HomeMy WebLinkAbout2012-00783 - addn/remodel/repair , CITY OF ORONO * 2 PJ 1 2 — 0 0 7 8 3 *
2750 KELLEY PARKWAY DATE ISSUED: 08/15/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2850 LITTLE ORCHARD WAY
PIN : 09-117-23-21-0007
LEGAL DESC : LITTLE ORCHARD
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
C�i�ty of Orono
ACTIVITY : 434-RESIDENT[AL 2750 Kelley Parkway
VALUAT[ON : $ 15,000.00 �n° MN 5535f' '352 `49-46��3
NO"I�E: SEPERATE PERMITS REQUIRED: PLUMBING,MGCHANICAL,E f�Ceipt No: 3.007439 Aug 15, �U12
BA"1'HROOM REMODEL 1ay Swenson
ADV.PLAN REVIEW COLLECTED 2012-00782$172.58 Previou5 Balance: .OG
RerOits
2012-�783 P850 Little 265.50
Orchard Way
101-3251p
building Per�ait�
Per�its
PU12-00783 P850 Little 7.5U
Orchard Way
iGi-208(t2
Due to govts-5tate
Total: � �73.04
Check �~�--�--
Check No: 4344 �73.OG
Payor:
Jay SNenson
Tatal Applied: c?s'.QG
APPLICANT PERMIT FEE SCHEDULE 265.50
SWENSON,JAY STATE SURCHARGE(VALUATION) 7.50
2850 LITTLE ORCHARD WAY
WAYZATA, MN 55391- TOTAL 273.00
OW1vER
SWENSON,JAY
2850 LITTLE ORCHARD WAY
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The�vork 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.'Chis permit will
expire and become null and void if eonstruction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
re u ed in conformance with the S[ate Quilding Code.This permit may be
evoked at time for duc cause.
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Applicant rmrte Signature Date Issued By Sign turc Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�s ' �' � , >.� sE�: -
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� � C i ty of O ro n o .���.1,� �,��
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� Building Permit Application for Maintenance / Renovati
� � 3�o
� (windows, doors siding, re-roof, etc.) ,�a Z �
�;; �
� ; �_� Mailing Address: Permit number: 6� - Q(� g *
�0,� PO Box 66
�< 0 � Q Crystal Bay, MN 55323-0066 Date received: �'� � � �
�� �
I� ��'{� :: �., Street Address: Received by: r�J_ _
�.:' � ' �, �� 2750 Kelley Parkway Plan review fee: D I o� - DD 7�L
� t9kEs�4'� Orono, MN 55356 � �
�°` — Total Fee: �?2'S8 :+
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ;�
,:g This application form must be completed in full and all required information must be submitted. �
��:
Incomplete applications will be returned. (P/ease print) �
�,, GENERAL INFORMATION: -�
�; Job Site Address: � S� G . � Q� ' - ��(Jc' �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Ho e? ❑ Yes No �
�`�' If es, a s ecial event ermit is re uired with Police De artment and Cit Counci!a `�
�- Y P P q p y pproval 60 days prior to the event. Shuttle bus service will be �
� required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
�; C O N T R A C T OR/APPL CANT INFORMATION: h�
� Name: ��1+.� Si,cJ P� S"i7 ��-
�' State License# Expiration Date: �
�w
: Lead Certification Number: Expiration Date:
� (for work on homes that were construcfed prior to 9978
Phone: Gf S Z � �3 __ �Z -7 / (office) (cell)
�� Mailing Address: Z C j,� C�(�c-/La fivc City: � , : ����
�' Contact Person: c� y, A lic nt is: Contractor / omeowner
�` ' (N Z, pP ; (Circle One) '
�: Email and/or Fax: �J c1�,, , S'w e t�► Sp y. � � M� i � � �,M �``—f �
� �
PROPERTY OWNER INFORMATION: �
Name: �Ct �liv�. S' �Z {.
Phone (day): �,� - �L 3 � � 2--7
�a.
Address: -z �� L,,�.�,� �-,�„�.J (�,�� City: (iV��, � ZIP: �� �j�
aa: Email and/or Fax ,ti� S� -� �� , �a,,,�
PROJECT INFORMATION: �
�
Type of Project: Any earth movement may require ;�
MCWD review& ermits: ��
❑ Door(s) �Remodel ❑ Fire Damage p
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 `�
�� Phone: 952-471-0590 �
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
� ',.
` ❑Window(s) www.minnehahacreek.orq �
Y %' i�
�`: Overall Project Description: '�� - �� c �� � �
� Estimated Construction Valuation of Project (excluding land) $ ��S"`� U p� �
�
t 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 �
�`:v data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
j ' purpose and intended use of this information is to annually update our records and records of other govemmental agencies �
re uired b law. If ou refuse to su I the information,the a lication ma not be issued. �
��;';
�= ApplicanYs Signature: Date: d �� � �' Z ���Z
�
�.�� Last Updated: 08-09-2011
�
�,
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� Plan Review Checkiist for New Structures / Additions
Address/PID/ Legal: � g �b L • �� f� � T��f� /�
Description of work: �� S'}"� � � '� ��/I�tv �1,Q �
Septic review by: L-`� Date Approved: � � � �" � �
Zoning<review by: /� a Date Approved:
Buildin review b : 1�� Date A �� '��'
9 Y Ppraved• �S '
�rading reviewby: /V� Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire`De artment Post O�ce School District
Zoning: t Area: SF/AC Width: Depth:
Survey Subrnitted: D Yes 0�lo Date of Survey:
Pro osed`Setbacks: : '
front(Lake) Rear( eet) ( N S E 'W ) ( N S ' W ) Other Buildings Wetland �'�
Side Si : :
Building Defined Height: Building Reak Hei t: #of Stories Ok?: 0 YES
FOR A BUILDING WITH ABASEMENTOR CRAWL SPAC . FOR A BUILDING ON A SLAB FOUNDATIOH:
START WiTH the distance between the baserhent floo rawl START the distance between the slab and the highest
space floor and-She highest roof peak,the t o WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the de�k line of a the deck line of a mansard roof,or the
mansard roof,or the uppermost point on a r un uppermost point on a round or other arch-type
or other arch= e roof roof
SUBTRACT fialf the distance between the highest w' dow and SUBTRACT haff the distance between the highest vVindow
hi hest roof eak of a itched roof and hi hest roof eak of a itchetl roof
SUBTRACT the distance between the baser�en ood crawl A the.distance between the slab and the highest
space floor and the highest existi grade within existin rade within the foundation`
the foundation or 10 feet,whic ver is less. EQUAL Defined buildin hei"ht
EQUALS Defined buildin hei ht
Lot Coverage: 5� %
Shoreland'District WD Permit i�eceived Av�era e-Lakeshore S ack Bluff-
Yes � No � N/A � Yes � No
� Yes � No � Yes � No D N/A
Permit Number: etback:
Hardcover Z�nes Existin Pro osed Variance Re uired CU e uired
0-75' 0 Yes � No 0 Yes � No
75-250' TYPe(S): Type�s):
250-5 '
500-1000'
REMARKS (in-house):
Updated: 09/17/2009
. z:\forms�plan review checklist.docx
Fees to be Char ed 'YES NO
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- ���.'d. .. .�;� . Ll§ a r. :���.s,w. �.._'C,m�.;�t =.�J._Y.
Plan Review '
__� ; . _ . ..,,,�.,�,� ,��� ; � ,. _ �'ry µ�
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Investigation Fee
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Sewer Connection
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Park Fee
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Other(specify)
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Calculated By;
S uare Foota e $ er S uare Foota e
Basement X = �
1�Floor X = $
2nd Floo� X = $
Garage X = �
Estimated Construction Value: $ /J����•�
�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site tQ'P mbing � Grading/Fiiling G
t
� Hardcover Removai Mechanical � Fire Electrical
0 Footing � Septic � Water Connection
� Poured Wall � Fireplace � Sewer Connection
� Foundation Survey 0 Masonry � Lawn Irrigation
D„Radon Rock Bed � Mfg.
�i� raming � Other(specify)
nsuiation
D �is-Built Survey
�Final
� Other(specify)
REMARKS(in-house);
Other Review: Reviewed by: Date Approved:
Accsss:Existing: � YES 0 NO New: 0 YES 0 NO
REMAI�KS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:�forms\plan review checklist.doac
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� SVI�ENSON RESIDENGE � �,aTE: os�osi�2
MASTER BATH REMODEL ADDRESS: 2850 LITTLE ORCHARD WAY WAYZATA MN 56391
TURNINO LEAF DESIGN C0. 63 464-0994
1200 KINGSVIEW LANE NORTH, PLYMOUTH,MN 55447 PAGE: 10F 2
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SCALE, Y." = 1'-0" � CODE REQUi�E�r;`��,;TS
• SWENSON RESIDENCE DATE: 08/06/12
�' ' ADDRESS: 2860 LITTLE ORCHARD WAY,WAYZATA MN 56391
TURMNG LEAF DE�GN C0. 63
1200 KINGSVIEW LANE NORTH,PLYMOUTH,MN 55447 PAGE:
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SECTION PLAN
SCALE, '/." = 1'-0°