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Home My WebLink About2013-00579 - addn/remodel/repair CITY OF ORONO * Z p� 1 3 - 0 0 5 7 9 * +� • � 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1305 SHORELINE DR PIN : 02-117-23-34-0013 LEGAL DESC : REG. LAND SURVEY NO. 1350 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 19,800.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) SUNROOM REMODEL APPLICANT pERMIT FEE SCHEDULE 339.25 HUDSON CONSTRUCTION&REMODELING,I pLAN REVIEW 220.51 10220 38TH CT N STATE SURCHARGE(VALUATION) 9.90 PLYMOUTH,MN 55447- (612)701-3213 TOTAL 569.66 Minnesota State License#: 3035810002 OWNER POPP, WILLIAM&TERI 1305 SHORELINE DR WAYZATA,MN 55391- 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 pertnits. 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 aRer work has commenced. The applicant is responsible for assuring all required inspections are requ d in confo ance with the State Building Code.This permit may be re t any t� for due cause. � !S� Zv , , Applic t Permitee Signature Date Issue By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . . � . ,� . � -- i --- �� _ ,,,�y� � City of Orono �.� ,,� B�ildi�g Permit Application for Maintenance / Replacement / Renovation �� (No structural expansion. Only windows, doors, siding, re-roof, etc.) � �O� Mailing Address: Permit number: �3 —� � O PO Box 66 ` Crystal Bay, MN 55323-0066 Date received: `o�7�.3 :�f; Sfreet Address: Received by: ` � � � 2750 Kelle Parkwa y�, G� Y Y Plan review fe : � t Orono, MN 55356 �kESH�� • `Y� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us >t� This application form must be completed in full and all required information must be submitted. ^:ti Incomplete applications will be returned. (Please print) GENERAL INFORMATION: . Job Site Address: � � � � � �. I�C> 4�r ✓^� l��....� � Will this be a Parade of Flomes, 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: ��1vv--� �`��-�-�� — �-1��.�s.1� ��, �� State License# �; C C, 3 �j ! ��, Expiration Date: ��, -��_ Z�> >5� � Lead Certification Number: �,�— 3 `� �`�� -- 1 G —vc>Z i Z Expiration Date: ,i�_ jy- Zu j� - (for work on h es that were constructed prior to 1978 � Phone: -�(cell) G Z - �� l�3Z ( j (office) 7G 3 -5'�/�-( -- ZU l"�, � Mailing Address: C��Z c� � 3, th L-� � City: �,,,�, ,,,,�-�-� ZIP: 5�5�( Contact Person: ��,,, ,�.�.� Applicant is: ontra tor / Homeowner (Circle One) Email and/or Fax: �� - ,, �c�� v.3 �.�, � ��,� ' � . �'v� tp PROPERTY OWNER INFORMATION: Name: �;� '"�—�r� ��,� '; Phone (day): �` �_�c� �5� � Address: I'�c:.;`� 5��:;.-.:.,��,.-:� �"��.. City:�J,�.rZ.�.:. ZIP: � �� ( 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&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ��; ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 � � Fax: 952-471-0682 '�Window(s) S.•.�ku.� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ' I' F�;G�� 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 rmation,the a licati a not be issued. �` ApplicanYs Signature:-��'�� ' � �- �--� � Date: � �— Z�� — �� i3 Owner's Signature: Date: Last Updated:03/06/2013 �PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 1�U S SH�Z-E,Li N t U(Z Description ofwork: Svnr fzoor►� V�=✓�v�d�:.`L Septic review by: n� /1� Date Approved: Zoning review by: N/� Date Approved: Building review by: s.,-- Date Approved: �-L� - Z�r3 Grading review by: �'/� Date Approved: Z ning District: Zoning File#: Reso#: Reso Date: Zonin Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Su itted: 0 Yes G No Date of Survey: Rev' d date ? : Pro osed Setb ks: Front(Lake) Rear(Street) � N S E W ) ( N S E W ) her Buildings Wetland Side Side Defined Height: eak Height: FFE: E minus 6 fee#_ (Existing Contour) Perimeter(linear feet) = 50%= of Stories Ok? �YES FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: The distance between lowest FOR A BUILDING ON A SLAB FDUNDATION: START WITH proposed floor(of3he ba ent or crawl space)and the highest poin f the roof. The distance between the top of siab and START WITH the higfiest point of the roof. If you have a... If you have a... . GABLE OR HIPPED ROOF . GABLEDR HIPPED ROOF(no windows): Subtract half the windows): Subtrad half the distance distance between ihe highes oi betweem the highest point of the roof of the roof to the low point the to the low poirrt of the cortesponding SUBTRACTION corresponding gable or h' ped roof - SUBTRACTION gable orhipped roof (BASED ON ROOF . GABLE DR HIPPED OF(with (BASED ON . GABLE OR HIPPED ROOF(with �'�'PE) windows): SubVact If#he ROOF TYPE) windows): Subtract halithe tlistence distance between e top of the beMreen the top of the highest highest window d the highest window and Me higheat point of the point of the roof • ALL OTHER ROOF TYPES(flat, • ALL OTHE OOF TYPES(flat, mansard etc:No aubtradion. mansard, ):No subtraction. ADDRION Add the distance between the top of slab SUBTRACTION Subtract the stance between the (BASED ON and the highest existing grade adjacentto (BASED ON EXISTING basemenU I space floor and the EXISTING the foundation. GRADES) highest sting grade adjacent to the RADES found on OR 10 feet(whichever is less). E ALS Defined building hefght EQUALS ed bulldinp height Shoreland Distci MCWD Permit Received Avera e Lakeshore Set ck Met? Bluff � Yes 0 No G N/A G Yes G No � Yes No G Yes G No G Permit Number: Setback: Stormw r Quality Existing Aroposed Variance Required CUP Re uired Overl District Tier Hardcover Hardco�er � Yes � No � Yes � No TYPe(s): TYPe(s): Updated: January 2013 �v C [/,.[1�G�� v:\forms�plan review checklist 2013.docx �T" � . , ,REMARKS (in-house): Fees to be Char ed �" ��` ` '...,...� . �m_ �:-a .a__.� , .� Plan`Review � lnvestigation Fee �/' Other(specify) c/ S uare Foota e S r S uare Foota e Basement X = $ 1�Floor X = $ 2nd Floo� X = $ , Garage X = $ Estimated Construction Value: � 1°!, �D00 '-� � Orono inspections Required Work Requicing Separate Permits Required State Permits � Site G Piumbing � Grading/Filiing G Well 0 Hardcover Removal � Mechanical � Fire �lectrical 0 Footing G Septic � Wate�Connection � Poured Wall 0 Fireplace G Sewer Connection G Foundation Survey G Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. �'Framing 0 Other(specify) �'Insulation . � As-Built Survey �Final 0 Wetland Buffer ,. G Other(specify) , REMARKS (in-house): Other Review: Reviewed by: Da#e Approved: Access: Existing: 0,YES G NO New: G YES � NO OFFIClAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED � Updated: January 2013 v:\formslplan review chedclist 2013.docx �e�' DAT TIME � CITY OF ORONO `�LLED IN �/-�3 INSPECTION TICE SCHEDULED �TIT� PERMIT NO COMPLEfED ` �' -�� ADDRESS � I� � OWNER TELEPH NE NO - - �� CONTRACTOR l�� DESCRIPTION �� FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OYYNERICOMMCTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a J O � O � W � Q � � W � J � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OrvnedContract Inspector Whits CopyAnspector's File Canary CopylSfte Notke CC7�� / V � DAT TIME CITY OF ORONO CALLED IN g � INSPECTION NOTICE SCHEDULED 'f�— - PERMIT NO. c�Jl 3- ZY�S�co LETED ADDRESS ��-� L � OWNER EPHO� NO. �'�� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O �. � � � � � � W � Q � W � W 2 J d W RKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ 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. (g52) 249-46�0 OwnedContractor on site: Inspector. r' �_ White Copyllnspector's File Canary CopylSite Notice DATE / TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE 0457p SCHEDULED Z � ,� lJ0 PERMIT NO.e?/9l.3 / COMPLEfED ADDRESS �3DJ� S�I,e�Ze��! �� OWNER /rr-/-i1-�it��Q�VTELEPHONE NO.�lZ —Tol 3z�3 CONTRACTOR � DESCRIPTION _�L�lGR.� � � ❑ FOOTiNG O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � 01NNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: � a j 0 � O W aC Q � W � W � J d � O WORK SATISFACTORII:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT O CORRECTUNSAFECONDITIONWITH�N HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: White CapyllnspecMr's File Canary CopylSite Notiee