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Home My WebLink About2012-00189 - addn/remodel/repair CITY OF ORONO * z 0 1 z — B 0 1 e 9 * _ , 2750 KELLEY PARKWAY DATE ISSUED: 03/15/2012 ' ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1453 PARK DR PIN : 07-117-23-42-0022 LEGAL DESC : SAGA HILL REVISED : LOT 009 BLOCK O15 PERMIT TYPE : ADDITION/REMODEL/REPA[R PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) REMODEL KITCHEN AND BATH ADV . PLAN REVIEW PD 3/12/12 ON PERMIT 2012-00188 $268.45 APPLICANT PERMIT FEE SCHEDULE 413.00 WELLSWOOD GROUP STATE SURCHARGE(VALUATION) 12.50 1444 BALDUR PARK DR WAYZATA, MN 55391- TOTAL 425.50 OWNER WELLSWOOD GROUP 1444 BALDUR PARK DR 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 perniit is for only the work described and does not grant permission for additional or related work which reyuires separate pennits. 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 reque in conformance with the State Building Code.This permit may be revo ed t any tim�or due cause. /�`., :. . � / _-�=�--_ � �/S_' //Z x� t � �� -�'�,,-�� ( l!j l A+pplicant Permitee Signature Date v � ( �` ` � � / � _/S ��}- Issued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. C'J"' , �� City of Orono 3-�3 ' Building Permit Application for Maintenance / Renovation �� (windows, doors, siding, re-roof, etc.) �{ZS• 5� Mailing Address: Permit number: o��/c� - OC� � O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 3-1 2-�2 � _ a, Street Address: Received by: 6-�� ' �° �� ti�' 2750 Kelle Parkwa '/� � � Y Y Plan review fee: �!o�, T L9kE8H��`'� Orono, MN 55356 - Total Fee: �D/a- D D/�� 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: 'J ^� � � � Job Site Address: [ ..� r Y'�� rDvt�.'� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes,a specia/event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shutt/e bus s rvi e wi//be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/AP ICANT INFORMAT ON: Name: ��C �� av✓�✓1 L�� "—�J�� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) Cj�p�a,,f"� — S7�U (cell) Mailing Address: S"� �-K n�_ City: `S�(, Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF MATION: Name: �� c�,��/ Phone (day): J _ — 5�7 7 U Address: � � ,r;V� City: �v—c� ZIP: `��3� Email and/or Fax ,� Kc�v��y �IMG 5�� G� PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) Siding ❑ Other: (specify) Fax: 952-471-0682 indow(s) www.minnehahacreek.orp Overall Project Description: �.od.c�� --��--t c�—� Estimated Construction Valuation of Project(excluding land) $ a�,p4�.-p-� 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 th� formation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse t su I the infor tion, the a lication ma not be issued. ApplicanYs Signature: Date: �2 Last Updated: 08-09-2011 �Z Plan Review Checklist for New Structures / Additions Address/PID/LegaL �y}r3 P/92 K �/Z. Description of work: (ZE�P c_"Z- Septic review by: n!/,� Date Approved: Zoning review by: /�/f Date Approved: Building review by: Date Approved: 3- �3 " � Z Grading review by: � N ( 1'� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District fire De artment Post Office chool District Zoning: Lot Area SF/AC Width' Depth: Survey Su itted: �Yes � No Date of Sunrey: Pro osed Set cks: Front�Lake) Rear(Street) ( N S E IN ) �( N 5 E ) Other Buildings Wetlantl � Side Sid . � Building Defined Height: Building Peak He' t: #of Stories Ok?: � YES fOR A BUILDING WITH A BASEMEN OR CRAWL SPACE: FOR A BUILDIN6 0N A SLAB FOUNDATION: START WITH the distance betwee he basement floor/craw START the distance between the slab and the highest space floor and the hig st roof peak,the to of WITH roof peak,the top ofi the comice of a fla#roof, the comice of a flat coof, deck line of a the cleck Jine of a mansard roof,oc the mansard`raof,or the uppe st point o round uppermost point on a round or other arch-type or other arch- e roof roof SUBTRACT half the distance between the hi window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roo and hi hest roof eak of a itch.ed roof SUBTRACT the distance between the base ent fl r/crawl ADD the distance between theslab and the highest space floor and the highest e sting�ra: within existin rade within the foundation the foundation or 10 feet,w ichever is less. E�UALS Definetl buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF %o Shoreland District MCWD Permit Received era e Lakeshore Setback 'BiufiF 0 Yes � No � NJA � Yes � No � Yes � No � Ye 0 No D N/A Permit Number. Setback: Hardcover Zone Existin Pro osed Yariance uired CUP Re uired 0-7b' � Yes No G Yes � No 75-25 , -rype�S): Type(s): 250- 00' 50 1000' REMARKS (in-house): U G�'F�f�"P Updated: 09/11/2009 z:\formslplan review checklist.docx Fees to be Char ed YES 'NO .. YieY4"An...., ._... .,..� .... A. . �,yt} _ t _ ' ..{ �.Lv` ...��t�' r.�rY..�"y"�h�.��n �]t T'�i � � ..,. �.... ... r , . .. . . ..'__ .z.... .-. ,.. .�...•,� . ::.. Plan Review � _ . . ,. .-�,., . ,,. , ...., , .._ -. �� , -:_ �. _ � ,.,� , . .-� . ._ _. ....� _. ..... ,_..� ..... Investigation Fee _. .. ,�.�, „ , ., �- - mdx.mm...e tx..J :nx �; x , . .�....e, � .L :.'._ ..._. . 9'�^�.r.:. ,...._.- Sewer Connection . ., . ,. ; . _. � Park Fee ,_ .., _. . � . . ._ . . . _ Other(specify) , _ Caiculated By: S uare Foota e $ er S uare Foota e Basement X - $ 1�Floor x = g 2"d Floor � X = $ Garage X - $ Estimated Construction Value: $ Z..S',�� J Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site �Plumbing � Grading/Filling 0 ell 0 Hardcover Removal j�Aechanical � Fire Electricat � Footing 0 Septic � Water Connection 0 Poured WaA 0 Fireplace � Sewer Connection G Fowndation Survey � Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. Framing G Other(specify) nsulation � As-Built Survey Final 0 Other{specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULUNG PERMITI Updated: 09/11/2009 z:\formslplan review checklist.doac w • � 36'-11" ��, J,► 'r:�tk,-�'� 9�-2° 2��-9„ # �� . , . 30�CM 6010F% 3010q1 H1a0M 61WF% ]OWqI � � � DECK ��S � 8�-6��X 8�-5„ w , z� ��F. �� ,� ,3,� � R � ��7:�1� � M 5� �— DECK I a'-i o��x 2'-a'� � . 9'-2" � � I� � � � R om� I � � I - � � � � �� - �� 0 . � `� �\ U P � � EX�� s� F�c� ��'C DiR��7l:Y ��.#T,. c �,��oo/L � �. LIVING AREA I i(�� j�Olr,'�`-� YJ1r, o S9 ft W t � �} OBBDC 3068 M �tl�9�T �� 46��..lIY'W' � ��t�ir�� F�r� �v��vw � ; �� - - � n�,t� .�- - __''�^hY,rr;v�. �7 f�{�'�+�,':'.�;';r:� .,'.�:..,�:J t+;.� � s��:R ; r � 'f°�� ', ' r,��ra�:^aIC�f3 � r...,, .`__ . �, ...: - : _.. .. . , ,..s;...�e:":�A��' n.:o� z�.00� ','1^... .i. .• ...� e;s�.� r� :'n� ,a..rit:�' ::i0�T4.�uXf�L�;iF�:f�}�� . ��'�'�c,t:'.L4 � ,.x�!ti�S"�iLiiiYlS f1Q� �d��lir.�!ry.r.��e;h d�i i(�P T,H!•'�a Pi��"`f3is��'�Fi?'dkC.�,i'�"c'�E „� �� _, _ ,�� .�� _ . ......M.�..r......�.+.w....... � , , ��CiA�.. 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I �� O— ' DA � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE q SCHEDULED �-- 3,"LTD PERMIT NO. �D/��/ COMPL ED ADDRESS OWNER � S TE�PH E NO �C v�� CONTRACTOR GZ�D� �� S - S�'S�� 7G >; DESCRIPTION r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FIN O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � 4 1-T,�-�� O � O � W � Q ti Z W � W � � GW �iNORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. � �[�� S White Copy/lnspector's File Canary CopylSite Notice I� � � DATE TIME V CITY OF ORONO CALLED IN '`�" ��r —�— INSPECTION N TICE SCHEDULED `7� ► � �— �.�.�s� PERMIT NO. o a��9 co�ETED ADDRESS OWNER TE�PHONE NO.G�✓ va1 �5a 57�L CONTRACTOR �/�/ �G�- � DESCRIPTION �//1.(_G�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� �'�4lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. /'� � ��.� White Copyllnspector's File Canary CopylSite Notice �� \,��1 1 O � �TE TIME � CITY OF ORONO CALLED IN �7�j 3 i a INSPECTION NOTICE n SCHEDULED �/T � PERMIT NO.�D�� -CLi�,X! COMPLETED ADDRESS �J � �- �� OWNER TELEPHONE NO. �a r`��U `�� CONTRACTOR �`,(��S � e L/ �Lt� C �: DESCRIPTION f�'� �Y � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON 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 v ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTO� R TO�YOU: YES_NO � COMMENTS: � W 0. a � S+� °3� � � 'T��v��e�� G lf� S � �cZ� �fv �3 ° i J �3 � �'C�S —� V � �� W � Q Z � �(� i,� . ,.s }=�n� . �,- ,��,q � W � W � � d W ❑WORKSATlSFACTORY:PROCEED ❑ PROJECTCOMPIETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OR�C08RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. Z � J .� White Copyllnspector's File Canary CopylSite Notice �� ATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE � SCHEDULED ��—/ —� PERMIT NO. �� PLETED ADDRESS � � OWNER TELE H NO.�S�— � -S 77D CONTRACTOR �v � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a a �: ✓�rA i � l� �" C�f ti` .-�-� � '�'I',` S ,�C��" �� 0 � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si�e: Inspector. � ` � � White Copyllnspector's File Canary Copy/Site Notice