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2016-00646 - addn/remodel/repair
� , CITY OF ORONO * 2 0 1 6 — 0 0 6 4 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2016 ' ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2008 SUGARWOOD DR - PIN : 34-118-23-21-0006 LEGAL DESC : SUGAR WOODS : LOT 004 BLOCK 001 PERMTT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 160,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) APPLICAl�1T PERMIT FEE SCHEDULE 1,487.92 PLAN REVIEW 967.15 WARREN HOME RESTORATIONS,INC. STATE SURCHARGE(VALUATION) 80.00 4360 WYNDHILL CIRCLE WAYZATA,MN 55391 TOTAL 2,535.07 (952)4746798 Payment(s) Minnesota State License#:cont-BC159752 CHECK 8800 2,535.07 OWNER GLENNA,KIM&LEE 2008 SUGARWOOD DR 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 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 for a period of 180 days at any time after work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in confortnance with the State Building Code.This permit may be revoked at any time for due cause. � ,lj �d ���G! S�r� � ��/� ' Applicant Permitee Signature D e Issue y Signature Date . � City of Orono � Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY s�i,e. �t��€¢�d�a�rs, c�c�€�r�, s#d���t�; �-�-��ac�f, �t�. — �IC� ��F�t.l�,�'ll��L. ����t����C7��? Mailing Address: � �� ��� � PO Box 66 r � Permit number: D — � ` Crystal Bay, MN 55323-006 � Date received: / �v � 1 �� Street Address: n/1 � � Received by: ti � 2750 Kelle Parkwa Y Y �0 y Plan review fee ���t � ` '� Orono, MN 55356 ��E111t�AA / � � - � Total Fee: Main: 952 249-4600 Fax: 952-249-4616 www ci orono.mn.us � ���r 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: Zoc�56 S��r.,zwv�w �? Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se�vice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��(�4rR-�,rr�v H�.w. l.�Srrc�tt.7�i on�� \v�c- State License # '3G l�q �5 2. Expiration Date: 3/3�(�g Lead Certification Number: _��_,__�Z3s�_� Expiration Date: cl/��i� (for work on homes thaf were constructed prior to 1978 Phone: (cell) (��2,_��-gSl2 (office) y' SZ_y-��.�_���1/ Mailing Address: �� w,� ��A 3i � �i7 City: �,,�-z.A ZIP: SS 3 y�� Contact Person: ���Q� ���2��-� Applicant is: n ra�tor / Homeowner (Circle One) Email and/or Fax: �q,���v w 2�ST-o �2�lo,�S. �o.�►� PROPERTY OWNER INFORMATION: Name: �� ��;,..� C�Lc•�►r�a� Phone (day): ��-L.��..�_ e{S}� Address: Z�p,�3 Sua�.�-u,.o�� ��•f City: p�o�� ZIP: �S- � _ 3 �_ Email and/or Fax: ��� �,e� � �o,,n 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(h1CWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof. other�specify) ❑ Siding ❑ Other (specify) Phone: 952-471-0590 Fax 952-471-0682 ❑Window(s) vsv�n�!:,innehahac�2ek cr� Estimated Construction Valuation of Project(excluding land) $ Iloo,000 APPLICANT ACKNOWLEDGEMENT: �,�,,o�, �,,,,a�,,„� �,.�,� �_ �.,g„ '''�-- • 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±hat they ar� 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 efther 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 suppl the informat n,the application may not be issued. Applicant's Signatu Date: �p��J/(n � Owner's Signature: Date: ��/p�b Last Updated January 2016 , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� �/' /�/l/��j Permit No.• l ��� Description of work: Date Rec'd: Septic review by:__���'(i(/�'r � �p�'�� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � l Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot C erage: gF o�a Survey Submitted: 0 Yes � No Date of Survey: Revised date � : Landscape plan submitted? 0 Yes � No Landscaper: Pro osed Setbacks: Front(Lake) Rear(Street) ( N E W ) ( N S E W ) Other Buildings Wetland ide Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour; Perimeter(linear feet) = 5 % = L.F. below grade Basement? � Yes � No, St ies FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance b een the lowest prop sed Slab at or above grede— START WITH floor(of the ba ement or crawl space) nd measure from hiahest existino the highest p nt of the roof. START WITH �de to the highest point of the roof even if fill was brought in to If you hav a... elevate home. SUBTRACTION • GA LE OR HIPPED ROOF(no Slab below grede—measure (BASED ON wi dows): Subtract half the distance from highest exfsting grade to the ROOF TYPE) b tween the highest point of the roof hf hest o(nt of the roof. the low point of the corresponding If you have a... �able or hfpped roof • GABLE OR HIPPED ROOF SUBTRACTION • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract haN 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) i foundation OR 10 feet(whichever fs less). pofnt of the roof • ALL OTHER ROOFTYPES � (flat,mansard,etc):No EQUALS D�ned building height subtraction. • Defined butlding height � EQUALS Updated: October 2015 z:\forms\p�an review checklist 10-2015.docx , Average Lakeshore Setback Bluff Shoreland District MCWD Permit Met? � Yes 0 � � Yes � No Permit Number: 0 Yes 0 No O N/A 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 � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit (� Plan Review State Surcharge 1/� Investigation Fee �� SAC-Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X - $ 1 St Floor X = $ 2nd Floo� X - $ Garage X - $ � �� Estimated Construction Value: $ �OD� � � Orono Inspections Required Work Requiring Separate Permits 0 Footing 0 Site Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control Mechanical � Fire � Foundation Survey � Hardcover Removal 0 Septic � Water Connection � Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection Framing 0 Masonry � Lawn Irrigation Insulation 0 Mfg. � Landscaping 0 As-Built Survey 0 Other(specify) Final O Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. 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Co l/' � PERMIT NO. ��� COMPLEfED ADDRESS �b ��� � � OWNER PH O�P3-�`'��-���� CONTRACTOR � - � DESCRIPTION ��GLX�I�'�-�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � J O � � � O � W Q J �� � 2 W � W aC � d W RK SATiSFACTORY:PROCEED ❑ PROJECT COMPIETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CO ECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspecti 24 hours in advance. 9 ) 249-46�0 OwnerlContractor on site: " Inspector. � White Copyllnspector's Fil Cenary�opylSite Notice � ����-- , DATE TIME ��� CITY OF ORONO CALLED IN �� INSPECTION NOTIC , (r SCHEDUIED 1v�1 � � PERMIT N�v«' ����`' COMPLETED ADDRESS �-�� J �-���� OWNER TELEPHONE NO. ��Z' ���� G��' CONTRACTOR �f�;'� ����-� � DESCRIPTION ��-� tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: ��� �% i'!hG � IJ}. �`�'1 �o W � �erKG.lvr ,(�.'�. i :s� ��t � �G, .Gc,c.�iy � � o � 1'+�P/'�Ce�s f G� ��- ! 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