HomeMy WebLinkAbout2010-00673 - addn/remodel/repair .. CITY OF ORONO PERMIT NO.: 2010-00673
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/25/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 500 ORONO ORCHARD RD S
PIN : 02-117-23-31-0049
LEGAL DESC : MINNETONKA BLUFFS
: LOT 001 BLOCK 013
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 7,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE)
BATHROOM REMODEL
PLAN REVIEW COLLECTED 8/5/10 PERMIT 2010-00672$95.88
APPLICANT PERMIT FEE SCHEDULE 147.50
WEBSTER, STEVEN&JOELLEN STATE SURCHARGE(VALUATION) 5.00
500 ORONO ORCHARD RDS TOTAL 152.50
WAYZATA,MN 55391
OWNER
WEBSTER, STEVEN&JOELLEN
500 ORONO ORCHARD RD S
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• time after work has commenced.
The applic• 's respl sible for•.s ing all required inspections are
requested in ,op/am- wit. '- State Building Code.This permit may be
�.-
revoked at• �' fo:(S ,, se.
;Af ri&— �%- U / 4s-/ ci/ci \ ' / /
Ap9 ".'t'"."i`-e Signature Date Issued By Si. ure (4- :• e
SEPARATE PERMITS REQUIRED FOR WORK OTHEV HAN DESCRIBED ABO 6.
City of Orono cJv\ M4/ 0
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.) /5'2.50
Mailing Address: Permit number: J010' 00 4r11
Qv OPO Box 66
IS1\ Crystal Bay, MN 55323-0066 Date received: 8/Sf/0
. ._ _ Received by: /�qCC
�� eiti✓> Street Address: J
�:es �, o~ 2750 Kelley Parkway Plan review fee: aD(O —00 l0 7L
.<4'OA
Orono, MN 55356 g
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: .5 0d Oro' o 0 r . f-c L S
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? I I Yes (J to
If 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 INFOR ATIO
Name: ��� e_.,r e.,2 (',)��j5 c_0(A3n,e.
State License# Expiration Date:
Phone: (o ice . /2_ i Itai7, I
Mailing Address: _ Cit : 's r ZIP: c
Contact Person: Applicant is: Contractor / 'omeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: �
Name: �-4-C L) 'l, W he__6 c--
Phone
Phone (day): 9'S ��1? 760e
�� Y
Address: L�--'UC1 O o 'TO D ,--,c-A„,-,1 City: --cj„k0' ZIP: S'-`<- c
Email and/or Fax .S71--e k/L.� t ,c -'0 ,b Sd-, LL £u
PROJECT INFORMATION:
Type of Project: Any earth movement may require
' MCWD review&permits
❑ Door(s) ` Remodel ❑ Water Damage
`\ Minnehaha Creek Watershed District(MCWD)
❑ 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 Damage www.minnehahacreek.orq
Overall Project Description: 1 ?CA*1 laE 't-O t_Q_Q. 00
Estimated Construction Valuation of Project (excluding land) $ /O O
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 to either the public or the subject of the data. Our
purpose and intended use of this inform-tion is to annually upd e/6ur records and records of other governmental agencies
re•uired b law. If ou refuse to sus.I he infor• ation, t - a••licatlor ma not be issued.
1: 4r .,-MEIlr
Applicant's Signature: Date: /Q
Last Updated: 05-04-2009
•
' Plan Review Checklist for New Structures / Additions
Address/ PID/Legal: goo o1?-Olio oRcA4Ac D R...o AvD
Description of work: 13 AM (LC Ww Oz. L
Septic review by: /WA Date Approved:
Zoning review by: N/i4 Date Approved:
Building review by: ( Date Approved: g- 1 Z-) 0
Grading review by: OA Date Approved:
oning File#: Resolution#: Resolution Date:
Zoning District Fire Department Post Office School District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitted: D Yes D No Date of Survey:
Proposed Setbacks:
Front(Lake) Rea Street) ( N S E W ) ( N S E W ) 0 • -r Buildings Wetland
Side Side
Building Defined Height: Building Peak Heig .
FOR A BUILDING WITH A BASEMENT OR CRAWL S- E: FO- ' BUILDING ON A SLAB FOUNDATION:
START the distance between the basem--t floor/ TART the distance between the slab and the
WITH crawl space floor and the highest ro• •eak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof, the •: k of a flat roof, the deck line of a mansard
line of a mansard roof, or the uppermost roof, or the uppermost point on a round or
•oint on a round or other arch-t •e roof other arch-type roof
SUBTRACT half the distance between the highes SUBTRACT half the distance between the highest
window and highest roof peak of a *itched window and highest roof peak of a
roof pitched roof
SUBTRACT the distance between the ba -ment floor/ ADD the distance between the slab and the
crawl space floor and the .•hest existing highest existing grade within the
grade within the founda '.n or 10 feet, foundation
whichever is less. EQUALS r_ Ined building height
EQUALS Defined building h- ght
Lot Coverage: SF
Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff
D Yes ■ o D Yes D No D N/A - 0 Yes 0 No 0 N/A s D No
Permit Number: Set k:
Hardcov- ones Existing Proposed Variance Required CUP Requi
5' 0 Yes 0 No 0 Yes 0 No
5-250' _ Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house): NA C'_1-%A N&e
Updated: 07/01/2009
z:\forms\plan review checklist.docx
+pp
Fees to be Charged YES NO
Plan Review
'StitteSiglobarge - 7""
Investigation Fee
SAC
Sewer Connection
Park Fee
e specL1on w.i v. rot 1 ,. .r. .i
Other(specify)
Calculated By:
UBC: Construction Type:
Square Footage $ per Square Footage
Basement X = $
1 n Floor X = $
2na Floor X = $
Garage X = $
Estimated Construction Value: $ 7,000 1-12-
Orono
dOrono Inspections Required Work Requiring Separate Permits Required State Permits
D Site Plumbing D Grading / Filling D Well
D Hardcover Removal D Mechanical D Fire %Electrical
D Footing D Septic D Water Connection
D Foundation Survey D Fireplace D Sewer Connection
12f Framing D Masonry D Lawn Irrigation
Ja' Insulation D Mfg.
D Wall Board D Other(specify)
D As-Built Survey
Final
D Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: D YES D NO New: D YES D NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
z:lforms\plan review checklist.docx
12 D T TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 8'46-/t g%3O
PERMIT NO.8 /D -DO(n 73 COMPLETED
ADDRESS 500 D/e110 OrCAa. j ,goy
OWNER S1evett cvbsi-e/- TELEPHONE NO. '/2' 596'11252-
CONTRACTOR
a DESCRIPTION M2411-4--15
1.1., 0 FOOTING 0 PLUMBING 0 EXCAV/GRADING/FILLING
vc 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
ti
0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL
0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
• 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
• 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ccl COMMENTS:
W
O
0
W
W
W
CC
RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W• 0 CORR CT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: tiInspector.
White Copylinspector's File Canary Copy/Site Notice
Y-:k IAE7 TIME
CITY OF ORON D ` ED IN /i //�
INSPECTION NOTICE 6 a 67 3 SCHEDULED ..AL#f/0 9- PC)
PERMIT NO. OMPLETED
ADDRESS O() Qy 1i1Q Crf-w dled
OWNER s 0 UdaztegELEPHONE NO.lva X 73 1&un
oW Le CONTRACTOR 7-
>; DESCRIPTION Ma. / / aqia-0 Rif -'
I,
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q ❑ FRAMING 0 MECHANICAL FINAL I=1 TREE REMOVAL
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
141._
0 DEMO-FINAL CI SEPTIC INSTALL CI HARD COVER REMOVAL
v ❑ PLUMBING RI CISEPT FINAL 0 FOUNDATION/REMOVAL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: I./ ,
iv I ,.
._ .. _ • I
W
Q.
CC
O
CCO
W
W
CC
Q
03W
Z
W
W
LUCI WORK SATISFACTORY:PROCEED l PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on .ite:
Inspector. 7 1 -
White Copy/Inspector's File Canary Copy/Site Notice