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Home My WebLink About2014-00897 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 - 0 0 8 9 7 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS 2705 WALTERS PORT LA PIN 21-117-23-23-0043 LEGAL DESC WALTERS PORT LOT 002 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 15,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,DRIVEWAY,ELECTRICAL(STATE) KITCHEN BATH AND BEDROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 265.50 LECY BROS HOMES STATE SURCHARGE(VALUATION) 7.50 15012 HWY 7 TOTAL 273.00 MINNETONKA,MN 55345- Payment(s) (952)944-9499 CHECK 39406 273.00 Minnesota State License#: BUIL-20325555 OWNER CROSBY, RICHARD&PATRICIA 2705 WALTERS PORT LA EXCELSIOR, MN 55331- 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 does 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. The applicant is responsible for assuring all required inspections are requested in nformance with the State Building Code.This permit may be revo d y time due cause. Applicant Permitee Signature Date Issued y Si ture Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Sr O Mailing Address: Permit number: o20/� O UC? g—7 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: /�� Received by: yF 2750 Kelley Parkway Plan review fee: l 7'2- • SS tgkt sHo��C Orono, MN 55356 89 S Total Fee: 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: D Job Site Address: �OC+C)S 1nrA 5± Will this be a Parade of Homes, Remodelers Showcase 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. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S State License# RL%_L5555 Expiration Date: 6 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) Gla - '3tg� -3��'$ (office) 9,51— 9LJk ,_1JLt 1J J Mailing Address: CA City: ZIP: 5754" Contact Person: Awls, Applicant is: Contra / Homeowner (Circle One) Email and/or Fax: 051, to� M BC's .tt., PROPERTY OWNER NFORMATIO : Name: _ 01�_ <<, Phone (day): 6,11- 4,_ U9 _ $fig Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall projectdescription: 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(MCWD) 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.org Estimated Construction Valuation of Project(excluding land) $ _-0C> 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 you refuse to su I h ' f rmation,the application may not be issued. Applicant's Signature: Date: S1 13/19 Owner's Signature: Date: Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: Z1 fall A (�?1:�Pl� (JpIL''r (AtJ Description of work: ecryV016ec 9JOAy4_ Septic review by: N'119 Date Approved: Zoning review by: /A Date Approved: Building review by: " — Date Approved: (9 Z z— l Grading review by: / Date Approved: Z�ning District: Zoning File#: Reso#: Reso Date: Z • Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Su itted: 0 Yes 0 No Date of Survey: Revised date(?): Proposed Setb ks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wmfland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories /SLABFOUNDATION: S FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: The distance between th owest FOR A BUILDING O START WITH proposed floor(of the base nt or crawl space)and the highest point o e roof. S RT WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF GABLE OR HIPPED ROOF(with (BASED ON GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • • ALL OTHER ROOF TYPES(flat, ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraction. A ITION Add the distance between the top of slab SUBTRACTION Subtract the distance between th (BA ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl space floor an he EXISTI the foundation. GRADES) highest existing grade adjac t to the GRADES foundation OR 10 feet(w ' hever is less). EQUALS Defined building height EQUALS Defined building hei t Shoreland District WD Permit Received Average Lakeshore Setback M09, e Bluff Yes 0 No 0 N/A 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 N/A Permit Number: S back. Stormwater Ou ty Existing Proposed Variance Required CUP Required Overlay Dist ' t Tier Hardcover Hardcover 0 Yes 0 No 0 Yes 0 o Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review ,State°Surcharge Investigation Fee SAC=:Nlumber of SAC Units, Other(specify) Square Footage $per Square Footage Basement X = $ 15`Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 1��0 00*2- Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing O Grading/ Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire Electrical 0 Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. J'Framing 1 Other(specify) )'Insulation 1Q W\ f6WA 0 As-Built Survey P<Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 vAforms\plan review checklist 2013.docx L l a OAT TIME C OF ORONO CALLED IN INSPECTION OJI SCHEDULED PERMIT NO. "V f7t COMPLETED ADDRESS b S �J�� ,r -A OWNER OWNER TELEP ONE NO. -• 161-� CONTRACTOR DESCRIPTION C. t ❑ FOOTING ❑ PLU NG FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP Cl DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ZA v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: Cut, 0 cc O W cc Q W ,i Qc J W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE cc ❑CORRECT WORK 3 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva ) 249-4600 Owner►Contractor on site: Inspector. White Copy/Inspector's File Canary CopylSite Notice to/DgE TIME CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED - �1 PERMIT NO. IAV I O `� , COMPLETED ADDRESS '�-7 c, �_, l LGA l Pr S e( t t OWNER TELEPHONE NO.� -3F-7 339N CONTRACTOR 6a S DESCRIPTION , f �1rY1 MhS Lt Ifaft m W ❑ FOOTING El PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING Ll MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: Q �• Z— /b - l7 LU �D �r4.+t 5v��•Z �m...a e�l�, o - �3 w/N,�e d m00%. acc Slims�'. oe rcP/- �" Sa.,R a SlZcS — /10 -csQ� °►� r�D4G e i PO4", ✓ 04/r e:✓ W cc 2 ' IDf/�C�G 4i /total cc d W C44XORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f next in ion}2a hours in advance. (952) 249-4600 Owner/ ntractor on 4U . Inspector. White Copyllnspector's File Canary Copy/Site Notice