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HomeMy WebLinkAbout2010-00258 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00258 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/07/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 105 ORONO ORCHARD RD N PIN : 35-118-23-33-0003 LEGAL DESC : UNPLATTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION YPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPERATE P RMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) SIGNED SEPTIC AG EMENT RECEIVED 5/7/10 APPLICANT PERMIT FEE SCHEDULE 466.75 LOWE,JAMES PLAN REVIEW 303.39 105 ORONO ORCHARD RD N LONG LAKE,MN 55356- STATE SURCHARGE(VALUATION) 15.00 TOTAL 785.14 OWNER LOWE,JAMES 105 ORONO ORCHARD RD N LONG LAKE,MN 55356- 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 requested' conformance with the State Building Code.This permit may be revoked a any me f due cause. l �pplican Pe itee Signature Date Issued By S' nature �G D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . I of 5h City Orono • Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address. Permit number: 4:7?9/0- CO 58 ..,0� PO Box 66 o •O\„ Crystal Bay, MN 55323-0066 Date received: '-/- 01,3 /D "`-_sem Received irl ' I Street Address: by: �.4 I ,,,A i•" o~• 2750 Kelley Parkway • Orono, MN 55356 Plan review fee: L`�kESHo `�v -- Total Fee: `7 i t 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: ! b 5 0TU14Z) C &i , ( �� (? .�63 y Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?Home? 7I Yes If yes. a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ^ICANTO 1NF ATICoN: I ,` ., Name: ej et 1 _ l-C.�W State License # Expiration Date: Phone: .offic ) (cell) Mailing Address: (Q S ` �M1 �'�� --1�r f\co- `� City: IP: Contact Person: t-C/N Applicant is: Contractor Homeown (circle One) Email and/or Fax: C y_ 6 e LH PROPERTY OWNER IN OR. ,ATION: Name: . �61,11A 1--AN Qi Phone (day): C 7_ , i - _._ Address: S 0rc�� � (ILc r City: C�✓e/ln c ZIP5��� Email and/or Fax e_( 1 L ,Oe. fV oN1 Cu,( Ly-y) PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits 'Door(s) ^Remodel ❑Water Damage ,t Minnehaha Creek Watershed District(MCWD) Zi Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Dama e www.minnehahacre� LA Overall Project Description:al ./O J find it - k vV r� //I 1010 Estimated Construction Valuation of PPrrolect (excluding land) $ 16 ou ' c /i f„pr 're APPLICANT ACKNOWLEDGEMENT: SYt L d!.. • 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 upply the information,the application may not be issued. Applicant's Signature: ' 09 /4. 1 Date: i.1T Jpdated: 05-04-2009 Plan Review Checklist for New Structures / Additions • Address/ PID/ Legal: /0 Orb rk10 Q(rC L-gi r d, (Z 'U Description of work: SN "YZ.' t.)14- rRXJ &A•3vo(. L Septic review by: W . Date Approved: 5 ',....3, ,/0 Zoning review by: Nd Date Approved: Building review by: 44,1 SL Date Approved: S - s'/0 Grading review by: /✓<4 Date Approved: /v/9 Zoning File#: Resolution #: Resolution Date: Zonin�c District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submi _.: 0 Yes 0 No Date of Survey: Proposed Setbacks. Front(Lake) -ar(Street) ( N S E W ) ( N S E W ) Othe =uildings Wetland Side Side Building Defined Height: Building Peak Height: # of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A B. LDING ON A SLAB FOUNDATION: START WITH the distance between the base -nt floor/crawl ST•'T the distance between the slab and the highest space floor and the highest roof p--k,the top of .. TH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck lin- •f a the deck line of a mansard roof, or the mansard roof, or the uppermost point o . round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest windo .r: 9 SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/ • awl ADD the distance between the slab and the highest space floor and the highest existing gra.- within existing grade within the foundation the foundation or 10 feet, whichever': less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF % Shoreland District MC D Permit Received Average La -shore Setback Bluff ❑ es 0 No 0 N/A 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 N/A - ermit Number: Setback: i Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 75-250' Type(s): Ty.-(s): 250- 00' 5 -1000' REMARKS (in-house): 5L=P T IC- A orz rvtov r t S rLc Qu t dt,C.Q 4-o -l'bJv 1 f3y e o w N e=Yt S (2, C i=o ok, 1 Ss u ta-mc.e Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit ,r , i/' Plan Review 1/' ='State'Surcharge ,r,/ Investigation Fee 3 4C +JnriibeX .S ►C=Units .; _ Sewer Connection Illater Connection Park Fee =5>Ite�lnpect�on.,, . L - Other(specify) w; llsce'11a, eoas,4ees t ;;, ,; Calculated By: Square Footage $ per Square Footage Basement X = $ 161 Floor X = $ 2nd Floor X = $ Garage X = $ cxo Estimated Construction Value: $ 30,000 Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site ' Plumbing 0 Grading / Filling 0 Well O Hardcover Removal Mechanical 0 Fire fr 'Electrical O Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. %Framing 0 Other(specify) 'Insulation O As-Built Survey 7Final O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx D T TIME V ,5*-- CITY OF ORONO LLED INS(t°a 10 INSPECTION NOTICE+� SCHEDULED _Alg ► c' -c' � PERMIT NO. "90 COMPLETED /1 ti ADDRESS /D �j C)rOI'IO o rd-o rd led N OWNER TELEPHONE NO. Tim-' 4a1? g CONTRACTOR a,� t7A-€., 0672. DESCRIPTION Frairi W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING • 0 POURED WALL i 0 MECHANICAL RI 0 LAKESHORENVETLANDS ti 0 FRAMING I 0 MECHANICAL FINAL El TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT Q CIDEMO-SITE i 0 SEPTIC MAINT. CI FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPI FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO CO3• COMMENTS: cc cc O cc O U- W cc Q W W 0 W____dcO➢iARK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING I II PERMANENT ❑CORRECT UNSAFE CONDITIONWITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contract n Inspector: White Copy/Inspector's File Canary Copy/Site Notice ' -3 D,TE TIME CITY OF ORONcp�p-0(54L5 8' CALLED IN INSPECTION N ICE SCHEDULED . . 0 Zed 441 PERMIT NO. COMPLETED ADDRESS / J OKbl� r �o UC • (\j OWNER __ TELEPHONE NO. 6 /a _;V©/ CONTRACTOR __ __7(21}(k4--,Z1 -��t�.Q - �� DESCRIPTION / /1` - 6a` irO?y' W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING c ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ✓ 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ✓ 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: CC W Q. CC F, /1j...r \ \k ? V M./ CC i o I Q 'S of .1 .0:t4 e C �c1�) re,6,_,.-,;