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Home My WebLink About2009-00690 - addn/remodel/repair . , � CITY OF ORONO PERMIT NO.: 2009-00690 2750 KELLEY PARKWAY ORONO, MN 55356- �AT�1SS[7E�: 10/13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 567 PARK LA PIN : 06-117-23-41-0045 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT O11 BLOCK 006 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPF,RATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELEC'1'RICAL(STATE) REMODEL KITCHEN.DRYWALL BASEMENT,REPLACE WINDOWS,ETC. ADVANCED PLAN REVIEW OF$143.81 PD CK#097 APPLICANT PERM[T FEE SCHEDULE 221.25 PRESTHOLDT, PERRY 567 PARK LA STATE SURCHARGE(VALUATION) 6.00 LONG LAKE,MN 55356- TOTAL 227.25 OWNER PRESTHOLDT, PERRY 567 PARK LA 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 specitications,applicabie 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 a plicant is responsible for assuring all required inspections are re ues ed in conformance with t State Building Code.This permit may be r vo d at any time or due cau e. � � , .� (u i l 3 / �� f� � lO Applicant Permitee Signature Date ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. , �o`�� City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � _ ��9a O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �D OJ Dg a �,`�,. a, Street Address: Received by: �, ' �ti`S' 2750 Kelley Parkway Plan review fee: � �. L�E3H��`'� Orono, MN 55356 ��Q _� Total Fee:� �a7 � 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. (P/ease print) GENERAL INFORMATION: � A JobSiteAddress: S�o� QP��2.1� �iJE �(Zph(O /��[�l �JS?J5'� Will this be a Parade of Homes, Remodelers Showcase H me or other Display Home? ❑ Yes No If yes,a specia/event permit is required with Police Department and City Council approva/60 days prror to the event. Shutt/e bus service will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �c��oie o�,e� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �E�LI�� t2�STH0 L�T Phone(day): — — Address: R Ci : $ "TdV �wVG�LIP: ��g10 Email and/or Fax _ DC�Y'2 S cGD L�l�. ' �V PROJECT INFORMATION: Type of Project: Any earth movement may require �Door(s) �Remodel MCWD review 8�permits ❑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 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �Z.F,,MopEL k�TtNEN pILYI�t/A�L.� QG�,SEMENT (,/�C W/,V,j�(,�/S �-CC, Estimated Construction Valuation of Project(excluding land) $ �2 Q U O, 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 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 re uired b law. If ou ref se to su I the information, the a lication ma not be issued. � � ApplicanYs Signature: � Date: �GT. g� 2�� Last Updated: 05-04-2009 Plan Review Checklist for New Structures / Additions Address/PID/Legal: 5� �P�'+rQK t,d�r�i. Description of work: (:t-s�?v�n�,�-r.t_ �.,.p �,g,c� i}.�-C¢SS f�i�f Septic review by: NlA Date Approved: � Zoning �eview by: /�� Date Approved: �-- Building review by: Date Approved:_ _ !C� ��3- d � Grading review by: �l� Date Approved: � Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: ey Submitted: 0 Yes 0 No Date of Survey: Pro o d Setbacks: Front(La ) Rear(Street) ( N S E W ) ( N S E W ) O r Buildings Wetland Side Side Building Defined Height: Building Peak Height: _ #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT CRAWL SPACE: F R A BUILDING ON A SLAB FOUNDATION: START WITH the distance between t basement flooN crawl START the distance between the slab and the highest space floor and the highes of peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the k line of a the deck line of a mansard roof,or the mansard roof,or the uppermost p 'nt on a r nd uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest ow and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a ftched roof SUBTRACT the distance between the basem t floor/craw ADD the distance between the slab and the highest space floor and the highest ex' ing grade within existin rade within the foundation the foundation or 10 feet,w ' hever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakes re Setback Bluff 0 Yes 0 No � N/A 0 Yes � No O Yes � No 0 Yes 0 No N/A Permit Number: Setback: Hardcover Zo s Existin Pro osed Variance Re uired UP Re uired 0-75' 0 Yes 0 No � Ye 0 No 75-2 ' Type(s): Type(s): 25 -500' 5 0-1000' \ REMARKS (in-house): � � c� �N �J � Updated: 09/11/2009 z:\forms�plan review checklist.docx Fees to be Char ed YES NO Permit � Plan Review �/` State Surcharge � Investigation Fee SAC—:Nurnber of SAC Units Sewer Connection Water.Connection Park Fee Site-lnspection . Other(specify) Misceflaneous Fees Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ l 2, o 0 0 � Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/ Filling 0 Well 0 Hardcover Removal Mechanical � Fire ,�Electrical 0 Footing � Septic 0 Water Connection O Poured Wall � Fireplace � Sewer Connection � Foundation Survey O Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. �" Framing � Other(specify) �Insulation � As-Built Survey �Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES O NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx � � /� TIME CITY OF ORONO CALLED IN !y � INSPECTION C SCHEDULED `�� PERMIT NO OD MPLETED ADDRESS ? OWNER NTR. TELEPHONE N . ��` � � � \\ � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y L�J INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z�❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � � DEMO-SITE ❑ SEPTIC MAINT. p COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � �%�> � t ''PC/�,c 'F,/�- '��(.0 S � 1� S ��rsl��s�e� . � 0 � W � Q � z W � W � j O/�.� 4�'6.1M110RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on ite: . Inspector. _� J" `� � White Copy/lnspecto�'s File Canary Copy/Site Notice � DATE TIME CI OF ORONO ALLED IN a INSPECTION NOTICqE(� � SCHEDULED �� PERMIT NO.�"" � COMPLETED ADDRESS � �.,/ OWNER 1 r �� TELEPHONE NO.v�S �ad"`f"� CONTRACTO �'-��Q��Z��X-Q�� : DESCRIPTION _ ��`� , � �� ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADIN ILLING Q ❑ POURED WALL ❑ 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 � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q�ONTRACTOH TO MEET YO�k�YES_NO Z� � COMMENTS: W f " �Q/� � j —c�i-/ —��/C-J O � � O � � �`J /� � '�("t,...L '1�,: �� ,-�- � Q � Wfi� :� �1 � � �� s�c _�,,�t -�..� � � GW WORKSATISFACTORY:PROCEED �'�PROJECTCOMPLEfE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. L..� (,•-[ 5 �� White Copyllnspector's File Canary CopylSite Notice