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Home My WebLink About2009-00321 - addn/remodel/repair y� CITY OF ORONO PERMIT NO.: 2009-00321 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 994 HLJNT FARM RD PIN : 30-118-23-41-0012 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 006 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 22,000.00 NOTE: SEPARATE PERMITS MAY BE REQUIRED FOR: PLUMBING,ELECTRICAL(STATE) BATHROOM REMODEL APPLICANT pERMIT FEE SCHEDULE 368.75 KDK BUILDERS INC PLAN REVIEW 239.69 1341 84TH STREET NE MONTICELLO,MN 55362- STATE SURCHARGE(VALUATION) 11.00 (763)295-4296 TOTAL 619.44 Minnesota State License#:BC 2762 PAID WITH CC# 1515 OWNER SCHOON,PETER&CARLA 994 HLJNT FARM RD LONG LAKE,MN 55356 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 sepazate permits. All provisions of laws and ordinances goveming 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 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. �� r �� .�� 9 � /�' O pplicant Permitee Signature Date Is y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permit number. l/�%'`A DO .Z� �v�� PO Box 66 ` Crystal Bay, MN 55323-0066 Date received: �p /!r G ,/o �:n., O �, I '1.1� �'�,, �� '��; s.i� Streef Address: Received by: �'� �'�� 2750 Kelle Parkwa , �� Y Y Plan review fee: t`�.rfESHo�`'� Orono, MN 55356 � Total Fee: ��9 Cl� 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: -�- ��, � 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 Council approval 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/APPLICANT INFORMATION: Name: I�iDIL ��.��..s T�►.�� State License# (�L._ a�L,1 Expiration Date: ��_ o��_ Phone: _�,� _ �oq_ g�j,2.. Ce.ts2 (office) �6� _ a9S- '��S'�, (cell) Mailing Address: u T Cit : o,._-�:c�� ZIP: S S 36 2 Contact Person: t� `�,,,,,� Applicant is: ontra / Homeowner (CircleOne) Email and/or Fax: 7�3- � s S_ ��g� _ �� PROPERTY OWNER INFORMATION: Name: Q��-.�.rL, Sc�•�,J Phone (day): �4�—e..��3- ds(,d Address: qq�.1 ,�1�,,`-'t- F"4R.a,� R6., City: Lo�.�. �.� Z�P� SS 3SL Email and/or Fax PROJECT INFORMATION: �07� d�D� � 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 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �,�� Qs�t� (��,�,�,� 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 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. ApplicanYs Signature: � ��Date: (v � �(- �o/a ��.�� J� rL:-.�. SI�_ �ast Uodated: 05-04-200� � . CHECIi OFF LIST FOR ISSU4_NCE OF PERMITS FOP, OFFICF �,'SE ONLY ADDRESS OR LEG_AL: y'�<� ,�- �� PID: DESCRIPTIOl� OF GT'ORfi; _ Q f}-�� lj,�;-�,�o`� ZONING RET7EW'B�:• �jF� Y�� D.ATEAPPROI'ED: BUILDI�VGREI�IEtii'BF� � DA7'EAPPROT'ED: G •1e .�� FEES TO BE CK4RGED: Misc. Fees Calculated By: � PERMIT I es ✓ No � PLAN REVIEW �'es No ;��" SEYT'ER CO.NNECZ'ION ST14TE SURCK4RGE �'es ;i�" _No YiATER COIJiVECT10�' INT'ESTIGATION FEE �"es No PARI;FEE �" S�1 C �'es � No SITE INSPECTION Number of SAC linits � OTHER (spec�� --------_----___ _ � � ZONING CHECli LIST ZoningDistrict: Nv G��.� ��_��_��__�� Fir•e Department Posr Ofjice: School Disrrict: Lot Area: Sq..ft. Acres Y6�idth Depih Sw-ve}�Submitted: 3�"es No Date afSurvey: Proposed Setbacicr: Front(Lake): Right Sid : Rear(Sd•ee!): Lef Side: � � Aajacent Siructures: N"edan : Buiiaing Heicht Def Hgt Peai:Ho�. � Lot Coverage: Graain� Staf��iPProval Date: By: Council-qPProval Date: Septic: StaffAppi�oval Da�e: B�,: � Zo�iing File � R�solutia7: #__, Resolution Date: �- Shoreiana District: ' MCY!'D permit: Arg_ Setdack: Bii�Setback ' i,ot Coverag�: Existin� ,°ropvsed Hardcover: D-"S � ��_,sn, ,so-soo� � ;oo-�oon� Hai-aco>>er f ar-�Q�i�e Reqz�ired: 3�es No � Late of Cozu�cil.9pproval: RENL4RhS(i�r Iznuse): » B UILDING REVIEN'CHECIi LIST UBC: 1` COI�rSTRUCT101�`7'YPE: �/ Sg Footage �'Per Sq Ftg Basement x = 1 st Floor z = 2nd Floor z = Ga��age x = x = TOTAL Estimated Construction Value: �' 22�0 O'0 �� Inspections Required: W'orl�Requiring Separezte Permits: Sire _�c Piumbing Fire - Hardcover Remova! Mechanical YT'ater Connectiorr Footing Septic Sewer Conne�tion �c Framing Flreplaee Lawn Irrigation ""`"` '� Insulation (Masonry) Other N'all Board (h1fg.) YT"ell(State Permit) _�C Final Grading/Filling ,� Electrica/(State Permit) Otner � RE1124R.IiS(IN HO USE): � � REVIEN'B I'OTHERS: � D_4TE: Access: F.aisting A�e11 ,4ccess,4pproval Dare Bv: � � REMARIiS (7'O BE NOTED 01\'PERMIT): �= / • . �� : � -. ti-f��=�f-i: -�--,`>� 11'10 11/1 �Y�'"��'�� ` ;�. i- �.'_____ --- --.. I r// L.� l� i��t` �lf . ' i � ��' Y � , � � , 4'� .�.,—_-------- -----✓ � j � �_.-`u � � � i �\ -� - - - -- _ � I I ' ? — � I / I, . � � � � . i _ p}-�i��'i#�� -'�_�;`,%;: � � -_ •_, �='L.!��. e;;,�-;;, .. , ~ ��\''�,�a o0 v � : �-:� ,f lCii-� �i�i3��= ��(`'--.�... _ ,�`; � �-_ ,, �---� � .�, i l_,� .. _ — `'� T f/�a �M ' O�z�/ �_ W � ' I t,� ~ � BAT H ; �`/ 11'11 x 15' � - I �. / \' i \ i �fl - - _ �, \ , ' �` � r � �� \�,_ � h � '`��'/ N `��' � � �: �;� .� _, � � �,�, ��, � � �/ I 4' 318 _ �„�f;� t:=�'�uj°�� BATH AREA ��`�� 1�� L G,�tS�%. SPE�IAL NOTE SEE ATT/�CHED �!-�EET � ��=�'��r:�, CtTY OF �� o t per�L-�o�+ ORONO �'A FOR 1�, �� BUILDING P t IT �LAN F�V�EW co� RE�i��E��NTs INSPECTOR__� __ ________ DATE f.•1 L �o�-- f.:;:�'d�AIT NU.____. ,, a ,-.��:�� i J f1J .J 1J+i"i � i� ��'^iv„ ��:.'��t c ... � t=? .:�; ."E��f�1�.)TED .�, f-I F;;:i�;� ',;,.�i'",. .'s�1� - '. .�.i'`'�'.. . . � ::\"j Tf!E':_ J,�rr:11�=�i� . �. f,.�. Y,` 7��.:i�i , . ,. _�ai(N;QO!{8 I(1 � . GOT:�ir'�,;;.,.: ?t'� , D�I 3�,".i��,l1�. ..��1�. . 7�'_ .'t�.�l:�l�l COG�@. Ra��;ir�;;:�,;n:S':'1^�J�}ii�i�i��3'Ii3!'07.� Ai". .!r,i�<3 i9lifr�'d �tN�r;�i;��,N SEt C;.' .;i�,�- RT..�„_�7ff�/tS �� ATE TIME V CITY OF ORONO CALLED IN 7�� INSPECTION NOTICE SCHEDULED __?L�$ � PERMIT NO�Gq- OD /o�COMPLETED ADDRESS � OWNER CONTR. l�t� � TELEPHONE NO. — ��aD—� S��Sc�G � � DESCRIPTION "(/ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICA�FINAL ❑ LAKESHORENVETLANDS y ❑ 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-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP W �PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAI, � OWNE N EETY�ES_NO � � COMMENTS: � W 0. � J O >. � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CANDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.GALL INSPECTOR �INSPECTION REdUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site• Inspector. �� `��p,� White Copyllnspector's File Canary Copy/Site Notice - " ATE TIME �/ CITY OF ORONO CALLED IN �� INSPECTION OTICE SCHEDULED -� � � PERMIT NO. � 003�� COMPLETED ADDRESS 99� ��a��_�7��K /�� OWNER CONTR. TELEPHONE NO. � DESCRIPTION ��l'Y1//� �' !/�SLG�� jJ?�Ci � ❑ FOOTING � MECHANI L RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANI AL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a � � O � � O � W � Q � Z W � W � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali forthe next inspection 2a hours in advance. (g52) 249-4600 OwnedContractorpn site: Inspector. � �� White Copy/lnspector's File Canary CopylSite Notice �� ' � T TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED J� —��=,�..� PERMIT NO. ��Z/COMPLETED ADDRESS �G� OWNER CONTR. 1�J /IL��i(/�.- TELEPHONE NO. '-3� ��'3" 7 � � DESCRIPTION f � • � ❑ FOOTING ❑ MEC ICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MEC NICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � O DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP W ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J �UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IIVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. C� � � � White Copyllaspecto�'s File Canary CopylSite Notice C�" ' ATE TIME V CITY OF ORONO CALLED W � INSPECTION NOTI E SCHEDULED -� � PERMIT NO. - � I COMPLETED ADDRESS �� OWNER CONTR. I TELEPHONE NO. ��a aog ��a�-- � DESCRIPTION . ��Q �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICA�FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � ` ..f'1/t d i� T��-��C� C�.� C�C�!� ...,'/tc� 0 � �iv 2 cJ Ql�-1 � 2 c.l ('o o.�c� 0 � � �' • C� � 1� Q -�� C -I-� �'rS ��B,L1,: re� Q � �y F -�1�.` � / C� � (�f 2 t1PJ'� � I3�c� f�d �,c W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WOR &PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �R CT WO ,CA�J�FOR REII�SPECTION TEMPORARY V F RE RING � PERMANENT ❑C RRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on si e: f Inspector. o,w�� f / � White Copyllnspector's File Canary CopylSfte Notice