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Home My WebLink About2011-01216 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-01216 - � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1685 FOX ST PIN : 03-117-23-44-0004 LEGAL DESC : HANSER ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RES[DENTIAL VALUATION : $ 450,000.00 NO'TE: SENERATE PERMITS REQUIRED: PLUM[31NG, MECHANICAL,FIREPLACE,ELECTR[CAL(STATE) INTER�OR R�MODEL ONLY(KITCHEN,BATH,WOOD FLOORING&3 DOORS) APPLICANT PERMIT FEE SCHEDULE 3,156.75 AULIK& ASSOCIATES STATE SURCHARGE(VALUATION) 225.00 6401 WAYZATA BLVD TOTAL 3,381.75 ST LOU[S PARK, MN 55416- (952)591-I500 OWNER HORNIG, STEVEN 1685 FOX ST WAYZATA,MN 55391- 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. This permi[is for only the work described and does not gran[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 construction authorized is not commenced 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 requested in con� mance � the State Building Code.This permit may be revoked an e for cause. �l y^ l ��G ��y�N v l-G�.-�" � `�/ � / � App ' P ee Signature Date Issued y Signature Date SEPARATE PERMITS REQ[JIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 �\ � e��'�� - � � � �� s `� �3g - �- � ' Ci of Orono tY Building Permit Application for Maintenance / Renova i (windows, doors, siding, re-roof, etc.) ---� Mailing Address: Permit number: ��L' � r �- C i� l�- ` PO Box 66 ��V Crystal Bay, MN��-096f��-- -Bate-r.�ceived: I C -- 7—�( '�� ' � ��d l�lrc- /t r cl��ys'� _ _ , ' �� I � - L I Z � -� Received by' ----- 1� ,� t� � / Street Address: �'S'.F, ,� y G. 2750 Kelle Parkw > 2 L' S/ � �'� Y Y �ariew ee:--- r9kE3Ii04'� Orono, MN 55356 - ----- -- -_— Total Fee: 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. (P/ease print) GENERAL INFORMATION: / �� / Job Site Address: I, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a specral event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service wilf be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLI A T NFORMATION: � Name: � � � State License# S Expiration Date: -/Q Lead Certification Number: _- - Expiration Date: �-a�-/� (for work on homes fhat were cons ructed prior to 1978 / // Phone: - - � office) �p�� ' ��6 '�7� �� (cell) Mailing Address: �¢ , City: ,�� ZIP:�� , Contact Person: � G Ap licant is: Contractor / Homeowner �c��ie o�e� Email and/or Fax: �p PROPERTY OWNER INFORMATION: Name: �� Phone (day): ySa- � - C((� Address: �� City: ��10 ZIP: Email and/or Fax ��„ (� �� y-�� PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) �,Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 P hone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: , � Estimated Construction Valuation of Pr �ect(excluding land) $ o O 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 e formation, the a lication ma not be issued. Applicant's Signature: Date: ��/ Last Updated: 08-09-2011 /' ��i�t 1'vov- (.i,�-ty/ t$CD��O�tJ� � _. Plan Reaiew Checkiist for New Structures J Addifions Address/ PID /Legal: �b�s �O� � Description of work: �.rv�o�L C.._. Septic review by: N/� Date Approved: Zoning review by: N//'� Date APproved: Building review by: Date Approved: I� -/Y� Z� � ( Gcading review`by: _�1�� Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department I Post Office � School Distr,ict � � I � � Zoning: ��Lot Area: � SF /AC Widtf�: � �Dept %� � Survey Submitt : ❑'Yes ❑'No Date of Survey: ' Proposed Setback . ��`� Front(Lake) ear(Street) ( N S E W ) ( N S E W ) p�er Buildings Wet{and Sitle Side � Building Defined Height:_ Building Peak Height: #of Stories Ok?: ❑ YES FdR A BUILDING WITH A"BASEMENT OR C ' WL SPACE: FOR 'BUILDING ON A SLAB FOUNDATION: START WITH the distance between the b ement floor/crawl ART the distance between the siab and thehighest space floor and the highest ro peak,the top of WITH roof peak,the top of the cornice of a flat roof, the comice of a flat roof,the dec :line pf a I the deck fine of a mansard roof, or the mansard roof, or the uppermoSt p � t on around uppermost point on a:round or other arch-type � or other arch-t pe roof I roof SUBTRACT half the distance between the highest dow ntl SUBTRACT I hatf the distance between the highest window hi hest roof eak of a itched roof and hi hest roof peak of a: itched roof SUBTRACT I the distance between the trasement ffoo cr I ADD fhe.distance between the slab and#he highest � space floor and the highest existing de with existin radewithin�the'foundafion ! the foundation or 10 feet,whichev is less. � EQUALS � Defined building heiqht i EQUALS i Defined buildin hei ht Lot Coverage: SF % Shorekand District M D Rermit Received I Aver e Lakeshore Setback I Bfuff Yes ❑ No ❑ N/A � ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes `Q No ❑ N/A Permit Number: Setback: I HardcoverZon j Existin ' Proposed Variance Require CUP Re uired 0-75' � � ❑ Yes �❑ No �� D Yes ❑ �No 75-2 ' i TyPe�S�: TYPe�S)� � � 2 -500' �� DO-10D0' R ARKS (in-house): /V'� G�AN�t° Updaied: 09/11/2009 z:lformslplan review checklist.docx Fees to be Charged �'ES NO: " • q��1.H111��. � �.,��'1�4tz�Y9�FT'4-.F��wx.4-:J �i.0 n �• , iK'�.'^ �,� H .,_ � �3 rte�"Nf.�,��-� �er�-•KS �,�.�,� J�n}sw+ ' �t�i .. . r„�3�,. �.-.�,�i� PIan�Review Y� '°Staxe;S�urc�hatt�ge�� r� '. ;�" � , , , , , ,. _ . . ._, .. -�.�...�,. ..,r..��n �� n a � T,�L u;.� � . ..,.. . _ , ,.. �... ... . . ......a� • .....�..� , � . ..,.,. . .c� fnvestigation Fee '"SAC '=;Number�of..'�AC4l�,nits'��' � ; . ,� _,�. , , _� -�.,, � � � .. _ ,, �. ,, .�_._ _�.�,. �, I Sewer Connection I � �,a'�e, Ca�'�i � � � � :.� ' �� 4;� „��,��n��*��,��-_ 's _�,'m�:� Park Fee LLµ�'n . . ,,. .. .::,� �. ...,._ _,... ,, �p a,��P��i�'rt , ��..�,��,;�� ;;;� - — - �9%'�e WlL9hZ[T..�y}Pl.T"'R r�3 .y4's,��e � . . .c .... . .. . .. �..,': � ' �ther(specify) �IYI�e��a�rae.a�s�F'�� . t . .� �,... y�,..��t:_ � . � . . Cafculated By.: Square;Foota e $per Square Foota e j Basement X _ � 15i Floor X = $ 2nd FIOo� � � - $ Garage X = � Estimated Construction Value: � �.�i Q�O°�O Orono Jnspections Requirec! Work Requiring Separate Permits -Required'State Permits ❑ Site �Plumbing ❑ Grading /Filfing ❑ WeI1 � Hardcover Removal 'echanical ❑ Fire Electrical � Footing ❑ Septic � `VUater Connection ❑ Poured Wall �ireplace � Sewer.Connection ❑ Foundation Survey ❑ asonry ❑ Lawn Irrigation ' ❑ Radon Rock Bed �fg. Framin9 ❑ Other(specify) Insulation ❑ As-Built Survey �iral ❑ 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 PERMtT) Updated: 09h 112009 z:\formslplan review checklist.docx �� -� pATE l TIME CITY OF ORONO � CALLED IN • ��r INSPECTION NOTICE scHE�u�E� � � ` PERMIT NO. <��`"�-�� COMPLETED ADDRESS ��-� �C'j� �f_i'�PF �— — OWNER TELEPHONE NO. �'�'� ��U'`1�BC� CONTRACTOR � � ,C� � ' �'.t`-�- l�C'� -- � �v�S.`-c�. .l c�_�-i...C�-, a DESCRIPTION ,C-�-r��- � T� c`z�- - '" � y I� r �1� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 � ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O D �� 1 � � � � O � W � Q ti Z W � W � � d W� �ORK SATISFACTORY:PROCEED [.7 PROJECT COMPLETE W ❑CORRECT WORK R PROCEED ^, ISSUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORREC7UNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ^'CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice ��l ^ `/" ALLEDIN ( GAT�/ +a TIME ✓ CITY OF ORONO � c � INSPECTION NOTICE SCHEDULED --�� )��, PERMIT NO. Z(�� - G � �, � COMPLETED ADDRESS � C� �� C->�C �� OWNER TELEPHONE NO. � �� `C,L�� f�� CONTRACTOR � �ICIC- ��SS�L� a DESCRIPTION ��-��" � �C� � ��'�U�-' / '�� 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a o _ � �. n �. �J( �- �- � 'T e � � � .� 0 � W � Q � Z W � W � � 1 GW WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE � ❑CO RECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY W O ❑Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED O INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice CIT� ^� �:� J DAT �� TIME OF ORQNO CALLED IN / t �/ � INSPECTION NOTICE /-SCHEDULED /� PERMIT NO. U �' �cOMPLETEO ADDRESS � OWNER LE HONE N0. j� -� � CONTRACTO C- N � � � � DESCRIPTION � G� ll� ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI KESHOREM/ETLANDS h 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 INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � 'P./ �cJ n�-c� �� 42� � �( Sc7 o I� � t`' � �c �-a�e�-S � � � Q�- C� �-1/� �-4-rc7�S j�,�� W Q fi0 '(�� .E1�� z w � W � � d ,,,��///�� W �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CO RECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE -�/ TIME J CITY OF ORONO CALLED IN S INSPECTION N TICE SCHEDULED Y � �3 d PERMIT NO. l/—�� COMPLETE ADDRESS OWNER TELEPHONE NO. � CONTRACTO � >; DESCRIPTION ��Y� � `�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATEF HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � ,f o � </1.c� l�QS ,R� C� � . C� • �S -' Q Pc�/�cyc.S � ° �� , �� ► �Q :Y�-,�- '� W �� 5 � � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED C_� PROJECT COMPLETE � � W CORRECT WORK&PROCEED '^: ISSUE CERTIFICATE OF OCCUPANCY O�RECT 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 G INSPECTION REQUIRED.CAILTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site• Inspector. �,�. � � �S 0 White Copyll�spector's File Canary CopylSite Notice