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Home My WebLink About2016-01244 - addition/remodel/repair , � L , CITY OF ORONO * 2 0 1 6 - P1 1 z 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3585 SIXTH AVE N PIN : 29-118-23-43-0004 LEGAL DESC : LJNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTI VITY : 434-RESIDENTIAL VALUATION : $ 6,534.00 NOTE: DOORS&FRAMING WALLS APPLICANT PERMIT FEE SCHEDULE 154.85 PLAN REVIEW 100.65 ANDERSON&DAVID LIND, RICK STATE SURCHARGE(VALUATION) 327 3585 SIXTH AVE N LONG LAKE,MN 55356- TOTAL 258.77 Payment(s) CREDIT CARD 7557 258.77 OWNER ANDERSON&DAV[D LIND, RICK 3585 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 docs not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type oY work shall be compied w h whether or not specified herein.This permit will expire and becom ull and void if construction authorized is not commenced withi�i 80 days of the date of issuance,or if construction is suspendec��for a�e iod of I 80 days at any time after work has commenced. The appl"ant is ponsible for assuring all required inspections are request in con mance� 'th the State Building Code.This permit may be revoke t any ti e for due c use. , �� . _ , - /�� , , .� �, � -7 � Ap a t Perm tee Signature Date Issu d By� 'gnature Date � City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� MailingAddress: Permit number: � ��y O PO Box 66 Crystal Bay, MN 55323-0066 � Date received: 1 Received b � a Street Address: �� y� ti�, G� 275�Kelley Parkwa �' Plan review fee: � f{ lqkFSHO�� Orono, MN 55356 � ��t Total Fee: �s�' 7� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in fuli and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � � �/� r Job Site Address: �.��.� � d r�^O ✓�'N �s�`S Y Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? Yes o 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 sulficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone� (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: f Name: ��`�c.�C � :e! o,� I��i�t 'ti!1 Phone(day): �p 1 a $ I 1 � Address: J �S' o�,�r- �, City: �vn 0 ZIP: Ss�� Email and/or Fax: o �o ..y� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding �Qther: (specify) Phone: 952-471-0590 � �' C Fax: 952-471-0682 ❑Window(s) rG� � C't �/'� > www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ , 0 0.0 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su t the information,the a lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: Date: �� Last Updated:January 2016 � ,�� (/�� G`� J m�� l.i G PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �J �;� CL'�ftU'� /�D�f t Permit No.:�G U7`� ��Z�`T Description of work: Date Rec'd: ? Septic review by: � �lL Date Approved: Cl� � l 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 Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date(?): Landscape plan submitted? O Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak 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 SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from hiahest existinq the highest point of the roof. rq ade to the highest point of the START WITH roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff M et? 0 Yes p No Permit Number: 0 Yes 0 No � N/A � Ye No � � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf 0 Yes 0 No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit � Plan Review � State Surcharge � Investigation Fee � SAC— Number of SAC Units f�' Other(specify) Square Foota e $ per Square Footage Basement X = $ 1St Floor � X ��•5'p = $ --� 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ Cp; �� `� Orono Inspections Required Work Requiring Separate Permits � Footing 0 Site � Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire ❑ Foundation Survey 0 Hardcover Removal � Septic 0 Water Connection 0 Foundation Waterproofing 0 Other(specify) � Fireplace 0 Sewer Connection Framing � Masonry 0 Lawn Irrigation � Insulation � Mfg. ❑ Landscaping � s-Built Survey � Other(specify) Final � Lathe Required State Permits � Other(specify) � 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 ravia�u rhar4liet 1(1_7(11F rinrv �i"' V �� C� DATE TIME �il l T UF ORONO CALLED IN INSPECTION NOTICE o�a y SCHEDULED f� � �� PERMIT NO. COMPLETED ADDRESS �-- `-> --c� : � `�- � �NNER TELE ONE NO. - CONTRACTOR a✓¢ � �'G� -�-., - � ' � DESCRIPTION ` ✓k�'v<<°'�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO �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 J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OMfNERlCOIfTRACTOR TO MEET Y�U: YES_NO y COMMENTS: �— � � 5�1ee.tYac�C. uHQe►�•.�� e��' c�c�Sc�9 ��`,�S o � ��Dv�dP� dr*�s��p�no �� k�Y�e.P vuG- W� ll,s � (`y �b� I'►Mx. �e�•z..c1F�U y� v�r b�c.�,6C�, •-- � � �*ov�ci e. G�r��,�s�a D.1��K•s i r� Sd"f-��S Ij',ICJr� Q �6 ' 2 � S�a! Cr/( mert c,f ra,��a-�s ..�, �� ,p/4�`cs — � � Pro„ �� , e/��tr�� ' -�- �•�s,oc�ia•�, — � Cor r�G� � Ca G( �o r /'��256�c�a�. , W ❑WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE � ❑ RRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCl1PANCY O �RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT O CORRECT UNSAFE COND�TION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANt3E ACCESS. Ca11 ror the next inspectlon 2a hours in advance. (952) 249-4600 Owne�lContractor on site: Inspector: �� White CopyAnspecto►'s Fib C�nary CopylSM�Notk� �- l DA T16AE � CITY OF ORONO CALLED IN l INSPECTION . HEDULED � — � PERMR NO. COMPIEf ADDRESS � OMINER TELEPHONE NO.��a'7�� CONTRACTOR �1 DESCRIPTiON ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL � � RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION �ING ❑ MECHANICAL FINAL ❑ RATED WALLS � Q INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL i dwN�NACi�OR TO YEET VW:_YE8_NO ^ e � CO�AMENT� ��P�G� � � 7Y�OJ�t�e �•y�1 r v�s,p�.e�ivn. � �k (�t.�/6�t c�5. /O �cQ Or��,a,s �'(.� o tt�( V✓• f_ l�J Q df S '' ° �ta�'�s�� , � G1�e � SG 5 �� •�- �or►1 �'o o�'`„��C Qf� �'.Y/ cc�f /�e`td�r� �is ..�, �� .c��t�-S � � � � e� �__� � o�s� � ac e, W ❑w�K s�►►ns��cToav:�oceEn o�aEcr coM�� ❑oo�cT worac a�oc�n ❑ISSUE CERTIRGITE OF OCCUPVINCY 0 ❑OOF�ECT W�OFiK.CALL FOR REINSPECTION TddPORARY V BEFORE CWEi�N� PERMANBVT ❑OORRECT UNSAFE CONDITION WITHIN HOl1RS• O PHOTO TAKEN INSPECT�OR YVIL.L RETURN ❑ OROEii PO�TED.CALL INSPECTOR �qTAT10N ISSUED I REOUIRED.CALL TO ARRANOE ACCESS. caM ta n�e next tnspect�o�u n�rs�sd�►�noe. (952) 249-4600 on site: Inspector: �''-' wma .pklors FlN c.nary cop�l�M Moaw DATE TIME CITY OF ORONO CALLED IN �- R/ 7 INSPECTION N T CE �,� �cHEDULED /-!D-/7 � PERMR NO. �a�� CCOMP ED , ADDRESS �� OWNE TELEPHONE NO.�P��- 75�=35�y CONTRACTOR '' DESCRIPTION -� �-� Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE AEMOVAL 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMfMERICONTMCTON TO MEET 11�U:_YES_NO � COMMENTS: �f GC �'� � � �G '/7 W 4 ��. �,��,� p ��Lt"�6��._..� ,,�/'d!i c4s1J _ � � � �l �/�EI✓i��Ci �� /rI�P<<41►" �� "'_ W � Q 2 D K `+� Go r/�✓ � w � j ��WOHKSATISFACTORY`.PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK 3 PFiOCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑WRRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pM0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUEC+ ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours ir OwnerlContractor on site: I�spector.___�� Whits CopYAns� � ��' � �� .,_,�� ; _�. �,�,.,,,.n .... : . a. � ,:� .� � � �.M ..� � � , � ° �� t � ` N 7 � � W 's O,,'P � �t.�o'i p p � � � t �j /{� � � ' * cP S ��'J��a � � .. ��p � O \ y � 9 g _ !�.. k `..� V �P � 3 t ��Ia �d G s ;�• � : � �''f,p.+ N�� '� � � t� �� N � � �`��'a�r�'' �� : 3a �p„.c, � : o� �, d�a� ; � � � �. � �� G�� ? � �w;.. lo,'� C� p� � � � ! f s� ... .... .: �. .� , . �� , � � �� _ _ , , _ , C6 � `� �.�. ..,:•�,�,,,«,,,.�,�„ �� . ,��. ... .�.. � ., .w �! ,�.�._ ._ � Y.... � , . _ . .:,. �-- � � tr �_ .. :�__ .,� � � - �� . � , � � ; �� O �� '+� ��" GO.G � �1�-� + �. �`� ,� � �� ' ��,t, E o � �'� t} �� - -�"f�t� � � r � � � �- ; 3�'� t r �t�' �/�' �� C� q � .��"""'�'�„ � , S � � ' _ ... � � � � N � � � � ��J � �� _ ._ � ,..._. ..._ �.� �..� . _.___ c, o ` , a `- � �. .r,.,� i � (\`��-y ..�.��..J*yr'" �� ... � � � . � �fi ��I . �C\ , � \ J`1� \ �e , , � ;i' 1 � � � � � a y ._ ."'.��"n'w. .. 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