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HomeMy WebLinkAbout2010-00679 - boathouse - , � CITY OF ORONO PERMIT NO.: 2010.00679 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4415 NORTH SHORE DR PIN : 07-117-23-43-0017 LEGAL DESC : SAGA H[LL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : BOATHOUSE ACTIVITY : 328-OTHERNONRESIDENTIAL BUILDINGS VALUATION : $ 10,000.00 NOTE: REBUILD BOATHOUSE SEPERA"I'E PERMITS REQUIRED: ELECTRICAL(STATE) ADVANCGD PLAN REV[EW FEE BASED ON$10,000 VALUE-PAID CHL-'CK# 1 1693 IN TfIE AMOLTN"I�OF$124.64 ESCROW PAYMENT OF$2500.00-PERMIT#2010-00702-YAID CHECK# 13499 APPLICANT PERMIT FEE SCHEDULE 191.75 SMUCKLER CUSTOM BUILDERS, INC. STATE SURCHARGE(VALUATION) 5.00 7509 WASHINGTON AVE. S. EDINA, MN 55439- TOTAL 196.75 (952)828-1908 Minnesota State License#: 20384253 OWNER TWOMEY, DAREA&CHRIS 150 2ND STREET NE MINNEAPOLIS, MN 55413- AGREEMENT AND SWORIV 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. 'rhis permit is for only the work described and does not grant permission for addi[ional 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 180 days of[he 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 requested i conformance wit he State Building Code.This permit may be revo� y t�me for ause. - � � 2�Z���, � � 2-� � � v � r�-�'�--- i i /o Applicant Permitee Signature Date Issu�y Signature Date� SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � � �S�G� ��� �/0 -dC�7o� f� 1� City of Orono Building Permit Application ,�� �,� �� for New Structures or Additions � � �� �oy � �-=�� Mailing Address: Permit number: D�O-DO �, \\ PO Box 66 Q Q; Crystal Bay, MN 55323-0066 Date received: � /O �'c. 5�+�m Received b �a � �;�:�,:�� s,j Street Address:� y� �� � �� `� 2750 Kelle Parkwa 'F'��, �' �•�, ��� Y Y Plan review fee: �'kE3H04� Orono, MN 55356 � Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � O U � 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: � � � � ����? 'j/1 ,.T' � �/�� �-� �' 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 City Council approval 60 days prior to the event. Shuttle bus service ll be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: -�S /7? !f�/L �fy ' Ct�S �l1 �c� t l.��c'�< > State License# Z-.o � � LJ 'Z, S y Expiration Date: 3 � /r Phone: ••''L 2 �3 office G�i Z � �1 �1'G' cell) Mailing Address: � � � G- U�/ - �j-- Cit : � N� �Z��ZIP: 3 � Contact Person: ��C Applicant is: Contractor / Homeowner �c���ie o e� Email and/or Fax: ����-� ���UC��� �y�ti PROPERTY OWNER INFORMATION: Name: �Cc,iLc;�t � G�'l�-t�1 '7`Z(.' O✓�t ���/ Phone (day): / - Z! � - ��3 p c�o '7 �` Address: jS �� l�uf--i�ti'� U:Z� !� q !� Cit : �/G�-� ZIP���3��/ �j Email and/or Fax ARCH(TECT/ ENC�INEE ,INFORMATION: Name: �i�7 G�G�e'_ �-�i-t �vCGG��FC'c;f��/a'� j c�/c,� Phone (day): �'�' L �'� � y `S� Address: " `S'E�� W �s ;,l irG�z,�v � Sy Cit : ��iN4 ZIP:� S��� Email and/or Fax: �5���, � ,�"'r��c��.r-:- . C.�� PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & ❑ New Construction Water Supply ❑ Single Family with ❑ Residence ❑ Addition attached garage ❑ Gara e/Accesso Bld ❑ Accesso Buildin g rY 9• ❑ Public Sewer ry q ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial �Other: (specify)�'�✓l�-0 R��`Gf ❑ Multi le Famil /Condo ❑ Private Sewer �° p y ❑Warehouse ❑ Public ,❑ Storage ❑ Public Water '"`Any earth movement may require ❑ Commercial '[] Other(specify) MCWD review 8�permits. ❑ Industrial f�c�jPg7 !leGi.�' ❑ Private Well Minnehaha Creek Watershed District(MCWD) '�Other. (specify) 18202 Minnetonka Blvd ���� �-(dL� Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��p � ,.�-J .-. �U ��, Last Updated: 9/29/2009 - 17 - STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction r <- , c� a. Length (ft.)= �"- � Number of bedrooms= � Wood/Frame _ 1� �_ � �' �Masonry b.Width (ft.)- Number of gara e stalls: ❑ Metal Attached =� ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab ` d. 1 St Story = `Z-�--�� ❑ Other(please specify): e. 2�d StOf)/_ �� 1 f. '/z Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed Applicable ❑ Permit Ap lication ❑ Pro osed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form "�` ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan � ❑ Hardcover Calculation(s) � ❑ Se tic S stem Site Evaluation Re ort � ❑ Access Permit � ❑ Wetland Buffer Im rovement Plan � ❑ En ineered Plans for Retainin Walls 4 feet or above � ❑ Plan Review Fee � ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of�500; • 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; • Acknowledges the Escrow Agreement is completed and signed; � • 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 required by law. If you refuse to supply the information, the application may not be issued. Applicant's Signature: v�����-' Date: ' , V G � �� � Last Updated: 9/29/2009 - 18 - C!/'�/! DATE TIME `� CITY OF ORONO CALLED IN �'�-�D INSPECTION N CEJ� SCHEDULED ���'L(2 r PERMIT NO. �v COMPLETED ADDRESS �Tl�/~ l�/���� ��`��(' OWNER TELEPHONE N0. ��Z Zq0 SZ�S-S CONTRACTOR � � � a DESCRIPTION � vd��'1 � /nJ B � ❑ FOOTING ,❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ WARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v COMMENTS: � a j 0 a � ° � �4� �� W � Q � 2 W � W � � � �WORKSATISFACTQRY:PRQ�EED ❑ PROJECTCOMPLEfE W ❑�ORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIQNWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RERIRPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIOIVREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspPction 24 hours in advance. (952) 249-4600 OwnertContractor on site: Inspector. WhRe Copy/lnspector's File Canary CopylSite Notice r � �-.�� ATE TIME `� CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED �� PERMIT NO.�/l���l�(O��COMPLETED ADDRESS ��� �� �� �- � OWNER TELEPHONE NO. CONTRACTOR � ��� � DESCRIPTION �� ��/.�,('_ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTIQN 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER►COIdTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W C j �O � �� ,� �� v� 0 � W � Q � W � W � � � �IORKSATISFACTORY:PRO�EED ❑ PROJECTCOMPLEfE W �CORRECT WORK&PRO�EED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN FiOURS. p pHOTOTAKEN tIdSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED O INSPECTIOP!REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next ins on 24 hours in advance. (952) 249-46�� Owner/Contractor n site: Inspe�toc � Whke Copyllnspecto�s File Cenary Copy/Site Notice C� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � !1� PERMIT NO.�O/D�ODb�"1 COMPLETED ADDRESS �`�I S �L�� d3�� f-J'v /��lf-�. OWNER TELEP ONE O.IO����7�75-3� CONTRACTOR S � ���� �: DESCRIPTION 7 � • � ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � e j 0 �. � 0 � W � Q � z W � W � � ��WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE v � W ❑CORREGT WORK&PRO�EED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RERIRN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACGESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCoMractor on site• lnspectoc i� , �� � White Copyll�spector's Flle Canary Copy/SRe Notice