�d/0-D/�100
O�v�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: ��-SD-��
�
� ��`���,��;` �, Street Address: Received by:
< „�- ti
�,nt� �����,��ti 2750 Kelley Parkway Plan review fee: y3. �
kESH�4 Orono, MN 55356
�_—� a���-�i�59
� Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in tull and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: ,(� �1 �
Job Site Address: � �'�C: C, ��r-� �L�C1� CL("' C--�C`12�, /f�� �.��5�(
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [�lo
/f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi/l be
required unless applrcant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFOR-7p-n-ATION: �
Name: .�rti�rC � L"' C Kn c=l.%�
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: Cit : ZIP:
Contact Person: Applicant is: Contractor / Ho @OW�Af� Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMA ION: �
Name: �� � 1 ,
Phone (day): , � � � �
Address —" _ Cit : (%/�, .2–, ZIP: � .`.'�,
Email and/or Fax _��� �,��-p � �e�������i�r t C-�
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.orp
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ t��� , � ��`
.� �
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 this�nformation is to annually update our records and records of other governmental agencies
re uired b law. If ou re o�su I the iri#prmation, the a lication ma not be issued.
- �
ApplicanYs Signature: ' Date: �� � /O
,
Last Updated: 05-04-2009
� Plan Review Checklist for tVew Structures / Additions
Address/ PID / LegaL Z'-1`-1(� E-T-}F�[ A� �
Description of work: _ �C � �r c.u��,�� �x �,o,n�s r
Septic review by: _ /�/l� Qate Approved:
Zoning review by: n// Date Approved:
Building review by: Date Approved: //- Z�, i�
Grading review by: /�/1�4 Qate Approved:
Z ing File#: Resolution #: Resolution Date:
Zonin District � Fire De artment Post Office School District
Zoning: Lot Area: SF /AC Width: Depth;
Survey Sub �tted: ❑ Yes ❑ No Date of Survey:
Pro osed Setba s:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Ot,t�'er Buildings Wetland
� Side Side �'
�
Building Defined Height: Building Peak Height� �
FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: FOR A,�UILDING ON A SLAB FOUNDATION:
START � the distance between e basement floor/ S ART the distance between the stab and the
WITH crawl space floor and th ighest roof peak, ITH highest roof peak, the top of the cornice
the top of the cornice of a roof, the deck of a flat roof, the deck line of a mansard
line of a mansard roof, or the permost roof, or the uppermost point on a round or
oint on a round or other arch-t roof other arch-t e roof
SUBTRACT half the distance between the highe � SUBTRACT ' hatf the distance between the highest
window and highest roof peak of a pit ed � window and highest roof peak of a
� roof itched roof
SUBTRACT the distance between the basem t floor/ ADD the dis;ance between the slab and the
crawl space floor and the high t existing highest existing grade within the
grade within the foundation 10 feet, foundation
whichever is less. I QUALS ' Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF o�o
Shoreland District � MCWD Permit Received � Average La shore Setback Bfuff
❑ Yes ❑ No � Yes ❑ No ❑ N/A ' ❑ Yes ❑ No
Permit Number: ❑ Yes ❑ ❑ N/A
Setback:
Hardcover Zon Existin I Proposed Variance Require I CUP Required
�-�� I , ❑ Yes ❑ No ❑ Yes ❑ No
75-25 j Type�s�: Type�S�:
I 250- 00' �
I 50 -1000' �
REMAR S (in-house): � � ���,' '�' ";_
Updated: 07/01/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO �
�P.ecrnit'
Plan Review
�tat�e;;��urc�ar e
Investigation Fee
`S�1C=`:N�rn6e�r.,o#'SAC+U:nyts _
Sewer Connection
�lllater:�;Connect�on ` '
Park Fee
�r�ite;.�ns�ection . . '.
Other(specify)
�Miscellaneous;Fees `
Calculated B :
UBC: Construction Type:
I S uare Foota e � er S uare Foota e
I I
Basement I � X � - $
15 Floor X = �
2" FlOOr X = �
Gara e X = �
Estimated Construction Value: � So�(�DO °—f'
Orono Inspections Required Work Requirinq Separate Permits Required State Permits
❑ Site �lumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ,�Mechanical ❑ Fire Electrical
❑ Footing ❑ Septic ❑ Water Connection
❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection
raming ❑ Masonry ❑ Lawn Irrigation
Insulation ❑ Mfg.
❑ all Board ❑ Other (specify)
�Final
❑ Other (specif )
REMARKS (in-houseJ�
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: 07l01l2009
z:\forms\plan review checklist.docx
ll�i9/2e10 17: 37 952--474-7722 FEDEX OFFICE �621 PAGE 04
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��� � " D � DATE TIME �/
���ITY OF ORONO CALLED IN � I �
�;INSPECTION N CE ,SCHEDULED � �
PERMIT NO. ��" �����co LETED
ADDRESS �7�'c.-�
OWNER ��GL�'I�P ����rTELEPHONE NO. � ���- ���
CONTRACTOR ^ C��
>: DESCRIPTION ��
�
� ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� NE NTRACTO O MEET YOU:�YES_NO a
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Q�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONW�TNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice