HomeMy WebLinkAbout2009-00367 - addn/remodel/repair „ CITY OF ORONO PERMIT NO.: 2�09-00367
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 06/30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 500 HANLON AVE
PIN : 02-117-23-31-0051
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 800.00
NOTE: ROOF OVER DECK-WORK DONE WITHOUT A PERMIT-
DOUBLE PERMIT FEE
APPLICANT PERMIT FEE SCHEDULE 34.75
BENNETT, PAUL&MEGAN
500 HANLON AVE PLAN REVIEW 22.59
WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) 0.50
MISC FEE 34.75
TOTAL 92.59
OWNER
BENNETT, PAUL&MEGAN
500 HANLON AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only 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 compied with whether or not specified herein.This permi[will
expire and become null and void if constraction 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 applican[is responsible for assuring all required inspections are
requcsted in conformance with the State Building Code.This permit may be
revoked at a time for due_ ause.
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`� i' � r � �t' ���' �/ / /
pplic nt P rttiitee Signature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
�
• C i ty of O ro n o ����
� Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: DO �D 7
�0,�� PO Box 66
�� � ;,\ Crystal Bay, MN 55323-0066 Date received:
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a ���L�. �,�� Streef Address: Received by: p
�'� � �'�� �'�� �ti// 2750 Kelley Parkway Plan review fee:
t�s �� '�� Orono, MN 55356
kESH�-
Total Fee: C)Z -Jl'�1/
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � J
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: J % � C�Y���;
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
!f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill b
required unless applicant demonstrates sufficient on-site parking is available. Non-permitfed events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: Cit : -�lP�
Contact Person: Applicant is: Contractor Homeowner ;(Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATIOIV� �
Name: � '- ��
Phone (day): �'�' � G' _ z ^ /
Address: �"�; �� �/� Cit : ��/'' � ZIP: � � �'� �
Email and/or Fax - � ` - � Z g , �',��,
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review &permits
❑ Door(s) ❑ Remodel I ❑ 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:
Estimated Construction Valuation of Project(excluding land) $ �` �. �' �
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 informatio ou are asked to provide on this application is classified by State law as either private or
confidential. Private data is informatio which gener cannot be given to the public but can be given to the subject of the
data. Confidential data is information hich gen ally c nnot be given to either the public or the subject of the data. Our
purpose and intended use of this inf mation is ann ally update our records and records of other governmental agencies
re uired b law. If ou refuse to I the ' rma � ;the a lication ot be issued.
� � _
Applicant's Signature: �'���' ��� � � Date: � �� �
Last Uodate�: �5-04-2000
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� CHECIi OFF LIST FOR ISSUAIVCE OF PERNfITS
' FOR OFFICF US� ONL�'
ADDRESSORLEG_AL: S�fl M,q��,p� ��
PID:
DESCRIPTION OF i�''ORIi: __ Q�o� 0�1 rL �p e Uc
ZONINGRET'IEYi��BF � � DATFAPPROI'ED; � Q -
B UILDI.NG RE[�I£iN'B F: DA7'EAPPR 0T'ED: (�•3�• o�i
FEES TO EE CK4RGED: Misc. Fees Calculated Bv: �____,
PEPv1�IIT I es � No y
PLAI��REVIENr Yes_/ No SEN�ER CO_NNEC7'ION
STATE S�RCKARGE I'es �/ No NATER CONNECTIO.�-
,� INVESTIvATION FEE �es r/ No FARK FEE
SA C I"es No �/ SIT£II�'SPECTION
I�umber o{SAC linits OTYER �spec fi�J
ZONING CHECRLIST ZoningDistrict: � � ��~ ~�
rire Department: Pos1 Of�?ce� School Disu�icr:
Lot Area: Sq.ft. � � Acres �
YG�idth _ � O Depth
Surve} Suomitted: I''es � Ido Date ofSu.�-vey� � b���r �"�
Proposed Setbacicr: ��� �m¢' ����/��
� Fronl(�kr): - y(�_�,�1 Siae: ZZ� q�Af2•
W� �
Rear(Stre�lj: /��} ��eft Side: �Z
� � Adjaceril Structures: �J/�- N'etland: ff/�-
S/KyIG S�
Bui[aing Heignt Def Hgt. p�ah Ho� G.K �.
� Lol Coverage: 8 ��s, 3�� (�
Graain�� Stcrf,l�Aporoval Dat�: {�/� Bi�: Council Approva!Date:
Septic: Staff,4pprovcrl Dare: B�,
Zo�7ingFile �' � ',?j �{6�I R�solutior.: ;� R�solucior�Daie: T�� �.
Shoreland District �/:� MCND Permir
Av�. Setoac�: Bii�Setoaci: �
Lot Cavera��:
Faisting Fi•oposed
Ha�•dcove.�•: p-";'
'�-��0'
��0-�00'
.i00-1000'
fi'ar-aco»�r I"ariarzce Reqztired: I'es
Ivo Date o>�Cozu��il.4poroi�al:
REM4IZIiS�iit house): "I's� (�.1ti.�t� �o r�1P w�o�T��.�,. . .—
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/,f 3 � ,� c�i`t I r � S I SSvE� ,
B UILDING REVIEN'CHECIi LIST
UBC: � CO�'STRUCTIOI�'TYPE: �/
Sq Footage �'Per Sq Ftg
Basemenr x =
1 sr Floor s = .
2nd Floor z =
Garage z =
x =
TOTAL
Estimated Construcuon T�'alue: � �Un.��
Inspections Required: W'ork Requiri�ze SeparQte Permits:
Site Piumnin� Fire
� Hm-dcover•Remova/ Mechanical N'ater Caznection
Footing Septic Sewer Connection
Framino Fireplace Lawn Irrigation
�'""` ' Insulation (Masonry) Other
W'a[I Boa�•d (A1fg.) YL'ell(State Permit� "
X Final Grading/Fillino Electrical(State Permit)
Otner
RE1124Rh'S(I.�'HO USE): � �
RE L�EN'B�"O THERS: DATE:
Access: Faisting A�eu
Access,4pproval: Date Bi��
� REMARIiS (TO BE NOTED Ol�'PERMITI:
,
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DA TIME �'
CITY OF ORONO CALLED IN ��� D
INSPECTION N TICE SCHEDULED l��`�"� d���
PERMIT NO. y��3�7 COMPLETED
ADDRESS -��� r���l�'7'� i���
OWN ER CONTR.
TELEPHONE NO. I`"G�GC�1��� �J�oT— ���SL�
� DESCRIPTION ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
��FiNAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ;:, ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL{NSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. l�1
White Copylinspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE �/ SCHEDULED � �O l��
PERMIT NO. —Q��`� COMPLETED
ADDRESS ��O ��'�� '�
OWNER , 11� CONTR.
TELEPHONE NO. �SZ �D � aS�
� DESCRIPTION �� � ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EX ADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED Ll PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V �EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_; pHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 24�-46QQ
Owner/Contractor on s e:
Inspector. � F � "e k�..�
White Copyllnspector's File Canary CopylSite Notice