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Home My WebLink About2014-01134 - addn/remodel/repair r � CITY OF ORONO * Z 0 1 4 - 0 1 1 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3225 SIXTH AVE N PIN : 29-118-23-44-0001 LEGAL DESC : UNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 118.00 PLAN REVIEW 76.70 PIRKL,ATHENA STATE SURCHARGE(VALUATION) 2.50 3225 SIXTH AVE N TOTAL 197.20 LONG LAKE, MN 55356- Payment(s) CREDIT CARD 6762 197.20 OWNER PIRKL,ATHENA 3225 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 separate pertnits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pertnit will expire and become null and void if construction authorized is not commenced within 1 SO 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. C dD / �D � J� �l Applicant Permitee Signat Dat Issu y Signature Date � '�- City of Orono . �Buflding Permit Application for Maintenance ! Replacement ! Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mai7/nq Address: permit number: — �� . PO Box 86 � Crystal Bay,MN 55323-0066 � Date ieceived: Street Addr�ss: 1 Re�ed br ��, � 2750 Kelley Parkway 0�� Plan.review(ee: t �,L Or�no,MN 55356 � ' ��, �� k s�� • Total Fee: Main: 952-249-4600 Fax: 952-249-4816 www.ci.orono.mn.us This application form must be completed in full and all requi�ed information•must submitted. Incomplete appllcatfons will be returned. (Pleese pdntj GENERAL INFORMATION: � , • . Job Site Address: 5 L 2� (��6�i ,"�d�. lU C.'c.;,,,�,: ►11.1 J� �`J��j�c� Will this be a Parade cf Homes,Remodelers Showcase Hame or other Display Home? Yes No lfyas,a apacie!ev�nt permAls roqu/rod w�h Poflce Oapartment and Cily Cwrncll epprova!80 days prtorto the ewent ShWtle brrt servFce wiA be nquked unksa appNcant demautrates s�icierrt on-a�+e paAang!s evaHable. Norr-penndfed sveMs wiN nof be sMowad. CONTRACTOR!APPLICANT INFORMATION: Neme: '�:�zu.; I�ucl�=b►�Ic[e'" State License# �,}/q Expiration Date: l.ead Certif�cation Number. u;;� Expiration Date: (for work on homes that were consHuc[oed prlor M 1978 Phorte: (C�if) 2.f$- 31L�-- 1�S"/�/ (offiCe} Mailing Address: ' ?Z.5 G, , �r ` City: �?r,.��• ZIP: • .aS ' 356 Conta�ct Person: 2:.,��„�; ?«rk k�lc�t- Applicant is: Contractor Homeowner'> �cu�i.o�.� Email and/or Fax: cQ n�, b�:K��I��c� �a��,•«�.�/ .. c'�;v, � - PROPERTY OWNER INFORMATION: Name: �f t c� �- f�-f�an<< ��.�k�<<^lcP��,/`�';rk� Phone(day): 2/�'- �/G�• l�!�7 S'S 3 56 Address: �� ZS ��.U, ,�},,�t J�f City: �r`.,,� ZIP: Email andlor Fax: �i'n�.�ic::k��le.k�•- C� �.,,�,�,;'/, eo,v, PROJECT INFORMA710N: Overall ro ect descri tion: k��1 r�1 !� '�'`R'��t� ��`�`�t �.�'t`�` Type of ProJect: • Any earth movement may also requlre • ❑Door(s) �Remodel ❑Fire Damage MCWD revtew 8�permtts: � ❑Re-roof,aephalt ❑Repair ❑Storm Damage Minnehaha Creek Waterahed DisUict(MCWD) � 18202 Minn�onka Blvd ❑Re-roof,cedar []Restoratfon ❑Waler Damage Deephaven,MN 55391 ❑Re-roof,other(spaclry) ❑Siding ❑Other:(specify} Phone: 852-471-0590 Fax: 952-471-0682 ❑Windovu(s) www.minnehahacxeek.or� Estlmated Construction Valuation.vf Project(excluding land) $ ��'�Z-�.� APPLICANT ACKNOWLEDGEMENT: ' • AgreeS to provide aN infonmation required or requesled by the Building DepaAment; . • Certifies that the information supplied 9s true ar�d corred to the best of his/her knowledge. The appllcant recwgnizes ti�at they are solely responaibfe for submittir�g a oomplete appflcaiion being aware tt�at upon failure io do so, the sta(f has no altemaGve but to reject it until it is complete; • Some or all of the information that you are ssked to provide on this eppllcation is classified by State law as either private or' confidential. Private data Is Information which ger�rally cannot be gi�ren to the publ�c but can be given,to the subject of the data. . Confidenbal data k informatbn which generally cannot be given to eitFier the pubic 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 e�perklea required by law. If ou refuse to s ths' fo siti a lication ma not be issued. Applicant's Signature:;�—�. �l-"�--'� Date: �� - / ' �Y . � Owner's Signature,�j�. � l .�=��" Date: ��'� �� esl Uptleled:03l06I2013 � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �ZZS S+ Y"t'1-�- ✓-�tre /V O Description of work: 1 c�w.a,��Z.�. Septic review by: _ Nl!� — Co.Ho/i.�w?' Date Approved: _ � Zoning review by: �v Date Approved: Building review by: Date Approved: �� " Z� �� Grading review by: N(/�- Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zo 'ng: Lot Area: SF/AC Width: Lot Coverage: S _% Surve ubmitted: 0 Yes 0 No Date of Survey: Revised d ? : Pro osed tbacks: Front(Lake) 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 Stor" s Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAW PACE: The distance between lowest FOR BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the bas ent or crawl space)and the highest point the roof. START WRH 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(n . GABLE OR HIPPED ROOF(no windows): Subtrad half the windows): Subtract 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 crorcesponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(wit (BASED ON . GABLE OR HIPPED ROOF(Hrith TYPE) windows): SubVact 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 h' est window and the highest point oi the point of the roof �f • ALL OTHER ROOF PES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No ubtracUon. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distan tween the ASED ON and the highest existlng grade adjacent to (BASED ON EXISTING basemenUcrawl s ce floor and the STING the foundation. GRADES) highest existing de adjacent to the G ES foundation O 0 feet(whichever is less). EQU Deflned building heigM EQUALS Deffned b ding height Shoreland District MCWD Permit Received Avera e Lakeshore Setback t? Bluff 0 Yes � No � N/A 0 Yes G No � Yes � 0 0 Yes O No � N/A Permit Number: back: Stormwate uality Existing Proposed Variance Required CUP Required Overla strict Tier Hardcover Hardcover 0 Yes O No � Yes o Type(s): Type(s): Updated: January 2013 v:\forms�plan review checklist 2013.docx /1J�d C'�i��f� REMARKS (in-house): Fees to be Char ed YES NO ` P`�� .�''�' �° K�.�iKu� s .�., s qfz� t'�.^Cni-a, �� z.z,9r��.s7ea� .w �Yl;� . �i.. "�'a k„ �� _&3!�r a+� t.x *�. �� ,�.`-� .��3��as; .. ., , x. Plan Review � '� n � , +r,� u < - 9 �t, �, ,,- � :- �S � 3.r�, 4 t k 4T.�"s" '�'�r x'� � 'r`�,��wr��s�„Y� a� < f �' #`+�;. , � ��I7� $ r., Y.�.A ,t. n :?!i'. � �, ,a• ,l..r .�°C: '?�. �'�v.�: . Investigation Fee �� «k �� c a s T ys a'�r i�,� � �z s;�: �r�3�'�f''"»�� >� ��`-�g�y� � r. �.��a�! ��f'��C�nits � ,�, �-,,� � � �a �,r ._.� ,� �� ,�,�,z:,�.= ��.N �Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1't Floor X = $ 2nd FloOt' X = $ Garage X = $ Estimated Construction Value: $ S,C�Oa � Orono Inspections Required Work Requiring Separate Permits Required State Pertnits � Site Plumbing 0 Grading/ Filling 0 Well � Hardcover Removal � Mechanical 0 Fire Electrical 0 Footing 0 Septic � Water Connection O Poured Wall G Fireplace � Sewer Connection 0 Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. �Framing 0 Other(specify) �Insulation 0 As-Built Survey �YFinal 0 Wetland Buffer � 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 2013 v:\forms�plan review checklist 2013.docx � ( C� DATE TIME � CITY OF ORONO CALLED IN INSPECTION TI' '0�� SCHEDULED �� PERMIT NO. COMPLEfED ADDRESS �2- 7 �� n`�- �� OWNER �� TELEPHONE NO. �g"��"�8�9 CONTRACTOR � � DESCRIPTION ��Q�'1/1 l/'1�' $� �Y1�'l ` 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ^D�IC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEi YOU: YES_NO h COMMENTS: � � � j '� 0 o� O W � Q � 2 � � a+` "� J d W RKSATISFACTOR1f:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT W'ORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDCT�ON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. 49-460� OwnedContractor on site: Inspector. White Copyflnspector's Ffle Cenary CopylSite Notiee � �� 020 —�O/S d ATE TIME CITY OF ORONO o?l�lS'G�/SI CALLED IN �- �"� INSPECTION NOTICE ,/ SCHEDULED -�f- f�_ // �G'T� PERMIT NO�--�D/S�-C�l/35� OMPLEfED ADDRESS -� ��S � �1/�G�� -E � OWNER-�'L°.Lt.' �1�(��1OL�l'Y�ELEPHONE NO.Z �:31D- �g"� CONTRACTOR � DESCRIPTION 7 �''� r J �l r.� � � ty ❑ FOOTING ❑ DEMO-FINAL � SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBtNG FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J -SITE ❑ S PTIC INSTALL 2 OWNE NTRACTOR T M ET YOU:�YES_NO y COMMENTS: �' - .� � a r�t� - _ _ , v � /i � �.:..t e.s� �— v�s 4•� � .�.s�o�t e�. ��r.�Kf � � v Qtw$ Q � � � Q/ �L"� 0�0/ �'�/J�'-� ' /�fvi✓/�' C � I�","�� .r.K.e�o • Q z /� �,�-►,�*� �—�f -Q//3f�'D��6a�a e �/at�� L � �ov,dfr, rn�• ��.,ra� � ��o�� 'a 5�oke ��.te��s � �t/� 6. � ' !.> ~ � /a � d� e�rirl d . �'!i✓cY�"�C4l/ �r /`'a.��".�j/��.a... W Y:PROCEED � ❑CORRECT YVORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CARRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR �PECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 wner ontractor on site: .� Inspector. � White Copyllnspector's File Canary CopylSite Notice � �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ` PERMIT NO. �-�r�� -o!i3 y COMPLETED ADDRESS � � � �/ OWNER �r� �"��"l � ' TELEPHONE NO. -�/� �� q CONTRACTOR � DESCRIPTION ' � - � h � / !� /a/c- � l� ❑ FOOTING ❑ DEMO-FINAL PTIC 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: �1� F,•i4,G- `�' ' �''l` /C� � W � O �rl�'�cG�IG iLs �/�O V l�e,h � � � �° /Q!� W or�< <`ow�al.�� — W � Q 2 ,,p��'w�•Z �rl i'l6�1c�9 W � W � J W ❑WORK SATISFACTORY:PROCEED ' PROJECT COMPLEfE � ❑CORRECT YVORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CAIL TO ARRANGE ACGESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 Owner ntractor on site: _ ��W Inspector. w^' White Copyllnspector's File Canary CopylSite Notice