The URL can be used to link to this page

Home My WebLink About2012-00917 - addn/remodel/repair ! � CITY OF ORONO * 2 0 1 z - 0 0 9 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3125 FOX ST PIN : 04-117-23-33-0011 LEGAL DESC : WEST FOX : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,550.00 NOTE: Sk;YERATE VERMITS REQUIRGD: ELECTRICAL(STATE) INTERIOR REMODEI,-NEW CAI3INETS,FIREPLACF,SURROUND AND MANTEL. ADDING P'ALSE QEAM AND LIGHTING. APPLICANT PERMIT FEE SCHEDULE 265.50 LIND NELSON CONST INC. PLAN REVIEW 172.58 3794 299TH AVE NW ISANTI, MN 55040 STATE SURCHARGE(VALUATION) 7.28 (612)282-3006 TOTAL 445.36 Minnesota State License#: BC384640 OWNER DEVRIES, TIMOTHY&GAYLE 3125 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMEIYT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in co ormance with the State Building Code.'1'his permit may be re d �time for due cause. �r� s�c. �l l � Z- � /7�l�--- pl' ant Permilee Signature Date Issu 13 Si nature Datc � Y� g SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. J y Ci#y of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.} Mailing Address: Permit number: oZb/ —d� / �,�„Q,�. �,.� PO Box 66 � Crystal Bay, MN 55323-0066 Date received �/ 3—/ � '; ��e ��. ,i �`� ,,��' StreetAddress� Receivedby� ';\t ��:,5, ��i 2750 Kelley Parkway Pian review fee: �� o.,l �=�`��ESHa�,��, Orono, MN 55356 Total Fee: ��'�, �p Main: g52-249-460d Fax: 962-249-4616 �1�e��v.ci�r�no r�m��s This application form must be completed in fuli and ail required information must be submitted. incomplete appiications wili be returned. (P/ease print) GENERAL INFORMATION: .lOb Site Addt'ess: 3125 Fox Street,Ornno MN 55356 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yss 0 No lf yes,a specral event permit is required rvith Police QepaRrnent and City GounciJ approval 60 days prior to the evenG Shuii(e bus service tvi!!be required unless appifcant demonstretes suKlcient an-site parking is avaitabie. Non-permitted events wiU not be allowed. GONTRACTOR!APPLICANT INFORMATIDN: N2t712: Lind•Neison ConstrucGon Inc State License# aC3aasao Expiration Date: 3t3�t13 Lead Certification Number: R-t-iasla-io-ooaaa Expiration Date: 2�2s�is (for work on homes thaf were constructed prior to 1978 Phone: st2-2a2•3oo5 (office) s�2-2s�-soos (cell) M2illfi9 AddfSSS: 3794 299th Ave NW ��t�+: Is�nti ZIP: 55040-5956 Contact Person: �ett Ne�son Applicant is: ontractor / Nomeowner (Circle One) Email and/or Fax: jnelson�iindnelson.com PROPERTY QWNER INFORMATION: N8m8: Tim&Gayle DeVriQs Phone (day}: Address: 3t25 Fox Street City: Orono ZIP: 55356 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth maveme�t may require ❑ Door(s) � Remodei ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed Qiskrict(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) �v�nnu.minn�hahacreek orq Overall Project Descriptian: New Cabinets 8 FireplacE surround and Mantel.Adding a talse beam&lighting Estimated Constructian Vaivation of Project(excluding land} $ 1A,550.Q0 APPLICANT ACKNQWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information suppiied is true and correct to the best of his/her knowiedge. The applicant recognizes that fhey are solely respansible for submitting a compiete appiication being aware that upon failure to do so, the staff has no alternative but to reject it until if is complete; • Some or all of the information that you are asked to provide on this appiication is ciassified by State law as either private or confidentiai. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidentiai data is information which generaily cannot be givan to either the public or the subject of the data. Our purpose and intended use of this information is to annuaily update our records and records of qther governmentai agencies re uired b law. If ou refuse to su f the i�farmatian,the a lication ma not be issued. Appiicant's Sig�ature: %��-- Date: sn3ii2 Last Updated: 08-09-2011 r . Plan Review Checkfist for New Structures / Additions Address/ PID/ Legal: �� Z-S � � -�'- ST Description of work: ��'�`��" w��- Septic review by: A.19 � Date Approved: Zoning review by: N I�4 Date Approved: Buiiding review by: ��,� (��...- Date Approved: C1 - �Y' 2-�%�Z- Grading review by: ��/� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: 0 Yes ❑ No Date of Survey: Pro osed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S N► ) Other Buildings Wetland Side S' e Building Defined Height: � Building Peak eight: #of Stories Ok?: ❑ YES \ FOR A BUILDING WITH A BASEMENT OR CRA L SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the bas ent floor/ awl START ! the distance between the slab and the highest space floor and the highest roof eak, top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck of a the deck line of a mansard roof, or the mansard roof,or the uppermost p n n a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between th ighest win w and SUBTRACT half the distance between the highest window hi hest roof eak of a it ed roof and hi hest roof eak of a itched roof SUBTRACT the distance between t basement floor/craw ADD the distance between the slab and the highest space floor and the ' hest existing grade within existin rade within the foundation ! the foundation or feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin ei ht Lot Coverage: SF % Shoreland Dis ict MCWD Permit Received Avera e•Lakeshore Setback Bfuff ' ❑ Yes 0 No ❑ N/A ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No ❑ N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Req � ed CUP Required 0-75' ❑ Yes ❑ 0 Yes � No 75-250' Type(s): Type(s): 25a-500' 500-1000' REMARKS (in-house): !'✓� �=�l�'��-E': �'�� Updated: 09/11/2009 z:\formslplan review checklist.docx . � Fees to be Charged YES NO -Permit �� . ...: ��,,3, Plan Review � �� State�`Surcharge; .� ,;,;.; � �%� � �;�;, �_=j . . ,, Investigation Fee '�SA�--;�Number=.of�SAC 3U.nits. ,' � Sewer Connection ;�WWa#er�'Cnr��ec�,on.��r:��,��..:;:� ,'� ��' � � . .: � � � � +��w�_��,, + Park Fee t -4 '�"��,c�rc v'h �, �SfE�.� �n s -i�r 1 � �. �'Srte�l�i"s,�ect�on i ;��`��., ��,�`.;�� "�� ' �:,; Other (specify) �-.��-: �..��.s��<�.!�'� ��;.��y��fi� ��lSCE��c1d1@OOl'JS�Ft.ee$ ..�r��'��,��i�'��tnn��.. s�' ��k� �iur��t�-r��-m-�,`�n�,��c �g",:� „�- ,�;m,`. ;s Calculated By: Square Foota e � $ per Square Foota e Basement X = � 15' Floor X _ � 2nd FlOor X = $ Garage X = � Estimated Construction Value: � >�(, '��c% `'-� Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well 0 Hardcover Removal ❑ Mechanical ❑ Fire Electrical 0 Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace D Sewer Connection O Foundation Survey 0 Masonry ❑ Lawn Irrigation � Radon Rock Bed ❑ Mfg. ..0'Framing ❑ Other(specify) ❑ Insulation ❑ As-Built Survey .��inal 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:\formslplan review checklist.docx cJ u/ DAT TIME ✓ CITY OF ORONO CALLED IN �D� INSPECTION NOTICE /'"] SCHEDULED l4 /O -/� �DO PERMIT NO.�D/a'D�` / COMPLETED ADDRESS 3�dS �� st OWNER � TELEPHONE NO. ��a a�� 3UC� CONTRACTOR ��N��t �t �� >; DESCRIPTION �� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ 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 INSTALI ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a o `� '1/l L r� . � � � �. - � , � , 0 � w � � � Z W � W � j GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY �u O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice