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Home My WebLink About2011-00407 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00407 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUED: 06/07/2011 �, (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2927 FARV[EW LA PIN : 04-117-23-34-0010 LEGAL DESC : FARVIEW : LOT Ol0 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,600.00 NOTE: SEPERA"CE PERMI"CS REQUIRED: YLUMBING,MECHANICAL,ELECTRICAL(STATE) REMODEL MAS"I�ER BAT►{ROOM APPLICANT PERMIT FEE SCHEDULE 236.00 RPK CONSTRUCTION INC PLAN REVIEW 153.40 221 ASH AVE S MAYER, MN 55360- STATE SURCHARGE(VALUATION) 6.30 (612)618-0126 TOTAL 395J0 Minnesota State License#: 20637757 OWNER SACHSE, RICAHARD& MARYLYNNE 2927 FARVIEW LA LONG LAKE, MN �5356- 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 State Building Code. 'I'his permit is for only the work described and does not grant permission for addi[ional or relatcd 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 commeneed 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 re uested in conformance wit State l3uilding Code.This pemlit may bc �evoked t any for e a e. � �`"'" , � � �� ' � ` ,�, i .( ,( ,,c � L�Y�C�=z-� � �� App cant Perrr�� ee ignature ate � Issue�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �i ► City of Orono c�� Building Permit Application for Internal Work j � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: —�Q � Og,D,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: / / � �_ � Received by: �,� �� .,��, �, Street Address: �'�c, � '� �,titi 2750 Kelley Parkway Plan review fee: r�kE5H0�'� Orono, MN 55356 /� Total Fee: _�y 395; 7� Main: 952-249-4600 Fax: 952-249-4616 www.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: �,��2�1 {�P�✓ �,/��,� �✓v� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INF9RMATION: Name: t'�1L ��J�'�S-j-�/.l.�C'�cc7h ,c�{/\� State License# Z�;�7 7 5'� Expiration Date: '�j � '3 ( �Zb�/� Lead Certification Number: Expiration Date: (for work on homes fhat were consfructed prior to 1978 Phone: �j12, �p(� � p�Z.� (office) (cell) Mailing Address: �� h�,/� City: �,f ZIP: �-.S� . � Contact Person: ,K,� � GuS� �.�. Applicant is: Contractor Homeowner �c��ie one� Email and/or Fax: f'� �� ,�, " � � � PROPERTY OWNER INFORMATION: Name: ��.1.t1r `� �c.:�cti�rC'� ��--�� Phone (day): �l.j� ; �.7 � , �'�� Address: Zyi�2� �,�r%,�.; c„r,� c�ty: �� v ziP: ��,� Email and/or Fax ...- PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: (1'�q�{�i ��,h �'�.-p�t;�� Estimated Construction Valuation of Project(excluding land) $ �'Z k�c�s 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 ctassified 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information, the a lication ma not be issued. Applicant's Signature: ,'` � Date: �p � / Last Updated: 03-01-2011 Plan Review Checklist for New Structures / Additions Adc�-ess/ PID / Legal: 2-�i Z� F�CZ�J� t. w �r� Description of work: f1/�4S'T��(L �,p�Tl-'� '�-�vw�.��L. Septic review by: � � ,/� Date Approved: Zoning review by: Date Approved: Buifding review by: Date Approved: �-Z - /� Grading review by: —� �//7r Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District / Zoning: Lot Area: SF/AC Width: Depth: � Survey Submitte . � Yes 0 No Date of Survey: Proposed Setbacks: Front (Lake) Re (Street) ( N S E W ) ( N S E W ) Other Buii ngs Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: FOR A BUILDING N A SLAB FOUNDATION: START WITH the distance between the basem t floor/crawl START the distance between the slab and the highest space floor and the highest roof pea the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof, the deck line a the deck line of a mansard roof, or the mansard roof, or the uppermost point on round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window nd UBTRACT 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/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet,whichever is less. � ,EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht \,\ Lot Coverage: S � % Shoreland District MCWD Per it Received Avera e L keshore Setback Bluff � Yes ;� No 0 N/A 0 Yes 0 No � Yes ❑ No � Yes ❑ N.p ❑ N/A Permit umber: �� Setback: Hardcover Zones istin Proposed Variance Required�.. CUP Required 0-75' ❑ Yes 0 No � Yes � No 75-250' Type(s): pe(s): 250-500' 500-10 ' REMARKS (i -house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit �/' , Plan Review � "State Surcharge Investiga"tion Fee SAC— Number of SAC Units Sewer Connection Water Connection � Park Fee Site,Inspection Other(specify) �Miscellaneous fees Calculated By: S uare Foota e $ er Square Foota e Basement X = $ 1 S' Floor X = $ 2nd Floor X = $ Garage X = � Estimated Construction Value: � I 2- � 6�0 0° Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing ❑ Grading / Filling 0 Well 0 Hardcover Removal (a'Mechanical � Fire � Electrical � Footing ❑ Septic � Water Connection 0 Poured Wall � Fireplace ❑ Sewer Connection ❑ Foundation Survey � Masonry ❑ Lawn Irrigation 0 Radon Rock Bed � Mfg. ,� Framing � Other(specify) � Insulation ❑ As-Built Survey �Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: � YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx Q�DG�—�O�7/ DAT TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICEy�/'r� SCHEDULED � � PERMIT NO.�f�— vv ry'�� COMPLETED ADDRESS OWNER TELEPHONE NO. � - ��'�� CONTRACTOR � - �T• �� cC �; DESCRIPTION �c� - ��-�-�--� � � ❑ FOOTING LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO Ef YOU: YES_1�0 � COMMENTS: �� — a�Ll-a��rT � � a - 020�`a o��l � � O a � O � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on ite: Inspector. ��J � �^-"� White Copyllnspector's File Canary CopylSite Notice