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Home My WebLink About2014-00719 - addn/remodel/repair � � CITY OF ORONO * 2 0 1 4 - 0 0 7 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1700 SHORELINE DR PIN : 10-117-23-14-0014 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 58,000.00 NOTE: SEPARATE PERMITS REQUIRED:,ELECTRICAL(STATE) ELEVATOR ADDITION APPLICANT PERMIT FEE SCHEDULE 741.75 STATE SURCHARGE(VALUATION) 29.00 HNH HOMES TOTAL 770.75 13911 RIDGEDALE DRIVE#406D Payment(s) MINNETONKA,MN 55345- CREDIT CARD 0348 770.75 (952)288-3746 Minnesota State License#: BUIL-654037 OWNER ETAL, IRWIN JACOBS 1700 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 Ciry 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 Iaws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit wiil 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 Buil Code.This permit may be revoked at any tim ue cause. � �y , o � �, � e ee Si ature Date Iss By Signature Date � � _ . �� Cit of Orono � �� Y Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ,��, ` Mailing Address: Permit number: �!y— � l�l� PO Box 66 Crystal Bay,MN 553 - Date received: 7/�"�� Street Address: J � Received by: T ti�, �� 2750 Kelley Parkway �I Plan review fee: 002•/ t,qk��`�fl�� Orono, MN 55356 ��_O,� 7! 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: �7D0 �jay��:,e. ��'� Drotio il,dJ 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 approva160 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: Nit/� �or��S LC..G State License# gG.r;S'y037 Expiration Date: �-3/— Zo/6 Lead Certification Number: �,g.7--_�-lf�� J Expiration Date: f_�� — �/9 (for work on homes that were constructed prior to 1978 Phone: (cell) �/Z 787—SZ$S (office) �SZ� Z8$�3 7�/6 MailingAddress: �� j., u, oyB Ci : ; Z�P: S 30 — Contact Person: �,�.�LC ,�j,,,, Applicant is: Contractor / Homeowner �ci.�iao�e� Email and/or Fax: �e� ��ie�� . Ca,,,� PROPERTY OWNER INFORMATION: Name: ..�r�,v,� ,��c abS Phone(day): Address: �70U s1,�,�.-e/,1,� ,Qi--. City: Oro.,o ZIP: SS3�'/ Email and/or Fax: PROJECTINFORMATION: Overall ro�ectdescri tion: ��Cva. ac/q�i` v►� 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) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $_�DEJ�/0• -- 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•faiture 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 a' the a lica' ma ot be issued. ApplicanYs Signature: Date: �`—��y Owner's Signature: Date: Last Updated:03/O6/2013 � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �� V r�^^�w � Description of work: C�l'W V�'fI)1 � ( �� 1 Septic review by: � Date Approved: � Zoning review by: Date Approved: Building review by: Date Approved: � 5 '� l Grading review by: /'��/� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Sub 'tted: � Yes 0 No Date of Survey: Revised date(?): Pro osed Setbac • — Front(Lake) R (Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak ' ht: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%_ #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): SubVact half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the ' to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof�� SUBT TION gabie or hipped roof (BASED ON ROOF GABLE OR HIPPED ROOF(witK (BASED O . GABLE OR HIPPED ROOF(with TYPE) • windows): Subtract half the.� ROOF TYPE) windows): Subtract half the distance distance between the top-6f the , between the top of the highest highest window and the highest window and the highest point of the point of the roof f . ALL OTHER ROOF TYPES(flat, • A OTHER ROOF TYPES(flat, mansard,etc)�No subtraction. man d,etc:No subtraction. � ADDITION Add the distan between the top of slab SUBTRACTION SubVact the d�' fance between the (BASED ON and the highest e 'ting grade adjacent to (BASED ON EXISTING basemenUcr�wl space floor and the EXISTING the foundation. GRADES) highest ex(sting grade adjacent to the GRADES found�n OR 10 feet(whichever is less). EQUALS Deflned buflding height EQUALS Deflned building height /� \ \ Shoreland Distr' t MCWD Permit Received Avera e Lakeshore Setback Met? Bluff 0 Yes � No O N/A 0 Yes � No � Yes 0 No 0 Yes 0 No 0 N/A Permit Number: Setback: Stormw ter Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover � Yes 0 No 0 Yes � No � Type(s): Type(s): Updated: January 2013 �Q � v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Char ed YES NO �er�tit�: ��-�� ,. ;:� � Plan Review S�:�U�IY�@ ,/_ ';i 4°+; Investigation Fee ��C)=�ili�mber�arf'SAC�Ur�� ' ,,� ,�< �- Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2"�Floor X = $ Garage X = $ Estimated Construction Value: $ �0_dd��r' Orono inspections Required Work Requiring Separate Permits Required State Permits G Site � Plumbing � Grading/Filling � Well G Hardcover Removal G Mechanical � Fire 0 Electrical �Footing � Septic 0 Water Connection � Poured Wall � Fireplace � Sewer Connection G Foundation Survey � Masonry 0 Lawn Imgation G Radon Rock Bed � Mfg. Ja'Framing � Other(specify) �Insulation G As-Built Survey �Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES G NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 � v:�forms�plan review checklist 2013.docx � AT TIME " CITY OF ORONO CALLED IN � �— INSPECTION�IO�ICr�� ' SCHEDULED �� PERMIT NO. ��F � COMPLEfED ADDRESS �7O� s �, OWNER TELEPHONE NO. bl Z Z�g 3S� CONTRACTOR �''�"� �'��8YKl1.o � DESCRIPTION Z �p� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q /�QURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � r • a i v�� c✓�t d K 7L o '�t GG�e o?.1� � b .C ► - � f � �! �►e n 2 6 .�'�•e L rc�.t�/ li 7�b.d � a� ° � Ce w�e r�� — -�'� • Q F�i(�� /n!��L/�i.a� Gd it G� t�'�Irot 5 " a �`S�� Grn�/�t� W � � CG i r c�f—+r- b�- ��oa�- � W ❑WORKSATISFACTOR�PROCEED ❑ PROJECT COMPLETE �BECT V1bRK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call he next inspection 24 hours in advance. (952) 249-4600 dContractor on site: '�6�� Inspector: � ite Copyllnspector's Ffle Canary CopylSMe Notice . se.� � � p��.F.� TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED � ' PERMIT NO. a0� -DO 7/ COMPLETED % ADDRESS `?�� S`LzrL�-�!�`� '�-(� OWNER TELEPHONE NO. �✓Z �9 �35�i CONTRACTOR 1'u't �'�� DESCRIPTION I-DD f/�2.Qi � �OOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL O SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/HEMOVAL 2 OYYNERICONTAACTOR TO�ET YOU:_YES_NO c�.� COMMENTS: a� 4 � o�1D '`,C g K �'f�G r ,p �4 n — C �. ° ^ a - '�' � r c,(�.r. aPa��l�d1 � tiCa ea.�,s��ec Q �f . I,v e2 � r�-b�r Conf � eh.� �' C'15�'�ter— W � OK � �ov� W o� � , di�jpBDRItSATISFACTORY:PROCEED ❑PROJECT COMPLETE WORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT NlORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. (952) 249-46�� Ow ntractoronsite• v0�� Inspector. Whits Copyllnspector's Ffle Canary CopylSfte Notice � ^'� ��-t-�( , DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED - /� PERMIT NO. a0� -d0 COMPLETED � ADDRESS � OWNER TELEPHONE NO. � '3-� r��9,� CONTRACTOR � � DESC IPTION � , -��L/��l�� W ❑ FO TING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL NG � P URED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y RAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z1 ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � J GW ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOPORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours' a 2 49-4600 OwnerfContractor on site: inspector. White Copyllnspector's Ffle Cenary CopylSite Notice /( J � �-'� DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 9 -� PERMIT NO. 2 0�`� ��7�9 COMPLETED ADDRESS I�� ,S I�l(�!'�e �( /'1Q l�j�_ OWNER TELEPHONE NO. `J�za��a 3��/R� CONTRACTOR �� DESCRIPTION� t va. v r �� a.�,�i rGZ'f� i O t c7� � ❑ FOOTING ❑ PLUMBING FI EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO c�n COMMENTS: � a c/,�va,f��— 5�i.st4► L��/Gs � SDr� o �••+�t. i.tis4l� . � 6!�{ d,�.�l G t r t�ro•i t �✓e S�t��s� � OO W Q UK �� CarJc�/ � W � W � � � I.�Mf9RKSATISFACTOR�PROCEED ❑PROJECT COMPLEfE W��O CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. inspection 24 hours in advance. (952) 249-4600 ontractoron site: 36/14,t� Inspector. �- � White CopyAnspector's File Canary CopyfSMe Notiee J �� , 7" �� p�1TE _ TIME � CITY OF ORONO �� CALLED IN O� �l��S INSPECTION If0'�TI6 HEDULED �'"�.3�5 ��• PERMR NO. co P ETED • ADDRESS �� ---��-P - OWNER TELEPHO NO.�� 7�/ CONTRACTOR � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMB G RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PL ING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMiNG MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION OD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 01NNERICONTMCTOR TO MEET YOU:_YES_NO ��., COMMENTS: o� � j O � o� O W � Q � 2 � w � � J a W ❑WORKSATISFACTORIFPROCEED ROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. � 5 -46�0 OwnedContractor on site: Inspector: VYhite CopyAnapector's File Canary CopylSife Notiee o� 0 � c PY � / Certificate of Survey for Irwin Jacobs c/o Jensen Construction � in Government Lots 1 and 2, Section 10-117-23 �oi��°a Hennepin County, Minnesota �herr� �D'� � Defoi'l �o� � �"=30' Q �J�r�'� �, az � �M Q� L O• T/7'�r, , � � 2o.L' � � �!'O 05C(I � add�f�o�� i� Exr'3tin9 hou3e ��' a �"O :o.i' 13.75 �3.75' ,q � rv� .?'� L.SD� bb 5• , ,�2� '� � a� � N .� � .Exisfin9 5 e e c�e�4 i� 9°'�'9�� r Ex�sf�y ho„S� .�--� .zao+�...... Ex�s�.� , house -`"�/ ...�• h0�3� � , � `�,] r� ....., �, � � ..._ c �7. "..� •-• 0 � m ;...._ CITY nF 0�� G � `- x SlTE PLAN G�iA�IPdG �'L,4N ( _`_ � � ,. . ,�"APPR0I��D � u APPROU�D INlTH RC�'ISIOiv� � ❑ DlSAPPROVE�J $ � �Y /� �� DATE g-�z-8� _., ,� �_.: a ; � � � � � ..,... � �� —— �� lo. 15 I � ��; $ � '��• �,A---- �— � COFFIN & GRONBERG, INC. /; \� �� i Engineers, Land Surveyors, Planners \ � � Long Lake, Minnesota ,/ ` �vl rnne fonka �Q Ke Scale: 1 inch = 200 feet Date : September 11 , i986 o : Iron marker � : Judicial Landmark aa�� oa 7i � /?'�v �li o,t.�!%�v� ��f(��