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Home My WebLink About2011-00435 - repair, rebuild 2 balconies CITY OF ORONO PERMIT NO.: 2011-00435 � 2750 KELLEY PARKWAY ' � ORONO, MN 55356- �ATE �SSUEn: 06/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 865 PARTENWOOD RD PIN : OS-117-23-43-0002 LEGAL DESC : PARTENWOOD : LOT 001 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) REPAIR,REBUILDING 2 BALCONIES APPLICANT PERM[T FEE SCHEDULE 221.25 PLEKKENPOL BUILDERS PLAN REVIEW 143.81 401 E 78TH ST BLOOMINGTON, MN 55420- STATE SURCHARGE(VALUATION) 6.00 (952)888-2225 TOTAL 371.06 Minnesota State License#: 1797 OWNER PICCARD ET AL TRUSTEE,JANE E 865 PARTENWOOD RD 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 permi[s. All provisions of laws and ordinances goveming 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 wark has commenced. The applicant is responsible for assuring all required inspections are � requested in conY ance with the State Building Code.This permit may be � revoke t any ' r due use. R �- �,e� �� C��C e e� � � , a3 , �� Applicant Per � ee Signature Date � �� ' '// Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �� CJU J O��,�.0 PO Box 66 Crystal Bay, MN 55323-0066 � Date received: / ,� �'�-4�'+,' �, Street Address: . �W Received by: � �' ' '�� ti 2750 Kelle Parkwa C •-� � � Y Y �Q((,1 t l Plan review fee: L�kESHo�`'� Orono, MN 55356 `C ��1 � � — 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. (P/ease print) GENERAL INFORMATION: .� Job Site Address: �� /�2'i�� -�C7 C% {� �2��v? Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: PL�KkCti Po� �J ��L�CS State License# � � y � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhaf were constructed prior to 1978 Phone: y5 Z- �'�-Z Z Z� (office) G�z- 3 z.� - i3�b (cell) Mailing Address: t�� Cb�-�� 7��"� s-�� Cit : ��,,,,,,,,.,��,.J ZIP: 5 �fZO Contact Person: jZ��,� L �,.�� GLL Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �C�,..r� � i�CCkK�iv�v , GU�"''� PROPERTY OWNER INFORMATION: � ,, Name: �/v i-�s C� GZ�L h--`� , i C Ql�-C� / Phone (day): y�Z — y��j — ;�$c�> Address: R (� S �AQ�7C,`,�.,�o� (zo,,a a City: p��.d,v C; ZIP: ��-�, 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: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /2 v C.`�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 refuse to su I the information, the a lication ma not be issued. ApplicanYs Signature: �_/_�� ' Date: � Last Updated: 03-01-2011 `` � - P1an Review Checktis# for �Iew Structures / Additions Address/PID/ Legal: _��AR-TL-NW ob�0 (2�r4r� Description of work: __ __ 1�IP�12 Septic review by: _ r�!(�r/4� Date Approved: Zoning review by: _ �J 11q Date Approved: Building review by: � . (.�1r1ti„�►..— Date Appraved: !o-9-t ( � Grading review by: N i Date Approved: Zoning File#: Resolution#: Resolution Date: _ Zonin District Fire De artment Post Office School Distric# Zoning: Lot Area: SF/AC Width: Depth: Survey Sub ' ed: 0 Yes 0 No Date of Survey: Pro osed Setba Front(Lake) Rear(Street) l � S E W ) ( N S E W ) Other ildings VHetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR WL SPACE: FOR A ILDING ON A SLAB FOUNDATION: START WITH the distance between the b ement floor/crawl S T the distance between the slab and`the highest space floor and the highest r f peak,the top of ITH roof peak,thetop of the cornice of a flat roof, the cornice of a flat roof,the de line of a the tleck line of a mansard roof,or the mansard roof,or the uppermost p ' t on a round ' uppermost point on a round or otherarch-type or otherarch- e roof roof SUBTRACT half the distance between the highest do nd SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched ronf SUBTRACT the distance between the basement flo cr I ADD #he distance between the slab and the highest space floor and the highest existing ade withi existin rade withirrthe fioundation the foundation or 10 feet,whiche r is less. EQUALS Defi�ed buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District WD Permit,Received Avera Lakeshore Setback Bluff Yes 0 No � N/A '� Yes 0 No 0 Yes G No � Yes No � N/A Permif Number. Setback: Nardcover Zo s Existin Pro osed Variance Re ui d CUP Re uired 0-75' � Yes � N O Yes � No 75 50' TYPe�S)� TYPe�s)� 50-500' 500-1000' REMARKS (in-house): � Updated: 09/11/2009 z:\fortns\plan review checklist.doac Fees to be Char ed YfS NO ' - ,,._... ., . ,� ,3 , � _ _ ,,..} � V�'�: �*� '„`£..` . . .. ... i_ _". . ..,... . -�.. . _ ..� fr � .�. �..� ,.. ..�� .�� v. Plan Review -� .-. .,, ..,,�<< <.- , . . , . .>,. ,. ;. _ _ �,�. . ;,. , .. �.., £. � , �� n, ,: Y ._ _:. . ._ . , , Investigation Fee _ . .. ,_m . _.,, . . ,,, ,._ ., �,�..t.� .. �. . ,.� ... _. , - ,.. .._. .. . _ Sewer Connection Park Fee � , .- _ . _ ,,..: . _ _. Other{specify) Caiculated By: ._ _ _ - _ S uare Foota e $ er S uare Foota e Basement X = $ 1 sc Fioor X = � 2"d Floor � X = $ Garage X = $ Estimated Construction Value: $ 1 Z� o c�o� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing � Grading/Filling � Well G Hardcover Removal � Mechanical G Fire � Electrical 0 Footing � Septic 0 Water Connection G Poured Wall C Fireplace � Sewer Connection G Foundation Survey O Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. Framing � Other(specify) � Insulation G As-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: 0 YES 0 NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: D9/11/2009 z:\formslplan review checklist.docx 4•� DATE TIME " CITY OF ORONO CALLE�^ ' INSPECTION NOTI E C, SCHEDULED -� - � PERMIT NO. �� ✓ COMPLETED ADDRESS �� OWNER TE EPH NE O. `z 3� �3�D CONTRACTOR � � DESCRIPTION r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W 0. � J O � � O � W � Q � 2 W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTORIMLLRETURN " ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � . /`� White Copyllnspector's File Canary CopylSite Notice �� D TIME �' CITY OF ORONU' �3CjS CALLED IN �� INSPECTION NOTICE SCHEDULED � PERMIT NO. COMPLETED � ADDRESS ��S � � OWNER TELEPHONE NO. ��a -�� CONTRACTOR � � �; DESCRIPTION F�n a-� � r�JeG�C-- � � r n� W� � ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � J O , � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑T6SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01fERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnedContractor on site: Inspector. White Copyll�spector's File Canary CopylSite Notice