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Home My WebLink About2010-01205 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-01205 2750 KELLEY PARKWAY ORONO, MN 55356- DA�['E tssUED: 12/29/2010 1 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 460 EAST LONG LAKE RD PIN : 35-118-23-14-0010 LEGAL DESC : LTNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : ADD[TION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SF.,PERATE PGRMITS RGQU[RED: PLUMI3ING,MECHANICAL,FIREPLACE,ELECTRICAL(STA1'E) AS BU[LT SURVEY REQU[RED PRIOR TO C.O��C� � (IN[TIAL) ./ G;: APPLICANT PERMIT FEE SCHEDULE 191.75 PRECISION REMODELING INC PLAN REVIEW 124.64 8861 GAROLAND LANE N MAPLE GROVE, MN 55311- STATE SURCHARGE(VALUAT[ON) 5.00 (763)494-841 1 TOTAL 321.39 Minnesota State License#: 20285594 PAID WITH CC# 9199 OWNER JOHNSON, DAVE& ELIZABETH 17395 CONIFER COURT CHASKA, MN 55318- AGREEMENT AIYD SWORN STATEMENT The work for��hich this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the Statc[3uilding Code. This permit is for only the work describcd and does not grant permission for additional or related work which requires separate permita All provisions of laws and ordinances governing this type of work shall be compicd�vith 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 issuanee,or if construction is suspended for a period of I 80 days at any time a�ter work has commenced. Che applicant is responsible tor assuring all required inspections are requcsted in conlormance with the tate Building Code.This permit may be revoked a y tNnerfor dqeS;aC . ��? ,` / � r! �-� i i �� _. t c C�YYI�-rr`1 ,��;�;��'C A .��ficayrf Permitee Signature Date [ssued E3y Signat re Date , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. City of Orono Building Permit Application for Internal Work • (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: o20/O � ��p2�5 O�D,�O PO Box 66 �s, Crystal Bay, MN 55323-0066 Date received: /.�.23 /� Z�3- � Received b a � ��`��'a' a � StreetAddress: _(�� Y� �'�n ' '�� ti�' 2750 Kelley Parkway �� Plan review fee: tRkESHo4'� Orono, MN 55356 — Total Fee: �v�� 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: C� � u �a f��- f�m�.� �� 1 c, /'�� S � � � Will this be a Parade of Homes, Remo elers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia!event permit is�equired 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/APPLIC T INFORMATION: Name: �� K �Z State License# �dz. $S'S� Expiration Date: � °j � Phone: 7� ' f office -► 3 ��,�2�, 3 cell Mailing Address: �l G �' 'c�- ��t,+� � Cit : o �� 'R v� ZIP: S'�� Contact Person: F- Lc ' Z pplicant is: Contrac or / Homeowner (Circle One) Email and/or Fax: ,` d �--�, n y � ,� PROPERTY OWNER INFORMATION: ] Name: ,x�s- � �o F,.v�-S�. Phone (day): �( ` �' �`�9/,3 Address: � T `�S �'c-rt r- ��'' Cit : � ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits �Door(s) [�Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �indow(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.orp Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ (�, U 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: 1 i �/ � Date: �� - v Last Updated: 05-04-2009 � �Plan Review Checkiist for New Structures / Additions Addr�ss% PID/ Legal: �I b O E�IS"f C„o�1(� �,�.��,� �j� Description of work: F�v�� /U e�.s ��. Septic review by: �1 �F�! Date Approved: Zoning review by: A1�(A Date Appcoved: Building review by: Date Approved:_�2-Z�- f C� Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office Sc ol District Zoning: Lot Area: SF/AC Width: Depth: Survey Subm d: 0 Yes � No Date of Survey: Pro osed Setback : Front(Lake) ar(Street) ( N S E W ) ( N S W ) Other Buildings Wetland Side de Building Defined Height: Buil � g Peak Height: FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the ba men ooN START the distance between the slab and the WITH crawl space floor and the highe oof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a flat of, e deck of a flat roof, the deck line of a mansard line of a mansard roof, or t upperm roof, or the uppermost point on a round or oint on a round or oth arch-t e roof other arch-t e roof SUBTRACT half the distance be en the highest SUBTRACT half the distance between the highest window and highe roof peak of a pitched window and highest roof peak of a roof itched roof SUBTRACT the distance etween the basement floor/ AD the distance between the slab and the crawl spa floor and the highest existing highest existing grade within the grade � hin the foundation or 10 feet, foundation whic ver is less. EQUALS efined buildin hei ht EQUALS D ned buildin hei ht Lot Coverage• SF % Sho land District MCWD Permit Received Avera e Lakeshore Setback Bfuff es 0 No � Yes 0 No O N/A p Yes � No 0 N/A Yes 0 No Permit Number: �tback: ardcover Zones Existin Pro osed Variance Re uired CUP R uired d'75� O Yes 0 No Ct Yes � 75-250' Type�S�: TYpe�S�: 250-500' 500-1000' REMARKS (in-house): No (`,�/-��,/(� --e Updated: 07/01/2009 z:\forms�plan review checklist.docx Fees to be Charged YES NO , .. _ . � �erm�t ;, > - ; , : • Plan Review , ��5ltate-;�rc��.r_�e � �� Investigation Fee "S�1'C—��Nt�mber=•of"SAC=Units : Sewer Connection �ats�r�C�onnec#aon ' _ Park Fee w;�:ite�lnspecfiion , _ Other(specify) �Miscellaneous:Fees ' Calculated By: UBC: Construction Type: S uare Foota e ' � er S uare Foota e � Basement X i = � 1 S Floor � X = � 2" FIOOr X � _ $ Gara e X = $ Estimated Construction Value: � l p, �oU °—° Orono Inspections Required Work Requirinq Separate Permits Required State Permits � Site ,�,Plumbing ❑ Grading / �illing ❑ Well � Hardcover Removal �Mechanical ❑ Fire � Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey �Fir place ❑ Sewer Connection �Framing �Masonry ❑ Lawn Irrigation Insulation ❑ Mfg. ❑ Wall Board ❑ Other(specify) ❑ As-Built Survey �Final Other (specif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMfT AND INfTIALLED BY PERSON PULLING PERMfT) ____�,� (�v, I f -s�r� �.�c, v � �,�-� �M � r� � �' �. � Updated: 07/01/2009 z:\forms\plan review checklist.docx •�� DATE TIME ✓ CITY OF ORONO CALLED IN � T�-� INSPECTION NOTICE D �Z� �SCHEDULED �-- --�� PERMIT NO. �' `' COMPLETED � ADDRESS � OWNER TE PHONE N .�� " �� CONTRACTO � � DESCRIPTION ry �� ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE - ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEi YOU:_YES_NO v�, COMMENTS: � �✓1 ��,��a-}-� �fi�S-�- O I� 4 � � 0 � � ° '�' ` n�. cJ Q `" �ve . -� �. � � Q � z W � W � � � ❑WORKSATISFACTORY:PROCEED �fiOJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �UE E TIF F OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION RARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on si e: Inspector. White Copylinspector's File Canary CopylSite Notice