The URL can be used to link to this page

Home My WebLink About2010-00406 - addn/remodel/repair � " CITY OF ORONO PERMIT NO.: 2010-00406 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [ssuEv: 06/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 275 HOLLANDER RD PIN : 25-118-23-43-0025 LEGAL DESC : HOLLY ACRES : LOT 002 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) RENOVATE EXISTING LOWER LEVEL BATH APPLICANT PERMIT FEE SCHEDULE 191.75 DAVID PINSKE DESIGN & BUILD PLAN REVIEW 124.64 4216 CROCKER AVE. EDINA,MN 55416- STATE SURCHARGE(VALUATION) 5.00 O TOTAL 32139 Minnesota State License#: 8704 OWNER MILLER, PAUL BRUER&L[NDA 275 HOLLANDER RD WAYZATA, MN 55391 AGREEMENT AND SWORN 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 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 permit will expire and become null and void if construction authorized is not commenced within l80 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"a7Tr uired inspections are requested in cont�rmance with the State B��ng Co .This permit may be revoked at aqy time f """� .-- . _�,,.�_. r . - ' , f �.. ' �'` � �%� � � � l/� � !� �� C.!�� l�� App(icant Permitee Signature Date Issued By Si;g� ture � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB . Cit of Orono �I� � �� y Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: a v/(� —(�Q �p �0,�. PO Box 66 Permit number: Q � � Crystal Bay, MN 55323-0066 Date received: � 02 O �� `'`i "�� Received by: `� a �', �;�;' �,� StreetAddress: ��, ' ` Gti``' 2750 Kelley Parkway Plan review fee: .� �� Orono, MN 55356 � t kEsso� �-_-_" Total Fee: �� 9' Main: 952-249-4600 Fax: 952-249-4616 "s 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: 2?5 �{oLL�-�"7�2 ^��4� 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 Pollce Department and City Council approval 60 days pnor to the event. Shuttle 6us service will be required unless applicant demonstrates sufficient on-site parking rs avarlable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: , Name: �7 A1 �cr� "pFcs�ly,N��+-��-� I NL , State License# 8�o Expiration Date: � Zol 1 Phone: 9SZ-�1 Z�i--�5 �C� (office) (Q/Z-�2 3 -�i o (cel l) Mailing Address: t t,,v� Cit : ��in.�+4 ZIP: -r,�-5'L{-1 Contact Person: '��,.�� j ��,[5►c� Applicant is: ntractor / Homeowner (Circle One) Email and/or Fax: '�i nc.s��.��,.��e��,ur-c�z.�i�- ,�.)�'r PROPERTY OWNER INFORMATION: Name: �n� 'k�� Un�o�, (p"'(��-�. Phone (day): %52-�}�co�'8 ceo Z Address: �.�� ,�o�a,�,��-Q f�vr� City: 62-r�r-[o ZIP: S' S3q I Email and/or Fax (�r.�(0_c-�Cu�s� , Cr�r--� PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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 �J .�'��a � � � Overall Project Description:�rz,.�ov�-r�� }c�sTr�l� Lc�u��;� LZ-riL-� �A-T�- Estimated Construction Valuation of Project(excluding land) $ /O,O�o. c�� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and co�rect 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 altemative 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. . // Applicant's Signature: --�� ' ' ' Date: � z� �/ � Last Updated: 05-04-2009 t � _ Plan Review Checkiist for New Structures I Additions Address/ PID/ Legal: 21 S 1'�dl.lcA�r�.�� (�,p�� Description of work: _ �J I(�F'T��} (Z„�;�a ip�. Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: G '� IO Grading review by: DU��' Date Approved: oning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School Dis ct Zoning: Lot Area: SF/AC Width: Dep : Survey Su itted: 0 Yes � No Date of Survey: Pr� osed Setb cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) ther Buildings Wetland Side Side Building Defined Height: Building Peak Hei FOR A BUILDING WITH A BASEME OR CRAWL SPACE: FO A BUILDING ON A SLAB FOUNDATION: START the distance betw n the basement floor/ TART the distance between the slab and the WITH crawl space floor an the highest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice a flat roof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, o he uppermost roof, or the uppermost point on a round or oint on a round or other a h-t e roof other arch-t e roof SUBTRACT half the distance between the ighes SUBTRACT half the distance between the highest window and highest roof peak o a itched window and highest roof peak of a roof itched roof SUBTRACT the distance between the bas ent or/ ADD the distance between the slab and the crawl space floor and the h� est existi highest existing grade within the grade within the foundati or 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei t Lot Coverage: SF % Shoreland District MCWD Permit Received Aver e Lakeshore Setback Bfuff � Yes p � Yes 0 No 0 N/A p Yes 0 No 0 N/A � Yes 0 No Permit Number: S�tback: Hardcover Z es Existin Pro osed Variance Re uired CUP Re uired 0-75' � Yes � N � Yes 0 No 75- 0' Type(s): Type(s): 25 -500' 50 -1000' REMARKS (in-house): Updated: 07/01/2009 z:\forms\plan review checklist.docx . . . . . . -- - ' ' 1 _._- —_._ __ _ -- - Feesto be Char ed YES NO ��,,� � £ _..� Plan Review r/ ��t�e"��c�" � ,. :. . ; ,, ,;; investi ation Fee °�� `�1�i�b�e�;:��Ar.C�UraYts , ... , -� . , ; Sewer Connection �a��a�eic"�i�n Park Fee _ _ _ �#�e��i '_'e�#aon.. ` Other s eci ) -�s;��a�e��s�ees�:'._ Calculated B : � UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 Floor X = $ 2" FIOOr X = $ Gara e X = $ Estimated Construction Value: $ � V� ��'O � Orono Inspections Repuired Work Requirinq Seqarate Permits Reauired State Permits � Site ,0'�P mbing 0 Grading/ Filling � ell � Hardcover Removal Mechanical � Fire Electrical 0 Footing � Septic � Water Connection �oundation Survey � Fireplace � Sewer Connection Framing � Masonry � Lawn Irrigation �Insulation 0 Mfg. � Wall Board 0 Other(specify) �s-Built Survey 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 INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms�plan review checklist.docx � ✓� �� A E � TIME / � � CITY OF ORONO CALLED IN ��_ INSPECTION NOTICE C� SCHEDULED PERMIT NO. Q' DO/'��COMPLETED ADDRESS a 7 `C�� OWNER TELE HONE NO � `7 3��'J� CONTRACTOR �� ' � � � �- � DESCRIPTION L / / � � � � � ❑ FOOTING �PLUMBING FINAL EXCAV/GRADING/ IL G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WET DS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMM NTS: � - �/�" 0 0�'Z�l a � � O �� i'� �f'�C � � F--� C . W � 1 � �� Q � Z W � � �`�/ C V \ �.! � `� `� ` � A,� � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector. G, � �/ �.-� White Copyllnspector's File Canary CopylSite Notice