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HomeMy WebLinkAbout2012-00810 - addn/remodel/repair , . . CITY OF ORONO * z 0 1 z - 0 0 8 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2012 r ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1495 GREEN TREES RD PIN : 11-117-23-23-0012 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 002 BLOCK 001 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RES[DENTIAL VALUATION : $ 11,550.00 NOTE: SEPEKATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) REMODEL MAIN BA'I�I� APPLICANT PERMIT FEE SCHEDULE 221.25 BOYER BU[LDING CORPORAT[ON PLAN REVIEW 143.81 3435 COUNTY ROAD 101 MINNETONKA, MN 55345 STATE SURCHARGE(VALUATION) 5.78 (612)475-2097 TOTAL 370.84 Minnesota State License#: 2988 OWNER BRASS, JAMES&JUDITH 1495 GREEN TREES RD WAYZATA, MN 55391- AGREEMENT AND SWORIV STATEMENT The work for which this permit is issued shall be perrormed according to the approved plans and specifications,applicable City approvals,and the S[ate I3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 days of the date of issuance,or if construction is suspended for a pe 'od of 180 days at any time aRer work has commenced. The applicant is r spo�sible for assuring all required inspections are re ste �n co or nce ith the State[3uilding Code.This permit may be evoked a any i for ause. i � __ �.~-'� V / �17 /�2.��,"-=. : t� /p��/ � d—� Appli ant Permitee ignatur Date Issu By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Rug � 11 � 2012 6 � 32AM it ' s a great dav at bover bldg � No � 3280 P . 1 , . � City of Orono Y�� I Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) —•-- Mailing Address. R�rmit number:' ....::..::.......:.. . . .: �..,;,.-���. -_=--__� Og,O,�O PO Box 66 , : ,, ,.. ry Y �eceived:;., . � -..;-:;;. .,.,.. C stal Ba . MIV 55323-0066 Dete: ,.�.;.: .� ,. ;:::...: , ... , .,;;,::. ;,Received.;by; . a a. Strset Addross: "'""'''' � .,.:.:•.:......:..•.•...... . . ...... G _,. .,.. ,.:.. - ':':. t:',.:,:.::>:':, ' 2750 Kelle Parkwa view fee. : `::;: :-; ...::.:....:::::.,;:;;..;,..: � Orono. MN 55356 Y Rlan re �9g�,�0$� ....:: , ____, ;:•:... '- ,... , _ Main: 952-24911600 Fax: 952-249�616 www.ci.orono.mn.uS Total'Fee:`.:..:"::; ; :,: ,:, . ••.:.:•..•.:•:..: � This appiication form must be completed in full and all required information must be submitted Incomplete applications will be returned„ (Plsas�print) GENERAL INFORMA710N� Job Site Address: ���S Gree� �rQ,�S __�,CYc r� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No !f yns,a special event peimit is required with Pollce Depa�tment and City Council approva�60 days prior to the event. Shuttle bus se ice wil/be required un/ess appllcant demanstrates sufFcient on-site parfcing is available. Non permitfed events will not be allowed. CONTRACTOR/APPLICAWT lNFORMATION: F Name: �vY,er hvv�i��V�. �t��o� �131�._� State License# �Cppa,��g' � Expiration Date� �-j �� Lead Certification Number• ,a. ��3��'�„ Expiration Date� (for work on homes that wera canstructed p�or to 9978 Phone: �'c��_t.{-y���p�� (office) � q���2�,�� (cell) Mailing Address- �c.t�us �.�W►��;},,, �� uj (_ � City, yy��- ZIP_ Contact Person: �d� /�(����� Applicant is� ontr c o / Homeowner (ClrcleOne) Email and/or Fax� ��_ �7S- _,��jQ� PROPERTY OWNER 1NFORMATION: Name: �1yv� ar `��W Q�T�� Phone (day)� ��a►� �76- � o�,�{ _.__ Address: ��..tc�� St�Ee..� TYe� y.�,c,c�.ril City: p,�p ZIP: c�- �� Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement may require MCWD review 8�permits: ❑Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MGWD) � ❑Re-roof. asphaft ❑ Repair ❑ Storm Damage 18202 Minnetonka B)vd ❑Re-roof. cedar ❑ Restoration ❑Water Damage �eephaven, MN 55391 Phone� 952�71-0590 ❑ Re-roof. other(speclfy) ❑ Siding ❑Other (specify) Fax: 952-471-0682 C]Window(s) www.minnehahacreek,orq Overall Project Description: ` � � �i„e1it� Estimated Construction Valuation of Project(excluding land) S J�i �()_ APPLICAN7 ACKNOWLEDGEMENT: • Agr�es 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 knowfedge. 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 afl of the information that you are asked to provide on this application is classified by State Iaw as either private or confidential. Private data is infonnation which generalfy cannot be given to the public but can be given to the subject of the data. Confldential 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 re uired b law. if ou refuse to I the information, the a lication ms not be issued. Applicant's Signature� ` � Date� 1���7���� Last Updated� 08-09-2011 , � � � Plan Review Checkiist for New Structures / Additions Address/PID / Legal: /`� I� �i«=Z=� `�L,(:;Z� i�` •`a-"� -� Description of work: �-5 t�� ( ��:-�� �= � Septic review by: �nI /✓a Date Approved: Zoning review by: /L� 1 r� Date Approved: Buifding review by: '�� 1 Date Approved: q - 2-c�-L�-� 2 Grading review by: � i�� Date Approved: Zoning File#: Resolution#: Resolution Date: � Zoning District Fire Department Post Office School Distriet Zoning: Lot Area: SF/AC Width: Dept� , Survey Submitted: 0 Yes � No Date of Survey: / Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) O er Buildings Wetland Side Side � Building Defined Height: Building Peak Height: ,,%�� #of Stories Ok?: ❑ YES FOR A BUILDING WITH ABASEMENT OR CRAWL SPACE: FOR A�BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl S�ART the distance between the stab and the highest space floor and the highest roof peak,the top of tNITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck fine 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 ar�d 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/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is fess. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF ' % Shoreland District MCWD Permit Received Average�Lakeshore Setback Bfuff 0 Yes ❑ No ❑ N/A � Yes 0 No ❑ Yes 0 No 0 Yes l� No ❑ N/A P,e�mit Number. Setback: Hardcover Zones Existin Proposed Variance Requir � CUP Required 0-75' ❑ Yes � No 0 Yes ❑ No 75-250' Type(s): Type(s): 250-500' �� 500-1000' / REMARK� (in-house): N<J C /-ft�n.��=� C� Updated: 09/11/2009 z:\fottnslplan review checklist.docac Fees to be Charged YES NO �Permit �,./ ��� Pfan Review I � � "State::Surcharge � ' I � Investigation Fee �SAC ,�Nwmb'er.of,`�AC 17:nits. �ti .._ _, ,r , . „r.. Sewer Connection �1111a#er����n�ec�ion > ��;��m�� ��,���������_r k y,;� `� ����"���������; _�a��„�� Park Fee w:�S�i#e�l� �-� -��. � - � ���� s��e��Eion � ����`�.����'� - ��,�� �"'',������`�Y��.�. ���:��� Other(specify) :3M�sc�°Ila�nEous��ees ��k�,��$y r��t��;���� �������.,���r���,��,�� �� ��� .. .a..._ ..: � . ,� '.i�7''. Srt���,: �! �.*�..rp�'r� ffl's� ..� � S" ! _ ile,v 4.�rt�"S' .93� "hni •L�....:J�s.., Calculated By: � r I Square Foota e $ per S uare Foota e Basement I X = � 1 S' Floor X = ' � 2nd Floo� X I = $ Garage X = � Estimated Construction Value: � I I, SGC� `� Orono inspections Required Work Requiring Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading / Filling ❑ Well � Hardcover Removal � Mechanical 0 Fire �Electrical ❑ Footing ❑ Septic ❑ Water Connection � Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey 0 Masonry ❑ Lawn Irrigation � Radon Rock Bed ❑ Mfg. �Framing ❑ Other(specify) ❑ Insulation ❑ As-Built Survey �Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES ❑ NO New: ❑ YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND IN(TIALLED BY PERSON PULLING PERMtT) Updated: 09/11/2009 z:\forms\plan review checkfist.docx Aus � l1 � 2012 6 � 32AM it ' s a great day at bover bldg � N����� 2 ���'� ; . . . �R�V����t?_fior GQD� C��t�L.IA��� � - - --- - n N (;FlFC;KED RY�"�o n,•,-�c-l� -Zi — � � � . � a-_ _ __ _ � � -� �,�._.R..,w.,,�.... _ �-..„..._,�-r-•----�- _-__-_..,.._.. : � �a� r--�. , p �--�� �,� . �.... � � ��~ �' .---- �� _. � � . _... .__--- --- . ._ . � .� � �t�-t .-�� `� � ` ! ���_ _�. __..___. � . � � � _ � _ ._ � .__._______:���.�. _ ^ � , � � ----=�: - �,._���-- �.�- � Q � � .-�- -- -- --�_. �.�__ � �7- ; � � , ,:`_...� .. w.�.____�.._�._��___..�._._�__� � � . � f „ - _ � � � . 1 `��`�- ,e�..��..�...� �I��..-..�-.-._._�._� —` __ � t � : �- ..... ._r-�..-,.-.� ^--------� ... ,. ,� ��`� . � i ; ��.6 ' '. � ;5�. , �..�vi. �j�i`�a� _.(.� ` .__ ' r�� i_UM�ING AC�ES�: .�..C � ,�;. ,,�. �,: �' E . ,. -� ,�.. . � �_ � � � �!����.'�, � ' � i = � � ' � � � - -� ��� � ' .� E�' ����`�!V 1.���`- � ; � P, �� -- J�ii � - .._.._�.. ,___. � --�.� � 6 ; I ���� � �3� � i i �; �� �� - i 11E;!. ._._ 2�'�""#�!��a'' F ' ��,,s i _ - -�—.•------._ •~ t s, . .� : �:..,_..^.. 9 - � �: k � ..� b 4. ��.'''j��;`� S�y � __.. ,� � � ` �-, t .;,� .._ � r� !li/;3"�'��4'a�V'� � - � _... ..�. � � �i �a�`� � � —�=,��=- ^ _ ���'� � s �"� ;�_' ' . � f � z . 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(T C. � � ��i . 1 � .��'��R QU F�E J1EiVTS '. a � � 1 R.,Y� �� . . e e.SrF -_. ......_- . _,..�_. ..._ .,., .. ._ ,_.,_»_.....,-.....��..F._.-,.....�i ' � �.,.r�.f.�.�� i►""'r'^""irr'�" . .�.. ". •--. ' ��. 1 ��s • �— iy , �' dl ; '• 1 �� ��� � ' ATE TIME CITY OF ORONO CALLED IN S ' �Z- INSPECTION NOTICE SCHEDULED �� ��1 PERMIT NO. �I'71�����!� C' COMPLETED ADDRESS � ���7 ��ire�� �rc�'P�� OWNER TELEPHON NO.�r��o�" ��j ��' CONTRACTOR ' �i� �J� >; DESCRIPTION ��,� ( �(`�l A��S � I(�Cl � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINA� ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES NO � COMMENTS: � W a � I� �r�J A 1 ���� �,� ��-=��'� a � � 0 � Q ��o���� ��� � �� � ������ z -r �I �c � f��� �'��x5.� f}� c-� � � � �° �-�4 �—S c..� � � W o t � e�� � � F .� �� �r�� ����c� �,�.,� a W� 0 WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copylinspector's File Canary CopylSite Notice