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Home My WebLink About2014 - 00127 - addn/remodel/repair CITY OF ORONO II 11 III1I4I. I[ III H 2750 KELLEY PARKWAY DATE ISSUED: (12/14/20]4 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 70 WEAR LA PIN : 04-117-23-21-0019 LEGAL DESC : ROLLING MEADOWS 4TH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 574.25 PLAN REVIEW 373.26 SIMCO CONSTRUCTION INC STATE SURCHARGE(VALUATION) 20.00 7350-1 52ND LANE NW RAMSEY,MN 55303- TOTAL 967.51 (763)219-7529 Payment(s) Minnesota State License#: BUIL-BC637544 CREDIT CARD 9218 967.51 OWNER PFEIFFER,JASON&JONI 70 WEAR LN 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 con'•rman' with the State Building Code.This permit may be revoked at any me '•- •ue cause. / ay409 A plic.� t Pei t. Si nature Date Issued By SI ature Date City of Orono c(7)� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �o V Mailing Address: Permit number: p?(W��/ O PO Box 66 Crystal Bay, MN 55323-0066 Date received: c2 //��-yT Street Address: Received by: /'7'f� y� G� 2750 Kelley Parkway Plan review fee: t Orono, MN 55356 .1kEsHo� /_7.S Total Fee: "l etlD I 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: Job Site Address: J 7 u) Pi(2- Lfv S , 0 RO_-477 ,/)1 ,N) S 53 ,' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes IV No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle buss ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: _52ri c.) CO^'-f ra-vii XON SNC, r State License# .13C (03 4.511-t Expiration Date: Lead Certification Number: Ai 11 Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 7 6, 3 — "3_1 1 — 7 S a al (office) Mailing Address: 7 35 n-- 5 ry k N City: ,. --' ZIP: S5 3 03 Contact Person: S �s-A,.) JcG ,1J Applican Contractor Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Jo^1:= PF6a.-PGE2 Phone (day): -76S Zz.7-5(,` /CC Address: 7 O 64.161)(t- 1, N c, City: Z) ZIP: CS-3S& Email and/or Fax: j r r✓ 3f-1S ,2N 90 G m Art , c 0 M PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) XRemodel(tS ' ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt CI Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 11 Re-roof, other(specify) 111Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ L PPJ 000 co 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 tRi annually update our records and records of other governmental agencies required by law. If you refuse to supply th; Erma.q e plication may not be issued. Applicant's Signature: // , 1/ Date: aZ y 2 / L Owner's Signature: Date: c7// 2//y J Last Updated: 03/06/2013 - PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: -1 0 cL)CACZ LA J C. S O-m Description of work: (AWG R CGVCC.- fi/Vis/4- Septic review by: Au ,4 Date Approved: Zoning review by: f1Date Approved: Building review by: . ---(3,..A , �(,,-- Date Approved: 2— /Y- 7--.0/11 Grading review by: N( Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zonin•• Lot Area: SF/AC Width: Lot Coverage: SF % Survey SI •mitted: D Yes D No Date of Survey: Revised date(? . Proposed Se •acks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buil. gs Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 eet= (Existing Contour) Perimeter(linear feet) = 50% = #of Stories Ok? D YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance betwe-'the lowest FOR A B DING ON A SLAB FOUNDATION: START WITH proposed floor(of the•-sement or crawl space)and the highest p•' t 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 RO• (no • GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest•'int 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 roo 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 highe window and the highest point of the point of the roof roof • ALL OTHER ROOF TYP- (flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No sub -ction. mansard,etc):No subtraction. • ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance be een the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl space ,•or and the EXISTING the foundation. GRADES) highest existing grad:adjacent to the GRADES) foundation OR 10 f-et(whichever is less). QUALS Defined building height EQUALS Defined build' • height Shoreland District MCWD Permit Received Average Lakeshore Setb• k Met? Bluff D Yes D No 0 N/A 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 N/A Permit Number: Setback: Stormwater Qu. ity . Existing Proposed Variance Required CUP Requ ed Overlay Distr• Tier Hardcover Hardcover D Yes D No D Yes D No Type(s): Type(s): Updated: Januaryev2013 ,n ,O /• )I 1 v:\forms\plan review checklist 2013.docx `/l/ C... rT “ 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: $ Y0,000 ea Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading/ Filling ❑ Well ❑ Hardcover Removal ,fllechanical ❑ Fire "Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation D$adon Rock Bed 0 Mfg. Framing 0 Other(specify) "Insulation 0 _As-Built Survey Final O Wetland Buffer ❑ 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 v:\forms\plan review checklist 2013.docx DATE TIME V CITY OF ORONO CALLED IN INSPECTION NO�I� 0,alO 7 SCHEDULED /.,� PERMIT NO �(� DADDRESS 70 G G c OWNER (� LEP NO7� 7-7521 CONTRACTOR w --9/ CONTRACTOR • !IC DESCRIPTION i O '" S'iia tu ❑ FOOTING ❑ PLUMBING FINAL 4 ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS ' ❑ FRAMING 0 MECHANICAL FINAL O ❑ TREE REMOVAL 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION gct ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT -4 ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP tAJ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v•-t- 0 PLUMBING RI 0 SEPale FINAL 0 FOUNDATION/REMOVAL Z OWNE: •NTRACTO; • 'EET YOU:A YES_NO y COMMENTS: cc W a cc0 Pi cc WI,O L.,W i (-51cc Qz _,,,,,,, ; 'ir'ate'rL4' W cc J d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW IDRRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY OO EJCORRECT WORK,CALL FOR REINSPECTION TEMPORARY t BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) , ' 9-4600 Owner/Contractor on site: 4, ��i Inspector: f i White Copyllnspector's File Canary Copy/Site Notice 5a--- C DATE TIME f 1- ITY OF ORONO CALLED IN INSPECTION NQTi�I to/Z`] SCHEDULED 5// /i' PERMIT NO. -ri COMPLETED ADDRESS_ 0 �u_- �"Q� 4 OWNER J�( -e1 F( TELEPHONE NO. -7( 3 Z2 CONTRACTOR DESCRIPTION r f' ` W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ElTREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION ' 0 FRAMING 0 MECHANICAL FINAL ❑ PROGRESS is P.., "s ATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 ❑ WATERHOOK-UP 0 FOLLOW-UP W ElAS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ,--,❑ DEMO-SITE ❑ PTIC INSTALL ElFOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES . NO LI COMMENTS: cc Q. W n 0 ,,, f A/ A lyte,evi .407./ C .a 44 n ' / - i' ' • 0 11 W CC Q (44 r 1 6)4PPA Zeskra/Q4) CC lJ d W ❑W KSATISFACTORY:PROCEED El PROJECT COMPLETE CCW ORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT El 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 ho in advance. (9 49-4600 Owner/Contractor on site: 040 Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTJCE SCHEDULED PERMIT 60/07 7 COMPLETED ADDRESS / ? ,et - OWNER TELEPHONE NO. • CONTRACTOR 5l rrlcO ficin Se ' DESCRIPTION Z. £_ ";‘,/,,S/ W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT NAL 0 WATER HOOK-UP p-FOLLOW-UP L41 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL - OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: A44,4 ,-- (4, / 2 cc O cc cc Q ,k43 e GO`/ ./016 - ,ji4. 4iy 7 s e , UJ ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE CC0 CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ��LSPEeTTON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on,site: Inspectot��J White Copyllnspector's File Canary Copy/Site Notice