The URL can be used to link to this page

Home My WebLink About2010-00905 - addn/remodel/repair � CITY OF ORONO PERMIT NO.: 2010-00905 ` 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 10/OS/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3565 FREDERICK ST PIN : 20-117-23-12-0018 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENT[AL VALUATION : $ 65,000.00 N01'E: SEPERATE PERMITS REQUIRED: GLECTRICAL(S"I�ATE) GARAGF..ADDITION 13UILDING UP AND RG-ROOF APPLICANT PERMIT FEE SCHEDULE 794.25 MICHAEL HAYES HOMES, INC. PLAN REVIEW 51626 2421 LORIEN ST HOPKINS, MN 55305- STATE SURCHARGE(VALUATION) 32.50 (952)975-9394 TOTAL 1,343.01 Minnesota State License#: 2163 PAID WITH CC# 2668 OWNER REGER, MICHAEL L& BRITTANY L 3565 FREDERICK ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be perfom�ed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of��ork 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 I 80 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 conformance with the S[ate Building Code.This permit may be revoked a � e for d cau . � �� i� , D � �v Applican 'g a Date ' Issu y Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. S ^ • • V I � �� Cit of Orono �`� Y �, �� Building Permit Application for New Structures or Additions Mailing Address: Permit number: �b�D ' (� C�j -g,� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: ��7"l0 �° �� °� ��a�� a �`�''`�- -� �,� Street Address:' Received by: , �- 1�,� � ��,.n,�:� � ��p_ � � 2750 Kelle Parkwa t ,��y`��i Y Y Plan review fee: `�kEsxo% Orono, MN 55356 Total Fee: �� 3 L.�3 ,� � 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: ,j5�� '=��--��21 �,;l� n v� K�'C Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �lo 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 INFORMATION: Name: n1 I C i�/�E 1 1-1.�-�,�;;� j-��,�.,,: State License# ��3 Expiration Date: _3- 3 i ` J Z Phone: G S Z - � 7��-5 ��j (office) (cell Mailing Address: �y 2 � Lc2� c � �'-� Cit��,.,�,v,v c d��1�-� ZIP� �-�-3�;.�,) Con tac t Person: rn��_ 1.,�,,_,,,� Applicant is �Gontractor�/ Homeowner (Circle One) Email and/or Fax: �___- PROPERTY OWNER INFORMATION: Name: /��;�2 Phone (day): Address: 35Gj F��'�-,,,�Ic City. C»�, c.� ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP� Email and/or Fax: — PROJECT INFORMATION: 1. Type of Project 2. Proposed Use �1 � ' 3. Structure Type 4. Sewage Disposal & ��'� ncp� Water Supply ❑ New Construction ,�Single Family with �esidence �Addition attached garage ❑ Gara e/Accesso Bld ❑ Accesso Buildin g rY 9• �ublic Sewer ry g ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse � Private Sewer ❑ Public ❑ Storage �'Public Water "*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 F ax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ (�S U�� Last Updated: 9/29/2009 - 17 - r STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= �=y Number of bedrooms=_� �Wood/Frame ❑ Masonry b.Width (ft.)= �3 ' L Number of garage stalls: � ❑ Metal Attached = "� ❑ Pole Bldg. Areas in square feet /a�'�"`'x S°y Detached = ❑ ICF Sf�� ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 S�Story = ❑ Other(please specify): e. 2"d Story= f. '/2 Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed Applicable ❑ ❑ Permit Ap lication � ❑ Pro osed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form � ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan � ❑ Hardcover Calculation s) � ❑ Se tic S stem Site Evaluation Re ort � ❑ Access Permit � ❑ Wetland Buffer Im rovement Plan � ❑ En ineered Plans for Retainin Walls 4 feet or above � ❑ Plan Review Fee � ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; I • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information, the application may not be issued. ApplicanYs Signature: Date: �� 2.'l Z �jp Last Updated: 9/29/2009 - 18 - . � � Plan Review Checklist for New Structures / Additions Address/ PID / Legai: �S(�S �/ZGl�C2iGk �q�/[ Description of work: _ /-�DD i7�0� A�3cv �0.�4$��,f% Septic review by: Qate Approved: Zoning review by: Date Approved:_ 9�2$- /Q Building review by: Date Approved: �j�� O Grading review by: _ /lf,�/,}- Date Approved: Zonin File #: Resolution #: Resolution Date: onin District Fire De artment Post Office School Dis ict � � Zoning: Lot Area: SF /AC Width: Depth:,�9� Survey Submitted�,� ❑ Yes ❑ No Date of Survey: � Pro osed Setbacks: �°� ' Front (Lake) Reat(Street) ( N S E W ) ( N S E W ) p�r�guildings � Wetland Side Side � Building Defined Height: � Building Peak Heigh�,°�� FOR A BUILDWG WITH A BASEMENT OR CRAWL SPACE: FOR tUILDING ON A SLAB FOUNDATION: START the distance between the bas�ment floor/ ART the distance between the slab and the WfTH crawl space floor and the highe`�t roof peak, WITH highest roof peak, the top of the comi�e � the top of the cornice of a flat roof;�e deck of a ffat roof, the deck line of a mansard line of a mansard roof, or the upperri'�c�st roof, or the uppermost point on a round or oint on a round or other arch-t e roo�. other arch-t e roof SUBTRACT half the distance between the highest ,�' .,� SUBTRACT hatf the distance between the highest window and highest roof peak of a pit�ied window and highest roof peak of a roof itched roof SUBTRACT the distance between the basem�fit floor/ ADD the distance between the slab and the crawl space floor and the highest existing highest existing grade within the grade within the foundation oi`10 feet, foundation ' whichever is less. EQU S Defined buildin hei ht EQUALS Defined buildin hei ht " �_. �� Lot Coverage: SF e�� % Shoreland District �MCWD Permit Received � Avera e Lakeshore Setback Biuff ❑ Yes ❑ No Yes ❑ No ❑ N/A ' ❑ Yes ❑ No Permit Number. ❑ Yes ❑ No �T�❑ N/A Setback: � HardcoverZon � Existin � Proposed Variance Required `� CUP Required 0-75' i ' ❑ Yes ❑ No � Yes ❑ No 75-25 I TYPe�s)� � TY (s)� 250- 00' � �� 500- 00' I ' � i REMARKS (in-house): D N �'—a0i r,�vT— Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO ' � � P�erraiit Plan Review �/ Sfi�te�Surc�har�e i Investigation Fee "S�'C=-Num6er o#'SACkUnyts Sewer Connection 1Nater:�:Conne.ction i Park Fee ;�ite��=lnspection Other(specify) �M:iscellaneous:Fees ✓ Calcu{ated B : UBC� Construction Type: Square Foota e $ er S uare Foota e I i , Basement � X ' _ $ 1 S Floor X = $ 2� FIOOr X = $ Gara e X ', _ $ Estimated Construction Value: � Cc5�00c� �"� Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire �' Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection �"Framing ❑ Masonry ❑ Lawn Irrigation 0" Insulation ❑ Mfg. ❑ Wall Board ❑ Other (specify) ❑�4s-Built Survey ,ef Final ❑ Other (s eci ) REMARKS (in-house): Other Review: Reviewed by; Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INfTIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms\plan review checklist.docx ��o s�- DATE TIME CITY OF ORONO CALLED IN //�/�-� INSPECTION NOTICE �,SCHEDULED _�� — PERMIT NO.p7QlD--DO�'tbS COMPLETED ADDRESS �•��S o�7�4�� OWNER TE EPHONE NO. ��z Z7Z 2��,� CONTRACTOR � � DESCRIPTION �r � � t� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � 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 INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � �. �ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '_-� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner►Contractor on site: �� Inspector. �.• �- ��' ' -} —S White Copyllnspector's File Canary CopylSite Notice �— AT TIME J CITY OF ORONO CALLED IN —��--�� INSPECTION NOTICE SCHEDULED � '� � PERMIT NO.U�O/4—DOQD,j COMPLESED ADDRESS .3S6S �� OWNER TE EPHONE NO.l/��Z Z7z Z�Y-3 CONTRACTOR >; DESCRIPTION ,�dzcx�Z�l� � LU ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑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 ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sitej � )Inspector. �. �(, - e White Copyllnspector's File Canary CopylSite Notice