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