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Home My WebLink About2011-00753 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00753 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/04/2011 ' 952 249-4600 FAX: 952 249-4616 . ADDRESS : 990 PARTENWOOD RD PIN : 08-117-23-12-0006 LEGAL DESC : PARTENWOOD 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 100,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) REMODEL MASTER BEDROOM,MASTER BATH AND 1/2 BATH. APPLICANT pERMIT FEE SCHEDULE 1,056.75 KRAUS ANDERSON CONST CO. PLAN REVIEW 686.89 8625 RENDOVA ST CIRCLE PINES,MN 55014 STATE SURCHARGE(VALUATION) 50.00 (952)249-9679 TOTAL 1,793.64 OWNER ENGELSMA,BRUCE&MARY 990 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 permits. 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 work has commenced. The applicant is responsible for assuring all required inspections are reques in wnformance ' e S ate Building Code.This permit may be rev ed t any time f ue cause �1.� l i/ , l i Applicant Permitee Signa Date Issued ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. . ��1<< City of Orono - Building Permit Application for Internal Work - (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a��-6 4 7� Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � / � � Street Address: Received by: 2750 Kelley Parkway Plan review fee: l.��Ho�,��' Orono, MN 55356 Total Fee: , Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us /?g � � 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: �9 Q p�(L"r�K W W p �•Qp•p � (t,d KQ , �N �j �3 s4 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a specia/event permit is required with Police Department and City Council appmva160 days prior to the event. Shutt/e bus seniice will be required unless applicant demonstrates suffcient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR 1 APPLICANT INFORMATION: Name: � �(�� //J State License# �"�(e, Q� Expiration Date: Lead Certification Number: Expiration Date: (for work on itomes ti►at were constructed prior to 1978 Phone: h(i� —'�g(D— '�1 �1 (office) �y�L� �jv1� ' �3�� (cell) Mailing Address: City:(� � IP: ,�CS ! Contact Person: �'�} �GqJ Applicant is: on ra / Homeowner �cir�ia or,e� Email and/or Fax: .��,N� . .�,;�,�,�,� bs ewl �•y r1ri�.b $.l��tv sb,�1 . Ga M.. PROPERTY OWNER INFORMATION: ►vame: �(�.0 LE F..P4 L��IS Iyl A. Phone(day): (o�'Z — 335— Z� G y Address: �U PAJ�-�13,,�/W O o'17 �.lj p� City:(�IZ.D�J� ZI P: �j�3�L Email and/or Fax �ue.. . �v�w M,i �o Kua�s �'►..�.vs�f„� . Gd.r.� . PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door s Remodel ❑Water Dama e MCWD review 8�permits: � � � g 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.m in ne ha ha creek.o ra Overall Project Description: p eV •• (1MA5� 1. � Ar Estimated Construction Valuation of Project(excluding land) $ ��aTC��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 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 i rmation,the a lication ma not be issued. ApplicanYs Signature: Date: L � Last Updated: 03-01-2011 Plan l�evi�ew Checkl:ist f�r �le�r �trwc#ures / Addi�ions Address/PID/LegaL• �g 0 (�ACtTtiv�pd�1 i2,bA,0 ' Description of work: /V�AS T�2 Q/3�n� 2�%►'�Dc..�L S�ptic reviewr by: _�/�� Date Approued: - .Zening,-review by. ` _NI A : `Date Approvetl: Builtling review by: Date Appr�ved; � -( . 1 L Grading:review.by: - Date Approved: Zo 'ng File#: Resolution:#: Resolution Date: onin District Fice De artment >Post Office .S o1:District �oning: ot Area: _ SF/AC Width: ' Depth: 5urvey 5vi�mitted: Ll Yss _ 0 I�o 'Date of Sur�ey: Pro osed Setbacks: fror�t{Lake) Rear treet) { `�1 S - E :W ) � N S E ) ;Other Buildings �IHetland ' Sitle :Sid � Building.Defined Height:. ' Building Peak M ' ht: #of Stories Ok?; n YES :FOR-A BUILDING.L�IITH�ABASEAAENT OR;CRAWLSP E: FOR�1 BUILDING ON'A SLAB FOUNDATION: " START V111TH ` 'the distance between#he:basement or/cra " START the distance between the:slab and:the highest' . space;floor and#he highest roof;peak, of WITH roof peak,the top of#he.cornice of a#lat roof, the cr�rnice of a`#lat roof;,the deck iins,of the:.deck'fine of a mansartl�coofi,.or#he mansard roof,or the uppermost..point e r nd uppermost point on a roun8 or other arch=ty{�e , orotherarch-t. e roof roof SUBTRACT `half the distance,between the hi est windowan SU.Bl"RACT half the distance between,#he highestwindow ; `hi hest roof eak of a itched of and hi hest roof eak nf a "itchetl:ronf SUBTRA'CT the distance:between the b ement:floor/crawl ADD the distance between the:slab:and.�he;highest '. space floor,antl'the highe existing grade within existin . ratie wi#hin the fonntlation ` the fourtdation or 10 fe ,whichever is:less. E ALS :Defined buildin hei ht EQUALS 'Defined buildin hei _ Lot CDverage: - SF % : �horeland:District MC1ND Permit Received Aveca e Lakes re Setback ' BlufF � Yes � No � N/A ' - 0 Yes 0 :No � Y�s � ` o D Yes � No 1�/A Permit Number: Setback: Hardcove ones Existin, P.ro. osed Yariance Re uired CUP Re uireri 0 �, � Yes � `No O es � No , -250' ,TYPe(�)� Type(s): 250-.�D0� 500-1000' REJIVIAR'K5 (in-hous�J: �1'0 C/.t A/V(o�°. Updated: 09/1 i/20D9 z:\fortnslplan reviewcheckiist.doac Fees to be Char ed ='�fS ! Np ; . . , . .. Plan-Review • Investigation Fee . _ � Sewer'�onne�otion ;.Park;F�e : Oth�r-(spec�fy) �alculated'By: 9 uare Foota: e �$,' er S uare Fnota e Basemerrt X = � : '1�Floor X = -$ 2nd Floo� . � _ : � > �acage � _ g _ Estima#ed Canstruction`Value: � I�l?,Ot�O °=' Urono 1:nspecfions Required Work Requiring Separate'Permits Required'State Permits D Site �.Plumbing �� Grading/Filling D`1lVell G 'Harticover Removai �lechani�al � Fire ,�'�Eiectrical -G Footing '� Septic � Water�Dnnection ' a Poured WaU � Fireplace 0 Sewer-Connection D faundatinn 5urvey D Masonry ;� Lawn Irrigation O Ratlan Rock Beitl p �fg, - �A'::Framing � �.tl�er(specify) : �Insulation 0 ;As=Built"Survey ,,;O�Final fl �ther(speci�) ftEM�4f�ICS (in-f�ouse): �ther Revieanr: Revieweri b�= :Date APProve,d: A�csss.E�isting: 0 �'E5 D NO New: � YES � �ID REMARK�(TO BE NOTED ON PEi�MIT AND 1NITIAL`LED BY:PEF�S�N PULLING PERMIT► Updated: Q9/1112009 z:\formslplan review cheeKlist.docx �� DgT TIME v CITY OF ORONO CALLED IN 4'`� INSPECTION NOTICE SCHEDULED '�� PERMIT NO.c�Qf l—aD 75.�COMPLETED ADDRESS ��D �/1/!�P�LutlrDC� � OWNER LEPHONE NO.�lz- 36�0 p�� CONTRACTOR � DESCRIPTION ��-�'h�� `''� /��'l � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � ��" �yr-t��c� zo/ / - �0 93� J O a � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next' ion 24 hours in advance. (952) 249-4600 OwnedContract Inspector. White Copyllnspector's File Canary CopylSite Notice C"' �/`�" DATE �j TIME ✓ CITY OF ORON CALLED IN � - D '�✓ INSPECTION NOTICE ?, SCHEDULED /�I �! � PERMIT N0. �L�—�O�SJ COMPLETED ADDRESS �� DD��CG� OWNER ��- � �-`�TELEPHONE NOC�Z'��j'35 a'7Zg� CONTRACTOR r S ��L((�� DESCRIPTION ��'L� ' lG�� l 1��-� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � L - �� -�c �c� �� ' � _f r � c� o ,� � t_...� - -f- w . !�� i t�� =�-��'-1' � � �� -��).��-, � W � Q / � ,� il�� ,i-� [� �� '1.'��.,� . w � w � � a W� ❑WORKSATISFACTORY:PROCEED ,�ROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. �,[�� /�� S--I White Copy/Inspector's File Canary Copy/Site Notice