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Home My WebLink About2009-00888 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00888 � ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/18/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2605 LYDIARD CIR PIN : 20-117-23-14-0001 LEGAL DESC : APPLE HILL : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 46,415.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) TWO ADJOINING BATHROOMS-EACH BEING REMODELED. APPLICANT pERMIT FEE SCHEDULE 649.50 D.R.SCHLJLTZ&ASSOCIATES INC. PLAN REVIEW 422.18 4624 W LAKE HARRIET PARKWAY MINNEAPOLIS,MN 5541a STATE SURCHARGE(VALUATION) 23.21 (612)925-4328 TOTAL 1,094.89 Minnesota State License#: 3756 OWNER LERVIK,GARY MALTZEN&BONNIE 2605 LYDIARD CIR EXCELSIOR,MN 55331 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail 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 construction authorized is not commenced withi days of the date of issuance,or if construction is suspended for perio of 180 days at any time after work has commenced. The appli t is res nsible for assuring all required inspections aze reques in conf ance with the State Building Code.This permit may be revo d at an �me for due cause. Z / � �/ ��/�(/ /� licant Permi ee Signature Date Iss y �gnature Date SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. • z Plan Review Checklist for New Structures / Additions Address/ PI D/ Legal: ZC�QS C..�l��A�Z� C �2 C�E Description ofwork: _ Q�^I-� I�tL.�pp `g Septic review by: /1/'/I� Date Approved: Zoning review by: �N//� Date Approved: Building review by: _ �,��,� Date Approved: f O � 15 -o� Grading review by: �(/�} Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office Sc ol District Zoning. Lot Area: SF/AC Width: Depth: Survey Su itted: � Yes � No Date of Survey: Pro osed Setb ks: Front(Lake) Rear(Street) � N Side W , ( N Side W � Other Buildings Wetland Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR AWL SPACE: F A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the b ement flooN crawl START the distance between the slab and the highest space floor and the highest ro peak,the top of WITH roof peak,the top of the cornice of a flat roof, the comice of a flat roof,the dec line of a the deck line of a mansard roof,or the mansard roof,or the uppermost po t on a roun uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest wi and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement fl r/cra ADD the distance between the slab and the highest space floor and the highest existing rade within existin rade within the foundation the foundation or 10 feet,whichev r is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MC D Permit Received Avera Lakeshore Setback Bluff 0 es � No 0 N/A � Yes 0 No 0 Yes 0 No 0 Yes No � N/A P rmit Number: Setback: Hardcover Zones Existin Pro osed Variance Re uir CUP Re uired 0-75' 0 Yes ❑ No 0 Yes � No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms�plan review checklist.docx Fees to be Char ed YES NO . ;:��rm�t.-�� f w � , _, .,, ; . _ . , � , ..� , . .�.:_.;.�.; Plan Review °+`�tate�vrdhal;�e. � - ,�ii''' Investigation Fee ::�5�4�..�.�.'..,�tribe,r�`f��4�fUnits ' � :� , ,, � � ��.,; � fi .�: ' �r+' .�6 Sewer Connection s�111ate��ic�on � �:� � ,�� n�-~ Y � ' =� ` -` ;�. -2 �� .,:� Park Fee '%�f��4�.Y�i"iVl7i/��•��n �7 4�R�Llw.,��l.'l�'n'� �{t y� �'qjp�� .�'1dJ'•F$ `; 1 4 �f�.,.i;Y^�+¢'. t r r� ra. .. .M1._ .,. . . .. .. . w� .,. .. r..i,,, ..... Other(specify) ."�Its� a �otss� }��-��,��#: �.�� ,� �� ,� � � k�,}: � � „,,.r �� 'oi.�,.,.�r., �s,� _,K9�e�,A+� z,!4,:w h Tn ,r,€F'��S�r�F,��tw/k�. ��'t'�.s�,�vu'„^`j�w�+iF.�^�,�.'�f Ln�9�.�. t-.-`"t�e ^;� aey' ,'g'.}. Calculated By: S uare Foota e $ er S uare Foota e Basement X - $ 1 St Floor X = $ 2nd FIOo� X = $ Garage X - g Estimated Construction Value: ��,�/J�Q'�' Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site �lumbing 0 Grading/ Filling 0 Well � Hardcover Removal Mechanical 0 Fire lectrical � Footing � Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation 0 Radon Rock Bed � Mfg. �'Framing 0 Other(specify) ,�Insulation �s-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\formslplan review checklist.docx � . . . � . . . _ . , . � ..�i � � . i � . �. ' ... � .. .. - . � � �. � � � � � .� � . . . ... .. � � . City of Orono Building Permit Application for New Structures or Additions �O Mailing Address: Permit number: �C�— U�� PO Box 66 0 � �� Crystal Bay, MN 55323-0066 Date received: %/ �J C � ��;� '?��` s, Street Address:� Received by: r Y 4.-:::,� � ��4��'� 2750 Kelle Parkwa ._,_.- �' h�•�..�. o'`F� Y Y Plan review fee: LRkE5H�4� Orono, MN 55356 /�r �7� Total Fee: " �� j!' �Gj Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us r1' 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: ,2G O s- 1 y��' G r� �,'rc�e Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specral event permit is required with Police Department and City Council approval 60 days prior to the event. 5hutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP C T INFORMATION: ��/ Name: , Sc� / Z /7�So r. ��• State License# ) Expiration Date: Phone: 2 _ � j7i (office - Ge�S - ZG ,� cell Mailing Address: (,�J , a / �,e K Cit : S, ZIP: - � Contact Person: Z Appli nt is: Contract r / Homeowner (Circle One) Email and/or Fax: Z _ -��/ PROPERTY OWNER INFORMATI N: Name: �s. �,, n r t �eC�� k Phone (day): _ �- Address: ,�Ga r �� Q� �1 ; rc�� City. [�io,,,Q ZIP� SS'3 3/ Email andlor Fax ARCHITECT/ ENGINEER INFOR ATION: 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 & ❑ New Construction �Sin le Famil with �Nater Supply g y �'Residence ❑ Addition attached garage ❑ Gara e/Accesso Bld ❑ Accesso Buildin 9 rY 9� ❑ Public Sewer rY 9 ❑ Single Family with ❑ Deck �Relocation detached garage ❑ Office/Commercial Other: (specify) �P✓►'�B�e I ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑ Warehouse ❑ Public ❑ Storage ❑ Public Water "Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&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) $ � �. Q d Last Updated: 9/29/2009 - 17 - � �. , , , . .. � � . _ ,�, �: ... .4.� � _ .� , �:_ .��..�-��.n. . . . : `,� . 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 square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = ❑ Other(please specify): e. 2"d Story= f. '/Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A plicable ❑ ❑ Permit Ap lication ❑ ❑ Pro osed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form � ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan � ❑ Hardcover Ca�culation(s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit � ❑ Wetland Buffer Im rovement Plan ❑ ❑ 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; • 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 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; • 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 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 required by law. If you refuse to supply the information,the application may not be issued. ApplicanYs Signature: Date: i�-/��0 9 Last Updated: 9/29/2009 - 18 - � JOB #: PROJECT: ARCHITECTS•ENGINEERS DATE: BY: SHEET NO: CONSTRUCTION MANAGERS TITLE: �P�v,��"� �G o S' � p��'c ro� ,'r ��d�� ;��. _, �� `Y�' �� . ,� ��. - .,:: a ,; ;� 3UILU4h! `��a; , � . �- 1N�.rf.:TOR_.__� �------ _ __ s,,,��-c {2 •t S•� _ . i �1:.,.-----_ ___ _ �� ;�?F� __ _� � .. , .� , .,;, ��=�� , . .. .. , . _. .��:- �,_ _ :J�! �. . . .�. . _i ' .. . .. ., .. , . . . - t. � ,� .. �� . . . '�f�.��"1 . . .. . �. . . ' . . }�.. ,.; i 9 . 4': �:` �.'.J'., i . �V�:r ,' .' ., . 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ANTHONY MAIN, 219 SE MAIN STREET, SUITE 400, MINNEAPOLIS, MN 55414 `� TEL (612) 331-8704 FAX (612) 379-3364 � I� �..� _� � TE TIME V CITY OF ORONO _ CALLED IN =� �� INSPECTION N TICE�y Q' SCHEDULED � �-; PERMIT NO. ��'�7��0�COMPLETED ADDRESS � I��'� C-��I�l ��`�C� (y/�_ - OWNER TELEPHONE N0. Cc'�� 10�� CONTRACTOR �j�� ) L� I �� : DESCRIPTION ��- �--�� —� �`�- �/ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV GRADING/FILLI G� 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 ❑ COMPIAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATiON/REMOVAL � OWNERICONTRACTOR TO MEET YOU: ' YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. r �'� �� ✓��ti� White Copy/lnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO O$$g CALLED IN INSPECTION NOTICE D SCHEDULED PERMIT NO. ��-� COMPLETED � ��K� �� ADDRESS �� L'�J/.�1�� C�2�c�cs OWNER CONTR. TELEPHONE NO. � � DESCRIPTION � ❑ 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 ��INAL ❑ SEWER HOOK-UP ❑ PROGRESS j�� 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 MEET YOU:_YES_NO c�., COMMENTS: � W a o � f�-►�-�..� F'�-eo..-./ ► �i�-LL - �. � 0 � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContracto e• Inspector. White Copyltnspector's File Canary CopylSite Notice � �a �� .,----� E� TI M E CITY OF ORONO �LLED IN `.� � INSPECTION N TICE G�CHEDULED � (� /C: cv PERMIT NO. v -� � 6 a COMPLETED � ADDRESS C� � G t w � OWNER TELEPHONE NO�d- ��a� CONTRACTOR �� - � � y2 � �; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � 'I�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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o - - �islo�b L�Q �Q-� C_ �-O�� e. C�..,t r�'2c� � _�.1 Pf� ��c 2�f�-�� 0 � � �.c� . 1� e-�-e c-�-o �� .�ti^�-c� Q z �� o � c�� 3 _�c,r�� W ' � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O � ORR�K,CAIL FOR REINSPECTION TEMPORARY V B �� PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. t � White Copyllnspector's File Canary CopylSite Notice