HomeMy WebLinkAbout2009-00893 - doors CITY OF ORONO PERMIT NO.: 2009-00893
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �ssuEn: 12/2U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1220 LYMAN AVE
PIN : 35-118-23-34-0016
LEGAL DESC : LYMAN WOODS
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTNITY : O/S BUILDING -UNDEFINED
VALUATION : $ 9,900.00
NOTE: SEPERATE PERMI'I'S REQUIRED:ELECTRICAL(STATE)
RGMOVE PATIO DOOR&WINDOW,INSTALL NEW DOOR&W[NDOW INTO LARGER OPENINGS(NEW HEADERS).
APPLICANT PERMIT FEE SCHEDULE 191.75
PLEKKENPOL BUILDERS STATE SURCHARGE(VALUATION) 4.95
401 E 78TH ST
BLOOM[NGTON, MN 55420- PLAN REVIEW 124.64
(952)888-2225 TOTAL 321.34
Minnesota State License#: 1797 PAID WITH CC# 3439
OWNER
BENSON, SEAN&ALISA
1220 LYMAN AVE
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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.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 applica.��s responsible fef"�suring all required inspections are
requested n cohformalrce,w'itt�4fie State Building Code.This permit may be
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revoked an�tim�or�turcause. ,� �j,�j /� - �-/ ����'
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App��eant Fermite�S��gnature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono h:
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Building Permit Application for Internal Work , Z� � Y
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�_"; (windows, doors, siding, re-roof, etc.) f-:
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�� � Mailing Address: Permit number. 0�0��1^� ���
�= PO Box 66 �
�; /0 Q 1 Crystal Bay, MN 55323-0066 Date received: /Z-/ —O �'
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k'� �a � �����,�, �,;i Street Address: Received by: _ �
"�" ��'�n � ��"� GtiF� 2750 Kelley Parkway �"`' ' Plan review fee: ���� � �'�''� �
r�kESH�4'/ Orono, MN 55356 ,��
-� Total Fee: 4,
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us r�'
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This application form must be completed in full and all required information must be submitted.
�,y; Incomplete applications will be returned. ( lease print) �''
GENERAL INFORMATION: � �
��"' Job Site Address: �� L—;J � / �
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��. Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? ❑ Yes No �
��`, /f yes, a special event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuftle bus service ilf �
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
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� CONTRACTOR/APPL,I,CANT INFORMATION: / " ��
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�o��� Name: I���= f"f"-,��_,�/ l=-'�, ,�l-'� ,��� �..
s = State License# /��� � Expiration Date:
Phone: ,� - - �1.�:� � office � �� ��2r - '3(�; � (cell) �
�` Mailing Address: y;� � �, 7��'" _; . City:j� ' � ZIP� ��� � �
` Contact Person: " (,_!/ /,.�Z, - 3,��z-�s(�`.�� Applicant is: �Con�a r % Homeowner �c�one�
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�,�. Email and/or Fax: y�.;,z y,'�,� .-,��.,�- �-� �'
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�- PROPERTY OWNER INFORMATIO : S ` �
:: Name: <��.,� �.;- �l.j s r;�"1 ��
�� Phone (day): ��5,,� -� ��� _ �-s� � , �
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�' Address: /?�v L �o �- Cit � � v;, :> Z�P: - ���� �
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�"; Email and/or Fax �
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PROJECT INFORMATION:
�
Type of Project: Any earth movement may require �
MCWD review&permits �
y�Door�j ❑ Remodel ❑Water Damage �
�' ' Minnehaha Creek Watershed District(MCWD) `
g• �J Window(�) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �
� ,�- . Deephaven, MN 55391 �
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 "
❑ Re-roof Fax: 952-471-0682 ,
❑ Fire Damage www.minnehahacreek.orq "'
Overall Project Description: i�i,:,, ��' ' , ,I ;� , � ' ,�,_, ,,'_ ;�, �N`' , , i
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Estimated Construction Valuation of Project(excluding land) $ r ��-' � } _ ,, � �
��F APPLICANT ACKNOWLEDGEMENT: �
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� ' • Agrees to provide all information required or requested by the Building Department; �;
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�"� • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they �x
'n are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative �
r�' but to reject it until it is complete; �
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�; • 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 govemmental agencies
�'= re uired b law. If ou refuse to su I the information, the a lication ma not be issued. q�
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ApplicanYs Signature: L `"��! Date: � .� �'� '�
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Las±Upqsted: 05-04-2009 (/ �=
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� Plan Review Checklist for New Structures / Additions
Address/PID/Legal: � Z'7—� �V wv��v tq v �
Description of work: ��o� � �V ��..�� �.�,��� �
Septic review by: N//� Date Approved:
Zoning review by: N�/� Date Approved:
Building review by: � Date Approved: � 2-i 5 -og
Grading review by: N�/� Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office S ool District
Zoning. Lot Area: SF/AC Width: Depth:
Survey S mitted: 0 Yes 0 No Date of Survey:
Pro osed Se acks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wettand
Side Side
Building Defined Height: Building Peak Height� #of Stories Ok?: 0 YES
FOR A BUILDING WITH A BASEME T OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: •
START WITH the distance betwe n the basement floor/crawl START the distance between the slab and the highest
space floor and the ' hest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat ro the deck line of a the deck line of a mansard roof,or the
mansard roof, or the up rmost point on a ro nd uppermost point on a round or other arch-type
or other arch- e roof roof
SUBTRACT half the distance between th highest w' dow and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched of and hi hest roof eak of a itched roof
SUBTRACT the distance between the basem n ooN crawl ADD 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 less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District CWD Permit Receive Avera e Lakeshore Setback Bluff
Yes 0 No 0 N/ � Yes � No
� Yes 0 No � Yes � No � N/A
Permit Number: Setback:
Hardcover Zone Existin Pro osed ariance Re uired CUP Re uired
0-75' Yes ❑ No 0 Yes � No
75-25 Type(s): Type(s):
25 500'
50 -1000'
REMARKS (in-house):
Updated: 09/11/2009
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Fees to be Char ed YES NO ,
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Plan Review �
`State�urcfiatge x . .,�
Investigation Fee
�:;5�1����rrbe�����►C�nits� "� � �� ' ���
P^F t� h.� C.."�F 1 ���.� f.. _
.... e . .� ... ... . ..: . .... .� . e..f �. ..i . ..... � a• ..�i. r.� ':
Sewer Connection
d�l�������.ri��� 9 � _ ''+6 �'� 'I � � ;,f' a � v rt.1 i�_ ��t
rR�. !r*i'.- % y 4t+1� +Y�`
Park Fee
`r�1��iIS,'p�.E.�'Ct�IDII�^,�"t��� ,,. y iAxf�,� , .,� �.�"��r `"�;r�, .;��'` � � ��4 �;�,�
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Other(specify)
���••,•�_. e ��y�,SHn�.p..sw4l+rs,�"��;rp�.�,tk 'S hS,,,�q� a$+c 1 yi y� x'.: �f�Y,a`% a �. � �Y ...
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Calculated By:
S uare Foota e $ er S uare Foota e
Basement X = $
1� Floor X = �
2nd FlOot' X = $
Garage X = $
vc:
Estimated Construction Value: $ !, °� �v
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing � Grading/Filling � Well
� Hardcover Removal � Mechanical 0 Fire �Electrical
� Footing 0 Septic 0 Water Connection
0 Poured Wall � Fireplace � Sewer Connection
� Foundation Survey 0 Masonry 0 Lawn Irrigation
� Radon Rock Bed � Mfg.
,�' Framing � Other(specify)
�Insulation
0 As-Built Survey
�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES � NO New: � YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
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PROJECT TYPE: �N I �(17C�V�1 — N�\jG_ G At�S DRAWN: REVISED:
CUENT NAME: �3�N � �.U "-� -°�
�4�� �►� CHECKED:
Dw►TE: Jt�B �:
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CITY OF ORONO CALLED W 1 Z) Z I I ��
INSPECTION NOTICE SCHEDULED �Z ZZ ���,
PERMIT NO�-L(�- C��R`a 3 COMPLETED
ADDRESS I ��L � �I VYk�I'1 1� v�.
OWNER CONTR. �e�Q C'I��L� bj� �IE� ��IS
TELEPHONE NO. P I ,�- � ��� � 1��0 j
� DESCRIPTION ���«�u� ����'���=' ���r-
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL �J�r
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � �
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ 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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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlIL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on sit
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� �� i� D T . TIME
CITY OF ORONO CALLED IN 2� �C�7
INSPECTION NOTIC SCHEDULED o�- C�( U C�
PERMIT NO.�C�"����-���1 � coMP�ETEo
ADDRESS I ��C� 1 l � }'Z'l�{�'1 ���1'�_�
OWNER CONTR. � I f�<''�_��_!�1��1��
TELEPHONE NO. l�° l-� ��r� 'f I3���
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� DESCRIPTION I l� c3- ( `- C-�-� �C� (i'1 ��/�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADIN ILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTiC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL �� ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOUj�_YES_NO
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� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedConUactor on site: '
Inspector. ��b �
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