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Home My WebLink About2009-00171 - addn/remodel/repair f , CITY OF ORONO PERMIT NO.: 2009-00171 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuE�: 04/28/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1700 FOX ST PIN : 03-117-23-41-0003 LEGAL DESC : UNPLATTED 03 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENT[AL VALUATION : $ 150,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN DIN[NG ROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 1,356.75 REUTER WALTON CONSTRUCTION, INC. PLAN REVIEW 881.89 1728 W LAKE STREET MINNEAPOLIS, MN 55408- STATE SURCHARGE(VALUATION) 75.00 (612) 823-3489 TOTAL 2,313.64 Minnesota State License#: 20630499 PAID WITH CC# 2025 OWNER MACMILLAN, DONALD 4218 FREMONT AVE S MINNEAPOLIS, MN 55409- 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 permit is for only the work described and does not grant permission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date oY issuance,or if construction is suspended for a period of 180 days at any time after work has wmmenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State E3uilding Code.This permit may be re�vek at any ime f ue cause. � � / / - —' Y - � �.�_� c c�7-ylc.cdl �� c l � z �� Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of Orono � Building Permit Application �� Mailing Address: Permit number: Qd�—dd�7� �g,0,j�.� PO Box 66 � �A Crystal Bay, MN 55323-0066 Date received: �l D � i; � h 1 �i� � I� Received b ��',�s;`_ a, � Street Address: y� ��'.�,�'��,� oti�� 2750 Kelley Parkway Plan review fee: ��LC c cX.� ' �kESKo4�� Orono, MN 55356 �� ---�� Total Fee: 4�' � --, (L-,(� 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. (Please print) GENERAL INFORMATION: Job Site Address: ! r-;` �F:- �Jx 5 ��;s>_� - 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 Crty 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 INFORI�IIIATION: -, Name: ��L�=�v ��,<-L��t � � -,�, ;.� �L+�c.+��s=-'vt , .L-�_, �. State License# �� <<; �j � Expiration Date: 3 - 3l - %c:_� Phone: � .� �,. ��' ; _ 3.�,`i (office) , _<1�� _ �� _ (cell) � ; Mailing Address: � ',�; •� � Cit �Z , � Zlp: t,� �,`� Contact Person: ��_ i �r�,U � �_-- Applicant is: ` ontra o ' / Homeowner �CircleOne) Email and/or Fax: �+�1,,� ,�� '�c_a ��„��t�,�� .L--� PROPERTY OWNER INFORMATION: fJ Name: �)i.:�i E.1-1(:� ��r(��/� �� l L[.•�.�-'-1 Phone (daY): � l 7 �-7£: b�=. Z-Z { Address: U7__ l�': �ZN;n,��1 � �'�-�_ >�:. CitY� 11! IL�-.>> ZIP: L� `f�'<I 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.or Overall Project Description: �!,' �,�;;,� ,,, � � �- �_-y ,�- �� , , ��.� Estimated Construction Valuation of Project (excludin land) $ ��; ��; �,��; 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 required by law. If you refuse to supply the information, the application may not be issued. F ' ', 1 �-�� •> ApplicanYs Signature: ` " �� \ Date: � - G-1 �� t � � CHECIi OFFLIST FOR ISSUA.NCE OFPERMITS FOR OFFICF �'SE ONLI" ADDRESS OR LEG_AL: I'1 p O �pk .S; PID: DESCRIPTIOI�'OF Li�'ORI;: ..,_ � r ,,,.� ,�.,,w . ZONING REI�7Ef�'BF: �l/A �� DATEAPPRDI'ED: BUILDI.NG RE['IEN'B�': DATEAPPROVED.• �.27_�c� — ------�--- ---- FEES TO BE CK4RGED: Misc_ Fees Calculated Bv: -'�M�__� PERMIT I'cs_� No y PL.A11'RE PIE N' Fes_/� No SE N'ER CO.NNECTION STA7'E SURCK4RGE ��es � No NATER CONNEC7'10�' INi�ESTIGATIO�'FEE I�"es No ,� PARK FEE S�1 C �'es No � SITE II�rSPECT101�� Nzamber of S,4C linits OTHER (spec��) ZONING CHECIi LIST Zoning Disn-ict: U ��w ~ � ^�� rire Departnaent: Pos�Ofi?ce: Schoo!Disu�icl: Lot,4rea: Sq.ft. Acres Yi�idih Depth Survei Subnsi�ted: I'es 1Go Date ofSurvey: P�roposed Setbacks: Fr-ont(Lake): Righ[Side: Rear(Sd-eel): Lefi Side: � Adjacent Structures: Netl nd: Buiiaing Height: Def Hgt p�Q� gt Lot Coverage: Graainb Sta��Approva/Date Bv: Council Approval Daie: Septic: S�af,�PProval Da�e: �/- 2Z,—r7°f B�: (�I�. Zoning File: #' Resolutior:: L' Resolutior,Date: �;: Shorel¢i1d District: MCN�D Permit: Avg Setoac�; Biz�Setoac� LotCovera��: Eziszing Propvsed Hara�ol�e�.: �_-,, '�-��0' '�0-�00' �on-�oon� Hara'co>>er f�'crriaraceReqz�ir-ed: I�es IJo Dat� ofCozu�cil�9pprol�al RENL4RhS(i�r house): =� B UILDING REVIEN'CHECIi LIST UBC: �Z CO��STRUCTIO�'TYPE: �j�J Sq Footage ,�Per Sq Ftg Basement x = 1 sr Floor x = ?nd Floor z = Garage x = x = TOTAL Estimated Construcrion ['alue: � ISC�,(�(�O �� Inspections Required: W'ork Requiring Separ�zte Permits: Site _�Plumbine Fi�•e Hm-dcover•Removal �_Mechanical N'arer Connection �eett� Septic Sewer Connection �_Framino Fireplace Lawn Irrigafion ''""' _'p�Insulation (Masonry) Other W'all Boa�•d (h1jg.) YY'ell(State Permit) _�Final Grading/Fillino _�Electrical(State Pernut) Other RE1LLqRIiS(IN HO L'SE): � REi�7EN"B�'OT'HERS: � DATE: Access: Ezisting Nex� Access Approval: Da�e Br: � REMARIiS (TO BE 1VOTED ON PERMI7'%: ;a AT TIME v � �°�/ CITY OF ORONO CALLED IN � INSPECTION N TIC �D/�/SCHEDULED -;��'_D � PERMIT NO. COMPLETED ADDRESS DO � OWNER CONTR. G��-J ��'► TELEPHONE NO. l0l Z- ��3 �a�3 � DESCRIPTION ��L(��Gi.�► ��I � ❑ FOOTING ❑ tv1ECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � d ��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on si �: Inspector. � � White Copy/inspector's File Canary CopylSite Notice �� TIME � CITY OF ORONO � CALLED IN � �� INSPECTION NOTICE SCHEDULED a` �' � PERMIT NO. �� -0� ��COMPLETED ADDRESS 3 —�C"? �� ( �� OWNER CONTR. � -' TELEPHONE NO. � D � ��q��c� �� DESCRIPTION �� ' � /� �/'�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContracto on sit Inspector._�,Lo � �;_� White Copyllnspector's File Canary CopylSite Notice