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Home My WebLink About2011-00007 - addn/remodel/repair � CITY OF ORONO PERMIT NO.: 2011-0000� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 440 NORTH ARM DR PIN : 06-117-23-31-0003 LEGAL DESC : VICTORIA ESTATES : LOT 001 BLOCK 001 � PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL � CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,AND ELECTRICAL(STATE) BATHROOM REMODEL INCLUDES REPLACING WINDOWS PROVIDE SMOKE AND�.0.DETECTORS TO CODE. C': -::� ,;.. ,/f .__ �� r' APPLICANT pERMIT FEE SCHEDULE 221.25 VICK HOME REMODELING STATE SURCHARGE(VALUATION) 6.00 5105 HOOPER LAKE ROAD TOTAL 227.25 DEEPHAVEN,MN 55331- (952)250-2777 Minnesota State License#: 20632366 OWNER STERNAU,RENE&PATRICIA ' 440 NORTH ARM DR � MOLJND,MN 55364 � �- 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 does not grant permission for additional or related work which requires separate permits. All provisions oY 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 applicant is responsitrte for assuri g all required inspections are requested in confgr�niance�ith the S e Buildi ode.This permit may be revoked at a •ime for e cause. ^ .� ----...__ - :-._.... i � �3 � 11 / �l� / A�plicant ermi ee Signature Date Iss d By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . _ City of Orono �- � * . -• (�� :1� Building Permit Application for Internal Wor�C �C�y (windows, doors, siding, re-roof, etc.) –<_� Mailing Address: Permit number: �b l�- ll��C 7 �/�,�,�. PO Box 66 � Crystal Bay, MN 55323-0066 Date received: b/ O�j 2b// i� :h �� Received by: a j r��, �, StreetAddress: �'.�, .'� ,�,,�� Gti 2750 Kelley Parkway Plan review fee: L`�g�splHog.� 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: C� (��:-�fG� J�,�� L%;' C�! ;�vn�; �� -�`> <j� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: t�.\��-�e. ��;�.k - V�c..� 't�Cv✓►�� C'.c�v�o<,a�C.n.c, State License# Z_�C� 3 � 3 c�(� Expiration Date: Phone: , �,'�Z -.a�;� � 2�7 (office) 5��, (cell) Mailing Address: ,� - � ' � � � L � Ci : �:��,��:�er� ZIP: ,1,{, Contact Person: �/� Applicant is: o tractor , / Homeowner (Cirele One) Email and/or Fax: + a� -" �� ,��.--�� '��k ren�-v�-1�_�.� . c�� PROPERTY OWNER INFORMATION: Name: C��;l!e� �- �P��- ��f'�r�c�.-, Phone(day): � r 2 - �(L�7- I$v 5 Address: �yv !Jv�-}d„ /�r�, �47� City: ��ano ZIP: S��"s�,y Email and/or Fax L�.�;-t-n,,�,�,� 2'�/U � �c, ! . Co,n,� PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&pertnits ❑ Door(s) �Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration Q Other: (specify) Phone: 952-471-0590 ,,—, Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage E`71�� www.minnehahacreek.orq Overatl Project Description• ��mw•-t re.�+.�,��{ Mc(�� 1�:�.� w�dowg w, � � � Estimated Construction Valuation of Project(excluding land) $ ( 2, Ua� �j. _ ` —��.�_� 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 Gassified 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� formation,t a lication ma not be issued. � , Applicant's Signature: Date: r 2( -�vl�� Last Updated: 05-04-2009 � ��- �.�, s 2� �� . d.� .��- �:�,,� y ��l � "��e.� c�i�.�-��s �- �. �°r�, r�.o�( . �.� a,,� �� -� � , ��- l.� �,�.e.._ �e:-c.� . g� 1�� V�� V �-�c D'�=Cvv�.�.e_ �`� , �j�5'Z- 2sz� -Z7 �� _ .. . . - � . - . � • RF�F�v �q� FO ci�yoF`g?01> �R�NO . , � � � � Pian Review Checklist for New Structures / Additions Address/ PID/Legal: �l yd iV'dRTN /��er�'► ,pl1 Description of work: _ .Q�1�1j ,ZAp�,,� �sw�,p�,Z Septic review by: IJ 1� Date Approved: Zoning review by: r�! I 1� Date Approved: Building review by: ' Date Approved: 1-`�f- �?�011 Grading review by: N 1� Date Approved: Zo ' g File#: Resolution#: Resolution Date: nin District Fire De artment Post Office Sc ol District Zoning: ot Area: SF(AC Width: Depth: Survey Submitted: � Yes � No Date of Survey: Pro osed Setbacks: Front(Lake) Rear( reet) ( N S E W j ( N S E W Other Buildings Wetfand Side Side Building Defined Height: Building Peak eight: FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC ' OR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement or/ START the distance between the slab and the WITH crawl space floor and the highest roof p k, W(TH highest roof peak, the top of the cornice the top of the cornice of a flat roof, the de of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermo roof, or the uppermost point on a round or oint on a round or other arch-t e r other arch-t e roof SUBTRACT half the distance between the high t BTRACT half the distance between the highest window and highest roof peak o pitched window and highest roof peak of a roof itched roof SUBTRACT the distance between the b ement floor/ ADD the distance between the slab and the crawl space floor and the ighest existing highest existing grade within the grade within the found on or 10 feet, ndation whichever is less. EQUALS Defi d buildin hei ht EQUALS Defined buildin h ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bfuff 0 Yes ❑ 0 0 Yes � No 0 N/A p Yes 0 No 0 N/A � s 0 No Permit Number: Se ck: Hardcove ones Existin Pro osed Variance Re uired CUP Re 'red 4 5� � Yes 0 No 0 Yes � N 5-250' TYpe�s�. Type�S�: 250-500' 500-1000' REMARKS (in-house):_ !Ud G'H�/g.e Updated: 07l01/2009 z:\forms�plan review checklist.docx r . . Fees to be Charged YES NO � ' " ;P.errn�# ,,,' Plan Review ;S�t��c�ar e , ;: Investigation Fee -S�C�`:Narr�'be�rof'SAC"U nyts Sewer Connection °,�Ifater;�:C:on nect�on Park Fee -��ite;=lnspection . Other (specify) 3AAisce;Ilaneous:Fees ; ' Calculated By: UBC: Construction Type: S uare Foota e , ! $ er S uare Foota e ; i i Basement I X = � � 15 Floor X = � 2" FIOor X = I � Gara e I X = ' � � Estimated Construction Value: $ 12� Onu '� Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection Framing ❑ Masonry 0 Lawn Irrigation .�Insulation ❑ Mfg. ❑ Wall Board ❑ Other(specify) ❑ As-Built Survey �Final 0 Other(s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERMfT) �tt..ov r�� sM�wt: A✓�'D c.•o �,Tt:�ar-o rR.S �-o �� Updated: 07/01/2009 z:\forms\plan review checklist.docx � � ^ , / C� /�D�j / TIME V CITY OF ORONO CALLEO IN , v � INSPECTION I�OTIC SCHEDULED %� � PERMIT NO � — COMPLETED �'' ` ADDRESS OWNER TELEPHONE NO. ' a 56 - �% CONTRACTOR �- � DESCRIPTION ,�/�a��Y' ,��-�=(/r/�- ��1�'�- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 0. o ? %,�` �.'i� p�.• �''9�;�' �j�. �, � -T• � O � W � Q � 2 W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �RRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: � Inspector. o White Copyllnspector's File Canary CopylSite Notice