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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 1 ✓ ���Q —� �Z�� CQ"� �w TE TIME V � � V CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED � � � PERMIT NO. COMPLETED � ADDRESS �3 S OWNER TELEPHONE NO. �5Z �"d 7`S4 CONTRACTOR S 'i >; DESCRIPTION � � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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: � W 0. o f`�f��r� �..✓ : /� j /1�G f�f S �-'���� �. C �..� �� -�n� ,�C' �-- — ° G�'� � •� t� S �E�U W � Q � /t�t r4 '� � .<1 .�� A a ll,��G�• L ( � ;4�:� �� �� z ' � � S �� S• at� �'� � C�� �� S �f �'�y W / , / � �L�1 t ��l /�� �I � GW�iNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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� >; DESCRIPTION �� �'� (S � Vl�t C� C h..� �� .�,.(3� �j , /l.JA � � � ❑ FOOTING �-RLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ��dECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �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: � w a � �r�t�� I� C�a -�� c �v rs A-,� � C , c� • 0 � � C -I�C -f��� �'C�p� ..: � Q �. �,v C,c�.�s r � -�p �i'c, u, �e. C��e � , Cc�,•-s-��} cfiv � W � Q � ��r N� ( i� � I ���/1�a �"s Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 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