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Home My WebLink About2010-00145 - addn/remodel/repair � � -- CITY OF ORONO PERMIT NO.: 2oiaooias 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 03/24/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2725 PHEASANT RD PIN : 21-117-23-23-0024 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) INTERIOR ADDITION/REMODEL-THEY PREPAID THE PLAN REVIEW FEE OF$172.58 ON 3/15/1Q PERMIT#2010-00144 APPLICANT PERMIT FEE SCHEDULE 265.50 LAKELAND HOMES,INC. STATE SURCHARGE(VALUATION) 7.50 7545 PILLSBURY AVE S TOTAL 273.00 RICHFIELD,MN 55423- (612)801-2727 Minnesota State License#:20503394 OWNER SEIFERT,THOMAS&DARYL 2725 PHEASANT RD EXCELSIOR,MN 55331 AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time f due cause. � ��y �� ,a� /D icant itee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� x ` -� , . . _ �'� �� ?, 0� City of Orono Building Permit Application for Internal Work�� (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a 0/D — Op/c� �.�0,�. PO Box 66 ' x Q Crystal Bay, MN 55323-0066 Date received: - - •�. � " Received by: a � �', a.� StreetAddress: titi 2750 Kelle Parkwa � Q ��l �~�G Orono, MN 55356 y ab�o�A6i`fc� P�an reviewfee: _ . J r.� 9kEsxo4` ��= 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: �� T �D ��'��' n��✓ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes -�-No 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 INFORMATION: Name: ��FKk�-��/u �{irzrr�s� /,vc State License# a c�S� 3 3 9�l Expiration Date: 3/�i�� Phone: �;� ��.�7�7 (office) (cell) Mailing Address: ',S ;� rc�s�� iLK S Cit : ��fi�r� h�� ZIP: 5/�� Contact Person: i fl�? ��ST Applicant is: ___ / Homeowner (Circle One) Email and/or Fax: ��5�.��'ncrric�,s�•n�e� PROPERTY OWNER INFORMATION: Name: j�n? � ,I},�R�y �%�iF�r� � Phone (day): Address: ?7�5�-,��.r�nv;�D City: G'�cti�o ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Z �y Any earth movement may require ��,,�r�� MCWD review 8�permits ❑ Door(s) �'Remodel ;J.v�"� ❑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: ir��o,�,�-� jj��,�,h Estimated Construction Valuation of Project(excluding land) $ /',�,��-v 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 hislher 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: f ��a�� Date: `3�''�r' Last Updated: 05-04-2009 � , � Pian Review Checklist for New Structures / Additions Address/PID/ Legal: _ Z."�25 PHC7��iqn,n- /�.�4� Description of work: �L p t-6�;�/LOe� /�-�v�,oDC-Z Septic review by: N(14 Date Approved: Zoning review by: �u Ir�} Date Approved: Building review by: .��,.__ Date Approved: �-33-�C� Grading review by: N I p- Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post O�ce School District Zoning: Lot Area: SF/AC Width: Depth: Survey Sub � ed: 0 Yes � No Date of Survey: Pro osed Setba s: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Oth uildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR AWL SPACE: FOR A LDING ON A SLAB FOUNDATION: START WITH the distance between the sement floor/crawl ST T the distance between the slab and the highest space floor and the highest r f peak,the top of H roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the de c line of a the deck line of a mansard roof,or the mansard roof, or the uppermost p 'nt on a round uppermost point on a round or other arch-type or other arch- e roof roof SUBTRACT half the distance between the highest ' dow a SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/ I ADD the distance between the slab and the highest space floor and the highest existing gra with existin rade within the foundation the foundation or 10 feet, whichever i ess. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCW Permit Received Avera Lakeshore Setback Bluff 0 Y 0 No � N/A � Yes 0 No � Yes � No 0 Yes No 0 N/A P mit Number: Setback: Hardcover Zones Existin Pro osed Variance Re uire CUP Re uired 0-75' � Yes 0 No � Yes � No 75-250' Type(s): Type(s): 250-500' 500- 00' REMAR (in-house): Upd ed: 09/11/2009 z: rms�plan review checklist.doqc Fees to be Char ed YES NO + � � ;�..�r�n�t;`..,,� r- _ -,�;s:�' ' �. �' Y'�, r. , . . . .,. , ,� .,_ ..�; Plan Review v ,�S�ate''�vrc�arge ,, $ �'" _ .. ,.. „� � ri _ , ; . , :. � . investigation Fee S�►�:��rrrbe��f��►C�3nits ` �`�, �; � a `, �:,, � .r_ .. � ._ . , .. _ _»._ ,,. _ .. , _ ,. :;,. . „ ,., ,: Sewer Connection a?'f7�,��.'��'� r� _ n.i .si�„ ..-'� �.,� .r 1 -�fs �ri�l0[� w' r. �i.�r, iax,'� ,,:� �,''w�s. .�:'s Park Fee `��$1��i�S��G�IDi��.�°r��?� - y i�x �� ,.,� .��` �i'" ;;.,��s ;�TS,.�' r ��. ��.t�+; :,,.,� >.� �. .:, _ . . . .,�,. , r ._ , . ., �� ; �,�, Other(specify) �4s��B;�9S��e�?'.�J..'� � + � ,r�'�,�','`�i r'� a, `�t,r : s h,s� � "�`"r ,�` �..,e�w., a�_ � .uk�:.w i �a�.t..€.;� +�.'z,L "� �,.'.t�'(u..�.:{� .r,s p, r,�.."'rt�.,3i�,� Y�;F�.4 Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1St Floor X = � 2nd FIOo(' X = � Garage X = $ Estimated Construction Value: $ i5,ddo `� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site „�Plumbing 0 Grading/Filling � Well � Hardcover Removal E�Mechanical O Fire lectrical � Footing 0 Septic � Water Connection � Poured Wall ❑ Fireplace l7 Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. B'Framing � Other(specify) �nsulation � As-Built Survey �' Final 0 Other(specify) REMARKS (in-houseJ: Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: 0 YES O NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx I ��` 2 �� ✓ � / DATE TIME CITY OF ORONO CALLED IN � ' � � � INSPECTION fOT/I�CE SCHEDULED — � • � PERMIT NO."�` �l-" �� C-� COMPLETED ADDRESS •� ��. `� ��1-r ! -1�k l'1� �� OWNER TELEPHONE NO.,�-�' �a ^0�1� �� CONTRACTOR � � C�� LCiI G�"\['I `��'y\C�1� � DESCRIPTION �� ' �� ' ��-��L1�� ❑ FOOTING ❑ PLUMBING FINAL „��j� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI �J '�,� ��y ❑ LAKESHORENVETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL �(k�'/��❑ 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 v ❑ PLUMBING RI ❑ SEP�'��T//''IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:L YES_NO /I � COMMENTS: � � W � � � O a � O � W � Q � Z W � W � � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT 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 REOUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContract on site- Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ ,O `� DA E TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED - - % PERMIT NO.dD�D �OO��S COMPLETED ADDRESS �7a-S �Q4Q''�� /�'`' OWNER TELEPHONE NO. ,f.�J�2 �O/ Z717 CONTRACTOR L.Q.�E?��c.d� , >; DESCRIPTION r� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C o S M c� I� ��-c Q-4-�r� e C�-� � � � �� .P c�1 e��I '�e��iow� ° Gc�n -�-��1 c �f� r' `TU T�-�n s�a� t � W � � � g i�, � �� cS .1'i� � �C.--Ec v 1J Q � W � � � ,� r .�� _—�,� r o;�m�� W � � W �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: inspector. 1 f f�� C White Copyllnspector's Fiie Canary CopylSite Notice