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Home My WebLink About2009-00087 - repair storm damage & master bath CITY OF ORONO PERMIT NO.: 2009-00087 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 03/03/2009 952 249-4600 FAX: 952 249-4616 . ADDRES4S ' : 90 MYRTLEWOOD RD PIN : 36-118-23-33-0012 LEGAL DESC : MYRTLEWOOD : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENT[AL VALUATION : $ 160,000.00 NOTE: SEPERATE PERMITS REQUIRED: NONE REPAIR STORM DAMAGE&MASTER BATH APPLICANT PERMIT FEE SCHEDULE 1,416.75 THOMPSON, KEVIN PLAN REVIEW 920.89 90 MYRTLEWOOD RD WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) 80.00 TOTAL 2,417.64 OWNER THOMPSON, KEVIN 90 MYRTLEWOOD RD WAYZATA, MN 55391- AGREEMENT AIYD SWORN STATEMENT 'I'he 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 no[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 construc[ion 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 revok 'y time for due cause. � �C' 1 �2� � - ,3-�� --� � � / � � i,�l�tit c,z � � � Applicant Permitee Signature Date � ( �� Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application --� Mailing Address: �� .g,��J�. PO Box 66 Permit number: 0 ail O Crystal Bay, MN 55323-0066 Date received: � j �'��-_ Received b ,� r ��-�.�� a � Street Address: Y� �'�,c,t '� °+" � ��! 2750 Kelley Parkway Plan review fee: --'— � �'��— � l �r� '�kEsxo4'� Orono, MN 55356 Total Fee: �) r � J � (n y Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� `r I ; ,?, 3 �� 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: � ��rwo�� Will this be a Parade of Homes, Re odelers Showcase Home or other Display Home? ❑ Yes 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 b ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: __�vi ;� ��1�F_� State License# Expiration Date: Phone: l � i C�.� office cell Mailing Address: Sc� '� r,�l-� w�<1� � � Cit � � ZIP: f Contact Person: �� N l� Applicant is: Con ra tor / Homeowner (Circle One) Email and/or Fax: ,, ',,, � v , -�J PROPERTY OWNER INFORMATION: Name: Phone (day): Address: `� Cit : ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: ' Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ storation ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof Fire Damage www.minnehahacreek.orq Overall ProjectDescri tion: �-{p�-��, ��e%c. '�r�^/J�,�., /�N �/f� ;�, �'!i��:��-- �,,� Estimated Construction Valuati n of Project(excluding land) $ /� o��. .-. APPLICANT 8� OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants or agents, for purposes of investigation of this request. • 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 the information,the a lication ma not be issued. ApplicanYs Signature: � Date: .s-'� � Q � Owner's Signature: '�' Date: �-� -� `� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADpRESS OR LEGAL: �j(� M YI??t�=c,vao� , �PID: DESCRIPTION OF WORK F l�� d qr.y��L,� �q,�,� ZONING REVIEW BY.• DATEAPPROVED: BUILDING REVIEW BY.• DATEAPPROVED: •3- d� FEES TO BE CHARGED: Misc. Fees Calculated By.• PERMIT Yes �/ No PLAN REVIEW. Yes No ✓' SEN�ER CONNECTION � STATE SURCHARGE Yes f No WATER CONNECTION INVESTIGATION FEE Yes No ✓' PARK FEE SAC Yes No � SITEINSPECTION Number of SAC Units � OTHER (spec�) ZONING CHECK LIST Zoning District: yo GI fAN6 C Fire Department: Post�ce: School District.• Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: �etland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading.• SlaffApproval Date: By: Council Approval Date: Septic: Staff.4pproval Date: Zoning File: �# Resolutiorr: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Ha•dcover: 0-7�' 75-250' 2.i 0-�00' .i 00-1000' Hardcover 6'ariance Required: 3'es No Date of Council Approval: REMARKS(in house): 33 . BUILDING REVIEW CHECg LIST � ' UBC: R'3 CONSTRUCTION TYPE: �LN Sq Footage ,$Per Sq Ftg Basement • x = . 1 st Floor x = 1nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ I60,D00 =b Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire ' Hardcover Removal Mechariical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation �( Insulation (Masonry) Other Wall Board (Mfg.) W'ell(State Permit) _�Final Grading/Filling Electrical(State Permit) Other �Nr,4xrrs�nvr�ovsE�: REVIEW BY OTHERS: � DATE: � Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ONPERMIT): 34 .�J�1 v � DATE TIME CITY OF ORONO CALLED IN 3,-'� � INSPECTION O,,T�I yE SCHEDULED -'�f /-U • PERMIT NO.��'�7-�DD�7 COMPIETED ADDRESS �� OWNER ONTR. TELEPHONE NO. � �� `Z a�?J� � DESCRIPTION 6��-Q�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL 0 SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W 0. � � � � lL��f n G�l$ ~�-r v�t S � 0 � �Ss,_�, SCec� o � � W � Q � Z W � w � � a � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE C�IERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice