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Home My WebLink About2013 - 01246 - addn/remodel/repair CITY OF ORONO II II III1III 111113 - 011111111 II 2750 KELLEY PARKWAY DATE ISSUED: 11/27/2013 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4625 WEST BRANCH RD PIN : 07-117-23-22-0014 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) NEW WINDOWS AND SIDING APPLICANT PERMIT FEE SCHEDULE 41.25 STEVEN MARVIN COYLE STATE SURCHARGE(VALUATION) 0.50 12995 138TH STREET NORWOOD YOUNG AMERICA, MN 55368- TOTAL 41.75 (952)467-2612 Minnesota State License#: 20633103 OWNER SILBER, STEVEN RUCE& IRENE 4625 WEST BRANCH RD MOUND, MN 55364 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 goveming 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 :yriiitkbr du- 1111M �� 1 ( l 27 / Z.0) ` � •pplican • u =- Signatu e Date Issued By S jf.nature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOJI. City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) "8 .0.A/ r A Mailing Address:PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: F G Orono, MN 55356 `"IkESH0°' 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: Job Site Address: 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/AP LIC,� NT INFORMATION: r`e& Name: APPLICANT tI W1 i,-( State License# 8 C (0 3 310 3 Expiration Date: dI fi-n.e' 20 5 Lead Certification Number: {L-r3voc ^I o -DCo 13 (l ZOS) Expiration Date: pfGB W 15- (for work on homes that were constructed prior to 1978 Phone: (cell) (19-2, 6„.5ry Z8ez2 (office) Mailing Address: ) Zalir 13E fi`` _, City: k i out ZIP: S-3 , Contact Person: =f (Y\ (DSL Applicant i : ontractor / Homeowner (Circle One) Email and/or Fax: COytf -,.1c e., Avg, . cd,), PROPERTY OWNER INFORMATION: Name: 4.i-- . __ Phone (day): q 5-2. 472. (008" Address: 41225 g ,c,H- 12 at() City: ZIP: 55 3(,/. Email and/or Fax: • PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ElDoor(s) %Remodel CIFire Damage MCWD review& permits: 11] Re-roof, asphalt 111 Repair 111 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) CISiding [' Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) . $ 1(4)( . 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 i • ,, the appli ..• ay not b- .ssued. tt Applicant's Signature: ` , � Date: I\16)V 249 9 Owner's Signature: Date: Last Updated: 03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: i'6,Z- s Aid 8/1/4--rt/df /Z4 Apd Description of work: /l/'(w Cc/r d c.J A-. ,510 PNh Septic review by: AT/A-- Date Approved: Zoning review by: N (A Date Approved: Building review by: -,- C(2 ,c_1^,( Date Approved: 11. 27- ZUf 3 Grading review by: QQ/V( Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zonin•• Lot Area: SF/AC Width: Lot Coverage: . % Survey Su• itted: ❑ Yes ❑ No Date of Survey: Revised d. e(?): Proposed Setb• ks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other :uildings Wetland Side Side Defined Height: •eak Height: FFE: FFE mi► s 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = #of Sto es Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: The distance between t :lowest FO' A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the base,ent or crawl space)and the highest point• 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 ROOF(n•• • GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest poin 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 ro• SUBTRACTION gable or hipped roof (BASED ON ROOF • GABLE OR HIPPED ROOF( ' (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top• the between the top of the highest highest window and the ighest window and the highest point of the point of the roof roof • ALL OTHER ROO• PES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc): subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distan•- between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl .ace floor and the EXISTING the foundation. GRADES) highest existin•grade adjacent to the GRADES) foundation 0' 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined . ilding height Shoreland District MCWD Permit Received Average Lakeshore Setb:ck Met? Bluff 0 Yes ❑ No 0 N/A 0 Yes 0 No 0 Yes 0 .10 0 Yes 0 No 0 N Permit Number: Setback: / Stormwa r Quality Existing Proposed Variance Required CUP Req•fired Overlay District Tier Hardcover Hardcover ❑ Yes ❑ No ❑ Yes ❑ No 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 r/ 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: $ (, of Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing 0 Grading/Filling 0 Well O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical O Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. ,X Framing 0 Other(specify) O Insulation O As-Built Survey ��Finat ❑ Wetland Buffer ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES ❑ 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 , , , , , , , ;ill , _ --- RL COPS ii - 1 ypt-k-) 4.„„.., ,, 1 _____ . , ....------, tkiv, n,,,,r_. . , ,.._ I- C- i',2:_ar-Thi ..- I 44*----) 4-7,---?h' 0 IEve {,F 1�' • 1 WI . 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' chitirr 1 ,(46K_ Alli ► F. -pi, f., Ng t . r 6 11 a #Vit41°Ir _I .i.. 1..., 1 - I 1111 - SPECIAL -NOTE SEE ATTACHED SHEET FOR CA 4" sv Ic0Z-7-CC-It( CODE REQUM ME:NTS 11 REVIEWED for , :;.," C sAPJJ'ANCE PLAN CHECKED By DATE 1i- 2-7-/ ADATE TIME CITY OFORONO DIN CZI Z i 3 n INSPECTION N TI E SCHEDULED 12- i ( � 7 i go PERMIT NO. 3 " (�-tO COMPLETED ADDRESS 22-S 2 1,,8 g-2ov OWNER TELEPHONE NO. g CONTRACTOR SAC �G�c DESCRIPTION Fr it. 0 FOOTING ❑ PLUMBING F L 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT ❑ FOLLOW-UP Lti 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI 0 S 'IC FINAL ❑ FOUNDATION/REMOVAL IC Z OWNER/CONTRACTOR TO MEET YOU: YES_NO 93 COMMENler'--- cc W C CC O Cc O W CC Q 12 W Z W CC O PORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W 0 CORRECT WORK&PRQCEED ,.- ❑ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. ii:)." White Copyllnspector's File Canary Copy/Site Notice 12 / DAT TIME V CITY OF ORONO CALLED IN `—2 INSPECTION NOTI E SCHEDULED /-27-/Cc /1.'00 PERMIT NO.Q�O16&/2-lb COMPLETED ADDRESS '/625 Ml OWNER TELEPHONE NO. 952 &88 02i ' CONTRACTOR i -G ��/a/4/il ilt, DESCRIPTION rl u ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL .S OWNERICONTRACTOR TO MEET YOU:_YES NO c• COMMENTS:-7 //�� ! a of kit tyr3O wJ -l- A)c I tit, ed cc O L-7ress - OK occ / cc ,b e.&vardw, Q 611) A IQG A ..4)(3c so eta Kbit a/pe,e IQ more `-/A4 . /" �CC Cbrrec,f- ipeP447 +10E�a - J d Lu CI7 WORK SATISFACTORY:PROCEED RROJECTCOMPLETE Lu ORRECT WORK&PROCEED /❑ ISSUE CERTIFICATE OF OCCUPANCY OO OBRRECT WORK,CALL FOR REINSPECTION TEMPORARY c j 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 for the next inspection 24 hours in advan -I 952) 249-4600 Owner/ ntractor on site: S1 4e R. . I� Inspector / `-v•-s, '� White Copyllnspector's File Canary Copy/Site Notice