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Home My WebLink About2015-00004 - addn/remodel/repair . . CITY OF ORONO * Z 0 1 5 - 0 0 0 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: OU06/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3895 SHORELINE DR PIN : 20-117-23-22-0004 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 008 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) BATH REMODEL APPLICANT PERMIT FEE SCHEDULE 228.65 INTEGRITY HOME SOLUTIONS PLAN REVIEW 148.62 18605 PROVIDENCE DR. STATE SURCHARGE(VALUATION) 6.00 BIG LAKE, MN 55309 TOTAL 383.27 (763)744-6221 Payment(s) CREDIT CARD 4534 383.27 OWNER RAUSCHENDORFER,JOE& SANDY 3895 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 permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permi[will expice 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. V� ( / � �� A cant Permitee Signa re Date Issu By Signature Date � . - City of Orono �Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O� Mailing Address: Permit number: �-�"� � O PO Box 66 � Crystal Bay, MN 55323-006 / Date received: �-o?"07�� Street Address: Received by: r � 2750 Kelley Parkway � I 1„I �� Plan review fee: F �' Orono,MN 55356 `�' `qKESH�� g�/ �� 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 appfications wilf be returned. (Please print) GENERAL INFORMATION: Job Site Address: j� � � �'�'��L)�� p�-�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No !f yes, a special event permit rs required with Pofice Department and City Council approva!60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: II� � �t-�'� h��r�,�s ✓�' OWT(�vJ � NL State License# G �j � Expiration Date: I Lead Certification Number: � I ( Expiration Date: (q (for work on homes that were constru ted prior to 1978 Phone: (cell) 1 � '7� � (office) Maifing Address: ( �t7s p v 10� (�' City: �(� (,,/{ L ZIP: Contact Person: J� � � Nj Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �p , y(�aS . 5 o�(S (��L � �G�- PROPERTY OWNER INFORM TION: Name: J d(= 5 C�4-1�IJ Q 0/l.(,C��- Phone (day): Address: L l-/ Q /L City: ��.� �d ZIP: Email and/or Fax: � �V�jGt-�-r�1 DII. ' ��►'d �t- . � PROJECT INFORMATION: Overall project description: iype 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) $ 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 altemative 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 faw as either private or confidential. Private data is information which generalfy 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 govemmental agencies required by law. If ou refuse to su f e informa'o , h lication ma not be issued. AppficanYs Signature: Date: � Z � Owners Signature: Date: �ast Uodated: Q3/06/2013 , • PLAN REVIEW CHECF(LIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 3�� Ht`�RR�C�►/�-e 1�� Description of work: �►-1r'�4-E� �►�'�Z Septic review by: N i�• Date Approved: Zoning review by: N � Date Approved: Building review by: Date Approved: i - b— �� Grading review by: i'�/� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zo 'ng: Lot Area: SF/AC Width: Lot Coverage: SF _% Surve Submitted: �Yes � No Date of Survey: Revised dat . Pro ose Setbacks: Front(La ) Rear(Street) ( N S E W ) ( N S E W ) Other ildings Wetland Side Side Defined Height: Peak Height: FFE: FFE mi s 6 feet= (Existing Contour) Perimeter(linear feet) = 50%_ #of Sto " s Ok? 0 YES FOR A BUILDING WITH A BASEMENT CRAWL SPACE: The distan between the lowest FO BUILDING ON A SLAB FOUNDATION: START WITH proposed floo of the basement or crawl space)and the hest poiM 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 HIPP ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract If the windows): Subtract half the distance distance beriveen the h est point between the highest point of the roof of the roof to the low point the to the low point of the corresponding SUBTRACTION corresponding gable or hippe roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(Nrit (BASED ON • GABLE OR HIPPED ROOF(with T�'PE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of e between the top of the highest highest window and the hi est window and the highest point of the point of the roof roof . ALL OTHER ROOF PES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No ubtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distan tween the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrewl s ce floor and the EXISTING the foundation. GRADES) highest existin rade adjacent to the GRADES foundation O 10 feet(whichever is less). EQUALS Deflned building height EQUALS Deflned iiding height Shoreland District MCWD Permit Received Avera e Lakeshore etback Met? Bluff � Yes � No G N/A 0 Yes 0 No � Yes 0 0 � Yes � No N/A Permit Number: Setback: Stormwater uality Existing Proposed Variance Required CUP quired Overia ' trict Tier Hardcover Hardcover � Yes 0 No G Ye 0 No Type(s): Type(s): Updated: January 2013 v:\forms�plan review checklist 2013.docx REMARKS (in-house): Fees to be Cha ed YES NO Permit - ' ` ` ,,, , , ;§ . , �_ . G. � x. , , r; , ,,. _ � e: : . , .;.,a . Plan Review Sfat�e-.'Surct�aT9� ° y� . � , ,. �`> � :� a . . ,_,<..�,. _ _.. _ , . .. _. . ._ .. , .. Investigation Fee � �Sl�G Number�f 5�1�L�nits" � °� � �, v r � �� Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1°t Floor X = $ 2nd Floor X = $ Garage X = � Estimated Construction Value: $ I 2, Q D4 '� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing 0 Grading/ Filling � Well 0 Hardcover Removal Mechanical � Fire Electrical 0 Footing 0 Septic 0 Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation G Radon Rock Bed � Mfg. �Framing 0 Other(specify) Insulation �/4s-Built Survey �Final � Wetland Buffer O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: G YES � NO New: � YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx E - .'' � ��k�� ,� � : . �y� �c7`��L�,uL� /J/� �� 1'� ��5�� —� �,XS�' ��- 0 H" Z�� 2� ��, 2' � �I NC� o �� '� `�,� s � �° 0 � � ��w 2�� ►��- 3�� 5 T� �C � � �� ;� a 3a`� � � � 1 �,�`� �w D rlb�, �c�v z,�loo ru6 Ps v� N� �� w 2� 4 w�-�C w �� x s� �l��r�1N,6 �o ��,SE b�� s✓on�� I (� � --�---�---�-� � �v�'��.��'�. f��i� �EE A i T�C'.�� s��ET F't�R_C o t-sr�� -�.c�-� C�D� Py:"�'' • "'` �(^*��T 4�♦�XA �l�.ni�eSa�i V`1 ft�� ''��!��d�E P1,.AN CHECKED BY DATE � - b � � � � � � . . ��y� �ff(�l�Ll iV� ��- �x ► ST l� � ��CST s �� E�c �� 2�X y sfio�� 5" � � / D / t�St" �S� �� p ��s►� ��M � �� - r � '�. J L� N o nl aC'��,J� Cx� �t� o �� ZX� 3�-x� � �l�n.��T�on� Tv6 �� O � 5� -� � � \ / � �✓1 DATE TIME CITY OF ORONO CALLED IN �-�.�_ ��_ INSPECTION SCHEDULED �"�D%�� PERMIT NO. � OMP�o � ADDRESS OWNER T EPHO N ?� 7 � CONTRACTO /« � DESCRIPTION ��-� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FR G ❑ MECHANICAL FINAL ❑ PROGRESS � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 01NNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a� W � � J O >. � �O W � Q � 2 W � W � � J O W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT O CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance (952) 249-4600 OwneMContraator on site: Inspector: White CapyAnspecto�'s File Canary CopylSfte Notiee