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Home My WebLink About2009-00869 - addn/remodel/repair .� CITY OF ORONO PERMIT NO.: 2009-00869 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 12/2ll2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1265 SHORELINE DR PIN : 02-117-23-34-0010 LEGAL DESC : REG. LAND SURVEY NO. 1123 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATIOI�T : $ 100,000.00 NOTE: SEPERATE PERM[TS REQUIRED: MECHANICAL,FIREPLACE,ELECTRICAL(STA'CE) PROVIDE SOILS REPORT AT OR PRIOR TO FOOTING INSPECTION APPLICANT PERMIT FEE SCHEDULE 1,056.75 LAKE COUNTRY BUILDERS,LTD STATE SURCHARGE(VALUATION) 50.00 339 2ND STREET EXCELSIOR, MN 55331 TOTAL 1,106.75 (952)474-7121 Minnesota State License#: 20349679 OWNER MCCABE, ROGER 1265 SHOREL[NE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMEIVT Thc 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 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 l80 days of[he 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 revo� y t or ue cause. ��i � i.�d ��;�vtL�-r� i i A ' ant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABO . � �� ' � Cit of Orono � .7s �� y / �� Building Permit Application , � for New Structures or Additionsi --� Mailing Address: ��G7 � OQ�'i�9 �,�\ PO Box 66 Permit num er: � �Q�� Crystal Bay, MN 55323-0066 Date received� �z O/ A� � 3"',� a �'� ,,l Street Address:' Received by: ��'.y �'�,n � j� G�`S 2750 Kelley Parkway Plan review fee: �lP� $ �'��SHo�`'�� Orono, MN 55356 a0 _ �� -— 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 pnnt) GENERAL INFORMATION: Job Site Address: � ' - ��ry�� Will this be a Parade of Homes, Remodelers S owcase 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: L�'-f'j ('�t,�t1M/ I�l�GL�,c� State License# Expiration Date: Phone: ��1..�7�- '��Z� (office) (cell) Mailing Address: Cit : �' ZIP: �'33 Contact Person: �� j��,� Applicant is: on / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �Zck��G�I��G+�C;v� �'Y�C.�(:�t�� Phone (day): Address: City: ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: �'Q,r?�}'�l'l�5df�.��1 Phone (daY)� �l?32�3 �5y-� , �192ZG��I IU� Address: ��(U� IMI ��("��i., �3�,J1,(� City: j�t'i�ph� ZIP: �j 7,�� Email and/or Fax: a,�,�,�yk�� h�� ,�m PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction � Single Family with ❑ Residence Q Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water *'`Any earth movement may require ❑ Commercial 0 Other(specify) MCWD review&permits. ❑ Industrial �(1)6�rY1 ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (exduding land) $ (� Last Updated: 9/29/2009 - 17- . ' . STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= � Number of bedrooms= Wood/Frame � �Masonry b.Width(ft.)= i1-- Number of garage stalls: ❑Metal Attached= ❑ Pole Bldg. Areas in sauare feet Detached= ❑ ICF ❑On-site Prefab c.Basement= �� ❑ Off-site Prefab d. 15�Story = �6"�� ❑Other(please specify): e.2"d StOry= �� f. '/z Story = g.Total Area= ( � ��. REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: � ��' �a �� ,, ��y�� ,� � � n � y�� = a� ; tA z � , .. : � � a�� ,�x G✓�s'� �`E€� �1: ��S , �y �� a � � r �,�„ . , . � q• :s' �. =m � :.,Nt - $ 1�� .,��. ��',.-: ,..�...� ..-�,ai �:` ,. ..,�•-� ..< .a•+��, i . . .. �.«.,,�.._. �o„r- '�,.�+ .s`.�., a��..� - „ . , . _ . . , , ,., ... ; Q ., . - O Permit A lication ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono fo�engineering consultant review costs in excess of 5500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • 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 you refuse to supply the informatiqn,the application may not be issued. ApplicanYs Signature: Date: (��ZSIU� Last Updated: 9/29/2009 - 18- - Plan Review Checklist for New Structures / Additions Address/ PI D/ LegaL '�r? (y S �!�0 r�' !:�/-Q `�/� Description of work: ��1 �z.�i'C-Y�(�l�/�� Septic review by: Date Approved: ��- �� `� Zoning review by: Date Approved: a1 Building review by: _��,,�„ Date Approved: ! Z-� c�`i Grading review by: Date Approved: Zoning File#: ' Resolution#: Cj�� Resolution Date: Q�"J Zonin District Fire Department Post Office School District Zoning: Lot Ar a: � � SF AC Width: � Depth: � Survey Submitted: �Pes ❑ No Date of Survey: � Pro osed Setbacks: Front(Lake) tre ( N S W ( N S E W ) Other Buildings Wetland Side Si e � �v � � /�- / il/l� Building Defined Height: Building Peak Height: #of Stories Ok?: YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and 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/crawf ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: gF 7 % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff ❑ Yes � No ❑ N/A ❑ Yes No Yes ❑ No es ❑ N� N/A Permit Number: Setback: � Hardcover Zones Existin Proposed V 'ance Required CUP Re uir 0-75' � es � No 0 Yes No 75-250' � ��. TYPe S)� ¢�il�s�p ype(s): 250-500' Zs'� S'l d,� "��. 500-1000' �}"� REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO ,.. Permit Plan Review ;,/ State Surcharge c/ Investigation Fee SAC-Number of SAC Units Sewer Connection Water Connection Park Fee Site lnspection Other (specify) Miscellaneous Fees Calculated By: Square Foota e $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � ��c�i,c:=�� `'� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site ❑ Plumbing 0 Grading / Filling ❑ Well 0 Hardcover Removal Mechanical � Fire Electrical ,�Footing 0 Septic � Water Connection �Poured Wall B'Fireplace 0 Sewer Connection oundation Survey ❑ Masonry ❑ Lawn Irrigation 0 Radon Rock Bed �Mfg. �' Framing � Other(specify) �0'Insulation As-Built Survey �Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES 0 NO New: � YES ❑ NO REMARK (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) 1�.17 V �✓lk Sf�i �.� l c�-�i7�� C> � �;L� � �� --t� � C i r✓�`� I ti`il 1 f� Updated: 09/11/2009 z:\forms\plan review checklist.docx �' DATE TIME V CITY OF ORONO CALLED IN �'�-""�� INSPECTION NOTICE c SCHEDULED � -� PERMIT NO.�O(X�-DD��O/ COMPLETED ADDRESS �a� SiL�� 4�-�� OWNER CONTR. �� ,D"1�� TELEPHONE NO. ��Z �Z8 4��7 ��-� � DESCRIPTION r �D� � — � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLrOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: ��-` � W a J O � �Q c.J� O a � O � W � Q � 2 W � W � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOH REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on site: Inspector. y White Copyllnspector's File Canary CopylSite Notice /� i ��t^. 7 �,�r� r�C:� �- TIME - " CITY OF ORONO CALLED Ir�r � �� INSPECTION NOTICE CHEDULEd �� .3,_, PERMIT NO. �('f�`��oMPiE Eo ADDRESS l � � ��'1-�'�Y-�_:�//LS� _ , OWNER CONTR. �-�� '�Z�(1'il'fYl� j / � � �l TELEPHONE NO. l ,- j�� — ��b �j r T�� `��cl � DESCRIPTION / ��«��°�`�� ' � ❑ FOOTING ❑ MECHANICAL RI ` ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a o � � � �� p�- S c � S S c��+ � ��>,�� ! ,�U f � 1..�� \ �"�.', r t-- '�'' �— W � Q � Z W � w � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �� CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor pn site• '� •� Ins ector. " � ' —� White Copy/lnspector's File Canary CopylSite Notice � 5 �1;� ATE�� TIME CITY OF ORONO -CALLED IN </ INSPECTION TI SCHEDULED /�:.30 PERMIT NO�� `D0� � C LETED ADDRESS �� OWN ER CONTR. TELEPHONE NO. �� .S 7 � � DESCRIPTION ��G'ciL��.��/l/ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O '�f�JSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J � •.�1.� S �'/L � l4''{'�G� t_s) r � � `r O � �Tti L��.q �x �J}C -�-��:z�� 0 � W � Q � z w � W � � d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit : Inspector. ��f_/ n White Copyllnspector's File Canary Copy/Site Notice � � � s�✓ DATE TIME � CITY OF ORONO �LLED iN .� INSPECTION NOTICE ��c HEDULED % PERMIT NO.c�ZCa� G�g��oMPLETED �" N ADDRESS � OWNER TELEPHONE N 6 ' " 1` CONTRACTOR � DESCRIPTION ,� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SL,9�8 ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL V ❑ SEWER HOOK-UP ❑ COMPLAINT v DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENT . �ZD/D-pdQS? � � W a o � ��, I t w,�� —n�o ��..�..� � � 0 � W � Q � z W � W � � � d W��ORK SATISFACTORY:PROCEED �PROJ ECT COM PLEf E W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContract ite- Inspector. White Cop Ilnspector's File Canary CopylSite NoHce