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Home My WebLink About2011-01372 - addn/remodel/repair ' ' - CITY OF ORONO PERMIT NO.: 2011-01372 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/Ol/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 480 LINDEN AVE PIN : 06-117-23-41-0111 LEGAL DESC : N/A : LOT 000 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,,ELECTRICAL(STATE) TEAR OFF REROOF SPLIT BATH INTO TWO BATHROOMS NEW KITCHEN CABINETS APPLICANT pERMIT FEE SCHEDULE 147.50 BRENNAN PROPERTIES LLC PLAN REVIEW 95.88 8452 153RD PLACE SAVAGE,MN 55378- STATE SURCHARGE(VALUATION) 3.50 (612)616-4447 TOTAL 246.88 Minnesota State License#:20381410 PAID WITH CC# 1530 OWNER PRINTUP,AARON&LISA 480 LINDEN AVE 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speci£�ed 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 consWction is suspended for a period of 180 days at any time after work has commenced. The applicant is res nsible for assuring all required inspections aze requested in c ce with the State Building Code.This permit may be revoked e f cause. � � � � �� l � �j p�c t Permitee �gnature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions Mailing Address: �„ � J7 7 /��,�. PO Box 66 Permit number: /� � Crystal Bay, MN 55323-0066 Date received: �` � �j��,a �"'�"�t�-.= a,�, StreetAddress:' Received by: ��',�, � ��;;� �ti� 2750 Kelley Parkway Plan review fee: �t��Es`�og� Orono, MN 55356 \., / _'---' Total Fee: a �, �� 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 app(ications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � ��?j� L,�� 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 servrce wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: {�f� N v��y� �I O Q�'f�-12�5 State License# Expiration Date: Phone: �`_�-�p�(p ��ly�� (office) ,Z-��(�-yyy 7 (cell) Mailing Address: 5 S� Cit : ;,o,r- 1�- ZIP: � -� Contact Person: o r� q� AppIICBtIt iS:��n`trarfnr � Homeowner (CirdeOne) Email and/or Fax: Q S�-4?7S e;, - 5T�'�5� PROPERTY OWNER INFORMATION: Name: (_O(L� �Cj��-�2.�4�2 D,� Phone(day): —(� ,a, - l�-Zp- �{Z-Zg e Address: ��,5- t,v��-�r�ow✓� �Q City:(��rp�(� ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: Cit : ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� Water Supply ❑ New Construction �.$ingle Family with f�Residence ❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation � detached garage ❑ Office/Commercial ❑ Private Sewer � Other. (specify) oo� �(�"��,� ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water `"'Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8 permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 7,��(,� --� � yQ�--r�.+D U t= �t spl�+ ��n e Ip af l� t ri� �`1-w c� � N�W I�-t�-C�iPr� C'G,1� ►n-e'�fS i .�_ Fi{,`; �Xf� STRUCTURE INFORMATION: ;#: "' 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width(ft.}= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in s4uare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = ❑ Other(please specify): e.2"d Story= f. '/z Story = g.Total Area= �� REQUIRED SUBMITTALS: All of the information must be submitted in order for your appfication to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Pfan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort �'`_ ❑ ❑ Access Permit " ❑ ❑ Wetland Buffer Im rovement Pfan k:; ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee =�'' ❑ ❑ Other ,�,, , -�: , �� , �" APPLICANT ACKNOWLEDGEMENT: �� ` ' • Agrees to provide all information required or requested by the Building Department; "r? • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; �::. • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they s�� 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; ;�, `�' Acknowledges the Escrow Agreement is completed and signed; �:; • �� ' : • Understands 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 j��... m,; 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 govemmental agencies ��` required by law. If you refuse to supply the information,the application may not be issued. �";�' �*� • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the �;M Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 �:,,, escrow agreement to ensure completion of the as-built survey and all site improvements. �: / � ApplicanYs Signature: / Date: l � � � `�� (.r j N�J�i�v �� a a �� ` �. ��_____ �'�{�� P U!�/!P �Rl�.?�C�F� � ___�_._ �--- � ��.�:. �?�{4��•`:i`;°� � ��E��iti Va N �rC��c�GT�G� ----- �^.--..� -�i.'Ji.�� !..� �I��CCCi�'iti �L- ' - �i> ' �fi a�� _ � . ;t,_. �; �_- -- - - _ . . - � I � 1 (�� ; �� . � �� ; :�IT� OR E,9�J I � � �._J�I��.� • '�� 1�/"� i�'�'a f�:'V��G.VY � �.S ''Vy11/� ' ' __� .�,�� 'ti'^r�- .�Jr�,_,._ � � ,�.,�. . ._. � �t�"�'= 1.1=r � I r >:;��t�o. �i - _ � ,, ❑ t � .;ii�F 7i_J � ^. � 7 � fS ri��a ��te t < <,'� ��: � �.�� . . .i ilii��/1 r I � ❑ ��, � r� " F` � :.�`�n'J�fi� � � .�1 r�� 3 t�,� �(; � � , Yh �P ll n� �i� � �i ,:i f ° ^ �11i 1'Ji�i(S�'ifl�kl3 � fA f r;t,t�r �., i 8 1 Q"�'�iC?ut u� ';i l� nd 2�f�f1� � �'E �^ a; r;�; � .ii f'1...�!Iflfti45 f� 1� I ` r.:.z. :�-:, ��,;. .I v �' ..;�`�"f�!L"FIIL'� . --�- �.:.._..,--��-� - r-- _ _ . ' ; ' - . ,_ ,i _ �. _ . ------ � i :;.x: . � '�..1�� '�'i.�� L';: '. ti � � �"�"�-� " '�CFi�� f-��_ � �� I .��;, �. .:4`, , � �G� .!�?+�,�►.o ic.c� n�,tc�/� � , t':��:. �"��i.il�-t��.�-.�'.��3Ts _. — --- � _ � L�.� _ � i £� � 3 . �� .�, � � � � � . � 13 — � �� D TIME � CITY OF ORONO CALLED IN � j� INSPECTION TICE I n SCHEDULED �� PERMIT NO. �� —�` / OMPLETED ADDRESS �/ OWNER TE PHONE NO. �� -��/, CONTRACTOR � ��'1�'�� S >; DESCRIPTION �J� /��- �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � a �� — Ll ? �Q(\� Fa .,�-,�`� __�_ ,-r e�� ;. �. i sa 'k'-� .�� , - l ;�} j� C � 0 � Q �f --( l� � t � v � �.rf' Sfi� ��5 � � �`�e �;�' �1 �� 4 r/',^cf` W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ARECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. Lt_ White Copyllnspector's File Canary CopylSite Notice _5 D E TIME ✓ TY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED PERMIT NO. -� �—d� 7�OMPL ED ADDRESS OWNER TE HONE N �—�9—yL7� 7 CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �� r�7� W a o -�v �3 .�1 cc �s-S G d c.�e g-r �Qve � '� f3 � -� l-1 � 0 � W °� —' /Ut�T C�Q� ✓�e t�v fi- S�i'SPs t- Z --�p 5 Q.� � - u � G-� ��f� P,e,�.e-�A�--�ti�s � �n c, sQc�vre �-� ,4�^� Pv� 1 t�vc��-' W � � W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE Wv�.�ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice