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