HomeMy WebLinkAbout2010-01214 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-01214
2750 KELLEY PARKWAY
� �' ORONO, MN 55356- DATE Iss[1En: 02/15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 735 FERNDALE RD N
PIN : 36-118-23-12-0008
LEGAL DESC : JANET ACRES
: LOT 002 BLOCK 001
NERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 150,000.00
NOTE: SEPERAI�E PGRMI"I�S RGQUIRED: PLUMBING, MBCI��IANICAL, GLECTRICAL(STA7�E)
IN'fER[OR RI;NOVATION OP MAIN F'LOOR AND NGW EXTERIOR SIDING AND PORTICO
APPLICANT PERMIT FEE SCHEDULE 1,356.75
STONEWOOD, LLC
7407 WAYZATA BLVD PLAN REVIEW 881.89
MINNEAPOLIS, MN 55426- STATE SURCHARGE(VALUATION) 75.00
(952)697-5590 TOTAL 2,313.64
Minnesota State License#: 20594315
OWNER
� FISH & MARY SNYDER, IRVING
735 FERNDALE RD N
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIVT
�Chc���ork t�x���hich this permit is issucd shall bc performed according to
U�e approved plans and specifications,applicable City approvals,and d�e
State Building Code. This permit is tor only the work describcd and does
not grant permission for additional or related�vork which requires separate
permits All provisions ot�laws and ordinances governing this type of��rork
� shall be compied with whether or not specified herein.This pennit will
expire and become null and void if construction authorized is not
commenced withiu-L days of the date of issuance,or if construction is
suspended for a�period o�I 80 days at any time after work has commeneed.
The applicant is respons bic for assuring all required inspections are
� requested in conformaqCe���ith the State[3uilding Code.This pcnnit may be
revoked at any time f��due cause.
� " `"�' Z � �S �zo/
_..._--:. ._ � �
pplic�nt P�i-mitec Signature Datc Issued E3 S gnature Date
��=` SEPARA"I'E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E.
, City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
-- Mailing Address: Permit number: D L�-�l°�
,,��,�,�:�� PO Box 66
O O,', Crystal Bay, MN 55323-0066 Date received: � ,3� ��
, Received by: ��
a �, r� �, StreetAddress:
�;�'�, ��'�r��ti,� �ti;i 2750 Kelley Parkway Plan reviewfee: � � ' �y�
��'�kE's'xo��'� Orono, MN 55356
- Total Fee: 3 - �
Mam: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� `�r �
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: � *'� �� f�
�>> �,-t �n��lc.7�c'-
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 be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATfON:
Name: :��t���,��.�;��:� (_.i_<�
State License# �p���{��3 i; Expiration Date: 3j;�jz,��
Phone: �i oL- 6��7- ��-ib (office) `i J�-;`1�-71 Sv (cell)
Mailing Address: � �„�. �•_y�, /?r��' Cit : �,� ,�11- - ZIP: �:,;� 7, '
Contact Person: �"",,;.�f, (�,._��_, Applicant is: ontrac o / Homeowner (CircleOne)
Email and/or Fax: � �,;,�,,��{�,,zJ�,,,,�:. �,��.,
PROPERTY OWNER INFORMATION:
Name: � T: , '�i> ���-.�> Sr,��yr
Phone (day): ^
Address: ']3S �'�r,��.l.,= �1 r„� Cit,: ���cv�� ZIP: j`,��-
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: j�-}:ri,� -C
�� . �:t11')'�k�lo.� J� 1����;,n T (00(_ �� flJz�J t,k'�i����� �i�i.�: �" ���"I,c,�7
Estimated Construction Valuation of Project(excluding land) $ ���.J,�,�
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 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: (2 3� �J
Last Updated: 05-04-2009
• ' Plan Review Checklist for New Structures / Additions
Address/ PID / Legal: _ �J 3S �C'�h1�Q �t,�, (Z�,y�,p N
Description of work: d�YY�,p�t; �
Septic review by: _ /!!/I'� Date Approved:
Zoning review by: //� Qate Approved:
Building review by: Date Approved: �—/� - ?�� 1
Grading review by: /V /�9 Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zonin District Fire De artment Post Office � School District
I �
Zoning: Lot Area: SF /AC Width: Depth:
Survey Submitte . ❑ Yes ❑ No Date of Survey:
Pro osed Setbacks:
Front (Lake) Re (Street) ( N S E W ) ( N S E W ) Oth uildings Wetland
Side Side
Building Defined Height: Buifding Peak He� .
FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FO A BUILDING ON A SLAB FOUNDATION:
START the distance between the ba ment floor/ START the distance between the slab and the
WfTH crawl space floor and the highe roof peak, WITH highest roof peak, the top of the comice '
the top of the cornice of a flat roo , he deck of a ftat roof, the deck line of a mansard i
line of a mansard roof, or the upper st roof, or the uppermost point on a round or
oint on a round or other arch-t e ro other arch-t e roof
SUBTRACT half the distance between the high SUBTRACT half the distance between the highest
window and highest roof peak o pitched window and highest roof peak of a
roof
� itched roof
SUBTRACT i the distance between the sement floor/ DD the dis,ance between the slab and the
crawl space floor and t highest existing highest existing grade within the
grade within the fou ation or 10 feet, , foundation
whichever is less. I EQUAL Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland Dist ' t ! MCWD Permit Received � Average Lakeshore etback Bluff
❑ Yes No � � Yes 0 No ❑ N/A p Yes ❑ No ❑ �q � Yes 0 No
Permit Number: ; Setback:
Hardco er Zones ' Existin � Proposed Variance Required I CUP Required �
-75� � ❑ Yes ❑ No ❑ ❑ No
75-250' TYPe�s)� Type(s :
250-500' �
_ 500-1000' � � � � I
�
REMARKS (in-house): /U o C y y�v�,�
Updated: 07/01/2009
z:\formslplan review checklist.docx
Fees to be Charged YES NO •
�P.errn:it -
Plan Review
�tate��urc�har e �/
Investigation Fee
S�4'C-N�nibe�r�of'SAC U,n:its
Sewer Connection
''�Ilater';C�on'nection
Park Fee
`�'Site;=lnspection
Other(specify)
'�Nfiscellar�eous~Fees
Calcu{ated By:
UBC: Construction Type:
S uare Foota e $ er S uare Foota e '
Basement I X = I $
1 S Floor X = $
2" FIOOr X = �
Gara e I X = �
Estimated Construction Value: $ lSO+OC�O �'
Orono tnspections Required Work Requirinq Separate Permits Required State Permits
❑ Site ,�f Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal �' Mechanical ❑ Fire f�` Electrical
❑ Footing ❑ Septic ❑ Water Connection
❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection
�Framing ❑ Masonry ❑ Lawn Irrigation
.(a'Insulation ❑ Mfg.
❑ Wall Board ❑ Other (specify)
❑ As-Built Survey
,e'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 PERMIT AND IN(TIALLED BY PERSON PULLING PERMfT)
Updated: 07/01/2009
z:\forms\plan review checklist.docx
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INSPECTION NOTI E SCHEDULED � � �
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OWNER TELEPHONE NO. �5Z �"d 7`S4
CONTRACTOR S
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ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 If�/�STALL ❑ HARD COVER REMOVAL
J ❑ PLUMBiNG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�iNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION W�THIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. � � (j J�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE (Z�� SCHEDULED -3-�1
PERMIT NO.aD�� —D COMPLETED
ADDRESS 3 � �el� � �} �e � c� tiJ
OWNER TELEPHONE NO.
CONTRACTOR S 1 D/�C� C.✓00�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ��dECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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� �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHtN HOURS. � pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 2Q9-46�0
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice