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Home My WebLink About2015-01391 - minor alteration CITY OF ORONO * 2 0 1 5 - 0 1 3 9 1 * ' � 2750 KELLEY PARKWAY DATE ISSUED: 1U05/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3180 RIDGEWOOD CIR PIN : 04-117-23-23-0021 LEGAL DESC : ROUTSON ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,200.00 NOTE: MODIFY EXISTING OPENING IN HEIGHT AND WIDTH TO ACCEPT 5 FOOT BY 4 FOOT EGRESS WINDOW. APPLICANT PERMIT FEE SCHEDULE 108.42 PLAN REVIEW 70.47 GREENE CONSTRUCTION CIRCLE STATE SURCHARGE(VALUATION) 1.60 2233 HAMLINE AVE N #125 ROSEVILLE, MN 55113- TOTAL 180.49 (612)501-7954 Payment(s) Minnesota State License#: BUIL-BC635870 CREDIT CARD 0662 180.49 OW1vER EMERY, BRYAN&MEREDITH 3180 RIDGEWOOD CIR 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[he work described and does not grant permission for additional or related work which requires separate permi[s. 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 no[ 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ' i � (�t�L`1�� / 'C.��-\, � �� _i � �� Applicant Permitee Signature Date Issue�By Signature Date 10/28/2015 12 : 57 T0: 19522494E16 FROM:6123544154 Page: 2 � A �IT`��fl� C�I�C��C3 �111LDlldt� PERdU4IT F'PL1��71C�i�1 FtJR hIEW �TRUGTl1RES C��i /4DC�ITI��IS ,� �� "�� M�ilingAddi�ss: Permit number: �LJ l �C�l � � % �°,.�t�j PO Bax 66 ---------_.________; /` � � Crystai Bay, M�1 55323-0066 Date received: �� "�� ', -------------------i � Received b � � � �� h r Street Address:� y -- -- '��.t � �� 2750 Kelley Parktvay Plan revievr fee: ` `� c�rono, MN 55356 �``��s�{°�� 7otal Fee: Main: 952-249-4600 Fax: 952-249-4616 vvww.ci.�r�r�a.m�.�s __...______ ----- -= _- -- - / $'�, � This application form must be compieted in full and ail required information must be submitte Incc�rrtpiete�pplications wi11 be returned. (Pleas�pnnt) �E�1��tAL fN�t�RMATIt7N; ; ,--� �y ,.� ") ` _. � Job Site Address: "" ,..��_i�(,.�F _�-��.�:'�--; °��-�( ;�, �,�� t��-��_,..�•� Will this be a I'arade of Homes, Remod rs�hawcase Nt�me or other Display Home? ❑ Yes 'L�° No K yas, a speera/event perrnit rs required U�ith Police l7epartmeni and City Council�,pprova160 days prior to tl�e eveqt. Shuttle bus servrce wilt be reqi�ired unless apnlicant demonstra?es suffrcrent an-site parking is available. Narr-permiftEd events�n�iil nof be adowed. �CtN7RAC70R l APP CANT 1N�OR A710N: _: t�iame: ,V C'C ,�t �• !"t�i(�::��i l'�`1_ _� r"1 C:_..-, _ - - ,.., � --– - -° St�te License# �� r c'�" i '� Ex iration Date` '' _ �.tt- ;� 5 c��f`� _ _...____ �' �"_�_ �.�>��`" - - Phone: cell -�=� ' �_'j-�'�� (office �`�� "• i=' � � � �, _.. Mailing Address: � .,.� `��r',��-£..' i�vz" 1�i_._`�.��' City;_ � `` .t,'t��__ ZIP��_�_..��_� Cnn�a�t Person: --��k�� -�.�,�_ __�Applicant is: tr cfor I Homeowner �c�r��o�,e� Email andlor Fax: �-`s�i��'' � �� .r�� .�}�G�C�;�z��tt'?t f��' ��m�:�. ----- -� , � � __�_ -- ---��-?-=_. PR�PERTY OWNEFy,lAJFqi�MA71C3h1; Name: ��{� �i'1 �.,t?�`��r��. _.._ .... _.___.. . _ ___ _ _..___ _- -_._.-- Phone (day): _��I �.,.�. _.�-1'�� t,l%�fiS� / / ,�� C�.'C'" -� �' Rddress: __:��i(�_._ ...__l��(��-�._vv C.�,?G: t..�.. ��w�?._._._� ..... - - - — �� —� --._.�.�,J�_,u�-s...�'�.G%-- � t' Gity_ly.�t�(,,�l1{j---_ LIP � E,nail and/or Fax ,��tChlil"�C71 �NGINE�R iNF�Rh11Ai"#UN: N�me: Phon�(day}: �� Addt'ess: � �.— �_ City� ZIP: �----� �rnail andlor Fax ~� � ��r-�t� �',�t:.`��`1� C�ft��= I (� �'�C'-t�t,t�f � ti•e1r`C.��-�. � G��C�t�'�✓?{—�`��:.a._.i �� F��2t�J�C7 IN��RMATiON: ��escriptio�� ro�ect: ` ��' ` ��,'�r��C�-� , 1. Type of Project 2. Propased Us--�e-�� 3.Structure Type d. Sewage bisposal& � i �� ^ �r Water Se�PP'�Y i f ❑ New Consfruction ' "ngle Famiiy wifh �;�-tesitlence i � [] Addition attached garage �; � Garage!Accessory Bldg. ❑ Pubiic Sewer � ; (��1�eessary Building � ❑ Single�amily with '�� Deck � i ❑,�,�elor,ation ��, ,. �� detached garage ' �J OfficelCommercial ❑ Private aewer ' �}'`Other: (sp�cify) �-� ` �� ❑ tvlultiple Family 1�ondo '', ❑ Waref�ouse � �• ❑ Pubiic ❑ Storaye ❑ Public Water � ""Any earth r��ovesnent may also require � ❑ C�mm�rciaf ; ❑ Oth�r(specify} � 14hCWD review&permits. ; ❑ I�dustrial � ❑ Privaie Weii ! Minnehaha Creek Watershed C(stricf(MLN1D) 1 ❑ Othei: (SpeCify) � ! � 18202 tvtrnneto��ka Slvd � ! ' � Deephaven,MN 55391 �� `� � ' {I Fhone: 952-4?1-0590 � i� Fax: 952-471-0682 �_��N�v mi�Pei,aFacreek or� : . —T_ ..__..__..._ ._.. __ ,. __.._____ ___—__.. ��,�-�;- ---- Estim�ted Construction Valuation (excluciing land} $ �'Z�� a,y�r T.. 10/28/2015 12 : 57 T0: 19522494616 FROM:6123544154 Page: 3 STRUCTURE iNFORMAl'ION: ! 1.Structure Dimensions 1.Structure Dimensions(continuedj 2.Type of Construction ' i a. Length(ft.}= Number of bedrooms= � � ! ❑Woad/Frame � ` b.Width{ft.)= Number of garage stails: � ❑ Masonry � , ' Areas in square feet ; Attached= ❑ Metal � ❑Paie B18g. � ' c. Basement= i Detached= ❑ ICF d. 1��Story = ❑On-site Prefab ' e, 2""�Story= ' , ❑Off-site Prefab i f. '/z Story = � ' ❑ Other(please specify): ' g.Total Area= I REQUIRED SUBMIT7ALS: All af the information must be submitted in order for your application to be processed: _ Not � ' _Enclosed Applicabie __ ; � Permit A lication Proposed Buildinq Plans � � � MN State Ener Gode Galculations and Mechanicai Code Requirements Forrn _..___a Surve meetin all re uirements Stormwater Pollution Prevention Plan � � T _..._�. ----_ ' ' Hardcover Calculation(s� , - -- -------.............._...----.........._......----........---.._...._------------__._............._...._.------------- --._..._� Se tic 5 stem Site Evaluatian Report___ � Access Permit i ; Wetland Buffer Improvement Plan j ':. i En ineered Plans for Retainin Walls 4 feet or above j ' ' ': Minnehaha Creek Watershed District Permit(s� : :......__ _...__- -------- _..__....---...----- -..__.�__ _..... ___.._ _.._......_..___----- -------..._._.; : Plan Review Fee i ' Application Escrow&Agreement .—._.__.__. ,-Ofher: ... APPLICANT/OWN�Ft ACKNOWLEDGEMENT: Agrees to pravid�;all information required or requested by the Building Department; Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; Certifies that the information supplied is true and carrect to the best nf hislher knowiedge. 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 comple#e; Acknowledges the Escrow Agreement is completed and signed; � Understands some or a11 of the inforrnation that you are asked to provide on this application is classified by State law as either ! privaie 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 i � purpose and intended use of this informatian is to annually update our records and records of other gnvernmental agencies ` required by law. If you refuse to supply the information, the application may not be issued. [ Agrees that in the even##hat weather ar oxher canditions prevent the campletion of an as-built survey at the time the ; Certiiica#e of Occupancy is requested, a temporary Certificate of Occupancy may 6e issued upon receipt of a$10,000 � escrow to ensure completion of the as-built survey and all site impravements. i Applicant's Signature: ►� r � � 1� ;''��"E---�--�---''' Date: �}�2 c'�C.� '� _�._""_P_ Owner's Signature: �� .��'-''�-_.�-.�,:..---------�''�� Date: �� i� `c�-� I � , , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� /Z( , oj� �/'��cv �i�� Permit No.: Description of work: Date Rec'd: Septic review by: �� v(/ � c � Date Approved: Zoning review by: � Date Approved: Building review by: Date Approved: �l �j l � `__ �- Grading review by: � Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Covera . SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date ? : Landscape plan submitted? Yes � No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) N S E W ) ( S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% L.F. below grade Basement? � Yes � No, Storie FOR A BUILDING WITH A BASEMENT OR CRAWL SPA E: FOR A BUILDING ON A SLAB FOUNDATION: The distance betwe the lowest proposed Slab at or above grade— START W ITH floor(of the base nt or crawl space)and measure from hiqhest existing the highest point f the roof. START WITH ��e to the highest point of the roof even if fill was brought in to If you have a.. elevate home. SUBTRACTION • GAB OR HIPPED ROOF(no Slab below grade—measure (BASED ON win ws): Subtract half the distance from highest existing grade to the ROOF TYPE) be een the highest point of the roof hi hest oint of the roof. t the low point of the corresponding If you have a... able or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS De£ned building height subtraction. Defined building height EQ ALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff M et? Permit Number: � Yes ❑ No 0 N/A 0 Yes � ❑ Yes � No No � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf (% and sf 0 Yes � No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units (/� Other(specify) � Square Footage $ per Square Footage Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ ; Garage X = $ � Estimated Construction Value: $ �� Orono Inspections Required Work Requiring Separate Permits _ 0 Footing 0 Site ❑ Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal ❑ Septic � Water Connection Foundation Waterproofing ❑ Other(specify) ❑ Fireplace � Sewer Connection Framing ❑ Masonry O Lawn Irrigation � Insulation 0 Mfg. ❑ Landscaping 0 As-Built Survey � Other(specify) Final � Lathe Required State Permits ❑ Other(specify) � Well � Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan rcvia�ni rharlrlic#1 fl_9f11 F rVnrv 10/28/2015 12 : 57 T0: 1952�494616 FROM;6123544154 Page: 4 '�'` u �. . � � � O a w � � C +� o d � � � � � , � ? � � a V 0 ' � w a � L W � � a -' o LI O . � � W W W � � � O � � W 3 � � i.► • � Z � ; /'�,er/ "' U �► ..�,r, � � Z 3 ° � 3 v � w � � u,.j C ,,, udi �n � Y �c W G) � Q) O U 1 � � U �.'; � a � t� u� a R( .-i r`�' � W � O fD '� � •} �� O V 4 'Q � � l7 2 �i U Z Z � � � � b 'r1 �1 � 0 � �� 3 •�, .� � q�I � v � � � 3 � � � W� � �,, o d �� 4 � w �l �'', � .� _ � o •� n \ o o � t- .ra � f-- ; p � `�' � .-+ vJ c� a u� d �; � 3 c,~,� U ►�-i � � w � � �� i, � o � �` "' a � , v� � paw � ac � � � LY 3 � W , Q _ v e � � ; _ � V" W � � W S�� i Q u `' g ' ----------�--�----------------- , t ' ; �! J i G � i ��. '' � � ----- -------------------a-------------------------------- �� ; �' � � � � N ± O Q � � � — a � w ; � a � Q � Y �� ' � o x � � � � � ' � � � � ' � S � , � � ? � � , � � � � � ' m 3 Y u O � ,,c 10/28/2015 12 :57 T0: 19522494616 FROM:6123544154 Page: 1 - Fax Transmission To: Heather Greene From: Damian Greene FBX: 19522494616 Date: 10/28/2015 RE: PERMIT APPLICATION Pages: 4 Comments: Please call me when permit is approved and ready for payment/pick up. THANK YOU! Heather Greene 651 797 3116 , -� � ^ 9 C�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � vn'` PERMIT NO. ,� �t S-'�13�/ COMPLEfED ADDRESS �� Sn �%�R�� _ OWNER ,��`1 T�PHONE NO. �l� `"��.�� CONTRACTOR e� � DESCRIPTION ` � T ' �� ly ❑ FOOTING ❑ O-F NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�fiL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v � ITE ❑ S PTIC INSTALL 2 OWNERICON CTOR TO MEET YOU: YES_NO I � �Ts:��(Z �� 1 � � �y��--- ��j,(,. � -- �SIJ'�ke �P�6-..E Go e��rs � o �D �o v la� p , � � /`l5�� — 6 ° � /� l.�u/l� �roCtn�Q [��cfiG�f�o✓' d'� 4 // W Q �it� 6 �d Dl.t��10 U ��-C� �/ r!I�.O z �o r W�IYbo� o� IY- s�� — W � � �,Of r �� d G 4 �� •�r��o,�,. � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED �N,�PECTION REQUIRE . . Call for the next inspection 2g-hours in advance. (952) 249-4600 OwnerlContractor on site: r� . Inspector. i�^- White Copyllnspector's File Canary CopylSite Notice �i � / DATE TIM CITY OF ORONO CALLED IN /-�!�^ (o INSPECTION NOTICEt�_��yc�HEDULED -a a-/(o O' PERMIT NO. o �E ADDRESS � � � -�—�i�. OWNER LEPHONE NO a^g��1 1'7 7 CONTRACTOR �� CU�I � DESCRIPTION - � S lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W A UILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � J . O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in adv �� 9�2) 249-46�� i OwnerlContractor on site: Inspector. � ,� White Copyllnspector's File � Canary CopylSite Notice