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HomeMy WebLinkAbout2010-01070 - remodel existing structure ~ ' CITY OF ORONO PERMIT NO.: 2010-01070 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEv: 1U05/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2465 NORTH SHORE DR PIN : 09-117-23-44-0002 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADD[T[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY 3���ItF��tA�� �JOt�1--eas��ls;,��kcti� ?�.�� ��„v`�� VALUATION : $ 175,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUME3ING,MECHANICAL,FIREPLACE,�LI:CTRICAL(STATE) REMODEL GXISTING STRUCTURE-REMOVE SECOND FLOOR APPLICANT PERMIT FEE SCHEDULE 1,506.75 LINDAHL, MR. & MRS. JOHN PLAN REVIEW 979.39 2465 NORTH SHORE DR WAYZATA, MN 55391 STATE SURCHARGE(VALUATION) 87.50 TOTAL 2,573.64 OWNER LINDAHL, MR. &MRS. JOHN 2465 NORTH SHORE DR WAYZATA, MN 55391 AGREEMENT AIVD SWORN STATEMENT "I'he work ibr 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 rclated work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 assuring all required inspections are requeste � nforrY��Ytce�wiEM-the_State Building Code.This permit may be .._... revok at any time for due cause. ' ------_._.�._...._____-';___..__._..> /�� S- � /� //i 5 Applicant Perm •�igTfafure Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. r . C i ty ofi O ro n o `� .� j 3�-7 S� Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �(,�0 6 //��,0,�.�\ PO Box 66 Permit number: i;� . O�\ Crystal Bay, MN 55323-0066 Date received: � (S js i �� � '� p '�St �,j,� StreetAddress: Received by: d � ' ,� � ;i �',�, � �'.�, �ti�'� 2750 Kelley Parkway Plan review fee: �qkESIIOg'%/ Orono, MN 55356 i , / ��---"" Total Fee: p� 5�3' c�� 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: � �(W S jli'�,��-t-�r�:�,z �2���� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and Crty Counci!approval 60 days prior fo the event. Shuttle bus servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP,I�ICANT INFORMATION: � Name: IS _j��r.: L. �.�-�:�.a r-E�, . ,12. State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORM TION: ( .� � Name: ��� . _���rf>.J I-�,�.,_�,w �-�. � 'Z , Phone (day): (s,/� - b� S-- 2� � � Address: `� C> . ,;3c,k; �-c� City:C•2 yS.� �•-�y ZIP: S S 3�.� , Email and/or Fax � j � ���;��. rtz, �=, �, S � , c�-�,�-1 PROJECT INFORMATION: IZ �u��:�.�C %�h�S 1> S ��<=�,�.�z--.�- -- �Z������%� S�,� .,�.� ����:.� . Type of Project: Any earth movement may require " MCWD review&permits [�'600r(s) [�emodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) 0�/indow(s) epair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �ding �estoration ❑ Other: (specify) Phone: 952-471-0590 - Fax: 952-471-0682 �e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: ��„��„� � L� ;$;7 �-�,,,,�,�u,�,� — ����,,.,,L,�, S��,,.� ����� .� � Estimated Construction Valuation of Project(excludin land) $ / �S1 �'' c�� 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 e-i�formation..the a lication ma not be issued. -----___� ..� � ApplicanYs Signature: — � Date: l U �1 /U Last Updated: 05-04-2009 . . �Plan_Review Checklist for New Structures / Additions Address/ PID/Legal: _ 7�{� N Q(Z."'(� s�.}-�jy�,G f,� Description of work: l'VtA�l�.'Z. � J q� '� 2^,� Septic review by: Date Approved: Zoning review by: - "� /'✓� C� Date Approved: I � - s -�c� Building review by: Date Approved: / 1- 'S - /(� Grading review by: N I/-�- Date Approved: Zoning File#: Resolution#: Resolution Date: , onin District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitte • � Yes � No Date of Survey: Pro osed Setbacks: Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetfand Side Sid Building Defined Height: Building Pe Height: FOR A BUILDING WITH A BAS�MENT OR WL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between t basement floor/ START the distance between the slab and the WITH crawl space floor and the �►ghest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a fl� roof, the dec of a flat roof,the deck line of a mansard line of a mansard roof, or the permost roof, or the uppermost point on a round or oint on a round or other arch- roo other arch-t e roof SUBTRACT half the distance between the high SUBTRACT half the distance between the highest window and highest roof peak of a i ed window and highest roof peak of a roof itched roof SUBTRACT the distance between the base ent floor/ ADD the distance between the slab and the crawl space floor and the hig st existing highest existing grade within the grade within the foundation r 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District CWD Permit Received Avera e L eshore Setback Bfuff � Yes � No pe met Num��No � N/A p Yes � o � N/A � Yes � No S�tback: Hardcover Zones Existin Pro osed Variance Re uire CUP Re uired 0-75' 0 Yes 0 No ❑ Yes � No 75-250' Type(s): Type(s): 250- 0' 5 -1000' REMA KS (in-house): � {�/V � � .� �' Updated: 07/01/2009 z:\forms�plan review checklist.doac . . Fees to be Cha ed XES NO irTi7RJdii�'"�`.,�:x��i:i �-,;x a ak�`��' � ;� ,, r-, _ s Plan Review �/ . ';'�� � �� °rr� � .. _.. _ Investi ation Fee .� ,��,. .�„,v,��,5�►�C�ts k �` :�5�'���t�er ��.,: . , r � , _,... Sewer Connection � . art.4r.zA w �;i � �f � �� � � �. �y m:� . � ��y s4 ir.l �R. 2? ..ys e'A.'.; . . ..,... .... .d... + ..:.. y r .. � .^.... Park Fee �$�T].� !�+9'J�1,��'� F.., ,,� � s� >� Other(s eci .. . ..r... �s�e�fa�e�s._�e�e�`�#��-.::: � . .�.:�_,� .. ..; ` 4 �� Calculated B : UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 Ffoor X = � 2" FIOOr X = $ Gara e X = g Estimated Construction Value: $ t 1�i 0� °`—� Orono inspeotions Reauired Work Reauirina Seqarate Permits Required State Permits � Site P mbing 0 Grading / Filling 0 Well � Hardcover Removal Mechanical � Fire Electrical 0 Footing �eptic 0 Water Connection � oundation Survey Fireptace � Sewer Connection Framing 0 Masonry � Lawn trrigation ,�'Insulation �f�llfg. . � yVall Board 0 Other(specify) �As-Built Survey 0 Final � Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: 0 YES � NO REMARKS (TO BE NOTED ON PERMtT AND INITIALLED BY PERSON PULLING PERMtT) Updated: 07/01/2009 z:\forms�plan review checklist.docx ."'� � L / ; � < { 1 DAIT� TIME v �' CITY OF ORONO c�,LLED IN " 5 I ! INSPECTION N�TICE ��BSCHEDULED � / �-�./� � �CL- PERMIT NO. "�-L\��' � i� �`-COMPLETED ADDRESS Z�_t`�. �7 J�-.; �-� I J OWNER h�^ �.. ` '1C'�C�I TELEPHONE NO. i��(��.—�J`t J 4�,�5� � CONTRACTOR � DESCRIPTION �'�C c. j I ►�;�--� ��-i r vr� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBIl�jG RI ❑ SEPYIC FINAL ❑ FOUNDATION/REMOVAL 4� OWNER/C0IJTRACTOR TO MEET Y U: YES_NO � COMMENTS: ��,��� 4 �_�-�- W � a � J O � � 'r�1 �� •�-"". ��. .�_, O � W � Q � Z W � W � � GW �KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site� Inspector. �� ,�L White Copy/l�spector's File Canary Copy/Site Notice � ✓� DATE ' � TIME CITY OF ORONO CALLED IN J INSPECTION NOTICE �-7CHEDULED � :�`�a PERMIT NO. ���C�"��D`DCOMPLETED ADDRESS � � I,R��f . c����rP�� • OWNER TELEPHO��S ���� o��I7O CONTRACTOR ( � � �� �Q bc�� '' �� `�'' � DESCRIPTION J � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIA�NT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUM RI ❑ S IC FINAL ❑ FOUNDATIOWREMOVAL � OWNE CONTR/CCTOR TO MEET YOU: YES_NO � COM TS: � W 0. j O >. � O � W � Q � Z W � W � � W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �,�"�`� E TIME �/ CITY OF ORONO l�ALLED IN �� INSPECTION NOTICE ,/� ^] SCHEDULED � PERMIT NO�Off�—CiCD !� COMPLETED ADDRESS ��� �D�'�i ti�/111Z� OWNER ��11� ��HL/�TELEPHONE NOg✓�Z Z�}Z 3Z7� CONTRACTOR J�Q�,G /`' O � DESCRIPTION ��� / `�c`--�—� �� � � ❑ FOOTING ❑ PLUMBING FINA� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W C � -� 1 ,��-C�"=f- 0 � 0 � W � Q � z W � W � � O WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑ ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECQVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANC.,EACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice /� �' DATE TIME � � CITY OF ORONO � ` ��CALLED IN � INSPECTION N TICE �"'� SCHEDULED � / � PERMIT NO. � ��'C`I C�i�7� coMP�ETE� ADDRESS ��Cv c� /� �. �7'L/��(� .� ' OWNER - (�tvl �,;�d?t�l TELEPHONE NO. 9� ��1��J�j/ CONTRACTOR >; DESCRIPTION ,��,-��� ' '�'� �'��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEP�IC NSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL ��O�W�NERICONTRACTOR TO MEET YOU:, YES_NO � COMMENTS: � W C � � O a � O � W � Q ti Z W � W � � d W�C7 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �r`Q`CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: inspector. � �' White Copyllnspector's File Canary Copy/Site Notice —� �=�y� E / TIME V CITY F ORONO LED IN ✓ � INSPECTION NOTICE CHEDULED PERMIT NO. ��� ��MPLET D � ADDRESS OWNER TEL H• No9s�9a��� CONTRACTOR , � DESCRIPTION S� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � L�-�� �c� 0 W � Q � z W � W � � � O W�SATlSFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR �INSPECTIOiJ REQU►RED.CALL TQ ARRANGE ACCESS. Ca11 for the next inspection 24 rs i nce. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � D ^ ' TIME � CITY OF ORONO �/!/J� CALLED IN � ` INSPECTION NOTICE (` '�- SCHEDULED � PERMIT NO�v��—D�d�� conn LETED ` ADDRESS -S `" ���- OWNER TELEPHONE NO.�-Sa��y��-��7` CONTRACTOR ��G 7�-- � DESCRIPTION �I � // '�'��-"'� �v�� ""'l`�'� � r`L"�' � � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ 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:��b — u' � � d�/ /—��r'/�-��'(/f,!/)5 a � � O � � S' '' �v c� i �T rt/C�.e.-�-��- 0 � � _�--�-n. �� � �"S �f' Q � Q � � i� � 3.�� P���.- �- l�'� e ��.2 j _���J �L. P2.�M�.r�` ���Q.�� C'�'lc� a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnedContractor on s te: Inspector. ��, l /— White Copyllnspector's File Canary Copy/Site Notice