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.
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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
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'�St �,j,� StreetAddress: Received by: d �
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�',�, � �'.�, �ti�'� 2750 Kelley Parkway Plan review fee:
�qkESIIOg'%/ Orono, MN 55356
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��---"" 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.
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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
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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 ��.,: .
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Sewer Connection
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� �f � �� � � �. �y m:� .
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. . ..,... .... .d... + ..:.. y r .. � .^....
Park Fee
�$�T].� !�+9'J�1,��'� F.., ,,� � s� >�
Other(s eci
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�s�e�fa�e�s._�e�e�`�#��-.::: � . .�.:�_,� .. ..; ` 4
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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
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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
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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Inspector. �� ,�L
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� ✓� DATE ' � TIME
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIA�NT
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INSPECTOR WILL RETURN ❑CITATION ISSUED
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❑ 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
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OWNER ��11� ��HL/�TELEPHONE NOg✓�Z Z�}Z 3Z7�
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� DESCRIPTION ��� / `�c`--�—� ��
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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
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Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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�' DATE TIME �
� CITY OF ORONO � ` ��CALLED IN �
INSPECTION N TICE �"'� SCHEDULED � / �
PERMIT NO. � ��'C`I C�i�7� coMP�ETE�
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y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
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Cail for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
inspector. � �'
White Copyllnspector's File Canary Copy/Site Notice
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CITY F ORONO LED IN ✓ �
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White Copyllnspector's File Canary CopylSite Notice
� � D ^ ' TIME �
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
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