The URL can be used to link to this page

Home My WebLink About2015-01247 - addn/remodel/repair CITY OF ORONO ® 0 1 5 - 0 1 2 4 7 ' 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2420 WATERTOWN RD PIN : 33-118-23-44-0029 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 6,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, MECHANICAL,ELECTRICAL(STATE) INTERIOR STORM DAMAGE-INSTALLING EGRESS WINDOW APPLICANT PERMIT FEE SCHEDULE 139.40 PLAN REVIEW 90.61 KENWORTHY,GEORGE&TERRI STATE SURCHARGE(VALUATION) 3.00 2420 WATERTOWN RD LONG LAKE,MN 55356- TOTAL 233.01 Payment(s) CREDIT CARD 9020 233.01 OWNER KENWORTHY,GEORGE&TERRI 2420 WATERTOWN RD 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 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. -Applicant Permitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �0 Mailing Address: Permit number: �J — PO Box 66 Crystal Bay, MN 55323-0066 ��Q 1 J Date received: Street Address: v� D, Received by: y ` 2750 Kelley Parkway 1 v Plan review feeY ld'rESHOOrono, MN 55356 Y �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I Total Fee: This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. Please print) �i�-��5� GENERAL INFORMATION: j /e7o f 1 X Job Site Address: `'( --�- -vVI ;U Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? LJ 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/APPLI NT INFORMATI9.N: Name: (�Wv\�_O State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes thatwer constructed prior to 1978 Phone: (cell) p IZ 61 (office) Mailing Address: C. (j r }r, _Pej City: -0-YN 6 ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: j. Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: C)� Type of Project: Any earth movement may also re ire �rJ ❑ Door(s) _Ef&model El Fire Damage MCWD review&permits: F] Re-roof, asphalt Repair Storm Damage Minnehaha Creek Watershed District(MCWD) 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) www.minnehahacreek.ong Estimated Construction Valuation of Project(excluding land) $ -- 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 supply the information,tapplicition may not,be issued. Applicant's Signature: Date: 7K. Owner's Signature: Date: Last Updated:January 2015 , PLAN REVIEW CHECKLIST /F'OR NEW STR UCTURES / ADDITIONS Address: Li d Gu Y'Q//'�(�G�ii1 Description of work: Date Recd: Septic review by: S�(ti`c'y' (/�"Q Date Approved: Zoning review by: Date Approved: Building review by: / �` Date Approved: /f g 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 I D No Date of Survey: Revised date(?): Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) ,Other Buildings Wetland Side Side Defined Height: Peak,Height: FFE: /F/FE minus 6 feet= (Existing Contour) Perimeterlinear feet = .50%_ ( ) � L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: F/O/R A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed The distance between the top of START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the the highest point of the roof. roof. If you have a... If you have a... 1 GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(no (no windows): Subtract half windows): Subtrac•half the distance the distance between the between the highest Int of the roof highest point of the roof to to the low point of the corresponding SUBTRACTION gable or hippedroof the low point of the corresponding gable or (BASED ON GABLE OR HIPPED R�O (with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half.$e distance (BASED ON • GABLE OR HIPPED ROOF between the top of the highest ROOF TYPE) (with windows): Subtract window and the high t pont of the half the distance between roof the top of the highest • ALL OTHER ROO TYPES(flat, window and the highest mansard,etc):Na subtractionpoint of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distancebetween the (flat,mansard,etc):No (BASED ON basemenUcrawl spade floor and the subtraction. EXISTING highest existing gr a adjacent to the ADDITION Add the distance between the top GRADES) foundation OR 10 eet(whichever is Iasi- (BASED ON of slab and the highest existing EQUALS Defined build in height ; EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height 1 Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? D Yes D No Permi Number: 't-13 3 Yes D No D N/A D Yes D No DNA—see attached Setback: Stormwater Quality Existing H rdcover Proposed Overlay District (%a st) Hardcover Variance Required CUP Required Tier circle one %and s 13 Yes D No D Yes D No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 i z:\forms\plan review checklist 2015.docx REMARKS (in-house): — Fees to be Charged YES NO Permit Plan Review LI-11 State Surcharge Investigation Fee 1/ SAC–Number of SAC Units Other(specify) S uare Foota e $Per S uare Foota e Basement X - $ 1st Floor X - $ 2nd Floor X - $ Garage X $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/ Filling 0 Well 0 Silt Fence/ Erosion Control 0 Mechanical 0 Fire 0 Electrical 0 Hardcover Removal 0 Septic 0 Water Connection 0 Footing 0 Fireplace 0 Sewer Connection 0 Poured Wall Cl Masonry 0 Lawn Irrigation 0 Foundation Survey 0 Mfg. 0 Landscaping 0 Foundation Waterproofing 0 Other(specify) 0 Radon Rock Bed Framing Insulation 0 As-Built Survey Final 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 2015 z:\forms\plan review checklist 2015.docx Reviewed for Code Compliance City of Orono ORONO COPY z ,r, �61�(� Date u vcl D 5 � W N Reviewer y co 0 i LU i U_ w . U 0 {LUCD ' I -- f \ / detecto of e�oxydLe jrj Carlo° lN � zleewytnir o �eCk E eJ — f O�IreGR� G16Jy' L zgVL d� a V) G j Ver ,� t� BEDROO�t,4 WINDOWS FIRE celT REQUIRED 20+ MIN. `+t'VIDTH 24 N41jit1 . ! \. .�iYJI 7T 5.7 SO. FT. Nlf' )PE_NING 44" I'':'sA" \ I ? HEIGHT r 7-a7LO r e sS w,;,I� G� ,Y t � - RE EIVED J 67 OCT - 620y5 � P CITY F ORONO i i s<� Ot/G�e ladder 1 G W /3 'fir/ i�k s-fA --f-AQ ` ' '�'�7 ®t N/-e-�� I j I &A in / ,J2 �Iy DATE TIME t� CITY OF ORONO CALLED IN INSPECTIO NOTIC � p� SCHEDULED PERMIT N -� 2`� 1� COMPLETED p�� ADDRESS( OWNER �I Of�R �) -TELEPHONE NO. 1�� -9k1 �3 `� 7 CONTRACTOR A- 3Z DESCRIPTION ' W ❑ FOOTING ❑ DEMO AL ❑ SEPTIC FINAL Q ❑ POURE WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O El FO DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL K1FRON SLAB ❑ MECHANICAL RI C1SITE INSPECTION MING G ❑ MECHANICAL FINAL ❑ RATED WALLS ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W C J O O W cc Q W � Q W cc J d W RK SATISFACTORY:PROCEED L1 11 COMPLETE QZ ❑ RRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95212A9-4600 Owner/Contractor on site: Inspector. White Copynnspector's File Canary Copy/Site Notice he�2 DATE TI CITY OF ORONO dCALLEDIN INSPECTION NOTICE SCHEDULED PERMIT NO. o��l:r� _61,2 7COMPLETED ADDRESS OWNER TELEPHONE-,N . «S8/_ 2 CONTRACTOR DESCRIPTION _'JrZ�r W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAJtO / 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 ❑ ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT F IN ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ -SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ \ v ❑ DEMO-SITE ❑ SEPTIC INSTALL j� lx�/l 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO �7 COMMENTS: W a J O QZ O All- Lu cc Q 2 W z W cc J d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE QC ❑CORRECT WORK&PROCEED >I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou "ante. (952) 249-4600 Owner/Contractor site: Inspector. White Copylln tor's File Canary Copy/Site Notice