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Home My WebLink About2010-00098 - door/windows . � CITY OF ORONO PERMIT NO.: 2010-00098 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUE�: 03/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3051 FARVIEW LA PIN : 04-117-23-33-0009 LEGAL DESC : FARVIEW : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 3,000.00 NO"CE: REMOVE INTERIOR DOOR&INSTALL NGW WINDOWS APPLICANT PERMIT FEE SCHEDULE 88.50 DELANEY, DAVID& FRANCINE STATE SURCHARGE(VALUATION) 1.50 3051 FARVIEW LA LONG LAKE, MN 55356 TOTAL 90.00 OWNER DELANEY, DAVID& FRANCINE 3051 FARVIEW LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The wark for which this permit is issucd shall be perlormed according to the approved plans and specifications,applicable City approvals,and the State I3uilding 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all reyuircd inspections are requested in conforpaatice��ith the State Building Code.This permit may be revoked at any tirrie for due�ause. � � , r � --, � ;' �.� � �_�L `' '� 1 ^ y��l�..� � l / / Applicant Permitee��n�ture �..• �-' Date Issued[3y S' ture ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOU . r , • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: -� ; , ;; - �0.� PO Box 66 Permit number: ,�.- � � Q � Crystal Bay,MN 55323-0066 Date received: �_ . � : y, Rsceived 6 � �'�� `�� ' �. Street Address: Y� �� 2750 Kelley Parkway Wlan review fes: ��tr�$Ho�.� Orono,MN 55356 "'f'otai�ee:, `�� :{ 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 appl3catfons will be retumed. (Please print) GENERAL INFORMATION: Job Site Address: '�5� ��(L1/l C_� �� 0✓�J�Q Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No K yas,a special event permit is required wlth Police Department and City Council approva/60 days prlor to the event. Shuttle bus servlce wiJl be required unless app/icant demonstrates su�cient on-site parking fs available. Non-permitted events wlll not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cel l) Mailing Address: City ZIP• Contact Person: Applicant is: Contractor / Homeowner (Cirele On�) Email and/or Fax: PROPERTY OWNER INFORMATIR N: ,� \ Name: \� �U��Q,+v�i Phone(day): c�5� t��7� � �( �_ 5 Z U']1•_ , Address: r��[ �yi4�Y�rlc,v !N Ciry:Q�,�iV� ZIP: SS� S (7 Email and/or Fax ��u"ll �2.�1. •C�o� F'�X `1'S2 c{'�� 9,s�,u PROJECT INFORMATION: Type of ProJect: My earth movement may require Door(s) ❑Remodel MCWD review&perm(ts ❑Water Damage Window s Minnehaha Creek Watershed District(MCWD) ( ) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55391 ❑Siding ❑Restoration ❑Other.(specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑Fire Damage www,minnehahacreek.ora Overall ProjectDescription: (�,NnOu�e- �f>qR Dg0`(Z-. �'�S c�,t,l �J� (,tJ��/ OUJ S Estimated Construction Valuation of ProJect(excludfng land) $ 3op� 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 responsibfe for submitting a complete application being aware that upon failure to do so,the staff has no altemative 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 information Is to annually update our records and records of other governmental agencies re uired b law. Ii ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: Date: Last Updated: 05•04-2009 � . Pian Review Checklist for New Structures / Additions Address/ PID / Legal: �DS � Fa�v��w �A�,�. Description ofwork: �"Z,�,✓vwv,aZ S�ti,zoow� Septic review by: y✓//� Date Approved: Zoning review by: N/r� Date Approved: Building review by: ,��,,��1/�.,___.__ Date Approved: Z-z 3- � o Grading review by: /�f/J� Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School Dist�ict Zoning: Lot Area: SF /AC Width: Depth: Survey Submitt : ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front(Lake) ar(Street) ( N S E W ) ( N S E W ) %Other Buildings Wet{and Side Side , \ Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES � FOR A BUILDING WITH A BASEMENT OR CRAtA(L SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the bas . ent floor/crawl START the distance between the slab and the highest space floor and the highest roof peak, the top of WITH roof peak,the top of the comice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost poinf'on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest windo�ri and SUBTRACT 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 flo /crawl \ ADD the distance between the slab and the highest space floor and the highest existing de within � existin rade within the foundation the foundation or 10 feet, whicheve is less. EQUALS Defned buildin hei ht EQUALS Defined buildin hei ht ' Lot Coverage: SF % Shoreland District MC Permit Received Avera e Lakeshore Setback Bluff ❑ es ❑ No ❑ N/A ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A rmit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Re uired 0-75' I ❑ Yes ❑ No ❑ Yes ❑ No 75-250' Type(s): Type(s): 250-5 0' 50 -1000' REMA�KS (in-house): Updated: 09J11l2009 z:\forms\plan review checklist.docx . , , Fees to be Charged YES NO Permit , , Plan Review � :State'Slircharge ,•,i Investigation Fee SAC-'Number of SAC';Units Sewer Connection Water-Connection ' Park Fee Site Inspection � : � Other (specify) : Miscellaneous''Fees „ - , � Calculated By: , � � Square Foota e � I $ per Square Foota e Basement X - $ 1 S' Floor X = $ 2nd Floo� X - � Garage X - $ Estimated Construction Value: � .3,c�vv `� Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical � Fire $'�Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. �raming ❑ Other(specify) J�'Insulation ❑ As-Built Survey Final ❑ 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 � � V `� � DA TIME CITY OF ORONO CALLED IN �/ INSPECTION TIC/E-��/f��CHEDULED � � PERMIT NO. �/ "`"'� '�COMPLETED ADDRESS �DSI �.l�U� hLt./" 1� OWN��/�P l�1 TELEPHONE NO.`;/5��/—d�G� CONTRACTOR �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y �ERAMING ❑ MECHANICAL FINAL O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC iNSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site; Inspector. � -'�/ �s ! �� White Copyllnspector's File Canary CopylSite Notice