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HomeMy WebLinkAbout2017-00424 - addn/remodel/repair � �� CITY OF ORONO * 2 0 1 7 — 0 0 4 2 4 * 2750 KELLEY PARKWAY DATE ISSUED: 05/05/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2103 SUGARWOOD DR PIN : 34-118-23-21-0018 LEGAL DESC : SUGAR WOODS : LOT 004 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 100,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL BASEMENT REMODEL APPLICANT PERMIT FEE SCHEDULE 1,10992 PLAN REVIEW 721.45 FLYNN CONSTRUCTION,INC. STATE SURCHARGE(VALUATION) 50.00 40 HILL STREET CHANHASSEN,MN 55317- TOTAL 1,881.37 (612)50&1251 Payment(s) Minnesota State License#: BUIL-CR222055 CREDIT CARD 8728 1,881.37 OWNER WINKEY,TRAVIS&LISA 2103 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 permiu. 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. ` The applicant is responsible for assuring all required inspections aze requested in onformance with the State Building Code.This permit may be revoked y t� e fo ue cau e. ( � �� �� V/ �/ // Applic t Pe itee Si t Date Issued By ignature Date r , City of Orono Bui{ding Permit Applicatyon for Maintenance { Repfacement I Remodel —Resident3aS t�N�Y e�. '.�k�, a; � ��, Marlin Address: i L G'1'7-Ob y Z,� g Permit number ,�f ���a\"� Grystal Bay,MN 55323-0066 r Qate receive d: �2�I 1� � 1 � Street Address: Received by: �� y \j� 2750 Kelley Parkway Plan revievu fee: �L�'�-�-Q� � � � � Orono.MN 55356 ,,i --7 ��kE s H o�j' Total Fee: 3 �__� � � � � Main: 952-249-4600 Fax: 952-249�3616 ��-_. ,rr; �";_��_ � � This application form must be completed in full and all required information must be submit�Q 5/�l 1 � Incomplete applications will be returned. (Please print) v GENERAL INFORMATION: � � IC � Job Site Address: ' � �� �'�t� � ti'�'��� ��� �'�� Will this be a Parade of Homes, Remodelers Sh wcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Pohce Depar(ment and Crty Council approval 60 days pnor to fhe event. Sl�utffe bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: � I �d^ �^ �o ti S-� l`��,t �"r z,n , �V�� � - State License# C � �. 2 2 � G r Expiration Date: �- ,j j - 1 �' Lead Certification Number: �{�-�-- C r. � v cs--=-�. Expiration Date: -�-�-=-=�-� (for work on homes that were constructed prior to 1978 Phone: (cell) t� / ;� ' �D , - 2, S( (office) Mailing Address: �� ; ,) -�¢�.t . City: � �crrt tt���� '� ZIP: �� ;� Contact Person: �, � , Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: �, a� �� � '�� ' � �� ���'� PROPERTY OWNER INFORMATION: n Name: j� � E�; � tt r e� ��r ��! ��/�..� � �''� - Phone (day): �� �� .PO �� �� �� 'p �'�� � Address: C `�� •r 1,c,! r t ��1 v� City: �/D/'� ZIP: � J,�.�� Email and/or Fax: t�i ;� ' � �� ' � ' PROJECT INFORMATION: Overall project description: ,[. t%►�2��� r � �" ' j Type of Project: Any earth movement may also require MCWD review 8�permits: ❑ Door(s) �Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) ��vwv _~�inn���� ---- -� Estimated Construction Valuation of Project (excluding land) $ �'� nxl �'r� 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 pl the information,the a lication ma not be issued. Applicant's Signature: �'��r � � Date: Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITION� . , � Address: ����� ��°���'' W�'C>1�,� �/'/l��; Permit No.: ���7��1i����� Description of work: Date Rec'd: r, � o � ,/� Septic review by: �� r'c��G' � L'�'�l`('�li' Date Approved: Zoning review by: -�� - 7 , Date Approved: 'T j.i Building review by: � �� z � ' �'� Date Approved: �5;f/� � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Covera�e: SF % , i Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? � Yes � 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? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance betweenthe lowest proposed Slab at or above grade— START W ITH floor(of the basement or crawl space)and measure from hiqhest existinq the highest point of the roof. START W ITH rade to the highest point of the 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 �efined 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 Met? � Yes 0 No Permit Number: 0 Yes � 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 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 1/ Other(specify) Square Foota e $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ ����,�(���� Orono Inspections Required Work Requiring Separate Permits � Footing � Site Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control Mechanical � Fire � Foundation Survey 0 Hardcover Removal � Septic � Water Connection � Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing � Masonry � Lawn Irrigation Insulation 0 Mfg. � Landscaping � As-Built Survey 0 Other(specify) Final � Lathe Required State Permits � Other(specify) 0 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 �•\fnrme\nlan ravic�ni�horklic4 1f1_9M�i rinrv � ✓ � C���. DATE TIME � CITY OF ORONO �� INSPECTION N TICE ,fZ�J SCHEDULED PERMR NO. ' `� � COMPLETED ADDRESS �-I O� �t�GL� 11 �Z OWNER TELEPHONE NO. �lZ-�� �c��/ r CONTRACTOR - � • � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPT C NAL 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 41 ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL i OWNENCOKiRACTOR TO MEET Y�OU: YES_NO � COMMENTS: � ,��'"�'�,' a' oN �.�.�� � �' /�G£C�i. o /�eo.�... "r�v-Y c� </�p��srv �lG�c�.�� vs� � � � ��04v�� ���5 W 0� Q � � W � � , W ❑WORK SATISFACTORY:PFiOCEED �PROJECT COMPLETE � �RRECT VYORK�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑OORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECANERINd PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p pF{OTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor ite: Inspector: � 1Nhite CopyAnspectoPs File C�nary CopylSiN Nofks