HomeMy WebLinkAbout2009-00204 - doors CITY OF ORONO PERMIT NO.: 2009-00204
2750 KELLEY I'ARKWAY
ORONO, MN 55356- DATE IssUED: OS/04/2009
. 952 249-4600 FAX: 952 249-4616
ADDRESS : 1220 GARDEN CT
PIN : 07-117-23-32-0045
LEGAL DESC : TONKAVIEW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 1,200.00
NOTG: REMOVE WINDOW&REPLACE W/DOOR IN SAME HEADER
APPLICANT PERM[T FEE SCHEDULE 47.75
NEW SPACES EXPRESS LLC STATE SURCHARGE(VALUATION) 0.60
2105 W 143RD ST. TOTAL 48.35
BURNSVILLE, MN 55306-
(952)898-5309
Minnesota State License#: 1586
OWNER
ERICKSON, RICK
1601 SUNNYBROOK
MINNETRISTA, MN 55364-
AGREEMENT AND SWORIv 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[3uilding Code. This permit is for oniy the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be wmpied with whether or not specitied 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�nformance with the State Building Code.This pern�it may be �/�/ 1
revoked at an time for due cause. �'`
�� �`.���4 �--; y , �;� '-� �--�t c`Y��c�� � C� >
Applicant Permitee Signature Date [ssued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
�—_„ Mailing Address: Permit number:
��;0,�.� PO Box 66
'� �'
Crystal Bay, MN 55323-0066 Date received:
��; �
,� �'���_ �,��� StreetAddress: Received by:
��',�,� '°��r.�,:9_ �ti!% 2750 Kelley Parkway Plan review fee:
kESHoY�`� 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. (Please print)
GENERAL INFORMATION:
Job Site Address: ��?r,? � �'�.n��',.� C�
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 City Counci/approva/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 I APPLICANT INFORMATION:
Name: �/,�"., �S",rz �.E _r
State License# � / �� � Expiration Date: �/,,•�j/��,
Phone: Y,��- g3 P'�' - .S 3�� �� (office) ��-3,4 �?- ii� � (cell)
Mailing Address: �� v_� w, �y� " � .s; City: ,/�4„�� ��,�/-= ZIP: ,s',S��
Contact Person: `-� � -�� � Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: f�, � y,�w�-,o� �c S - �o ..,, y�-�- ���; -�� yg
PROPERTY OWNER INFORMATION:
�
Name: r � /-z� ����o.�.
Phone (day):
Address: 1�r2 u ��.���j-,,, �r— City: 6 2,� ,,rio ZIP: �s����
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.orq
Overall Project Description: �,��,�� �,,,ti �a,,,, �,, �,� ,�,� ��� _,z
Estimated Construction Valuation of Project(excluding land) $ ��9�, 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
required by law. If you refuse to supply the information,the application may not be issued.
,--���
ApplicanYs Signature: / � j_���, Date: ���''
CHECIi OFF LIST FOR ISSU.4NCE OF PERMITS
• FOR OFFIC� USE ONL I'
ADDRESS OR LEG_qL: �22.o GA�taOL+-� r��u,�-
� PID:
DESCRIPTIO� OF ii'ORIi: �Z.E;f���;; �,,,,,,vo•,s �,.,
� .!�'�?�d"t
ZO.NINGREL'IE�'B�:• //� ^ �� DA7'EAPPROI'ED:
BUILDINGREG'IEN'BI": ''� DATEAPPROi�'D.•� y_ o q
FEES TO BE CKqRGED: % Misc. Fees Calculated Bv: � � �
PERMIT I es_�� No '
PL.4�'REVIEN' I es No� SEY1 ER CONNECTION
ST14TE SURCK4RGE I'"es � No NATER CONNECTION
I.�jT ESTIGATIDIV FEE Yes No-�� P_4RI;FEE
SA C ��'es _No�� SITE 11�'SPECTION
_�-umber o''SAC linits 07'HER !spe ��
� �� �I��
ZONING CHECIi LIST Zoning District �p G� �^ � —_____�_________�__
/ ���
Fir�e DeDarrnzent: Post Ofjice: School Districz:
Lot Area: Sq.ft. Acres �f'idth Depth
Su�-vey Sudmitted: 3"es 1Vo � Date of Su�roey:
i'
P�roposed Setbacks: �I
i
Front(Lake): Righ1 Side: i
Rear(Street): Lefi Side�
Aa_'iacent 5u-uctures: Netian�l:
Buiiaing Height: Def Hgt. Peak�t.
Lot Coveraoe
Graain� Staf`,4poroval Date: Bt': Coun�il.4ppi•oval Date:
Septic: StaffApprovai Date: B1':
Zonin�File r Resolutio�z ; Resolution Date: �:
Shoreland District h4C11"L�pe�•mir:
AV�. S�tDaCli,' Pi1l�SetbaCh �
Lot Col�erao�:
.�-iscing Froposed
HardcoveY: (1_-��
'"�-'�0'
��0-�00'
;D�-1000' '
Ha1-aco»er f"ariaizce Reqzrir•ed 3'es A�o Date of Cozu�cil.�ppr�i•Ql
RE11�qRIiS("i�r linuse�:
�3
I
BUILDINGREVIEN'CHECIi LIST
UBC: � C0/1'STR UCTIOA'T'YPE: �/
Sq Footage ,S Per Sg Fr;
Basement s =
1 st Floor s =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Consrruction G'alue: ,fi /Z d0 �
Inspecrions Required: W'ork Requirin;Separ�zte Permits:
Site Plumdino Fire
� Hardcover Remova/ Mechanical N'ater Corzraection
Footing Septic Sewer Connection
Framinc Fireplace Lawn Irrigation
""� ' Insulation (Masonry) Other
N%all Boar�d (A1jg.) Yf'ell(State Permit)
_�Final Grading/Filling Electrical(Sta[e Permit)
Ofner
REIIIARKS(INHOUSE): �
� REVIEN"B�'OTHERS: � DATE:
,4ccess: raisting Ne�+
,9ccess,4Dproti�al: Late Bi•
� � RENLARFiS (TD BE NOTED OA'PERMIT):
�;
—io�-�vz°
� �2'
�
� o a
rn
v
DOG ROOM
12�-�"x i2.-7" �n
6�_���
L
N �
/ BATH
� 8'-4"x 8'-5"
��ry O
r�'� FURN WH
� ��
- NEW WS
� ii� ��
'v ro
3'2 1/2'�
11,_4'. 8'-10 1/2„
�
"a
Name Plan Type Date S9cale Written specifcations sup�ercede
' N��w RIGK 8 BRENDA ERIGK50N EXISTING PLAN 5/4/2009 �/8"= 1'-0" drawings and 2D drawings
����Lr supercede 3D drawings
�� ���A�� Address ProJed Type Owner 5ignature Drawn By Page# G. Co ri ht 2009 of New 5 ces
2105 West 1.43rd Street 1220 GARDEN GOURT py g pu
Burnsville,MN 55306 ORONO,MN 55364 KITGHEN,DOG RM,DOG NLN Lic.#1586
952-89'8-5300 GROOMIN6 RM,LL FAMILY'RM