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Home My WebLink About2015-00955 - addn/remodel/repair � ' � � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 5 — 0 0 9 5 5 * DATE ISSUED: 08/10/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2730 SILVER VIEW DR PIN : 33-118-23-42-0007 LEGAL DESC : MEYER DAIRY ADDN : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 20136 BOYER BUILDING CORPORATION STATE SURCHARGE(VALUATION) 5.00 3435 COLJNTY ROAD 101 TOTAL 206.36 MINNETONKA,MN 55345 Payment(s) (612)475-2097 CHECK 049318 206.36 Minnesota State License#:BUIL-2988 OWNER MONSON,DALE&CAROL 2730 SILVER VIEW DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT 'fhe 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 dces not gant permission for additional or related work which requires separate permits. 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 suthorized 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 conforcnance with the State Building Code.This permit may be revoked at an ' due cause. G�� v� �l0 S D ��G�� i ��i �S ` Applicant Permit ignature Date Issued By ' ature Date � - � + City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO TRUCTURAL EXPANSION) Mailing Address: �QN PO Box 66 C�,, p�� Permit number: O� S`"(�(,,,�9 S 0 Crystal Bay, MN 55323-0066 �� Date received:` � / � Street Address: � � �`�� , � 2750 Kelley Parkwa Q�, Plan reviewfee: �' Orono,MN 55356 �'�FSNo�`` 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. I� Incomplete applications will be returned. (P/ease print) �a� �� GENERAL INFORMATION: � Job Site Address: �3� S;,�t,f V1K.��d. ., rono MtJ tJ53�b Will this be a Parade of Homes, Remodelers Showcase Home or other D�play Home? Yes No If yes,a specia!everrt permit is nequired with Police Department and City Council approval 60 days prior to the everrt. Shutt/e bus sernce will be requiied unless applicant demonshates suflScieM on-site parkiny is available. Non-permitted events will not be allowed. CONTRACTOR/AP LICAN FORMATION: Name: , � � , State License# G p Expiration Date: 3 3� 2p�(o Lead Certification Number: Expiration Date: (for woNc on homes Urat wene constructed prior to 1978 Phone: (cell) b12- (v85-O�o� (o�ce) qrj2- �I�S- 205� Mailing Address: n City: ;n,��,.}y�� ziP: ��3y5 Contact Person: � Applicant is: ontracto / Homeowner �c��c�e o�� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �,1�t,-E vU� �Ir10✓►3�n Phone(day): 12- U. Address: 2�?� S;I�c�u�t� a. c�ty: �ronv ziP: 5535{� Email and/or Fax: PROJECT INFORMATION: Overall project description: ��ve.r• vv+adu. Type of Project: Any earth movement may also require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review�permits: � Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt Repair ❑Storm Damage 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 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. Confident��a#a-' ' which enera cannot be given to either the public or the subject of the data. Our purpose and intended`use of this 'nformati is t nnuall upda ur records and records of other qOvernmental agencie required by law. If ou refuse to orm 'o t e a atiom m �ot be issued. � ✓ ApplicanYs Signature: Date: � Owner's Signature: Date: Last Updated:January 2015 r . � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � 7� 7� /1/Ct/'V��,i.t/ D�t._�_ Permit No.: Description of work: �j f�CIM,�1 ��ZO�� Date Rec'd: Septic review by: `� � �Date Approved: FI Zoning review by: Date Approved: r l Building review by: Date Approved: / Grading review by: /Y � Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date(?): �, Proposed Setbacks: Front(Lake) Rear(Street) � N Side W � ` N Side W � Other Buildings Wetland Defined Height: Peak,Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)_ `: 50%= L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CR/�WL SPACE: OR A BUILDING ON A SLAB FOUNDATION: The distance Detween the lowest proposed The distance between the top of START WITH floor(of the ba�sement or crawl space)and START WITH slab and the highest point of the the highest point of the roof. root. If you have a...�; If you have a... • GABLE OR HIPPED ROOF(n • GABLE OR HIPPED ROOF (no wlndows): Subtract half windows): SubVact half the di tance the distance between the between thq highest point of e roof h(ghest point of the roof to to the low paint of the corre onding the low po(nt of the SUBTRACTION gable or hip d roof corresponding gable or (BASED ON . GABLE OR PPED RO F(with SUBTRACTION hipped roof ROOF TYPE) windows): S Vact ha the distance (BASED ON . GABLE OR HIPPED ROOF between the t of th tghest ROOF TYPE) (wfth windows): Subtract window and th high st point of the ' half the distance between roof the top of the highest • ALL OTHER R TYPES(flat, window and the highest mansard,etc):N subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION SubVact the distance een the (flat,mansard,etc):No (BASED ON basemenUcrawl spa e fl or and the EXISTING hfghest existing gr e ad cent to the subtraction. � ADDITION Add the distance between the top GRADES) foundation OR 10�feet(w chever is less). (BASED ON of slab and the highest existing EQUALS Defined buiidfng hefght EXISTING grade adjacent to the foundation. f GRADES f EQUALS Defined building height Shoreland District MCWD Permi Average Lakeshore Setback Bluff Met? O Yes � No Permi Number: � Yes � No � N/A � Yes � No � N A—see attached Setback: Stormwater Quality Existing Hardco r Proposed Overlay District (o/,and s� Hardcover Variance Required CUP Required Tier circle one %and s 0 Yes � No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx REMARKS (in-house): Fees to be Char ed YES NO Permit Plan Review State Surcharge l� Investigation Fee 1/' SAC-Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X - $ 15�Floor X = $ 2nd FIOo� X - $ Garage X - $ Estimated Construction Value: $ f F/.� . � Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing 0 Grading/ Filling 0 Well 0 Silt Fence/ Erosion Control Mechanical 0 Fire Electrical O Hardcover Removal 0 Septic 0 Water Connection �Footing � Fireplace � Sewer Connection � Poured Wall � Masonry O Lawn Irrigation � Foundation Survey � Mfg. � Landscaping 0 Foundation Waterproofing � Other(specify) 0 adon Rock Bed Framing Insulation 0 As-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx �-� S�- ✓ � ��ATE/S TIME CITY OF ORONO CALLED IN INSPECTION I�LOTIC SCHEDULED PERMIT NO��-SSCOMPLETED �� ADDRESS a�� /�li`e✓' !�/�� /rl V"e- OWNER �EP , E NO. �s a'�S-�fOj CONTRACTOR � �• � D RIPTION � ��=��-- � � FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ F UNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WA�LS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � ��x/ �� W a � J O ). � O � W � Q � W � W � � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 urs in ad 52) 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice ��3 �� ATE TIM CITY OF ORONO �Oq LED IN � .Z INSPECTIOI�,�VATI SCHEDULED � PERMIT NOr�-�� + QMPLEfED ADDRESS �7?J' � ��(X� vJ,�/.[� �JY OWNER PHONE NO. �.�a 7�07�7 g2� CONTRACTO � DESCRIPTION � � `�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q � FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION =�.E$6�MING ❑ MECHANICALFINAL ❑ RATEDWALLS � �S lATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: E `c-�C', /e ( ' D o��"�J � o -��►- aK - �. � . o • - � �as�.� - ��.�•�c ,�s,�r. w�� ♦ s�� 4�r W . Q ,��d�r'iv�i�e Ks -t S�.�! l/- f�. � � 2 _ � DK � �'�ti,r ..�k� � � � a � ❑WORKSATISFACTOFlY:PROCEED ❑PROJECT COMPLETE �RF�ECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTVINORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COh/ERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p pHOTO TAKEN INSPECT�t VYFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. C n • pection 2a hours in advance. (952) 249-4600 Ow tra con sit • G •�-.1 � Inspector: Q-1•-� �D YYhits Copyflnapecto�'s File Canary CopylSlte Notice ✓ � DATE TIME CITY OF ORONO (�9'�D IN � INSPECTION NOTICE SCHEDULED � � PERMIT NO. MPLETED ADDRESS ��/1 �/��n�1�'��L�� OWNER TELEPHONE NO. 2-��O '7 � CONTRACTOR ' � � DESCRIPTION � l~i� ❑ FOOTING ❑ DEMO-FINAL ❑ S TIC NAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNERfCONTRACTOR TO M Y�0 • YES_NO � COMMENTS: ' �� b' �3 `��` a o .S/YIA�e at'��fs �'6 lv �e��t��S - �" l�� 0 � Q // w� K C°o�/✓�� -� ��s a� � a � ��/�rt�� .r�cl� � /1G�.� J'a6 � � � ❑WORKSATISFACTORY:PROCEED JECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR NfILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II ror the next inspection 24 hours in advance. (g52) 249-4600 ctor on site: Inspeator: Whita CopyAnspecM�'s FNe Canary CopylSite Notice