HomeMy WebLinkAbout2011-00022 - addn/remodel/repair CITY OF ORONO PEItMIT NO.: 2011-00022
E 2750 KELLEY PARKWAV
ORONO, MN 55356- �ATF �ssuE�: OU10/2011
(952) 249-4600 FAX: (952) 249-4616
AUDRESS : 2943 FARVIEW LA
PIN : 04-117-23-34-0008
LEGAL DESC : FARV(EW
: LOT 008 BLOCK 001
PERMIT TYPE : ADDITION / REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 35,000.00
NO�II�,: SGPERATE PI;RMI�I�S RGQUIRGD: PLUM�3ING AND GLEC�I�RICAL(STA"I�E)
QA"1'1 IROOM RENOVA��ION-PAIN I'ING nND FLOOR SANDING-RI?PLACG COUN"1'GR7'OPS
PROVIDI;CO AND SMOKG DETI_?C�I'ORS"1'O CODG
ANPLICANT PERMIT FEE SCHEDULE 520.50
TERRA F[RMA BLDG & REMODELING STATE SURCHARGE(VALUATION) 17.50
1388 ALMOND AVENUE
ST PAUL, MN 55108- TOTAL 538.00
(651) 503-6070 PAID WITH CC# 5739
Minnesota State License#: 2031 1461
OWNER
WILSON R TARA SULTON, GARY
2943 FARVIEW LA
LONG L�I<E. MN >j356-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issucd shall bc perfonncd accordin_to
the approved plans and speci(ications,applicable City approvals,and the
State L3uilding Code. This pennit is for only the work described and docs
not crant permission for additional or rclated work which requires scparate
permits. All provisions of laws and urdinances goveming this type ot�work
shall be compied with���hcthcr or not specitied herein.This permit will
expire and become null and vuid if construction authorized is not
commrnced�cithin 180 days of thc datc of issuancc,or if construction is
suspended for a period of 180 da}'s at an}�time aftu�cork has commenced.
The applicant is responsible f��r assuring all required inspections are
requestcd in conform3nce�+�ith die Statc 13uilding Code.This permit may be
re�ol.�d at any time for due cau5e ,�� �� �
� , . `�� _.. ��
� �z4.L_ 1 /r�� �;,P C'�l /� l__ �°j/ ;/�,.�._� ( l.`YY`�'�y� / /
Applicant Permitee,�igt}�tu�; Date Issued l3y Signatu�e Date
EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Jan. 7. 2011 10: 51AM TERRA FIRMA No. 2723 P, 2
r
Cifiy of Orono
� Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
—O-- Mailing Address; permlt number
t � .� I � ' ` PO Box 66 ��� �
Q 0 (� v l' � Crystal Bay, MN 55323-0066 Date received� d/ p.
� �� i °I .
� h 5treetAddress� Rer.eived by'
e 2750 Kelley Parkway Plan review fee:
��'Esx� ' Orono, MN 55358 D� `
M in: 852-249�600 Fax; 852-249-4616 www,ci,orono.mn.us TOtaf Fee: ,��8',
is appficatio form must be completed in full and all required information must be submitted.
� IncompleEe applications will be returned. (Please print)
G�NERAL INFORMATION:
Job Site Address: y y � �.r u �..� c,
Will this be a Parade �f Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If y�s,a special event permlt is roqulrsd wlth Pollce Department end City Council approval 60 days prior ro the event Shuttle bus service will b
required un/ess applicanf demonstr�fes su�cient on�ite parking is availabJe. Non-permitted evenls will not be allowed.
CONTRACTOR/APPLICA�IT IN�F1ORMATION:
Name: J_'�1a /^7 �/ Al���I�C.� frnr�' ' /!�r'C �� �� I,' �� ��11C Q. \E� �L@ +�f � � i
State License#� av�i/ y C�/ Expiration Date: 3.. ,�1- ��
Phone: �5 �-� �o j. C u ��o (office) 51- �v a s5��S (cell)
Mailin�g Address: ,3� y,o �., _ Cit : -t ���;�,.r ZIP:�, ��
Cont�ct Person: - Applicant is: ontractor / Homeowner �c�rua oha�
Email and/or Fax� .t �� . .��. _
PROP�RTY OWNER INFORMAI'ION:
ame: �'�,-�, C�;I� :, �,, i 7� 5 If�r
hone(daY)' G�.Z- .���19-. �vi�t
ddress: 15 3 i/� , �• � .�,,�., A �� S Citv-(.�����t� ZIP- �?�3�i
Email and/or Fax �iK,;�i 5�,,, �;.,��T C__ C C�M -"'
� �
PROJECT INFORMATION;
Type of Project: , Any earth movement may�quire
MCWO review 8�.permibs
[] Door(s) Remodel ❑Water Damage
❑Window(s) ❑Rep ir ❑Storm Dama e Minnehaha Creek Watershed District(MCWD)
9 18202 Minnetonka Blvd
Deephaven, MN 55391
� Siding ❑ Rest ration ❑ Other: (speciiyj Phone: 952�71-0590
❑Re-roof Fax: 852-471-0682
❑ Fire Damage www.minnehahacreek_ora
Overall Project Description; ,��f,�,�o�� ren Va o� wtio% �i��� �,%�hn -r ; � � �P /�<e �ov.�
Esti ated Construction Valu ion of Project(excluding land) $ 3�ppp '
�
APPLICANT ACKNOWLEDGEMENT:
• Agre�s 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 appficant 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 r�aject it until it is complete;
• Some a all of the information that you are asked to provide on thi5 applic2tion is clessified by State law as either private or
i confider�al. 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 recvrds and records of other governmental agencies
re uired b law. If ou rafuse to su I the inform tion,the a lication ma not be issued,
1 �
ApplicanYs Sig ture: Date: l���✓r'��
�
Jan, 7, 2011 10; 51AM TERRA FIRMA No, 2723 p �
�
Fax Cover
Terra Firma Building and Remodeling, LLC
1388 Almond Ave.
St. Paul, MN 55108
� Phone 651-207-5575 Fax 651-645-4041
Date: _/=7= Pa es includin cover : �
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Phone: `�5 :Z- � �t`)- y� �a
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. � Plan Review Checklist for I�ew Structures / Additions
Address/ PID/ Legaf: _ �g`{3 �Pi2�,1 � �,�J �N�
Description of work: fijr4-f1-� c�.00vv` � vN,o,,p�`
Septic review by: N J� Qate Approved:
Zoning review by: Date Approved:
Building review by: Date Approved:_ t - 1 � — Z.O� p
Grading review by: _ /U ► 1� Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zonin District Fire De artment Post Office School District
Zoning: Lot Area: SF /AC Width: Depth:
Survey Submi ❑ Yes ❑ No Date of Survey:
Pro osed Setbacks:
Front (Lake) R r(Street) ( N S E W ) ( N S E W ) Other Buil ' gs Wetfand
Side Side
, I
Building Defined Height Building Peak Height:
F�R A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDI ON A SLAB FOUNDATION:
START the distance between the ba ment floor/ ' START the distance between the slab and the
WITH crawl space floor and the high t roof peak, W(T highest roof peak, the top of the cornice
the top of the cornice of a flat roo , the deck of a flat roof, the deck line of a mansard
line of a mansard roof, or the upper ost roof, or the uppermost point on a round or
oint on a round or other arch-t e ro other arch-t pe roof
SUBTRACT half the distance between the highest I SUBTRACT half the distance between the highest
, window and highest roof peak of a pitche , window and highest roof peak of a
' roof itched roof
SUBTRACT ; the distance between the basement oor/ ADD the distance between the slab and the
crawl space floor and the highest xisting highest existing grade within the
grade within the foundation or feet, foundation !
whichever is less. EQ ALS Defined buildin hei ht
EQUALS ! Defined buildin hei ht
Lot Coverage: SF %
Shoreland District � MCWD Permit Received Avera e Lake ore Setback ; Bluff
❑ Yes ❑ No Yes ❑ No ❑ N/A p Yes ❑ No ❑ N/A � Yes ❑ No
Permit Number: Setback:
Hardcover Zone Existin ; Proposed Variance Required CUP Required
0-75' ❑ Yes ❑ No 0 Yes ❑ No
75-250' I Type(s): Type(s):
250- 0' i
5001000' � � �
REMAR S (in-house): IV c) C lilaN6�P
/
Updated: 07/01/2009
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Fees to be Charged YES NO •
',Pxe rrrii# !/'
Plan Review �
�S�ts=S�rc'har e
Investigation Fee
`S�1C=:Numbe�r°of SAC:IJnyts
Sewer Connection
�Illater.�:Connection _
Park Fee
�r�ite"�Inspection
Other(specify)
':��fis�cElla��r�eoLs:,Fees � � �
Calculated By:
UBC: Construction Type:
�
S uare Foota e � $ er S uare Foota e
Basement I X = � �
1 S Floor X = �
2� Floor X = I $
Gara e ' X = �
Estimated Construction Value: $ 35. 0 00 ��
Orono Inspections Required Work Repuirinq Separate Permits Required State Permits
❑ Site Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire ,0'Electrical
❑ Footing ❑ Septic ❑ Water Connection
❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection
,0'Framing ❑ Masonry ❑ Lawn Irrigation
,�Insulation ❑ Mfg.
❑ Wall Board ❑ Other (specity)
❑ As-Built Survey
�Final
❑ 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 INITIALLED BY PERSON PULLING PERMfT)
_ P�l.o v,�/11L C�c� � �r,,�.,c,�. dJ �-rL:vC o�2...s +,� c�rJ�2
Updated: 07/01/2009
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SCiI. E TIME `�
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED ' —�� �
PERMIT NO. al��/-DD�a� COMPLETED
ADDRESS G1���,3 � UCi/�
OWNER TELEPHONE NO.��Z"�Z - 7Z9�
CONTRACTOR E� C�1�-d
�: DESCRIPTION /—�n�— /`eh'�'��-�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ 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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W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952) Z49-4600
OwnerlContractor on site: •
Inspector. 1� _ r �
White Copyllnspector's File Canary CopylSite Notice