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Home My WebLink About2016-01368 - addn/remodel/repair CITY OF ORONO * 2 r� 1 6 - 0 1 3 6 8 * , 2750 KELLEY PARKWAY DATE ISSUED: 1UO3/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2080 SALEM CT PIN : 27-118-23-31-0016 LEGAL DESC : DICKEY LAKE ADDN : LOT 000 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 48,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELEC'IRICAL(STATE) [NTERIOR RI:MODEL APPLICANT PERMIT FEE SCHEDULE 693.34 PLAN REVIEW 450.67 HONEYWOOD BUILDERS STATE SURCHARGE(VALUATION) 24.00 6566 SHADOW LANE CHANHASSEN,MN TOTAL 1,168.01 (612) 865-1048 Payment(s) CHECK 12080 1,168.01 OWNER HIRSCHBERG,LAURA&ROBB 2080 SALEM CT LONG LAKE,MN 55356- AGREEMEiYT AND SWORN STATEMENT The work for Hhich this pemiit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State I3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � _ ' �� ) �� ` . � �� ,. , /�� c� �� q,�� = � , _ , � �- Appl' ant Permitee ' �e . Date Issued By Signature Date � City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY � (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �i A, Mailing Address: r�f VO PO Box 66 Permit number: �O<� —bI� Crystal Bay, MN 55323-0066 Date received: /d—o�7— �l,o �/��Street Address: Received by: � y�, � � 2750 Kelley Parkway Plan review fee: �qk�SHO��,�' �� Orono, MN 55356 4� �' Total Fee: � �1Y D� 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: ' (� �(� �/-k L � v,2'f Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes, a specia/event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permifted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �U��i��t/ ��J� i��`-�2-5 /� L State License# �� 7(p'7 (o� Expiration Date: � - ��-�� Lead Certification Number: " �R--r- � ��.��.� � Expiration Date: -�,-- ,� - � � (for work on homes that were constructed prior to 1978 Phone: (cell) _ �(pS � (office) �,q�-� �� MailingAddress: ��c{S ��,�,�,.i,�� G,�� City: — �- ZIP: Contact Person: �2i�.� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��C�� L i-�- S 7�.. L� �,� PROPERTY OWNER INFORMATION: Name: �r�13/3 d— ��/kt/��- �i U2S C��Co Phone (day): Address: �rj ��,4 -(...cy1�1 L�(�tJ✓�` Cit '-'� �` Y� L.�� -,��' ZIP� �5 Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) � Remodel ❑ Fire Damage MCWD review 8 permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project (excluding land) $_ ��(�DOy 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 required by law. If ou refuse to su I t e information, e a lication ma not be issued. ApplicanYs Signature: ��,%� /,/ Date: r�—��t'r� � r Owner's Signature: �� Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� `7C7��'Yl ��p(�h� Permit No.:�� '-" � ` .7�p� Description of work: Date Rec'd: Septic review by: � � �e✓D��e Ap�p�o�t�: ld � � Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? � Yes 0 No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%= L.F. below grade Basement? 0 Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START W ITH floor(of the basement or crawl space)and measure from hiphest existinq the highest point of the roof. START WITH rp ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... gabte 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 basemenUcrawl 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 Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? • 0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A � Ye No � O 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 Q No ❑ Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit � Plan Review l/ State Surcharge Investigation Fee {f SAC—Number of SAC Units (/' Other(specify) Square Footage $ per Square Footage Basement X = $ 1 S� Floor X = $ 2nd FIoO� X = $ Garage X = $ �/ /�� Estimated Construction Value: $ `7�, ��(l Orono Inspections Required Work Requiring Separate Permits ❑ Footing � Site Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control Mechanical 0 Fire � Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection � Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection �Framing ❑ Masonry 0 Lawn Irrigation �q,Insulation � Mfg. 0 Landscaping 0 As-Built Survey 0 Other(specify) �Final � Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan fP\/IPU/rharklicf'I(1_7(11F rinrv � � , / —�,�_/ TIME ' CITY�F�R�N� CALLED IN � �� INSPECTION OTI SCHEDULED l - D' _�� - ",_= PERMIT NO. �� uPL ED ADDRESS � ��, � OWNER TEL P O N . CONTRACTOR � 4�� DESCRIPTION j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM8ING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �.�I,ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNEH/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCOKTAACTOR TO MEET YOU:_YE8_NO � COMMENTS: �• �- ��S`I - � 0 S �IQ/��` e� � �c�r��r�S - 0/C )' � / �t�� Mi. !/�r��c.� � �`C�rco� Q � 1� f/t �j �c 14�� - J`6�ti�� SQ.�/� ' � � W � O/� �S Go v.�.� � Q j � �SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARV V BEFORE CONERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HWRS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TAT10N ISSUED ❑INSPECTiON REWIRED.CALL TO ARRANGE ACCESS. cen ro�u�e�eXt�,s�:t�o�,2a no��s in ad,►enoe. (952) 249-4600 ownedcontractor o�site: ��t«:�; �.�—' ✓ WMt�CopyAnapector's FlN Canary Copy/SIM Notke � "� ��- � T TIME CITY OF ORONO CALLED IN / `��' �— INSPECTION N J � SCHEDULED � - � PERMIT NO. ��`� � � COMPLETED ADDRESS �� '�'�� OWNER TELEPH N . �Z��S��G' � CONTRACTOR � �� zt��'� � DESCRIPTION 1 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �ERAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z 01MNERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: ��'C' �,� ' � 6e a�o�'�t � /U�'oa � /�'l /! -3v "/L ^ 0 ' �rtrs�� Gon n�o6�� o'�- '� v�✓c� rn- 6•� ��i � �' /�i'�.yc,.tiq — ��✓ ,�D�-i1 — ¢ �,—. � ' � pr�,F�s��D GT`� 1'►tiP��l ' G�5 G S —r- W r Q ��d�� v�U�"�-r�S — 2 ' Dl� 1c� Gvv�3�� d��L"�'� C�IE�': /i1 � , 9.0,�/U►'��dC. � l��s � ti,o��.�s oK — o� � a W O WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � �RHECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call forthe next inspectfon 24 hours in advanoe. (g52) 249-4600 OwnerlContractor on site: Inspector: Q � /� `�� Whib CopyAnspector's File Gnary CopylSit�Notia �.:/ _ � � nME CITY OF ORONO cnLLED IN ��-"��—�i�'-----�— INSPECTION N TICE �� SCHEDULED � �—�—�-b � ' � PERMR NO. � CO PLETED ADDRESS �� `o��" �� p� OWNER TELEPH NE NO. ��s^ ��6 CONTRACTOR wU0 �� , �`' DESCRIPTION � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNENCONTRACTOR TO MEET Y�W:_YES_NO � COMMENTS: � /t_S U C ��,�, f� o -- � s � � G l� ti J � Y� S✓ C; � � � � �✓ �'�"s � ✓�Cr^ ♦ W OC Q i ,�--�. S:J � �1�;�. � �_ � w o� j �, KSATISFACTORY:PROCEED ❑PROJECT COMPIETE W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑OORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HWRS. p p�{pTOTAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPEC710N REW IRED.CALL TO ARRANGE ACCESS. Cafl for the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnerlContractor on it Inspector:T��. WMts CoPYMspector's FlN C�nary CoprlSit�Notla 1 � . Scope of work for basement finish at; 2080 Salem Court Long Lake MN 55356 Homeowners Robb and Laura Hirschberg. 1) Place on 30 yard dumpster in driveway. 2) Frame all 2x4 walls in front of block with 1" ridged foam over block. 3) 2x4 wall to get r-11 fiberglass insulation. 4) All lumber in contact with floor to be pressure treated. 5) Full bath to be installed with lift station to septic field. By licensed plumber. 6) At no time will any rooms be built or used for sleeping area. 7) 60" X 60"window to be installed off of main room for light and furniture access. 8) All electrical to be installed by licensed electrician. 9) RR tie wall to be installed for earth retainage at window area. 10j Value of basement finish is 45,000.00 �?��i��4 ��-�c��i�: ' _, �} � _ Comptiance City of Orona __ �. "` 1,�� _ ___� . _ . � � K._ . �_._�, _. ... ___ ....._�_ _ . �_�.. � : Z ` � ��{ _ Date .: , , „� ,__, _ , � ,. _ A � _ f _ Reviewer _ _ �,�� -�� ,. : _ b . .� Y. . , __ __ _ _ _ __ , __ __ — -- .�--�.�,�,. �„_ _ . _ _ ._�- _ _ �_ _ �., � _ _ n.� _ �. � , _ _ _ .�„ -- _ _ ____ . .__ . , � � ((�tl'f S CZ T � L�l� 'U// �V t> �"a . I'� p � � _ _ ___ _ i � �.,.�»-�-r--•�.r...r...�..-...._ � �r�' , , .�_� � ��. . ��; <<< . - , � _ ,.� : _ _ _. _� __ 1 .�� - a �� , _ � _ `° , � : . _ _ _ _ _ , - - -� . � . � � � { {� I � ` . . . . . _ . .. . _ .___ _.. __._� . _ ... _ _ f ...�__ . _. . ' . � ~ � �� / ,� ,. � s . ��: . S �� _ � , � _ _ , __� �- . � _ � _ w..__ ....a.c� i.. - �L ' j -. . ... � � . _.. ..� . - _� . r ' .— !`�_ � s r• , . ''e i � . .� .. � �.; �.,. �.<, , rn.�� .�� i . �. --� � . � a ., . . -- . �-. . _. r ... .. . �. �('- -` � i � ��..,.-�. � . ; . . . . � -,..'" � 3 . ' .�l � . I . � . � . ��1 3 '" ,�� x6 � � - -"� Z - _�.. . . �9 sJ� `,. � ,:" r. . -..... .,..-.�-..--�_ _ `�. , � . 4�.�,. � � � _�.�. � 4 ` � ;; _� _ ,S';�wm�z+xrs�avc i� . . 5 .. ._._ ' : ...: _. ...... . -�:m+.�,+rr .... b _. . .--- q � �� ._.;�.�_ ... : FIRE EXtT_R�QUIRED - � ''""�`Y � �� , _ 2�" M)N. CLE,�,R W)DTH � �' � 24" 11/�tlV: C�.��g� HEIGHT " �E , � .. : , � 5.7 SQ- FT. M;�! OPENING _ _ . .�"-- 44" MAX SlLL HEIGHT _ � � i � � ! � � ��-.�.,..�..Y..,.w._..,.w.._.; _ _....�_.,__�„, �_.�._. ��,_. . ! ; �� Carbon monoxide detector � � ' � � ; ,�� ., _ _ ,�, �;. - ' � s q. `�'I�, required within 10 ft. of , _ �� ( � � � � � � � . alI sleeping rooms. � � 1 + � k �:� � .� . �,� / .. � l � � ' � .�a C� �'� . a � �,.�..�..,,..� _.__ , 4� � l �, �� 7 ., �/�� s � µ � <�r_ /� s e� � � � � _ � � �� r s , � -� �r�eas � r_ __ .._ � � % Q� �� ; � �� i , �� ` ; ��. . . , � 1 � . -^ . �� , � ___ ; :.,� ___ _ ._�..__ v _ __ .___.. .�. , -`_ � . t � �:�.� _ _