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Home My WebLink About2009-00052 - addn/remodel/repair . CITY OF ORONO PERMIT NO.: 2009-000s2 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 02/20/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 255 LANDMARK DR PIN : OS-117-23-23-0037 LEGAL DESC : BAYSIDE LANDING 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) BASEMENT FINISH APPLICANT pERMIT FEE SCHEDULE 221.25 CASEY,MARK&KARENA PLAN REVIEW 143.81 255 LANDMARK DR LONG LAKE,MN 55356 STATE SURCHARGE(VALUATION) 6.00 TOTAL 371.06 OWNER CASEY,MARK&KARENA 255 LANDMARK DR 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 consVuction authorized is not commenced within I 80 days of the date of issuance,or if conswction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. a l � �i Di0 Ap icant Permitee i ature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. a � City of Orono �� , � • � Buildin Permit A lication g�a� � NN Mailing Address: Permit number: 02009� ODD..so1. O�,0�.O PO Box 66 Crystal Bay,MN 55323-0066 Date received: o�–//—09 a� ,. Street Address: Received by: '�, Gti�' 2750 Kelley Parkway Plan review fee: 't.9gE�0g,'�' Orono, MN 55356 � �� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application for.m 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,j LGnc��,,�Grl� L�r: �l-o�-rv Mh1 553 j �o Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event pemtit is required with Police Department and City Council approval 60 days prior to the event Shuttle bus service wil!be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ' MCcr'� �G#.S C'il �w ��„�,ti. (,'-a S� . State License# r� Expiration Date: Phone: y,sa -y 7� -6�3 S (office) 6�a -z �v - � � � (cell) Mailing Address: ��S 1�.�dm urlc �✓�_ City: on v Z�P�SS 3 S� Contact Person: NJG„rk C'�,�c e� Applicant is: Contractor / omeowne (Circle One) Email and/or Fax: m�^G� �5�,,�� h s i- c,o:-h PROPERTY OWNER INFORMATION: Name: f�G.✓Gn w � l-'lG�r 1c. ��c_s e v Phone (day): �y s a - H� �--67 �s Address: a 55 L��dma.-� �r. City: Qy�;�n ZI P: 5S"3 j(o Emailand/orFax mur,� S�_,�.a,,,,, PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&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 ,�`�S e�rr�?�r� �/`� Fax: 952-471-�82 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ � Z� v o O APPLICANT 8� OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff,consultants or agents, for purposes of investigation of this request. • 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: �//j ( �� Owner's Signature: Date: 2�//�G � l CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ZS$ LAN�M�42►c �2 PID: DESCRIPTION OF WORIG �qs�yy�a.�r ��N�t�� ZONING REVIEW BY.• l A DATEAPPROVED:�� B UILDING RET�IEW BY.• DATEAPPROVED: 2-1�J—O Q FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes�� No SEWER CONNECTION STATE SURCHARGE Yes r/ No WATER CONNECTION WVESTIGATION FEE Yes No � PARK FEE SAC Yes No r/ SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: O , Fire Department: Post O�ce: School District: Lot Area: Sq fi. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right ide: Rear(Street): Left ide: Adjacent Structures: Nretland: � Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Sta,fj Approval Date: By: Council Approval Date: Septic: StafjApprova/Datec By: Zoning File: # Resolution: # Resolution Date: � Shoreland District: MCWD Permit: Avg. Setback: Bluff Setbac : Lot Coverage: Existing Proposed Har•dcover.• 0-7�' 75-2�D' 2.i 0-.i 00' .i 00-1000' Hardcaverl�'arianceRequired: 3'es No DateofCouncilApproval: REMARKS(in house): 3 J , . B UILDING REVIEW CHECg LIST UBC: IZ' 3 CONSTRUCTION TYPE: V� Sg Footage $Per Sq Ftg Basement • x = • 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 1 Z, Oda °= Inspections Required: Work Requiring Separ¢te Permits: Site �_Plumbing Fire Hardcover Remova! o� Mechanical Water Connection Footing Septic Sewer Connection 1C Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Oiher Wall Board (Mfg.) YY'ell(State Permit) _]S Final Grading/Filling ��Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: � DATE: ' Access: Existing New Access Approval: Date By.• REMARKS(TO BE NOTED ON PERMIT): 34 �2� ��/ � �Z��„ � �-� .._. .-V ---- -,._. _ .._. ._ ._ _ .. _.. . - �' ..-- -- - - -- - i •� b, _ ___ � - - �„Gb.-1tG ,• "_ _ --_ ;�- p 1` jl � �` � ' � ( � �i �; � 1 :� �,r,. z.2. I � � I I ; a, , ;. .�F.�a-�-��.,;� . �� ' :i c.c+-�5Z ,. M�:� � � � � --- - - - . _ _. _ . . . � _ _ . _ ; _ .!-- - -- --_- __ _ - ---- -- —�- ---------- ; �� S wNFN � - _ _t _--- —_�_ . -- - -, . . . _ . _ . . __ , - _ -_-:-_� " -- �� . - - - _ �i. R n'i�n�L� _ ��z:- __'.__ _ . ._. _ :` i _»_ C I� �t� i I � ' , ; . . � : I,RnvtT�r,Y�v p�l C�N � F�i%-�a�� LL•-r ' t� �J `I t .�^« ��.o ' I I I wl'L 4• co..�-�. �: � ; � � � i V '�Z` G�G.-�i�-G I T•a-l>r1-�..�F�+�G �L'_� -"_ L_� � I i � ; • i � � � � 7_�-'. �c..r r cv I . 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N /"1/�. �3 i.��.... i r::�ti.i V�� E 5.�, ;�S_ + � :ic,'"a.•��:'i a.� E'1Ey .C"I7 �„C w . . .�F:.. ..�i r (�".u i (��..iS'q2VY. .�...w.,.�........�- IcE�P-r��s��ni 5�r��,i RiT�nT ei i `T�� ..� � ✓ �� DAT TIME �' ��z / CITY OF ORONO CALLED IN INSPECTION N T SCHEDULED PERMIT NO. ��`��OMPLETED ADDRESS 2�J LCttY'I f'YLC r IC ��? . OWNER CONTR. � I �'l,� ` J(.(�' � TELEPHONE NO. -( �oZ '7 ��' � L�' ��-� � DESCRIPTION ��/1� � ❑ 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 Q ❑ 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 MEEf YOU: YES_NO y COMMENTS: � W a o !O nS�ht�u C� I'�C�� '� !� ��SCvSSG� � � ° •t��-rcX ,� ,,��R� ��E�S W � Q � 2 W � w � � � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTiON REQUIRED.CALLTOARRANGEACCESS. Catl for the next inspection 24 hours in advance. (952) 249-4600 OwnedContra or s' e: Inspector.�� White CopyMspector's File Canary CopylSite Notice C � � � �� TIME C OF ORONO CALLED IN INSPECTION TICE SCHEDULED �9 � PERMIT N0. �:� COMPLETED ADDRESS �� .J, ��-n�1� ��/1`� • OWNER/� / ,C�/�-- ��-�CONTR. TELEPHONE NO. U c�� -a�a �-�� , � DESCRIPTION � ".��L�.� l�`�7<5� '— / • � ❑ 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 Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO � YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d �; WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑C RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � r�)r� f � White Copyllnspector's File Canary CopylSite Notice