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Home My WebLink About2010-00183 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00183 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUEn: 04/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 LYMAN AVE PIN : 35-118-23-34-0014 LEGAL DESC : LYMAN WOODS : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPA[R PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 49,000.00 NOTE: SEPERATE PERM17'S REQU[RED: PLUMBING,MECHANICAL,FIREPLACE RF,MODEL STORAGE ROOM INTO A SPA ROOM APPLICANT PERMIT FEE SCHEDULE 671.00 MSEI BUILDING COMPANY PLAN REVIEW 436.15 1140 HIGHWAY 55-SUITE A PLYMOUTH, MN 55441 STATE SURCHARGE(VALUAT[ON) 24.50 O TOTAL 1,131.65 Minnesota State License#: 20198056 OWNER HANSON, HARLAN& MARCIA 1280 LYMAN AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work 1or 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 wi[h whether or no[specified herein.7'his pennit 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 assurin all required inspections are requested i ance wit Cate uilding Code.This permit may be re e at any ti i cause. l l/Q i�� G�/f'l2�.n ( .,�v l Lf / 7 / /u ican Permitee Signature Date Tssue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �Q/d—�/8'� �,�� PO Box 66 Permit number: ' Crystal Bay, MN 55323-0066 Date received: O/ /D � F�, �� r �� Received by: a � ��, �,�� StreetAddress: �'�c,t �' ��ti 2750 Kelley Parkway Plan review fee: - - `�kEsxo� Orono, MN 55356 � �__- Total Fee: / �� `_, `, 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: l Z � L�, fv� �-z�-P Will this be a Parade of Homes, Remo elers Showcase Home or other Display Home? ❑ Yes B.No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATIO : Name: S� ,� � ; , State License# 2p Expiration Date: � i t� Phone: �, �.o -Z office cell Mailing Address: //�{ . Cit : l a� ZIP: s Contact Person: Q Applicant is: Contr ctor / Homeowner (Circle One) Email and/or Fax: rvt� [�.�„��a_� � ►'1� S ; b�; (� ,y�,�, , c c� M PROPERTY OWNER INFORMATION: /� , I Name: .{-��—�a.,.� ct,�.�tS� M ar-�: � [`Y�� 6-,-� Phone (day): 'Z , Z Z Address: 2 �. Ci : ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits [k�Door(s) �J Remodel ❑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:.�,p�,�,�o �--c ra�� ` Estimated Construction Valuation of Project(excl ding land) $ y9�p � 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 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 re uired b law. If ou refuse to su I th � formation, the a lication ma not be issued. ApplicanYs Signature: Date: 3�r`7 i a �Q�;� � �� Q� Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions A�dress�PI D/ Legal: __ � 2.�l� �y ry��qN p�v.P Description of work: (�:,"1,�.0�p�. �-�.� o �o,,,� ��..., S�A ,(�„� Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: c n�„c,,.— Date Approved: 1^I - S - I O Grading review by: Date Approved: oning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post O�ce Sc ol District Zoning: Lot Area: SF/AC Width: Depth: Survey Submi d: 0 Yes 0 No Date of Survey: Pro osed Setbac : Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR AWL SPACE: F R A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the sement flooN crawl START the distance between the slab and the highest space floor and the highest r f peak,the top of WITH roof peak,the top of the cornice of a flat roof, the comice of a flat roof,the de k line of a the deck line of a mansard roof,or the mansard roof,or the uppermost int on a rou uppermost point on a round or other arch-type or other arch- e roof roof SUBTRACT half the distance between the highest in w 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 or/ wl ADD the distance between the slab and the highest space floor and the highest existin rade wi in existin rade within the foundation the foundation or 10 feet,whiche r is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District M D Permit Received A a e Lakeshore Setback Bluff es � No � N/A � Yes 0 No � Yes � No 0 Yes � No 0 N/A ermit Number: Setback: Hardcover Zones Existin Pro osed Variance Re ired CUP Re uired 0-75' 0 Yes 0 0 0 Yes 0 No 75-250' Type(s): Type(s): 250-5 ' 50 -1000' REM KS (in-house): /� / N6� Updated: 09/11/2009 z:\forms�plan review checklist.doqc Fees to be Char ed YES NO .��i�91i�l�;axL t ' `� �..� Y. Plan Review ,, � ;'��ate"�urc�ha��9e ° '; �' .� . ., - , .. ,. � .,,. __ . . :.., . Investigation Fee '`��'��'k,,.��,�[17�E�8D�'��v,'�A1�S Y; "�" + r,��; �-�:' � ,t;;'a� i�t `,�'b Sewer Connection „��e�s��ri�� W:� -�. tt k?� ,� 1 x� y ��:.-.y! J �-1 �, ';4 �e e..i., +� L+'� x,}: 4 1 i�Y Park Fee ��1�@31�S,�a,P.�"it�1011�"'''r��'fa�'} z 'ry �rc1R� � ��,�!* ��"��i, .1��, ��:�1aJy� ;8 �r,� r�.:;��: ,_�;. Other(specify) ,'�,,nl��SO'llS��e;S,x�„""Y�`�''xfr�' ��s ,s �.y�frr i h x"..,st°�f e U..r 3 w �r,•,�;, yr��: � ,yh �t ,. :.,:....., .. n_�t�pea�w»x't �5,�, ' x,�. F�t+"�...u'y n�'7� ��,+'N'�.K.'1 ��.�.'�i..�!',�.A��,g �.�.nS �. �:"e Caiculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1� Floor X = $ 2"d FlOor X = $ Garage X = $ Estimated Construction Value: $ ��1� D�p °� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site �Plumbing � Grading/Filling � Well � Hardcover Removal �( Mechanical � Fire 0 Electrical � Footing � Septic 0 Water Connection � Poured Wall .� Fireplace � Sewer Connection � Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. �Framing � Other(specify) �nsulation � As-Built Survey �Final � Other(specify) REMARKS (in-house): �� Other Review: Reviewed by: Date Approved: Access:Existing: � YES �� New: � YES j�NO /' REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx �� `� v' TIME � CITY OF ORONO CALLED IN /�� INSPECTION NOTICE SCHEDULED � � PERMIT NO.oZ�/O Q�� conn LETED ADDRESS � � a�� '«�-� OWNER TE PHONE NO. ' Z�"�7 � CONTRACTOR � � �_ >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z�IQSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 � �� 1 Qi� Q -�-/�}�-�O�I,S 0 o �'�-�� .�� S 7 � -� l-�a�s � Q � r �c. � ��Q c A � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner►Contractor on ite: � Inspector. White Copyllnspector's File Canary Copy/Site Notice �^ <� E TIME � CITY F ORONO CALLED IN �� /� INSPECTION NOTICE SCHEDULED � /� PERMIT NO.o��l� COMPLETED ADDRESS � OWNER T EPHO O��07D"�p70�S CONTRACTOR �� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y�AMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO v�, COMMENTS: � W a � J O a � O � W � Q � Z W � W � � W�SV/110RKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ` W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REiNSPECTiON TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETl1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on s' e: Inspector. � � White Copyllnspector's File Canary CopylSite Notice �� `.r/�� ' ATE D TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO.r��d-DD�p3 COMPLETED ADDRESS OWNER EP NE NO. ��—��+�7� CONTRACTOR ��"` •S. v l� � �j� �,e� �: DESCRIPTION �%��G« � ll� ❑ FOOTING ❑ PLUMBIN AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANOS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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: � �' - �� . � ��-�C �►�-� �� cl a o � � - i �-�ec` ��F-o�'� T '' � ' � � �O n�r� c ffr� � � 0 � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE � ❑CORRECT WORK&PROCEED '-' I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: � Inspector. White Copy/lnspector's File Canary CopylSite Notice