The URL can be used to link to this page

Home My WebLink About2017-00025 - addn/remodel/repair s * � " CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 0 2 5 * DATE ISSUED: OU19/2017 ORONO, MN 55356- � (952)249-4600 FAX: (952) 249-4616 ADDRESS : 485 STUBBS BAY RD N PIN : 32-118-23-24-0003 LEGAL DESC : LTNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 18,500.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) BATHROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 340.73 JEFF MCCALL CONSTRUCTION STATE SURCHARGE(VALUATION) 9.25 3920 HILLCREST WAY TOTAL 349.98 WAYZATA,MN 55391- Payment(s) (612)71&4345 CHECK 12910 349.98 Minnesota State License#: BUIL-5858 OWNER WILL,JOHN&JOCLYN 485 STUBBS BAY RD 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype 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. � � � �L �� Y'��hL i � l-1 Applicant Permitee Sign Date Issued By Signature Date City of Orono " � Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��A, Mailing Address: �� _ f VO PO Box 66 - Q� Permit number: dC�U a Crystal Bay, MN 55323-0066�� Date received: /—/ �—/ Sfreet Address: �f 7�! Receive�:_� 2� `� �'Yl ____._ y G� 2750 Kelley Parkway ! �� pj�n reviewfee• � � � Orono, MN 55356 lqkESHO�� I/y�(��lL� - �''`"' Total Fee: � �9 9� 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: �5 '�v f�r35 �2b .�.l. Will this be a Parade of Homes, Remodelers Sho e Home or other Display Home? Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I ORMATIO� � � Name: �� I�I �N s� �d+� . 'SNc . State License# 5`65�6 Expiration Date: 3 � 31 . �� Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: (cell) ��Z.-��c� . ��S (office) Mailing Address: 3 �� i�,,,'� �'j'.��, Cit : 'CKp• ZIP: �53 Contact Person: Applicant i - -Contractor Homeowner (Circle One) Email and/or Fax: ��,�.t,.�N L�V�SN �C�v�-� PROPERTY OWNER INFORMATION: Name: �g(n�r �-, `�v�uTn �,�J,�.�.— Phone(day): (,3 . 'g �SS'l Address: �ggS A � , N , Cit : Y �ri a o ZIP: t��3 �(o Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) �] Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ �SS�Svo ' 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 info ati ,the 'cation ma not be issued. ApplicanYs Signature: Date: � • � Z � 2-� �'� Owner's Signature: Date: Last Updated:January 2016 � � • PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �% Permit No.: Z(�l 7:��D(�� Description of work: �"�O��Om�YI �P.ls2l� �t� / Date Rec'd: Septic review by: /��/`�'- Date Approved: � Zoning review by: Date Approved: Building review by: Date Approved: f Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: � SF % Survey Submitted: 0 Yes � No Date of Survey: Revised date ? : Landscape plan submitted? � Yes Landscaper: Proposed 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? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the I est propos d Slab at or above grade- START W ITH floor(of the basement or c awl space)a d measure from hiahest existina the highest point of the r f. 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 HI PED ROOF(no � Slab below grade—measure (BASED ON windows): S tract half the distanc from highest existing grade to the ROOF TYPE) between the ighest point of the ro hi hest oint of the roof. to the low p int of the correspondin If you have a... gable or hi ped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE HIPPED ROOF(with (BASED ON (no windows): Subtract half window : Subtract half the distanc ROOF TYPE) the distance between the betwee the top of the highest highest point of the roof to windo and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL THER ROOF TYPES(flat, . GABLE OR HIPPED ROOF man ard,etc):No subtraction. � (with windows): Subtract SUBTRACTION Subtract e distance between the half the distance between (BASED ON baseme Ucrawl space floor and the the top of the highest EXISTING highest xisting grade adjacent to the window and the highest GRADES) foundaf n OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Define building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx �--1 Shoreland District MCWD Permit Average Lakeshore Setback Bluff M et? � Yes p Na Permit Number: � Yes � No � N/A � Ye No � 0 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 � No � Yes 0 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 j/' Other(specify) �' Square Footage $ per Square Footage Basement X = $ 1 St Floor X = $ 2nd Floor X = $ Garage X = $ � Estimated Construction Value: � � Orono Inspections Required Work Requiring Separate Permits 0 Footing 0 Site Plumbing � Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control Mechanical � Fire 0 Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection 0 Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation � Mfg. 0 Landscaping 0 As-Built Survey � Other(specify) Final � Lathe Required State Permits 0 Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 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 rhorklict 1(1_7(11F rinrv t � ��oltiN k �OL'E�.`{N W�,t-t.. �S-C�.r?� �.�"YI'� �LiS�01L.-�LAN ��`S"C ��C'1� I( �b� �ur�0s 'b�'f� .�.► . r/�''� � ,' bca�t� °�N��k �.S�c Q�e.o rio, �. 5 35(. 3(Dd3 Y1�6�� -r �� ,twr�TaN k� YYsN . ,i�:` ,�A$�?`� ��"� (011�!9•�{"5 5�t3�5 �x��N �A1� �� .. �^�,;��, ` � q �� ',4,� ��; �:., - - . Q►�-1'� L•IG r✓'�5+� ��.�{+;; ��•�,}:��1 ' �►� IAtiG.c.I�u.t N G�-V►aS rt fo Com�►�a�� c�'t N�►✓ �n/'Ai.�. N I _ -�� ,��t, � \��.� ;�MvieKt�r ' . _ ��.rv�o wau.., $ ��„ �L � _� � _� � ,�x,� . �.1�N�u v� . — — ��.�.- 1 � _ � } � � � 1 �� i � �� .� � I ; � �, � , � N�� . / � i t_ -�$l.►t��►�.B 0 _ � I , , � _ � - � , � � ,, - . � :-�� . - � � - � � � � r � ;. �� ; F��g �r�l�"� - r '�.�Os�� • � j 1 ► � _ . _ rl�w�vi� - 1�t�.s�rz— � - i �,��a � � � r . ; , .� �. � � . ��►-� ' � 3' t, � � . ►.�-. i �� . . � . -� � i � ' � �._ � � �. _ - - ' • - - - , " - . , : C.loSE l N N � '� Q►t+�.� �J�1-J�-'�1� -Z � ' ,\ �T� c-�r►� �t.�a�.sy �.i.os� �' f . . � I � ' � � -- — - - - — - -� � - � - , ��.��4 __ � �� , , . � . . , , . , _ . � - • ' . _ , ' . ..:;.sX"a'�ef:' �`� U DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ' PERMIT NO. �L:J� —�D Z�jCOMPLETED ADDRESS �� r �- ��J;S ��N OWNER TELEPHONE NO. �� ' �� CONTRACTOR L-��'`��{�Cj'!�C�l I C��',bf- � DESCRIPTION � � ` `�'�� 41 ❑ 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 _ J ❑ DEMO-SITE ❑ S�qE�TIC INSTALL 2 OWNERICONTRACTOR TO M�„/L YES_NO �� COMMENTS: � -� � r' ✓✓ � � o fl N � � F � � � � ��w W � � Q � � � � r- •�, l .e, �-c%C'iv ,,1 � � /��c,, j � WORK SATISFACTORY`.PROCEED ❑PRW ECT COMPLETE W ❑ RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECd1/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours�n advance. (952) 249-4600 OwnerlContractor on s e• I�spector: WhiM CopYAnapector's File Canary CopYlSite NWfee � � � TE TIME � CITY OF ORONO CALLED IN ` "� INSPECTION NO ICE SCHEDULED �" � /��— PERMIT NO. � � coM L ED � ADDRESS OWNER TELE HONE NO. �O�-7��" CONTRACTORJ �� DESCRIPTION �� lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��. ��'I oL ' �-a� - �7 W � � s-0• e1 C,a • ' f v� 0 � �� /'o r•a� Cd ��c��o� -�a✓ L . G . � ,�� Q r�f�,56e,p �(�lJ, �(�� . W / L � "-' ✓6ti f4Gt.d✓ � �te w�.EY•1r��[�✓ JO �d '� Q � W cSL� Q� �c%� �b,,•�t�� 4' � G!`? - c�e�S � Go r r e�� •� � 1�a0'�� - � tr„n� D - or coMp � r S � yypqK . PROJECT COMPLEfE p��l� w ❑CORRECT W'ORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCC 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: �y`' Whits Copyflnspector's Flle Canary CopylSite Notke