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Home My WebLink About2014-00310 - addn/remodel/repair . �-� CITY OF ORONO * 2 0 1 4 - 0 0 3 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2014 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1245 SIXTH AVE N PIN : 26-118-23-34-0007 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 175,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) REMODEL KITCHEN&BATH APPLICANT PERMIT FEE SCHEDULE 1,506.75 STRUCTURAL IMAGE STATE SURCHARGE(VALUATION) 87.50 1405 N. LILAC DR. #226 TOTAL 1,594.25 MINNEAPOLIS, MN 55422- Payment(s) �� CHECK 1751 1,594.25 Minnesota State License#: BUIL-639770 OWNER GRANT,PETER 1245 SIXTH AVE N LONG LAKE, MN 55356- 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 sepaza[e 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. � y�a� l� Appl' an Permitee Signature Date ssu By Signature Date C��a-�.�., �� `� j � � � � /5 � �� ° City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �0�� Mailing Address: Permit number: � PO Box 66 ��- 3 Crystal Bay,MN 55323-0066 Date received: �— Street Address: Received by: _� ��, G.� 2750 Kelley Parkway Plan review fee: p?�� 7—� l,pk�s�a��, Orono, MN 55356 97Q 3� �O 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: ��Y� li7�► ��i �D Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitfed events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: STtiu 1 k c 1--L-� State License# �� c� -7 7D Expiration Date: 3/ � Lead Certification Number: �y9.7-� ��-�9•1.,� Expiration Date: 7 �j (for work on homes that were constructed prior to 1978 Phone: (cell) � a (office) Mailing Address: a7 C /- Ci : �s��y� ZIP• v Contact Person: ,JD�j� Applicant is: ontr r / Homeowner �ci��ie o�e� Email and/or Fax: ?�3 i,��.-C-�► � 7 a-z� PROPERTY OWNER INFORMATION: Name: JoH��f� w��l o al Phone (day): 6/a $v 3 • /3 _� k�,,� Address: ��yrS� C�(,y �� G City:�iPrQA7 O ZIP: S',5��`G Email and/or Fax: PROJECT INFORMATION: Overall ro'ect descri tion: Type of Project: Any earth movement may also require ❑Door s �Remodel MCWD review&permits: ( ) ❑Fire Damage ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof,cedar 18202 Minnetonka Blvd ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 .I��1 ��'�'�1� �Window(s) www.minnehahacreek.orp Estimated Construction Valuation of Project(excluding land) $ v — APPLICANT ACKNOW�EDGEMENT: • 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 infor ation is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su I the' f rmatio the a lication ma not be issued. ApplicanYs Signature: Date: y�� 3 Owner's Signature: Date: Last Updated:03/O6/2013 � - PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS AddresslPermit Number: �Z y S..(s/,X T}f /}1/�C=`l/0 Description of work: �1'Wt�OCC- Septic review by: N 1l'a Date Approved: Zoning review by: n�/ � Date Approved: ---- - -- Building review by___ �-- _ Date Approved: ��` �y - — — Grading review by: /�/��' Date Approved: Zon'ng District: Zoning File#: Reso#: Reso Date: Zonin . ot Area: SF/AC Width: Lot Coverage: SF _% Survey Su itted: 0 Yes � No Date of Survey: Revised d ? : Pro osed Setb ks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other ildings Wetland Side Side Defined Height: ak Height: FFE: FFE m' us 6 feet= (Existing Contour) Perimeter(linear feet) = 50%_ #of St ies Ok? O YES FOR A BUILDING WITH A BASEMENT OR CRAWL S CE: The distance between the lo st F A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the baseme r crawl space)and the highest point of th of. 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): Subtract half the windows): SubUact 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 r f SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF ith (BASED ON . GABLE OR HIPPED ROOF(with T�'PE) windows): Subtract half th ROOF TYPE) windows): Subtract half the distance distance between the to f the between the top of the highest highest window and th ighest window and the highest point of the point of the roof �f • ALL OTHER ROOF TYPES(flat, • ALL OTHER RO TYPES(flat, mansard etc:No subtraction. mansard,etc): o subtraction. ADDI N Add the distance between the top of slab SUBTRACTION Subtract the dist between the (BASED and the highest existing grade adJacent to (BASED ON EXISTING basemenUcraw pace floor and the EXISTING the foundation. GRADES) highest existi grade adjacent to the GRADES foundation R 10 feet(whichever is less). EQUALS Defined building height EQUALS Deflne uilding height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff 0 Yes � No � N/A � s � No � Yes 0 0 0 Yes � No � N/A Permit Number: Setback: Stormwater uality Existing Proposed Variance Required CUP Required Overla D' trict Tier Hardcover Hardcover 0 Yes 0 No 0 Yes 0 No Type(s): Type(s): Updated: January 2013 ' e v:lforms\plan review checklist 2013.docx �'�/0 C�I A N�.w J REMARKS (in-house): Fees to be Char ed YES NO Permit �/ Plan Review r� State Surcharge ,/ - nT vestigation Fee - — SAC--Number of SAC Units ✓ Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1s�Floor X = $ 2nd Floo►' X = $ Garage X = $ Estimated Construction Value: $ ��5�ppp o 0 Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/ Filling � Well � Hardcover Removal �Mechanical 0 Fire � Electrical 0 Footing � Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection O Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. ,�Framing 0 Other(specify) Insulation � As-Built Survey �Final � Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: O YES � NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx �^ ( � DATE TIME � CITY OF ORONO ALL`Z E� S 27 INSPECTION O I ^��/n SCHEDULED .5'Z ��y�- •� PERMIT NO� � OMPLEfED ADDRESS �a OWNER LEP ONE N �' � �a 3 CONTRACTO L Ir � DESCRIPTION �� • � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS �FflAMING ❑ MECHANICALFINAL p TREEREMOVAL Z �❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAHD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10N/REMOVAL 2 OWNERICONTRACTOR TO MEEi Y�OU:_YES_NO � COMMENTS: �lcG• �.Z 1 N;�D • '`d,� a J �/'dd��P �i��se�aG SL�t.� O?� ��a/� O � �� rw�• �S .��fl,GFcc�� cr o �' � �+ ,�rc�e dG/ �'�:�� /O � Qy G� �+ � Rt�' �,� - W j �r rc�f•f 6.t 7� ��2�� ' 0 W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � '��iRECT NfORK 8 PROCEED O ISSUE CEHTIFICATE OF OCCUPANCY 0 ❑COHRECTYVORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th t inspection 24 hours in advance. (952) 249-460� Ow oMractor on ' Ins Wh e Copyllnspector's File Canary CopylSite Notice "'"'�' DATE TIME V CITY OF ORONO CALLED IN d- ?� INSPECTION NOTIC SCHEDULED ��-3-� 9�'4�' PERMIT NO.� - ld COINPLETED ADDRESS �'2� �}�. �� OWNER TE EPHO E NO. �7Sa�-�1.�/��i CONTRACTOR �� ` �''��C.r_ b�� DESCRIPTION ��''� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTiC FINAL p FOUNbAT10N/REMOVAL � OWNERICONTRACTOR TO MEET YiOU:_YES_NO . y COMMENTS: Lotrc��u,�' iPrO!/�btJ � � /'4 � - .G� i� w.L�i j * '� C/ec. <<� ��Ga/� �i�caFr.�or� 1 o , � �ick�n,D ra.�p « �- 0 � W � �eS� �� '' Q , � 2 � LO r r<<..� ¢- OK �' �'a u�r' � J d W� O WORK SATiSFACTORY:PROCEED ❑PROJECT COMPLETE �CQ@RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 xt inspectior�24�ours in advance. (g52) 249-4600 Owne ractor o ' %�- Inspector: � Whits Copyllnspector's File Canary CopylSke NWice