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Home My WebLink About2016-00284 - addn/remodel/repair CITg' OF ORONO * Z 0 1 6 — 0 PJ Z S 4 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-118-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATI0I�T : $ 7,100.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) BATHROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 170.34 PLAN REVIEW 110.72 METRO CONSTRUCTION STATE SURCHARGE(VALUATION) 3.55 3307 BRUNSWICK AVE N CRYSTAL,MN 55427- TOTAL 284.61 (612)207-4679 Payment(s) Minnesota State License#: BUIL-681358 CHECK 1611 284.61 OWNER Orono Woodlands 2t00 SIXTH AVE N LONG LAKE,MN 55356- AGREEMEIYT AND SWORIV 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 permit will expire and become null and void if construction authorized is not commenced within l80 days of th ate of issuance,or if wnstruction is suspended for a period of 180 da s t any time after work has commenced. The applicant is responsi le for ss ring all required inspections are requested in conforman with State Building Code.This permit may be � revoked at any time for e ca s . � F � � � �,��-`f�(.. �i �- i I (� Applica e 'e gn u Date Issued By Signature Date � CITY OF ORONO BUILDIIVG PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O�O Mailing Address: , Permit number: �UL�O— �� PO Box 66 Z Crystal Bay, MN 55323-0066 b Date received: ✓ '� �'� Street Address:� r�1��r� Received by: �( y�, G` 2750 Kelley Parkway �� I�10 Plan review fe : �'�kFsxo4`` Orono, MN 55356 �Ir�( � � . Main: 952-249-4600 Total Fee: �� / Fax: 952-249-4616 ww•F:,.ci.orono.mn.us This application form must be completed in fufl and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �,1D� r�,�n�Y Q�,� (��L�,,� c�l� 1�/11u Will this be a Parade of Homes, Remodeler Sh�e Home or otl�r Display Home? ❑ Yes (�] No lf yes, a special event permit is required with Police Department and City Council approval 60 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: l�V�e �rti��,.�so�l State License# [�q�l '3�K Expiration Date: �- 3�-�(r, Phone: (cell) �� a, a o-� ��,� R (office) �i� � � y��q Mailing Address: w "- Cit : � � ZIP: Contact Person: yl��}� Applicant is: rac r / Homeowner (Circle One) Email and/or Fax: ��Q�� ,�S..f.��.�;� t,U,� � �,�a;(. r, �K PROPERTY OWNER INFORMATION: Name: � c'c„n;.��,�,a..✓�r��S r�� Phone (day): �15� �{`7'� O$S� Address: Cit : c..� ZIP: �Cc Email and/or Fax - ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: a rq�n.t 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply ❑ New Construction �Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation q r f detached garage Residence ❑ Private Sewer '�Other:(specify) (��hM2��U ❑ Multiple Family/Condo ]�Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water *"Any earth movement may also require ❑ Commercial ❑ Storage MCWD review 8 permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(speCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ '�� Last Updated: January 2015 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame b.Width(ft.)= Number of garage stalis: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 15�Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/�Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; . Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; . Certifies that the information suppiied 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; . Acknowledges the Escrow Agreement is completed and signed; • Understands 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 you refuse to supply the information,the application may not be issued. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: �'o� J '�� Owner's Signature: Date: Last Updated: January 2 � �� /� ��i� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � mv� r /�oa`� p-e rr�it No.: Description of work: Date Rec'd: Septic review by: ��'�' vv� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Cover e: SF % Survey Submitted: � Yes � o Date of Survey: Revised date ? : Landscape plan submitted? 0 Yes 0 No Landscaper: Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FF : FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade Basement? � Yes � No, Sto ies FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC ' FOR A BUILDING ON A SLAB FOUNDATION: The distance between the west proposed Slab at or above grade— START WITH floor(of the basement or awl space)and measure from hiahest existina the highest point of the START WITH ra ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR IPPED OOF(no Slab below grede—measure (BASED ON windows): ubtract h If the distance from highest existing grade to the ROOF TYPE) between e highest p int of the roof hi hest oint of the roof. to the lo point of the rresponding If you have a... gable hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GAB E OR HIPPED R F(with (BASED ON (no windows): Subtract half win ows): Subtract half he distance ROOF TYPE) the distance behveen the be een the top of the hi hest highest point of the roof to ndow and the highest p fnt of the the low point of the of corresponding gable or hfpped roof • ALL OTHER ROOF TYPE (flat, . GABLE OR HIPPED ROOF mansard,etc):No subtracti . (with windows): Subtract SUBTRACTION btract the distance between the half the distance between (BASED ON asemenUcrawl space floor and th the top of the highest EXISTING ighest existing grade adjacent to t window and the highest GRADES) foundation OR 10 feet(whichever is ess). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Deflned building height subtractfon. Defined building height EQUALS Updated: October 2015 z:\forms\pian review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? � Yes � No Permit Number: � Yes � No 0 N/A � Ye No � O N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one %and s %and s � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed ,:Y,�S_�.,��:: ,,:,:�V�{..;� _ ,�� ,�.p,_�.,rh„�a�s�'L�: '-'14',�p a,�e,�k;- �-c',5."i�t`-_- xr -'",.,�.:z� _ �. M . .. _�� e: - -, :i t��4t�bs�+��t'��,.L`"'� � . ... . _ Plan Review � -x ..� . _ . .�x � -;s tt x e 'd.z' ¢":. rfi�. 3,..:�it"`" �`��s` s�.�i^�"��a�- 1°� �s'3��`*�.-�' Investigation Fee ✓ a � -��; ,, r � :.,.. - --r. ��...t n:* _ :,''d,��:i�' _ ._��*°� ��.x� -��;,�a "` .�i,�.�,', . . .. .. ., a.. ,. _� �:z Other(specify) � S uare Foota e a er S uare Foota e Basement X = $ 1 S�Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ � � �O Orono Inspections Required Work Requiring Separate Permits � Footing � Site Plumbing � Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control echanical 0 Fire � Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection � Foundation Waterproofing O Other(specify) � Fireplace � Sewer Connection Framing O Masonry 0 Lawn Irrigation � Insulation � Mfg. 0 Landscaping 0 As-Built Survey O Other(specify) Final � Lathe Required State Permits � Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan rr��riow rthpr4licf 1 fl_9f11.ri rinrv Revi�w��i for Co�+� Compiiancf C��o��o�o • -. Dafs � ��,.� � ■ ■ - � �� r � � � ��H� �� . I, _ / � � � �� ' !I � �` � - Q) � �� _ _ i � � � ! � � .�: ' _ � p � . I �E. i � I , � � � / //_._ _�_- -/J__ - -� �. � � � o -�-� X_ � - � _ __ ___:_r � ' � � � l��rsf�7 �c��c�/� a�-,�S � SFAOKE Jc;'�_�TpH�ONtiEC7�G TO A�C�J�D- �� ; ' � \ JL1fiCE GA OTHE:�i pR�CTOR AJDI3l.E IN ir � ��[-� G�`:�EAS�` Carbon monoxi e deLQctor required withi 10 ft. of a11 s1E`pi;�� r�:,:�_, . �.J � ' � ,. , , ��. `- � 1 � S „ . , , _. . -, , . z • �. .., _ � �. ' ---�� , ��--� _ � , �, �J I �., . ------ ,. , '-- -' �� ,> l._r �; - �.--� --- �- _ � � � � � � r, �� C_�� CS - '� '��-- . � .1, � " � �- i �� Roger Peitso From: Mark Sowers <metroconstructiomm�@gmail.com> Sent: Monday, March 28, 20161:58 PM To: Roger Peitso Subject: Bathroom Permit Plan for 2100 Co Rd 6 Long Lake MN Attachments: Design2 jpg; Existing Bath Plan jpg Heres the bathroom plans or existing and proposed. Mark W. Sowers Metro Construction 3307 Brunswick Ave N Crystal, Minnesota 55422 Direct: 612-207-4679 E-Mail: MetroConstructionMN(a�qmail.com WEB: www.MetroConstructionMN.com EXTERIOR and INTERIOR Remodeling Experts Storm Damage / Insurance Claims Specialist VSI Certified (Vinyl Siding) Mastic/ Plygem Certified (Exteriors) Lead Workspace Certified (EPA) L.P. Smartside Gold Certified (Siding) � __._..------------- i ��I �� 1, 1 DATE TIME '✓� CITY OF ORONO CALLED IN --�� INSPECTION NOTI SCHEDULED �ERMIT NO. '�� COM�LEfED ADDRESS �I �J Ci S ( �(-�� ' OWNER TELEPH�ON NO.�� -�L?=(�(n 79 CONTRACTOR � � � DESCRIPTION '�r�{'1^� '` ��t� �l rb C�Yyi l� ❑ FOOTING ❑ DEMO-FINAL `� ❑ SEPTIC FINAL � ,S�(�J�, Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING J y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q MING ❑ MECHANICAL FINAL ❑ RATED WALLS ��NS�ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: W �� — a �I _P_L• GCy ��I�f' � . - o �:��--�s �a� ra��- �w ��we.- - aK �. � c— � � c�=-�� .DlS. 'f Q lC�� . ��rf��/�L LO K S W . �� Q �.� yo�� d o�fd ..� ,��s d bo7-��-�-t z D�'�lq. c��s� - � �rr��. �;., eX�S�i-� f�l l/- �-1"�J s�fi�t �Qce - j�j s�� .« �,�,�� o.�s � � Pa� �,.6,. d �O r r<<Z -� o/C � G Q�tZ�/ �y�s/rS t W� ❑VIFORKSATISFACTORY:PROCEED ��` � ❑ PROJECT COMPLEfE W�.G�ORRECT WORK&PROCEED �N�� ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REIN9PECTION�� TEMPORARY V BEFORE COVERING �L PERMANENT b/L �r L,G ❑CORRECT UNSAFE CONDITION WITHIN HOU�tS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952� 249-46�� OwnedContractor on site: Inspector. White opyAnspector's Ffle Canary CopylSite Notice � � � DATE TIME CITY OF ORONO CALLED IN � INSPECTION�IOTICE SCHEDULED PERMIT NO.�� COMPLETED � ADDRESS 2 C(� �(�---� G��.-�. � OWNER TELEPH NE NO.�� 20�-��D� CONTRACTOR C� � DESCRIPTION `t��ro�— �,(��--� --- ll� ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 h rs in a 9 249-460� OwnerlContractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice