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Home My WebLink About2011-00176 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00176 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 03/29/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 3/29/2011 ADDRESS 2585 OLD BEACH RD PIN 21-117-23-22-0020 LEGAL DESC : THE MARSH AT LAFAYETTE : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,200.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) PROVIDE C.O.AND SMOKE DETECTORS TO CODE w t, J i APPLICANT PERMIT FEE SCHEDULE 265.50 BILL WEIRICK CONSTRUCTION PLAN REVIEW 172.58 11343 STRATTON AVE#200 EDEN PRAIRIE,MN 55346- STATE SURCHARGE(VALUATION) 7.10 (269)861-4834 MISC FEE 0.00 Minnesota State License#:20638692 TOTAL 445.18 PAID WITH CASH 445.18 OWNER BISHOP,LUZ 2585 OLD BEACH RD WAYZATA,MN 55391- 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 of 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 responsible for assuring all required inspections are requ sted in conformance with the State Building Code.This permit may be revo ed a any time for due ca e. 1._Applic etmitee S nature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono 3"2 Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Cd//–062 1� 01 PO Cr Box 66 Crystal Bay, MN 55323-0066 Date received: i A Street Address: Received by: yH � 2750 Kelley Parkway Plan review fee: r �ss0 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: _Z-S8,_'3- Q/b 6,AC-14 R Z), QiZ o�ln M h,( Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? LJ Yes No H yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: LL e--A i C zJ' State License# Zo6 38 6r9 Z- Expiration Date: c�3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) Z Ce St. 86 1,'183 (cell) Mailing Address: i 13=-13 SFAA-7-o ti AJZ . a P-1 Zv0 CiWji, '6 A( PIU,X-ie ZIP: 3S3�i� Contact Person: t3iLL W i PLL C--r- Applicant is: n rac / Homeowner (circieone) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: AL Aw:) Lt! z�- 8,sl46 i' Phone(day): 9,5-2- , 3 7g , 3 g Z Address: Z6 85 OL"�) 8-Z 14 k D City: 0 120lj 0 ZIP:SS -,k> Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑Restoration ❑Other:(specify) Deephaven,MN 55391 Phone: 9521171-0590 ❑Re-roof ❑Fire Damage Fax: 952-471-0682 www.minnehahacreek.ong Overall Project Description:jk j)6 '7'y�3fSNc�rdr�. 7v 65m—i Yz 64TY4 Nto4c $tt two- 'A-M OFF,i�C 412&�, Estimated Construction Valuation of Project(excluding land) $ l- ?.cso, cXJ —' 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 required by law. If you refuse to 5upply the information,the application may not be issued. Applicant's Signature: Date: 3IL`1 "ti Last Updated: 03-01-2011 Plan Review Checklist for IVew Structures i Addit!0s Address/PID/Legal: �Q+ G.m Description of work: W EO®L U e I - Septic review by- N IA Date Approved• r Zoning review by: . . IU 9 A -Date Approved:r Buildin 'revieutr o g Y• Date Approved: Z Z,al i Crading'review by: Date Approved: oning Fite A Resolution#: Resolution Date: t Zoning District Fare De artment Post Office. School strict Zoning. Lot Area: SF/AC Width., epth: Survey Submi M Yes` ® No Date of Survey: Pro used Setbacks. Frflnt(Lake) ar(Strt� { N S B W 1 ( N 5 E W ) Othar Buildings Wetland Side Side ' 30ding Defined Height; Building Peak'Height #of Stories Ok? ® YES FOR A BUILDING WITH A BABI=MBNT OR Ct, SPACE: F A BUILDING ON A SLAB FOUNDATION; i START WITH the distance between the base, ent floor!crawl START the distance-between the slab andlhe highest spacefloor and the highest goof ak,the top of 1MTH roof peak,the top of the comice.ofa flat roof,' the c;amce of a flat roof;the deck 1 of ' the deck line of a rrar\sard:roof,,pr the mansard roof,or the uppermost''pdint a roue uppermost point on a round or other arch-type: . or other arch- f e roof roof - SUBTRACT half the distance between the highest win and SUBTRACT half the distance betweeft4he highest window Y hi hest roof k of a _itchetl rr of and highest roof peak,of a:, kched roof SUBTRACT the distance between the baser ion#fl rl crawl AD.D the distance between the slab and the highest; k space floor and the highest a Stir rude within existin rade within the fountlatiort the foundation o[10 feet,whiche r is less. EQUALS Defned buildin hei ht EQUALS 'Defined buitdin hei ht Lot Coverage: SF Shoreland District WD Perlvlit Received Avera „keshare Setback Sluff i Yes D Na D N/A ® Yes Q No ( O Yes 0 No G Yes D o ` G• N/A Per Number. f Setback. Hardcover Zo Exietin Pro osed Valiance Re wired CUP Required '® Yes O 1$ . ® Yes ® No r 75- 0' rYpe(s)= pe(s); 4-500' 500-1000' MARKS (in-house): 1v CHAn1G4;' Updated: 09{1112009 z:Aforrns\plan review checklistdom t * a — s? •c. 4.w- j �' `r >z r' 3 %3 *k :'� �. t '"'`.a t ,+`—c-+Vit}i a +�'-"-x^-'--E- � a 7R �a mg 1 - 9 n r '" ,�a t r {f " r da:;•' 4" j .Y 2 t� '•r n s6 .��°� ifi - y� ,r� �,r 'k .6 i " -i_, A&AAA r ..yK r'l � T2,�+� �1i►,u'4* ! �� f �� '=Z s J5$z:1�✓ �o.rr "Al, M1 1 tA r .ss Tti t F c�' s} 3 U by k g i t a¢` K f t .F•.T t v .. Mr4 4 r yr 1 s t* e '� �, i3 ) � : � � v� ' � '>�� 3'�a � t ,�„ B Yr r`P2 � drti ai � t .� k '•x a'� k� �.hg '� /J► b r y �.� i � �. 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Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor osite: Inspecto �6 r. White Copy/Inspector's File Canary Copy/Site Notice