HomeMy WebLinkAbout2009-00526 - attached garage CITY OF ORONO PERMIT NO.: 20o9-oos26
, ' 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 08/3U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1295 LOMA LINDA AVE
PIN : 07-117-23-41-0008
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GARAGE-ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 12,000.00
NOTE: ADDITION OF ROOM ABOVE GARAGE-ADDENDUM TO PERMIT#2009-00266
APPLICANT pERMIT FEE SCHEDULE 221.25
RUEGEMER,DANIEL&JULIE STATE SURCHARGE(VALUATION) 6.00
1295 LOMA LINDA AVE TOTAL 227.25
MOUND,MN 55364
PAID WITH CC# 3560
OWNER
RUEGEMER,DANIEL&JULIE
1295 LOMA LINDA AVE
MOLJND,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 only the work described and does
not grant permission for additional or related work which requires sepazate
pertnits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified 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 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
rev d at any ti e for due cause.
/ / � � / /
App ant Pe 'ee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono � �
Building Permit Application
for New Structures or Additions
Mailing Address: �I QOr
Permit number: - G�(� �'
�g,�,�.� PO Box 66 � C.,��, v �
�Q �, � , Crystal Bay, MN 55323-0066 ' Date received: d� � _�
� �°� 1 � Received by:
i,� �'. �:� �, Street Address:�
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�'.�n '�%� �ti 2750 Kelley Parkway ; Plan review fee:
t`�kEsxo4'� Orono, MN 55356 �
Total Fee: ��a`7� �
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: / �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a specral event permit rs required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATIO :
Name: ,j�a�, �-J�/ie �u�iC,�'�'l e.i^
State License # Expiration Date:
Phone: (office) (cell)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER NFORMATION:
Name: f'� �YJu�i�.e 1PG��/�I er'
Phone (day): 5 D
Address: Cit : C� ZIP: ��'
Email and/or Fax '�,�. � o
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZI P:
Email and/or Fax:
PROJECT INFORMATION:
1. Type of Project I, 2. Proposed Use 3. Structure Type ; 4. Sewage Disposal 8�
' Water Supply �
❑ New Construction �Single Family with ❑ Residence
�Addition attached garage �Garage/Accessory Bfdg. �Public Sewer
� ❑ Accessory Building ❑ Single Family with Deck
❑ Relocation detached garage ❑ Office/Commercial I� ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse !
I ❑ Public ; ❑ Storage I ❑ Public Water �
I "`Any earth movement may require ❑ Commercial ❑ Other(specify) '
MCWD review 8� permits. ❑ Industrial �Private Well I
Minnehaha Creek Watershed District(MCWD) , ❑ Other. (speCify) �
18202 Minnetonka Blvd ' �
Deephaven, MN 55391 I� i
Phone: 952-471-0590 i
Fax: 952-471-0682 i
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � � ,f��
Last Updated: 6/22/2009
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STRUCTURE IN RMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
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a. Length (ft.)= 7i?i Number of b drooms= � Wood/Frame
� asonry
b.Width (ft.)= ��D Number of arase stalls: Metal
Attached _� ❑ Pole Bldg.
Areas in square fTeet Detached - ❑ ICF
❑ On-site Prefab
c. Basement= • ❑ Off-site Prefab
d. 15t Story = ❑ Other(piease specify):
e. 2"d Story= S�Z
f. '/Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be ubmitted in order for your application to be processed:
>N.ot
,`Enclosed A licable
❑ Permit A lication
� Pro osed Buildin Plans
❑ ❑ MN State Ener Code C culations and Mechanical Code R uirements Form
❑ Surve meetin all re uir ments
� ❑ Stormwater Pollution Pre ntion Plan
❑ Hardcover Calculation s
❑ ❑ e tic S stem Site Eval tion Re ort
� ❑ ess Permit
� � d Buffer Im rove ent Plan
❑ ❑ En ineere lans for R tainin Walls 4 feet o bove
� ❑ ❑ Plan Review �
� ❑ Other
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Buil ' Department;
• 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
are solefy 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;
• Acknowledges the Escrow Agreement is completed and signed;
• 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 pubfic 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 required by law.
If you refuse to supply the information,the application may not be issued.
ApplicanYs Signature: Date:
Last Updated: 6/22/2009
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CITY OF ONO CALLED IN � . �
INSPECTION TI CHEDULED G'!
PERMIT N0. ' �5� MPLETED
ADDRESS f
OWNE R.
TELEPHONENO. '1�5 �r �`-7/�j��
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� DESCRIPTION
L� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q�'FRAMINCa ❑ 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
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICO TRACTOR TO MEET YO�ES_NO
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���ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�IERING PERMANENT
❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on sit :
Inspectoc d 1� S
White Copyllnspecto�'s File Canary CopylSite Notfce
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CITY OF ORONO CALLED IN L D '�J
INSPECTION NOTICE SCHEDULED /a 3%�
PERMIT NO.oJ�9^�o��COMPLETED �
ADDRESS � Jr C��
OWNE CONTR.
TELEPHONE NO. ���� �7� �_
� DESCRIPTION i���K �Q
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV RA ING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVEfLANDS
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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR 1MLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. i b
White Copyllnspector's File Canary CopylSite Notice
d"�� AT TI M E �
CITY OF ORONO CALLED IN �� a�
INSPECTION I /��/'�C��jS�CHEDULED �
PERMIT NO. �b�` �/(/�/GJ�IL�OMPLETED
ADDRESS L.��GL
OWNER CONTR.
TELEPHONE NO. �^Z ��Z ���'�P
� DESCRIPTION �G�C� � CDL��QS��
� ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. ��,o� � r �
White Copyllnspector's File Canary CopylSite Notice