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Home My WebLink About2014 - 01311 - siding • CITY OF ORONO 1111 Ill II 11111 III 1 II 1 1 * 2 0 1 4 - 0 1 3 1 1 2750 KELLEY PARKWAY DATE ISSUED: 11/17/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2160 WAYZATA BLVD W PIN : 34-118-23-21-0002 LEGAL DESC : UNPLATTED 34 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL- BUSINESS CONSTRUCTION TYPE : SIDING ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 APPLICANT PERMIT FEE SCHEDULE 339.25 STATE SURCHARGE(VALUATION) 10.00 ERICKSON,BRAD TOTAL 349.25 2486 BOBOLINK RD Payment(s) LONG LAKE,MN 55356- CHECK 5040 349.25 OWNER Orono Station West ERICKSON, BRAD 2486 BOBOLINK 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. , „gel/ /(//7/( - - / I I( Applicant Permitee Signature Date Iss By Signature Date City of Orono Building Permit Application for Maintenance / Replac`emnt / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) SLO1 V Mailing Address: Permit number: r�b/ -/ _ C/ 3 1 f1 PO Box 66 Crystal Bay, MN 55323-0066 Date received: / // '7//l f Street Address: Received by: � $ a' tiF J 2750 Kelley ParkwayC.:-0{. ,t, (• i3 rjPlan review fee: s ' , ( Ot1`1K �ESHOOrono, MN 55356 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 dint) i GENERAL INFORMATION: I Job Site Address: ' /I tv 0 Lj ��,�c�t, .et f—c- L$l V 671/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? E 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 11%10 RMAT ON: // / Name: l�� C r l c_1(--S O r) /D I-o n e 5 �2 '1-1 04 (fie SIL State License# /4 Expiration Date: Lead Certification Nu# A/TZ/4 Expiration Date: (for work on homes that were constructed prior to 1978 ,/ C Phone: (cell) /)._ 119 0 :23 7 ( (office) City: ,- 7 7 3 3 1 Mailing Address: 2 8,h 0)I t r, k ,e)64' City: i(3 A k C ZIP:: S 3 5-C-0 Contact Person: ' ,r-L,,, d // Applicant is: Contractor / Homer circle one) Email and/or Fax: C'a't c 1c son b a 6.f C Veal c)a C.CJ:^I PROPERTY OWNER INFORMATI N: // " 1 Name: eB iCA d t rid -'3 (110 ro n o s , c i.-1 W e S 1-- Phone (day): !. j Address: 86" ic�hCJ f C 'o / City: t7) 9 L /GC' ZIP: S5 35 Email and/or Fax: 6(1 c..[GSO✓1 brccct1 py cZ, , coy.i_n J PROJECT INFORMATION: Overall project description: _ • Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage 1 MCWD review&permits: ❑ Re roof,asphalt ❑ Repair 1 Minnehaha Creek Watershed District(MCWD) ❑ Storm Damage I 1 18202 Minnetonka Blvd ❑ Re-roof,cedar ■ Restoration ❑Water Damage1I Deephaven, MN 55391 El Re-roof, other(specify) .iding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ O, 000 , az.) 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 the cation ma not be issued. Date. 0/ Applicants Signature: 4/LO—i . --••"7 ` Date. // / 's Si nature: /fir' Own..r g City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.012212 Nov 7, 2014 Brad Erickson Previous Balance: .00 Permits 2014-01312 2160 Wayzata 220.51 Blvd W 101-34410 Plan Check/Site Exam Fees Total: 220.51 Check Check No: 5041 220.51 Payor: Brad Erickson Total Applied: 220.51 Change Tendered: .00 11/07/2014 10:13AM City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O1 V Mailing Address: Permit number: p(6/14 -- O/ 3 11 O PO Box 66 Crystal Bay, MN 55323-0066 Date received: / 1/ "7//t1 Street Address: Received by: $ /t yF `A. 2750 Kelley Parkway 5(k-Plan review fee: c ?(.., 5j �'J0 C ` lD •kESHO��G Orono, MN 55356 _b 3 Total Fee: 'I q Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us "T I , 6 Main: 1,n5q 1I-17 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Pleaseint) GENERAL INFORMATION: Job Site Address: a ( iv rr 0 � 01/4,6124---c- t�p / ✓G� Will this be a Parade of Homes, Remodelers Showcase Homor 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 1 INFORMATION: / r Name: "BraE r i do s O Q ron o s/oc- Com'! ,des . State License# ig Expiration Date: Lead Certification Nu er: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 6/.z L/ 0 .23 7 / p (oce) -Xy? ,3q9 9 Mailing Address: o(o 80 ih cif/n �L le ffiCity: An 44 ce ZIP: S 3 5-6,p Contact Person: lb I-O. �l Applicant is: Contract& / Hom caner (circle One) Email and/or Fax: ert (c.Sort hcc, • . C cra Conn PROPERTY OWNER INFORMATI N: / Lo Name: -Brc ( L ricksa l/Oro() U 5�Ar(0, 1 Wes1— Phone (day): 0 a- 1 Address: _ :(oohe yr <- ,01City: /019 4/6c ZIP: 53-.3S-6 Email and/or Fax: of l cJ<so y b rc d P 1ovvw , co-y3-1 PROJECTINFORMATION: Overall project description: Type of Project: Any earth movement may also require 12Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar r-Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) iding 0 Other: (specify) Phone: 952-471-0590 ii• Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ a.0, 000 , QZJ 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 informatio thea•• 'cation may not be issued. Applicant's Signature: • .---' _ Date: /1/7//6/ Owner's Signature: ,,,-•10---07 -011" Date: /1/7/1 `/ Last Updated: 03/06/2013 . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 2 1 6 0 ( i CST J Ay---AA----0 f LV O Description of work: t 0 ')NG Septic review by: /v /✓4- Date Approved: Zoning review by: /V//A- Date Approved: Building review by: - KIDate Approved: f ( — I`l Z. lc/ Grading review by: /v i/g' Date Approved: Zoning District: Zoning File#: Reso#: Reso Date- Zoni •: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey ubmitted: D Yes 0 No Date of Survey: R .sed date(?): Proposed -tbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: . E minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50% = # if Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR C- • L SPACE: The distance be :en the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of th basement or crawl space)and the highes •oint of the roof. START 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 Re IF(no • GABLE OR HIPPED ROOF(no windows): Subtract half* windows): Subtract half the distance distance between the highe point between the highest point of the roof of the roof to the low point.f the to the low point of the corresponding SUBTRACTION corresponding gable or pped ro•f SUBTRACTION gable or hipped roof (BASED ON ROOF • GABLE OR HIPPED r*OF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtrac alf the ROOF TYPE) windows): Subtract half the distance distance between e top of the between the top of the highest highest window:nd the highest window and the highest point of the point of the ro-• roof • ALL OTHER ROOF TYPES(flat, • ALL OTHE• ROOF TYPES(flat, mansard,etc):No subtraction. mansard -tc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract th- •istance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemen rawl space floor and the EXISTING the foundation. GRADES) highest isting grade adjacent to the GRADES) found. ion OR 10 feet(whichever is less). EQUALS Defined building height EQUALS De ed building height Shoreland Distri MCWD Permit Received Average Lakeshore -tback Met? Bluff 0 Yes 0 No 0 N/A 0 Yes 0 No 0 Yes A No 0 Yes 0 No • N/A - Permit Number: Setback: Stormw. -r Quality Existing Proposed Overla 'istrict Tier Hardcover Hardcover Variance Required CUP equired DYes ONo DYe 0 No Type(s): Type(s): Updated: January 2013 / " 0 C /`/4Mjj"e v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 2O� 6-!? Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ e�— Sit ❑ Plumbing D Grading/ Filling ❑ Well D Hardcover Removal ❑ Mechanical D Fire Electrical D Footing ❑ Septic D Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry D Lawn Irrigation ❑ Radon Rock Bed 0 Mfg. % Framing w'4.,erJ C+-rW LS 0 Other(specify) O Insulation /40-eA-771.1c1 ❑ As-Built Survey * Final ❑ Wetland Buffer ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx 0 DAT�,/ TIME 1 CITY OF ORONO CALLED IN pi?", 6 INSPECTION NOTIC SCHEDULED /`• PERMIT NO.c'Y'O/3/ I COMPLETED ii ADDRESS �l(D , p, OWNER TELEPHON o• a`-- �.S CONTRACTOR 414 >: DESCRIPTION )A47 -Fk42ot W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL (1. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION CC4iCEIAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ,--,❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO r0., COMMENTS: cc r CC J cc O 4. * c I ti a d Ca e c f4e...,Q .re-if -i-- tu Q 4-red," ip f r &)-0 of. - C2L ' W _/ W d.) "oTodidQ- lac'/arli eS4 /derfe• lay j a64c4 vrt e vL d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W6Y-COIRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. (952) 249-4600 Owner/Contractor on site: Inspector. J .". - White Copyllnspector's File Canary Copy/Site Notice \a/ ecg, CDATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE % SCHEDULED 7// /0 / m -C. , 7-- PERMIT NO. 01Y 01 A COMPLETED ADDRESS 2-1 IA)CA-yZ fz Liccl hL n,) OWNER / TELEPHONE NO. (a 1; I% ?3/ CONTRACTOR 0 DESCRIPTIONç1cL//' FM I Ly ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Lt. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWN ERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: CC W 0. 041 yrs . leke., CC rr r 0 W CC Q 2 W Z W CC J a W O WORK SATISFACTORY:PROCEED ROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED ❑ISS ERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrac n site: :)je..,, Inspector. (-7,71. White Copy/Inspector's File Canary Copy/Site Notice