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Home My WebLink About2009-00136 - move 2 walls & install door CITY OF ORONO PERMIT NO.: 2009-00136 • 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE �SSUED: 04/03/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 175 GOLDEN VIEW DR PIN : 33-118-23-43-0015 LEGAL DESC : PETERMAN 2ND ADDN : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION /REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,000.00 NOTE: SEPERATE PGRMITS REQU[RED: ELECTR[CAL(STATE) MOVE 2 WALLS&INSTALL DOOR APPLICANT PERM[T FEE SCHEDULE 41.25 LAKE COUNTRY BUILDERS PLAN REVIEW 0.00 1825 KENTUCKY AVE. S ST. LOUIS PARK, MN 55426 STATE SURCHARGE(VALUATION) 0.50 TOTAL 41.75 PAID WITH CC# 3999 OWNER RIGLEY, J.R. 175 GOLDEN V[EW DR LONG LAKE, MN 55356- ACREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work 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 80 days at any time afier work has commenced. The ap ' sp nsi e fpr assuring all required inspections are r ested in conf r ri" with the Sta BuildinQ Code.This permit may be revoked at�h ' fo due cause. ��' �1 / � / � � �� ; � ,Q�L �(;��'� � _� �(�� ./�. / / pp ican Pe ee S�gn Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono `3 z�-�� . � Building Permit Application Mailin Address: aOD9 �p �,�� `\ PO Box 66 Permit number: Q/ � Crystal Bay, MN 55323-0066 Date received: 3-2 -D 9 ,��y., �0 �� `�t,�,P._ I �= �-,- �; Received by: (,� �,��s-. s,� StreetAddress: ��',�, ,�. ��°�� 2750 Kelley Parkway Plan review fee: L�y�Es� ¢,�v � Orono, MN 55356 � Total Fee: a 7� 7 / 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 b submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �, � � i�t �% �2c:wcJ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a specia/event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applrcant demonstrates sufficient on-site parking is avarlable. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: -F.� ,--_- _.�F3-� c��n,� C a.l�c Lo�.�--�-r� .3(C�t"S State License# a� � �c, (o �� Expiration Date: 3/3,t/o�oo9 Phone: (P)�-�17�Sb�'O (office) ��- y 7 y- 7�� (cell) Mailing Address: '� �� n sj City: �x�St�s: ��. ZIP: S S" 3 �i Contact Person: ��7-.� S,,t--�,��s.�,,_: Applicant is: Contractor / Homeowner (Circle One) Emailand/orFax: �r--rc �2S��..t��,�w � �,�i1rc��,��Z� �'��,�_J-��2_< ac�<� ;�� PROPERTY OWNER INFORMATION: Name: �R 1�, �� ` Phone (day): �7- ^ - Address: � '7� �r,L �n��.�,� u ; � (� CitY� G>P�� ZIP: � S 3�� 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: ��j��--� �� c�y�L� s % n- si'�c �vv,Z �-�g-- Estimated Construction Valuation of Project(excluding land) $ �`y APPLICANT 8� OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants or agents, for purposes of investigation of this request. • 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 informatio� which enerally cannot be given to either the public or the subject of the data. Our purpose and intended us2 of this info tio�s to annually update our records and records of other governmental agencies re uired b law. If o refuse to su (� e:mformatio ,the a lication ma not be issued. Applicant's Signature: '\ �'" . %' � /i�-� Date: ��,��6 j_. �.._.. - :` Owner's Signature: � ,� Date: � CHECK OFF LIST FOR ISSU.4.NCE OF PERMITS FOR OFFIC� USE ONLY' ADDRESS OR LEG_AL: /75 (�old.Q,r�. V�P�c.cJ �� PID: DESCRIPTION OF i�['ORIi: (�.•w.a��`,Z _ dp," �„o ��,u�� ZO.NING REVIE[��B�:• I� ^ ` DATEAPPROI�ED:� `�� BUILDINGREi�IEN'B�:• DATEAPPROT�ED: � z � _�c� FEES TO BE CKqRGED: Misc. Fees Calculated Bv: � ry'� PER1l71T 3 es_/� No y � PLANREVIELT% �'es No �/ SEN'ER CONNECTION STATE SURCH.ARGE Fes_� _No Yi'�I TER CONNECTION Ih'irESTIGATIOIV FEE �"es No f/ PARK FEE S 4 C �"es No ,/ SITE INSPECTION Ivufnber o{SAC Units � OTHER (specify) ZONING CHECX LIST ZoningDistrict� _�,.;>~�C'%�� + �� Fire Departnsent: Post Ofjzce: School District: Lot Area: Sq.fl. Acres GG'idth Depth � Surve��Submitted.� Yes No Date ofSu�vey: Piroposed Setbacks: ' Front(Lake): Righi Side: Rear(Street): Left Side: Adjacen�Structures: "et(and: Building Height De(Hgt. Peak Hgt. Lot Coverage: Gradino StaffApproval Date: By: Council Appr-oval Daie: Septic: Siaf�Appr•oval Date: Bj, Zoning File # ResolutiaT: n Resolution Da�e: � 1 ' Shorelai�d District: ti A4CG�D Per�nit: .4vg Setback: BIi�Setqack: LotCoverage: Ezisting ' P,•oposed Hardcoi�er: D-'�' 'S-'�D' --� '�D-�00' � �00-1000' � Hardcoi�er� I'ariarzce Reqzrired: I es No � Dar� oj Cozu�cil,9pp,•o��al: RE1124RKS(i�z Iznuse): 1 � � , 3� B UILDING REVIEN'CHEC%LIST UBC: � ' 3 COI�'STR UCTIO.�'TYPE: �� Sg Footage �Per Sg Ftg Basement x = lst Floor s = 2nd Floor x = Garage z = ,r z = �y;`� TOTAL � c�% 'ti Estimated Construction Value: �' �� U c�O ,�,;J , d}� `�,�" ::�. Inspections Requlred: W'orh Requuutg Separ�zte Permits: Site Plumbing Fire - Hardcover•Removal Mechanical Y�'ater Connection Footing Septic Sewer Connection . � Framing Fireplace Lawn Irrigation " '""� ,7�Insulation (Masonry) Other Wall Board (A1fg.) IY'ell(State Permitj ��Final Grading/Filling OLElectrical(State Permit) Other REMARKS(IN HO USE): �� RE i'IEN�B Y OTHERS: � DATE: Access: F�-isiing Iv-e�+ .4 ccess Approval: Date Bt� REMARIiS (TO BE NOTED ON PERMIT): �, ^ .� �- JY . �� , 2� . .• ; - --�- _ � �_ _ ,� � _ — — %5� �� — _ DIMENSIONS ON EXISTING � ,�t • _ __ ,,' ARE APPROXIMATE — � ; 28 �� ; � CONTRACTOR TO ADJUST � �„�- ;� —N IN FIELD AS RCQD. .xto �1V�. . � q ,�_ � �..� ' .�— �t' �O , � � � � � � � � �,� = . i►��=_� _ ' , + � -a .o , ,-:/ i �� S^ ..�L �Lr�_ - ' .`,'r ` . ' r�• - _ _ ' S � -I � Y�24 ( i / ' �� _ � (��1(.7{�L�" - ¢ �..-F . .� M r�=1.�, �� R -fi"�g �� .? % .�-�- __ --- �� - � �`-�'� : ._ _�� ,.�R`p li 2� �-.�,5�'� `` '�-�- c�i, _ . _ ..._ _. -�Xt�t' �� I �T�� k r �'4T61-�� i �� .z� , i; . y�� c,(..� �,:WDw ; ---- J..IN� � '�.G�r� . -- _--- l�i �"�-°� _ �_� � �1 ►�. � �Z-��tc� .6� @ Qu. � � —r ,�'�'[,�'I� y C� w� c-p�t� � q,�� ,�y, i� �* : � _ �+� _ , . _.u�L �s � arf�w� r� , _ ---_.— _�i. . �� ---------...— - ��i —_ - . �,�°o ,� ' i ~ � 0� �i I ��fi - -� ._-�_"___'_—.— _ �4�t � V _____'_' _ _'_' I I .� f; __ "`t _ { ._. .. _ . . � ._. . , J�u t .. "_—_ _ -...._. - �� - �-- •- •- �� "'� / ALTHOUGH EVERY EFFORT HAS BEEN MADE,IN DESIGNING AND ` � �1 r'�4 ---� PREPARING THESE PLANS AND CHECKING KbR ACCUFiACY,THE "�^ � . l INSTALLER.OWNER.OR CONTFACTOR MUST.VERIFY ALI.DETAIIS AND �i . .,