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Home My WebLink About2014-01160 - addn/remodel/repair ` ` CITY OF ORONO * z 0 1 4 - 0 1 1 6 0 * 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2915 SOMERSET LA PIN : 04-117-23-24-0019 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 002 BLOCK 004 PERMIT TYPE : ADDITION /REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL /f� �� CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR � � �� VALUATION : $ 18,400.00 NOTG: S6PARA"I I;YF,RMITS REQUIRED: ELECTRICAL(STATE) RF,MODGL APPLICANT PERM�T PEE SCHEDULE 324.50 PLAN REVIEW 210.93 HERITAGE BUILDERS STATE SURCHARGE(VALUATION) 9.20 9953 NAT}iAN LN N TOTAL 544.63 MAPLE GROVE, MN 55369- (952)927-6595 Payment(s) CHF,CK 002740 544.63 OWNER BORDSON, BRENT&NANCY 2915 SOMERSET LA 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 E�uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[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 ti�r a period of 180 days at any time after work has commenced. "I�hc 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. � �� Z ! �� /Z /� Applicant Permitee Signature ate Issued y Signature Date � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: a��.� �((LoQ PO Box 66 Permit number: � �� Crystal Bay, MN 55323-0 Date received: �O' g� 2a �. � Street Address: \ Received by: 2750 Kelley Parkway 1p �� Plan review fee: � "� Orono, MN 55356 `qkFSHv�� Total Fee: ��jl�, �3 Main: 952-249-4600 Fax: 952-249-4616 www ci oronc rr�n us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: 2, p - � —� � r+ � 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 evenf. Shutt/e bus rvicLawill be required uMess applicant demonstrates su�cient on-site parking is availab/e. Non permitted events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: 'NEQ �T �E .��"D r State License# �� -3i� Expiration Date: d -� Lead Certification Number: ��M„� 'gu�..` ,,•, 2oa'Z Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �5�1 457- 52loS (off�) `'1 SZ- 92"l- (a5�� Mailing Address: � �,�,.`q,� � City: � v� ZIP: � � Contact Person: �KF, �a��E,� .�,�� Applicant is: / Homeowner (Circle One) Email and/or Fax: �� p H��-T ocl�.� �3 `,�Y�� ,Y� PROPERTY OWNER INFORMATION: Name: Rn+:�SZE� ��L1,S Phone (day): "]�3 — �{ya- �y(o0 Address: Z Q�5 5v�e 5�-r �_�r�� C�tY� �� v c� ZIP: S'S 3S (p Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: Type of Project: � Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review�permits: � ' Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt air ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www minnehahacreek.orp 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: -_�- w �� Date: i(7 2 0 l�' Owner's Signature: Date: Last Updated:03/06/2013 � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: Z9 4� SOM�-2r-r(=T L.f�N G Description of work: �Cw�o�2 Septic review by: N i � Date Approved: Zoning review by: / Date Approved: Building review by: Date Approved: �� ' °� ' ��y Grading review by: t Date Approved: Zoning District: Zoning File#: Reso#: Reso Dat : Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: �Yes 0 No Date of Survey: Rev' d date ? : Pro osed Setbacks: � Fron ake) Rear(Street) ( N S E W ) ( N S E W ) ther Buildings Wetland Side Side Defined Height: Peak Height: FFE: E minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR WL SPACE: The distance be een the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of basement or crawl space)and the highes int oi the roof. The distance between the top of slab and START WITH �e highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED RO ( . GABLE OR HIPPED ROOF(no windows): Subtrad half the windows): Subtrad half the distanc� distance between the hig st po between the highest point of the roof of the roof to the low po' t of the to the low point of Uie corresponding SUBTRACTION corresponding gable hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPP ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Sub ct half the ROOF TYPE) windows): Subtract half the distence distance be n the top of the between the top of the highest highest win w and the highest window and the highest point of the point of th roof �f • ALL OT ER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mans ,etc):No subtraction. mansard,etc:No subtraction. AD ON Add the distance between the top of slab SUBTRACTION Subtra e distance between the (BASE and the highest existing grade adjacent to (BASED ON EXISTING base nUcrawl space floor and the EXISTING the foundation. GRADES) high t existing grade adjacent to the GRADES fo daUon OR 10 feet(whichever is less). El3UALS ned building height EQUALS efined building height Shoreland Dist ' t MCWD Permit Received Avera e Lakeshore Setback Met? ff 0 Yes 0 No 0 N/A G Yes No � Yes No 0 Yes 0 No � N/A Permit Number: Setback: Stormw er Quality Existing Proposed Variance Required CUP Required Overl District Tier Hardcover Hardcover � Yes 0 No � Yes � No Type(s): Type(s): Updated: January 2013 v:\fortns�plan review checklist 2013.docx REMARKS (in-house): Fees to be Char ed : YES NO ' fh�8�y "�* c .:f�r -.f� �� i y�' �4��'�u''�"�%F'�r`w ,�e � :. � y�r:b w,�'�p' �s��, b�. �1 ? £51^"� .t r�., r�• ��'' r.�� `�..' `��.. �',!^°�s:" .� .?`.,a<Y,. Plan Review � � �:a�s a Y.a"�pk°.Y_�% ��'�� q,Ls'"� 2 �� S��S�`i �y,�_ �, �'m.�3 . � 'x c"� '�i 4� ��l��ai�� .�:r,+r��`Wa�� r:�. rz�rew.�. ? *'.�.,�� s�r. �!.,� <.�� k Investigation Fee ' � ,°§�'s�... rn :�- ��1��n � �"%$��r?'��"j�'"�g :��"i k�t`� :.y� z�' �x v' ,$�. ��:: h.. �. .., .a3�f� ,r 3z.;;. .N...� � . =i-,«:,. �,uv�...r E ra s�",.k:.r„�.�.�. �'.'.;,,`� 2` �s-� .. �.s�d�`'�a .."�'" Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1°�Floor X = $ 2nd Floo►' X = $ Garage X = $ Estimated Construction Value: S I �,R-t�C7�-y' Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site G Plumbing 0 Grading/Filling � Well � Hardcover Removal G Mechanical � Fire Electrical G Footing � Septic 0 Water Connection G Poured Wall � Fireplace 0 Sewer Connection G Foundation Survey 0 Masonry 0 Lawn I�rigation � Radon Rock Bed G Mfg. �'Framing G Other(specify) �'Insulation 0 9s-Built Survey �Final G Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\fortns�plan review checklist 2013.doc�c c� �- � DATE TIME CITY OF ORONO � �L�— INSPECTION N T10E. / �� FiEDULED ��- 7-,/� � PERMIT NO � `� �G�OMP�ETED ADDRESS _ Ol �J�S � �Yu��r�Ll� � L� OWNER TE NE NO��"�.57 so�37 CONTRACTOR � � _ r � DESCRIPTION � tU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J GW ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOFi �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. 49-46�� OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee �'� � DATE TIME � CITY OF ORONO �iN `' INSPECTION N TICE HEDULED - � PERMIT NO. � '�� MPLETED �/-/,9 -� y ia: � ADDRESS ! OWNER / TE NO.g "� CONTRACTOR >; DESCRIPTION � ' ` �' � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z �1NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �N-(,�� deN�l� 4.�iave �2r�4� o� . a - �2ll.s - � �l� !Jl L2.Q9i' �7a�r��:� ' oC /B l��c� - � �r.c W� J�d rtz`�l�t�an G�w�;� '' o� �a�c6c.�! �- le - y9 ' � ��6w K. �.ti ��6l� - 0 � W Q �� • " �� W � � �5- Gove ✓ w � j W ❑WORKSATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN 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) 249-460� OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME f CfTY OF ORONO CALLED IN INSPECTION NOTdIC' E SCHEDULED PERMIT NO. ��7 ��0 COMPLEfED c3� �V'/S ADDRESS oZ9/O cSol�✓l2rsa7S � OWNER TELEPHONE NO. CONTRACTOR �/'�c ��. � DESCRIPTION �a''1 wS /�cv w�- �!s•� +�reT� ty ❑ 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 �INAL ❑ WATER HOOK-UP �FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: �/rK�t /Ia�.�r.. �4./� � �t// y a r .f -�.y.G ,� �L�`.�o.t o /=r�.- //- 7-��,► ,��sS�L. ' !/-«"/� '' �/c�. ��.��,G • f� - a l - 14 a 0 � Q � W'OI�C�- �t-�icc�!�'r- � G�i��'S � DIOv r��1 — 2 � �,r/C �-�al�.6� . j ,t�z/w► � ..i.sl..O � ❑VNORKSATISFACTOFlIFPROCEED ,(p�RWECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED v IO SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWffHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Ow � d orrtractor on site: . Inspector: � Whits Copy spector's File Canary CopylSlte Notk:e