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Home My WebLink About2011-01509 - addn/remodel/repair y � /� CITY OF ORONO PERMIT NO.: 2011-01509 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsvED: 12/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 FOX ST PIN : 04-117-23-34-0007 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 035 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 110,400.00 NOTE: SEPGRATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) [NTERIOR REMODGL ONLY-PINISH EXISTING UNFINISHED LOWL'R LEVEL ROOMS APPLICANT PERMIT FEE SCHEDULE 1,122.75 EROTAS BUILDING CORP. PLAN REVIEW 729.79 21930 MINNETONKA BLVD. EXCELSIOR, MN 55331 STATE SURCHARGE(VALUATION) 55.20 (952)401-4300 TOTAL 1,907.74 Minnesota State License#: 4898 OWNER FRANCIS, MICHAEL& BERIT 2905 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 requires separate permi[s. All provisions of laws and ordinances governing this type of work shall mpied�vi[h whether or not specified herein.This permit will cxpire and ecome null and void if construction�tFyDrized is not � commenced ithin 180 days of the date of iss�rbnce�or if construction is suspended fo�a period of 180 days at any tmie atter work has commenced. The applicantiis responsible for assuring all required inspections are requested in co formance with tl}e'Sta[e Building Code.This permit may be rev�ked at an ime for due ca se. _�.......- , : .. � � i � / � � i l ,- : App�cant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono �r,�--��, �'��) Building Permit Applicafion for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ��l • I 0,� � PO Box 66 Permit number: r " ' � Crystal Bay, MN 55323-0066 Date received: � c:w ; I /O,v O\ , �a , I.� ' �' s, j Street Address: Received by: , �;;<�� ,n �� ,�� 2750 Kelley Parkway Plan reviewfee t9'kESHog'� Orono, MN 55356 Total Fee: � /-� L.� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / �v� �/ This appfication form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: r Job Site Address: ��IC� ��,�C` S T, ��ZptJ� �J 3,� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the evenf. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: 1 Name: t��'ciT�1j i ��L:�i�.l� C�:2P. State License# �'�j'�1� Expiration Date: "31�L Lead Certification Number: �—�_3�3 �� ._�� _L� ��, 3 Expiration Date: (for work on homes fhaf were consfructed prior to 1978 Phone: `��Z-40( - �,� �c�, (office) �1 Z.-3 C�3 --3 ��u (cell) Mailing Address: ��j j� yv1�NN('z.TOhl� g L�'A. City: ��,f'�„$�� ZIP: �;j�� Contact Person: ��i p F��-�j Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: j�,4vi� Q �IZc�TAS ��iLQ 1N�C��`; C._0►v� PROPERTY OWNER INFORMATION: Name: /�'I1 �� F.� ��1� Phone (day): C�l Z-��6- Z�'LZ , Address: ;��ps �jy�; � r, City: �(Lc;�J V ZIP: 3 .� � j � Email and/or Fax 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 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: F�n115�..( �io IS i Iwl� �;r,/ FI� jS�..�,fLj;� C..�c,J F�R efi�.1 f`� �;�+•� Estimated Construction Valuation of Project(excluding land) $ f/U Cfpp = 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 appfication 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 infor t you are asked to provide on this application is classified by State law as either private or confidential. Private ata is infor tion which generaliy cannot be given to the public but can be given to the subject of the data. Confidential d a is informati which generally cannot be given to either the pub(ic or the subject of the data. Our purpose and intended use of is info mation is to annually update our records and records of other governmental agencies re uired b law. If ou rafuse t s e information,the a a not be issued. \ - ApplicanYs Signature: �` Date: I Z--I�r� � Last Updated: 08-09-2011 � � Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 2� �S � �-, 1� 5( Description of work: 13�151_M� (�rT- � 1 Nl S i-) Septic review by: ` Date Approved: Zoning review by: � Date Approved: Building review by: � Date Approved: � Z ' S - 1 � Grading review by: /`� �/�' Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School Distsict Zoning: �. Lot Area: SF /AC Width: Depth: � Survey Subri�itted: ❑ Yes � No Date of Survey: Pro osed Setbaalcs: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A gUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl I START the distance between the slab and the highest space floor and the highest roof peak, the top of 4VITH roof peak, the top of the cornice 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 point 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 window artd 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 floor/ rawl ADD the distance between the slab and the highest space floor and the highest existing gracte within existin rade within the foundation the foundation or 10 feet,whichever is'less. EQUALS Defined buildin hei ht EQUALS I Defined buildin hei ht Lot Coverage: SF % Shoreland District MCV1l Permit Received Avera e Lakeshore Setback Bluff ❑ Yes � No 0 N/A 0 Yes � No 0 Yes ❑ No � Yes 0 No ❑ N/A f��rmit Number. Setback: Hardcover Zones , Existin Pro osed Variance Required , CUP Required 0-75' ❑ Yes � No � Yes � No 75-250';� TYPe(s)� ��TYPe(s)� , 250>500' �� 0-1000' � REMARKS (in-house): �''d C Updated: Q9/11/2009 z:lformslplan review checklist.docx Fees to be Charged YES NO Pecmit �,�' P{an Review v State::Surcharge � , Investigation Fee I "��S�AC-�N�umber�of'SAC t�nits � �� ' - Sewer Connection � Wate:r�Connection ""A Park Fee 'Site Inspection Other (specify) � Miscellaneous Fees Calculated By: Square Foota e $ er Square Foota e Basement X = � 1S' Floor X = � 2nd Floo� X - $ Garage X = $ Estimated Construction Value: $ I � d, �-(bc� °—"' Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing ❑ Grading / Filling � Well I � Hardcover Removal ,�Mechanical � Fire Electrical ❑ Footing � Septic 0 Water Connection 0 Poured Wall ❑ Fireplace � Sewer Connection ❑ Foundation Survey � Masonry ❑ Lawn Irrigation 0 Radon Rock Bed � Mfg. Framing 0 Other(specify) �nsulation � As-Built Survey Final 0 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 A �"�.' AI3 BI BI AI3 AI3 BASEMPNT ° ------------- B� S7AI HALL � �H I p �� i /� � � VI ,\ ry �Q �(/�� . 9 ".; AI5 �` , AI5 � - - - - - - - - � BILLIARDS AR�A � A30 I 003 001 ,d WELL I 4 %� EXIST. A38 � A5.1 3 � uP ------------------------ � A11 r � - E2 � � ''�- ' ------�-------'� � i I r ; . � 8 � � O01 � - --� ' '- I I I ; � � - � 2'-6� OU1DE � � I � ; � i�� ---\�1-------- 4 I/2' 002 BI � ; � ; ; � i i�/� A5.1 -_"".'.. .._ i � i _ ...�-�............_.____.._._�-' � i / ; I i � l .�... R .,.4 , i 1 � i I � B� �_ 3 i0 ��'��'k.,�,.+�:��.... i�i'`._.` I � � -- – I .>..,n., � i � i I � � m ________ /��\� � ' I � � i i � I I I �O I - - - F . v�l�" r r � i 7":�+►f a�� . ' � � i i I \\ � � � o �� '��' a i i � � I I Q�3 I o00 � � �"`. , ,_ I � � e ; � � i �i - - - ! r...�,_ S �,� � � A5.1 '1 I _ — — — � ��... , ��...�+.�.. '► � � '.----------------,`; ! I � 5 I r.., i i � I I I I � , � i �„a��`.� ��=. '� � � i I 6 A5.1 3 I AI3 `" . . ,.,_.-._,_ . . I �---------------------- � I I � � — — — , . .� - ._ I �----� Z �-- I � — — — — � A30 � �, ��3 I CELLAR � I �� L- - - - - - - - - - - - � 1'-II/8' � � A15 9 *`f. `` — — — — � a+c — 4 � % t �� 467 11 i �` Im Q:/.� �2 � �71�/IV1��G '. � ��,f _ _ _ F- AI3 SIM. � I �� I 007 � 8 $ AI3 I I � I 4 �`—� A41 � A42 �i,� �LOZ� ��LQS AUJE�LL '438 � I'-4' I 4' 5'f I I'-4' rv xa C 1'f'1� �.�-- � "� — — — U I B�_!:��:i�<`� PFRiv1','� ':. ', A41 q � `r A42 �.�,� y� = 1 �►s��To�____ ,�,� _ — DAT� 12-S- 1 ( rEP.M1T N0. „�,_, � f�i'�f'('.i`!'=tJ�'.�j��i�:i:t.l� It� � - . _ ' •�e.�.' 1,,,..�.� �. �. Q ArT'�i'r. C/ ,i � DATE TIME ✓ CITY OF ORONO �y CALLED IN � ' /' ��- INSPECTION NOTICE SCHEDULED �'- � ��'�'�'��" PERMIT NO.�'L ��' "� 5 U�'� COMPLETED ADDRESS ,� y'�� `� .S�-G OWNER �/L�� TELEPHONE NO. �� -� ��- E L'� CONTRACTOR �� i L�'✓ �� ; DESCRIPTION ��ti- � G�.��.t-v�J ��Lrrv� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�[YES_NO � COMMENTS: � W a � � O a � O � W � Q ti Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPIETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor o site: Inspector. � White Copyllnspector's File Canary CopylSite Notice ��/ t-) , / / / ��rt� V DATE TIME �/ CITY OF ORONO CALLED IN r /� � � L INSPECTION NOTICE _t� SCHEDULED f ' t! �y�� PERMIT NO.� � " �' ��; `_>� i COMPLETED ADDRESS � `� � `� � � �� ,� ��f � OWNER TELEPHONE NO.L^ �� '��`l�� CONTRACTOR ;' /=' �T` t'�s �lc�� j; DESCRIPTION ��j��{ �GY,_�� i`'`�} � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � ❑ PLUMBING RI ❑ SEP�TIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO._MEEf YOU:j[_YES_NO �� COMMENTS: � W a � � O a � O � W � Q � Z W � W � j d � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on�te: Inspector. � � White Copyll�spector's File Canary CopylSite Notice