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Home My WebLink About2010-00204 - addn/remodel/repair CITY OF ORONO PERMIT 1v0.: 2010-00204 2750 KELLEY PARKWAY ' � ORONO, MN 55356- DATE IssuEv: 04/26/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1030 LOMA LINDA AVE PIN : 07-117-23-14-0056 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 46,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,AND ELECTRICAL(STATE) KITCHEN&BATH REMODEL APPLICANT PERMIT FEE SCHEDULE 638.75 BENJAMIN CONSTRUCTION CO. PLAN REVIEW 415.19 6600 WOODEDGE RD MINNETRISTA, MN 55364- STATE SURCHARGE(VALUATION) 23.00 (952)250-7132 TOTAL 1,076.94 Minnesota State License#: 3287 PAID WITH CC# 1338 OWNER WOLLNER, LORI HUINKER&GARY 1030 LOMA LINDA AVE MOUND, MN 55364- 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 ooly 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 specitied 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 da s at any time after work has commenced. The appli is responsible f assuring all required inspections are request n c fo a w the State Building Code.This permit may be revo at y e r cause. �/,� �� /� �y,.,� `�a-� -� � � � Appli ant Per rte ignature Date [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1J"� City of Orono �,�, ��,a�r� � � Buiiding Permit Appfication for fnternai Work (windows, doors, siding, re-roof, etc.) �O� MaitiPO Bo�r66. Permit number: /D–L�oZd O O Crystai Bay, MN 55323-0066 Date received: '� !d a �;,`i;, a, StreetAddress: Received by: '�,�, ` Gtiti 2750 Kelley Parkway Plan review fee� 'Zyx�H�ts,� Orono, MN 55356 —� Total Fee: � d 7�, f� Main: 952-249-4600 Fax: 952-249-4616 www ci orono.mn.us J This application form must be completed in full and a{I required information must be submitted. tncomplete applications viritt be returned. (Pfease pririt) GENERAL INFORMATION: ,, Job Site Address: �.�fU a� ,4 �` � - �.^.� -�2 � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a specia/event permit is iequired with Police Department and City Council approva/60 days prior to the event. Shuttle bus service wil/ e required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Narne: State License# Expiration Date: g�., � .�,,,�i/ Phone: � " _ � c>-- � " o�ce �-- v�S�� ^ / cell Mailing Address: � �� c c /� C� : ,.7 � ZIP: .Ss' � Contact Person: , ✓ � t � Applicant is: " Contract / Homeowner (Circle One) Email an�or Fax: �,,,, •„ R q�,,,.. /�� . �o •— - ' �- �� Cs NaOe ERTY OWNER JAf�ORMATIOy: ��J // ( ^ �-�d��' .z,e� Phone(day): � - �� 8 . Address: /G G� o�� !<��- �c C�Y: �^� �;� Z1P:sSJ 6 Email and/or Fax �,''�-- �-C.J�,�//.c.�=.-. .�- aL- D -*-a PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�pertnits ❑Door(s) ,�Retnodel ❑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 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � �,� � f c%.Yru� � Estimated Construction Valuation of Project(excluding iand) S ��,GpU'�,�'� 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 comptete application being aware that upon failure to do so, the staff has no altemative but to rejed it until it is complete; • Some or all of the information that you are asked to provide on this application is Gassified 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 qnnot 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 r uired b law. If ou refuse to Su I the information,the a lication ma no#be issued. r : Date: � :� ��L� A"hCant's Signatu e Last Updated: 05-04-2009 , ,. • , - _ . � P�ar� Review. Checkiist for New Structures / Additions Address/ PID/Legal: �(�3 C� (��t�4 ��N QVq Description of work: ��v��✓��c.._ Septic review by: _ /'l� (� Date Approved: Zoning review by: �.l( � Date Approved: Building review by: Date Approved: �— G/ -�C� Grading review by: IU v-C Date Approved: Zo ing File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office chool District Zoning: Lot Area: SF/AC Width: Depth: Survey Subm ed: 0 Yes 0 No Date of Survey: Pro osed Setbac : Front(Lake) ear(Street) ( N S E W ) ( N S E ) Other Buildings Wetland Side Sid Building De�ned Height: Building Pe Height: FOR A BUILDING WITH A BASEMENT OR C WL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between th asement floor/ START the distance between the slab and the WITH crawl space floor and the h� hest roof peak WITH highest roof peak, the top of the cornice the top of the cornice of a flat of, the de of a flat roof, the deck line of a mansard line of a mansard roof, or the u ermo roof, or the uppermost point on a round or oint on a round or other arch-t r f other arch-t e roof SUBTRACT half the distance between the high SUBTRACT half the distance between the highest window and highest roof peak o pitc d window and highest roof peak of a roof itched roof SUBTRACT the distance between the b ement floor/ ADD the distance between the slab and the crawl space floor and the ighest existing highest existing grade within the grade within the found 'on or 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin h � ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e L keshore Setback Bluff 0 Yes p N 0 Yes 0 No 0 N/A p Yes O o 0 N/A � Yes 0 No Permit Number: Setback: Hardcover Zo s Existin Proposed Variance Re uir CUP Re uired 0-75' 0 Yes 0 No 0 Yes 0 No 75-2 ' Type�S�: Type�S�: 250 00' 50 -1000' REMARK ' -house): U � G 2 Updated: 07/01/2009 z:\fortns�plan review checklist.docx _ _—_- __ _ Fees to be Cha ed _ YES NO __ __ _ _ . _ -- - ___ _ . ��_,�, �x:. �.�, _ -� � � , . Plan Review `��tra��a=a �e� _ =� � Investi ation Fee ��3C�="�a1�b�ea�x��S�0.C��s �_ Sewer Connection �I�a��',", � .. _ . � Park Fee �#e�ri; e�c��c�� - . Other s eci ) ��e��an��is�e�es� �... Calculated B : � UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 Floor X = $ 2" FlOor X = $ Gara e X = $ Estimated Construction Value: $ � � , ��o "= Orono Inspections Reauired Work Re4uirinq Separate Permits Required State Permits � Site �Plumbing 0 Grading/ Filling � Well � Hardcover Removal �Mechanical � Fire Electrical � Footing � Septic 0 Water Connection 0 Foundation Survey 0 Fireplace 0 Sewer Connection �Framing � Masonry � Lawn Irrigation �nsulation 0 Mfg. � Wall Board � Other(specify) ,0�As-Built Survey �'Final � Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: � YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms�plan review checklist.docx DATE TIME CITY OF ORONO CALLED IN � �2 INSPECTION NOTICE a�� SCHEDULED 5'� '� � �DO PERMIT NO.o2D/0— DO�COMPLETED ADDRESS �� drn� G�Q !� - OWNER TELEPHONE NO��Z Z`� 7f3Z CONTRACTOR ` � rv��G� >; DESCRIPTION �r LU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � k J O � � O � W � Q � 2 W � W � � � � GW!-�]WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �L9'CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on sit�` ' ' _ Inspector. White Copyllnspector's File Canary CopylSite Notice . � l� l o �� D TE TIME � CITY OF ORONO C" c,a��Eo iN �� 9 O INSPECTION NOTICE SCHEDULED � � -1�� -� PERMIT NO. � COMPLETED ADDRESS O � ' ` � OWNER TELEPHO E NO. a ac� �� , CONTRACTOR � � DESCRIPTION l`l ,�.! ' �:i-�f��ln � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � W 0. � J O >. � O � W � Q � Z W � W � � � � /�WORK SATISFACTORY:PROCEED OJECT COMPLETE - � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 A OwnerlContractor o site: Inspector. � White Copyllnspector's File Canary CopylSite Notice