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Home My WebLink About2012-00014 - basement workout room CITY OF ORONO PERMIT NO.: 2012�00014 ^ ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OU06/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2660 MAPLERIDGE LA PIN : 21-117-23-24-0051 LEGAL DESC : SHORE HILLS : LOT 020 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,000.00 NOTE: SEPERATE PERMITS REQUIRED: A�H#�, ,ELECTRICAL(STATE) BASEMENT WORKOUT ROOM. APPLICANT pERMIT FEE SCHEDULE 73.75 YEAGER,KARL&JULIE PLAN REVIEW 47.94 2660 MAPLERIDGE LA EXCELSIOR,MN 55331- STATE SURCHARGE(VALUATION) 1.00 MISC FEE 0.00 TOTAL 122.69 OWNER YEAGER,KARL&JULIE 2660 MAPLERIDGE LA EXCELSIOR,MN 55331- 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 dces not grant permission for additional or related work which requires separate 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 within I80 days of the date of issuance,or if consuuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �Gzt,C � / � � Applicant Permitee Signature Date Issued By ignature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. �,� TM� ��,�,��x �^_ '�� ;� � `'* � ,. �'�� „�"� � , � w � � �; � ��.'�� r ��. ��r d �,. , �, _ �i� a� �i`4 il�O � '� Q � � � � �, E� � ' Building Permit A►ppiica�io� for IVeainte�a�ce / Reno�a�ion � 4 �� '�� (windows, doors, si�iing, re-roof, efc.) Mailin Address: �� _�: ��v 0,� PO Box 66 Permit number: vZ0 /'j —CJO d� � Crystal Bay, MN 55323-0066 Date received: � �J /�� O � o � ��a �'a y�;, s, Street Address: Received by: � �Y ;1 y. �'�n �,�'a„ �� 2750 Kelley Parkway Plan review fee: � L�s �"r�w Orono, MN 55356 �'� kEsxo4` „ Total Fee: ��o� , (P 9 � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us a� ;,` This application form must be completed in full and all required information must be submitted. ,� Incompiete applications will be returned. (Please print) � ` GENERAL INFORMATION: I � ' Job Site Address: �� r� ,, l�.v� ��l�V�- � `� Will this be a Parade of Homes, Remod�le s Show se Home or other Disp�ay Home? ❑ Yes ��No ' �"' !f yes,a special event permit is required with Poiice Department and City Counci/approval 60 days prior to the event. Shuttle bus service wilf be � required unless appficanf demonstrates sufficient on-site parking is availab/e. Non-permifted events will nof be allowed. ;$ �� CONTRACTOR/APPLICANT INFORMATIO�l: � Name: State License# Expiration Date: � Lead Certification Number: Expiration Date: � ' (for work on homes fhat were consfructed prior tSy 978 �;� � Phone: (office) (cell �° ) �,� Maifing Address: City: ZIP: �� .,� `' Contact Person: / � Applicant is: Contractor / Homeowner (Cirde One) �� Email and/or Fax: � `�� / �� PROPERTY OWNER NFORMAT\ N: ��; Name: �� , �rl-- �:'� `� Phone (day): r�-Z-3 � P` " Address: ^ �� . �21� �D �� 2.2--Crt �.o. City: ��(,rl�� ZIP: .5�.�.� f �' ; '' Email and/or Fax �_-� �� Co�„` `�' i��c � aw.lj�nsv� . Y '4<'s"�' �: �� " ` PROJECT INFORMATION: :� Type of Project: Any earth movement may require _�fi; ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: � R� Minnehaha Creek Watershed District(MCWD) x ❑ Re-roof, asphalt ❑ Re air �� ;� p ❑ Storm Damage 18202 Minnetonka Blvd ;�.; ❑ Re-roof, cedar ❑ Restorafion ❑Water Qamage Deephaven, MN 55391 ; ` Phone: 952-471-Q590 ` "L�' ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify} Fax: 952-471-0682 "4 � ❑Window(s) www.minnehahacreek.orq :} W� �;rs Y� �� Overall Project Dsscription: , 5;�� , �,y ;� � Esfirnated Construction ValuaEion of Project(excfuciing land) $"Z.ac�o '"� �� ": APPLICANT ACKNOWLEDGEMcNT: �w ;.: ��: • Agrees to provide all information required or requested by fhe Building Department; �� ` i � • Certifies that the information supp(ied is true and correct to the best of his/her knowledge. The appficant recognizes that they ! � �� are solely responsibie for submitting a complete appiication being aware that upon failure to do so, the staff has no alternative �., but to reject it until it is complete; r;� • Some or alf of the information that you are asked to provide on this appfication is classified by State law as either private or confidenfial. Private data is information which generally cannot be given to the public but can be given to the subjecf of the ,q, �y data. Confidential data is information which generally cannot be given to either the pubfic or the subject of the data. Our E; purpose and intended use of this information is to annualfy update our records and records of other governmental agencies � re �ired b law. If vou refuse to su pl the information,the a pfication mav not be issued. T� � �;j AppficanYs Signature: `—� Qate: � Z-- �, r„� . Last Updated: 08-09-2011 , , :., i � , �,, a,� �, ,. , � �,. .. ,_ , . .,_ .. � . , Plan Review Checkiist for New Structures / Additions Address/PID/Legal: �6�d /YI vt Q�,��t�Q[�P Li4wJ-Q Description of work: ��+cS�� AJL�.�. �u C.e c.��n C,E'vec.- Septic review by: Date Approved: Zoning review by: Date Approved: Building review'by: Date Approved: t - b — Zol Z Grading review by: N ( t� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artrnent Post O�ce Sch I District Zoning: Lot Area: SF-/AC Width: epth: Survey Submitt � �Yes � No Date of Sunrey: Pro osed Setbacks Front(Lake) r(Street) ( � S E W ) ( N S E W ) herBuildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A ILDfNG ON A 5LA8 FOUNDA710N: START WITH the distance between the base nt floor/crawl ST RT the distance between the slab and the highest space floor and the highest roof p k,the top of ITH roaf peak,#he top of the comice of a flat roof, the comice of a flat roof,the deck lin f a the deck iine of a mansard roof,orthe mansard roof,or the uppermost poinf o a round uppermost point on a round or other arch-type or otherarch- e roof roof SUBTRACT half the distance between.the highest windo n SUBTRACT half the distance between the highesfiwindow hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement flooN c I ADD the distance between ths slab and.#he highest space floor and the highest existing grade ithin existin rade within the foundation the foundation or 10 feet,whichever is1 s. EQUALS Defined buildirt hei ht EQUALS Defined buildin hei ht Lo#Coverage: SF % Shoreland District MCWD -ermit Received Avera e L eshore Setback Bfuff 0 Ye � No � N/A � Yes � No � Yes � No � Yes 0 N � N/A Per it Number: Setback: Hardcover Zones Existin Pro: osed Variance Re uired CUP Re uired 0-75' 0 Yes � No 0 Yes � No 75-250' TYPe(S)� TYP S)� 250-5 ' 5 -1000' REMARKS (in-house): Nv G��4c� � Updated: 09/11/2009 z:lformslplan review checklist.docx Fees to be Char ed YES iV0 `��.�..x�.- A-.�. ��e�� - �-y ' . � �3e� }�, � ..� b'«� �Y i�v �4,Y'� yY ,��'i'1.�^' 'P- '�d'�'� Y°.��` �a-r x�tr�r.�F��'w.��'�,��a��.��a.�sw,.� s�,ye. .�-;i�,'�s�'�,e�',�w".� x `� .� ,- e >�.�a'��... Plan Review .�„�,,�..,� -��.� :�.� ,- . . � ...,, �� ,_ ,, � -� , ��,� ,.� ; .. : .;.,�, �� , , . ,... .,,�, . .. .. . .. . . � _.. „ . Investigation Fee w..... ._.- ., .. ki ...�.,, -�..,,,.N.��... r. u .i.. �.e. ��..-,..A ..�.. �. . .._ _ . �? e, . r..-.wp �r;:' 11 .. ��.. .+�w� .. r_,... , ..'--,nV •a,...: ..,v....:._ . � Sewer Connection .� ,.. ,.: E ..: ,.�.. -,� _ v ; ,�,.r_ _ _ ,... _.. . � � .. . _ `Park Fee k_ � _ . . ._. : Other(specify) . .. . ._. , _. ,:... _ Calculated By: S uareFoota e $ er S uare Foota e Basement X = $ 1�Floor X = $ 2nd Floo� ' X = $ Garage X = $ Estimated Gonstruction Value: $ '�,t�00 �� Orono inspec#ions Required `llUork Requiring Separate Permits Required State PErmits O Site � Ptumbing � Grading/Fiiling � Weli � Hardcover Remo�al � Mechanical 0 Fire �Electricai _ � Foo#ing O Septic n Water Cflnnection � Poured Wall G Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed � Mfg. raming 0 Other(specify) Insulation G As-Built Survey �inal � Other(specify) REMARKS(in-house): Other Review; Reviewgd by: Date Approved: Access:Existing: � YES � NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND 1NITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:lformslplan review chedclist.docx � �� :�=� DATE TIME ✓ CITY OF ORONO CALLED IN / INSPECTION N TICE HEDULED /� � PERMIT NO. co LETED � � ADDRESS �C OWNER TEL PHON NO � " 7'� �' CONTRACTOR �' �; DESCRIPTION yh- ' ! � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATfON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � a W �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on si e: Inspector. � White Copyllnspector's File Canary CopylSite Notice