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Home My WebLink About2015-01605 - addn/remodel/repair r '' CITY OF ORONO * Z 0 1 5 - 0 1 6 0 5 * 2750 KELLEY PARKWAY DATE ISSUED: OU07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2790 SILVER VIEW DR PIN : 33-118-23-42-0002 LEGAL DESC : MEYER DAIRY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 20,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) WIDEN OPENINGS,REPLACE A WINDOW AND REMODEL KITCHEN APPLICANT PERMIT FEE SCHEDULE 356.22 PLAN REVIEW 231.54 J KATH LLC STATE SURCHARGE(VALUATION) 10.00 4609 35TH AVE S MINNEAPOLIS, MN 55402- TOTAL 597.76 (612)730-3299 Payment(s) Minnesota State License#: BUIL-BC642455 CHECK 1768 597.76 OWNER , �r..�1c sti �� N�ol-�� . 2790 SILVER VIEW DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he 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 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. ,— .-�l � ` ,/ ' , /; / -�� i � i /� Applicant �ee ignature Date Issued B nature Date ° ~ City of Orono Building Permit Application for Maintenance / Replacement / Remodel �i.�. windows, doors, siding, re-roof, etc. — NQ STRUCTUR/iL EX�' ��V) � Mailing Address: Permit number: _ 5=�� / ��0 PO Box 66 � Crystal Bay, MN 55323-0066 �'' Date received: � 3/ � 1 , �� ; Street Address: � (,..� ✓L�� Received by: v tiF � 2750 Kelley Parkway �� ( Plan review fee: �,q�,CS-HO�r��' / Orono, MN 55356 � `1� Total Fee: ��1 l�� 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: J ` /'�, Job Site Address: 1 (V�°� �� (/�I✓'� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a specia!event permit is requrred with Po/ice Department and City Counci/approva/60 days prior to the event. Shutt/e bus service wil/be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA'�IT IN ORLyMLA�N: Name: K State License# Expiration Date: �f�iQ(,� 'f�J7Z. Lead Certification Number: Expiration Date: (for work on homes that were consiructed prior to 1978 Phone: (cell) Z p Z� (office) Mailing Address: �'J+ �u� Cit : �/{� ZIP: � (j Contact Person: �}�S� ��,�-�.� , Applicant is: C / Homeowner (Clrcle One) Email and/or Fax: I�.SSe��,�,g�'�� PROPERTY OWNER INFORMATION: Name: � j� � �d11o�2 11�,o�-,s Phone(day): 7f�3 Z 3�/ 0 Z./(o Address: Z7q0 Si 1 Ue✓ I/IecJ c�r1V� City: �(��Q ZIP: Email and/or Fax: �(�,I�ry-�S� Yv�E • Cv � PROJECT INFORMATION: Overall roject description: WIdCh 0 fl!l'� re Ce a W/i�0�1 C.�7�o�y�� Type of Project: ny earth movement may also require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review 8�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(speciry) ❑ 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. 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 inforrnation is t a nua update our records and records of other governmental agencies required by law. If ou refuse to su I the infor 'on e cation ma not be issued. ApplicanYs Signature: Date: �Z�3 1' Owner's Signature: Date: �� ' � �La Updated:Jan ary 2 I /� /� �/�� G°(�x �� ( � / ' � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: _ z 7 �7(� Si�v��v�e w �j"(fi'(�i Permit No.: Description of work: Date Rec'd: Septic review by: p�d(p�1`<G � �l/ �(� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � � l� Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 es � No Date of Survey: Revised date ? : Landscape plan submitted � Yes � No Landscaper: Pro osed Setbacks: Front(Lake) Rear(Str et) ( N S E W ) ( N E W ) Other Buildings Wetland Side Side Defined Height: Pea Height: FFE• FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade Basement? � Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance betw ,n the I est proposed Slab at or above grede— START WITH floor(of the baseme t or awl space)and measure from hiohest existlna the highest point of tf r of. START WITH 9�de to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION • GABLE OR PPE ROOF(no Slab below grade—measure (BASED ON windows): ubtract If the distance from highest existing grade to the ROOF TYPE) between t highest p int of the roof hi hest oint of the roof. to the lo point of the c rresponding If you have a... gable or ipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABL OR HIPPED RO (with (BASED ON (no windows): Subtract half wind s): SubVact half th disiance ROOF TYPE) �e distance between the be en the top of the h(gh t highest point of the roof to wi ow and the highest poin of the the low point of the ro f corresponding gable or hipped roof • L OTHER ROOF TYPES(fla, . GABLE OR HIPPED ROOF ansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Sub act the distance between the half the distance between (BASED ON ba menUcrawl space floor and the the top of the highest EXISTING hi est existlng grade adjacent to the wfndow and the highest GRADES) f ndation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Deflned building height subtractfon. D�ned building height EQUALS \ Updated: October 2015 �+, z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: O Yes � No � N/A � Yes � � Yes 0 No No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one %and sf % and sf � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review l/ State Surcharge �/ Investigation Fee SAC—Number of SAC Units 1� Other(s�ecify) 1/' S uare Foota e $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ ��.!/, �� Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site Plumbing � Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control Mechanical � Fire O Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection 0 Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection raming 0 Masonry 0 Lawn Irrigation Insulation � Mfg. � Landscaping � As-Built Survey 0 Other(specify) inal 0 Lathe Required State Permits 0 Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan ro�iiaw chPeklict 1(1_9f11Fi rinrv �^� � DATE TI� CITY OF ORONO cnLLED IN INSPECTION N TICE SCHEDULED �" � PERMIT NO. a -� P ED ADDRESS � OWNER TE HONE O.�l"?-_7�/ �2l 9 CONTRACT�R . � ��L.��,QI.L� VC.SS�--- � DESCRIPTION � �� 4~j ❑ FOOTING ❑ DEMO- INA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �-FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICOI�fTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: ��c. /�� - /'`aZ /L � o � �i^esv�t9c �r�f�s�o,d�•;s �:.. ,�c��l. ��s� � �- 50�.�,� .rs ds�.tr.ss�� . 0 /�es� o� �s�Q.�r••tc - B�+' W � � Q � �r�5 L. - � ' - 2 •s FiC•s i�s O� � � � � r6�cp` �is /�il� �•.% �eSC' " � d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE ��f'AARECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR VYFLL RETURN ❑CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOR ❑INSPECTION REWiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site• ��SS e- � Inspector: •� CopyAnapsctor's Flle Canary CopylSks Notice � � ,� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ��bC� SCHEDULED �j�7__Lz� PERMIT NO. Z��S COMPLEfED ADDRESS �-�q � �� I I VF �,L(L(Pt�� 710 OWNER TELEs��. I Z�Z� ' Z�T CONTRACTOR � , � DESCRIPTION � ��G�1 1=r r�a 1 .�o�l W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � 1'�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ��0 AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTiiACTOR TO MEET YOU: YES�NO y �oMMENTS: -3- a ��- �6 - � W a o � ��c �a � S rnak� �cL��S i•., � ��< h�P.�s - 0 � W _ Q -- � i^' 1i.c�l �,.1 a y ilo c.� — z ^ � �e�� ,�r��o� � _ '' r �s� d fr c�.�� o v��/,�� r ✓,c� � c�6l � �r •,5,a��a�.. � a W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT _ ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN r INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITAT�ON ISSUED �NSRECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: J Q�� Inspector. � White Copyllnspector's Ffle Canary Copy/Site Notice �� V DATE TIME CITY OF ORONO cnLLED IN � INSPECTION O SCHEDULED / � PERMIT NO. I 6� coM Ereo � ADDRESS OWNER TELEPHONE NO ��a'�7��'�'J CONTRACTOR � �p`� / �.., � DESCRIPTION t~i� ❑ FOOTING ❑ EMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOU ATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION i ❑ AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNER�CONTRACTOR TO MEET YWJ:_YES_NO c�n COMMENTS: � � j ,�— O . � � O W � Q � W W aC � , O W ❑4VORKSATISFACTORII:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK d�PROCEED ❑1 E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECTUNSAFECONDITION WRHIN HOURS. p pF{pTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Caa for the next inspection 24 hours in adva�e. (g52 24 - 00 OMrtrerlContractor on site• Inspector: White CopyAnspsctor's Flla Gnary CopylSNa Notks