HomeMy WebLinkAbout2016 - 00175 - addn/remodel/repair I1iiiiiiaiii1i ii ii iliiiliiiii iii II1
CITY OF ORONO * 2016 - 00175 *
2750 KELLEY PARKWAY DATE ISSUED: 02/19/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 332 WESTLAKE ST
PIN : 05-117-23-23-0039
LEGAL DESC : HILLSIDE PARK
: LOT 000 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 20,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
REPAIR WATER DAMAGE(INTERIOR)
APPLICANT PERMIT FEE SCHEDULE 356.22
PLAN REVIEW 231.54
BICHANICH,JENNIFER STATE SURCHARGE(VALUATION) 10.00
332 WESTLAKE ST
LONG LAKE,MN 55356- TOTAL 597.76
Payment(s)
CHECK 2022 597.76
OWNER
BICHANICH,JENNIFER
332 WESTLAKE ST
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 i
revoked at any time for due cause.
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p icant Pe itee Signature Date Issued By Sigt(�(ture Date
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City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
�o V Mailing Address: Permit number: c c?O/4 -I'D /7 5-
O PO Box 66 ^�
Crystal Bay, MN 55323-0066 Date received: Cr !17-1 (p
Street Address: Received by: �� �"
a _
tiF L 2750 Kelley Parkway Plan review fee: 1 if r `),�-ic « ,
`�kESHOR� Orono, MN 55356 !"'
Total Fee: z� n -- , W,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: 332.. West- (a. ce St. Lo- La-k( , (v\NJ 553S(0
Will this be a Parade of Homes, Remodelers Showcase Home or other-Display Home? ❑ Yes E No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus serv"ibe will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ' civ .CIACLA c C-► -- V\ - AC�1�G tA)01 { r aQ 2e nkSti fah
Phone (day): 715-14q9-i3-1 g'
Address: 3,32 We6A--- LA-r---e S�-• City: Lan
1.4_1(.4._ ZIP: 55 35-L,
Email and/or Fax: je-i,‘n �J
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)El Re roof,asphalt Re air ❑ Storm Damage
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
0 Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project (excluding land) $ < CI cecs
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 application may not be issued.
Applicant's Signature: Date:r
Owner's Signature: Ali �' 661/talik i - (�� Date: 2_ - 1-1-lb
Last Updated:January .iIIN�
'PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ( 2 a WEST `/^�� e --CeMI Permit No.:
Description of work: /700 4/4'//1 91 8014,00`1 Date Rec'd:
Jo
Septic review by: 5-Q 'e t(.41/1
/" ?- / Date Approved: /1////
Zoning review by: Date Approved:
..-
/ /
Building review by: 9y/_t r � � 2� Date Approved: � 0'
Grading review by: Date Approved:
Zoning District: Z Hing File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF ok
Survey Submitted: 0 Yes 0 No \ Date of Survey: Revised date(?):
Landscape plan submitted? 0 Yes „0 No Landscaper:
t
Proposed Setbacks:
1
Front (Lake) Rear(Street) ( N S E W ) ( N ,b E W ) Other Buildings Wetland
Sh e /Side
Defined Height: Peak Height: FFE. FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% L.F. below grade
Basement? 0 Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the low st pr..osed Slab at or above grade—
START WITH floor(of the basement or cra I space and measure from highest existing
the highest point of the roof START WITH grade to the highest point of the
roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distanc: from highest existing grade to the
ROOF TYPE) between the highest point of the roof highest point of the roof.
to the low point of the corresponding If you have a...
gable or hippgrd roof SUBTRACTION • GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
lS the distance between the
windows): ubtract half the distance ROOF TYPE) highest point of the roof to
between the top of the highest
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basement/crawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). \ point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: 0 Yes 0 No 0 N/A 0 Yes ❑
❑ Yes ❑ No No
❑ N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
❑ Yes ❑ No ❑ Yes ❑ No
1 2 3 4 5 Type(s): Type(s):
Fees to be Charged YES NO
Permit /'`
Plan Review (/
-
k
Investigation Fee
4 A '—Niiimberjof SAC Units
Other(specify) 1'
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
�oEstimated Construction Value: $ � / Oa
Orono Inspections Required Work Requiring Separate Permits
❑ Footing 0 Site Plumbing 0 Grading/ Filling
❑ Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire
❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection
❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection
'Framing 0 Masonry 0 Lawn Irrigation
eBr Insulation 0 Mfg. 0 Landscaping
❑ As-Built Survey 0 Other(specify)
Final
❑ Lathe Required State Permits
❑ Other(specify)
0 Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
7•\forme\nlan rcvin ni ncprklict 1(1-9(11 5 rinry
•
332 West Lake Street, Long Lake, MN 55356
List of Repairs to Repair Freeze/Water/Flood Damage:
1) Demo Work of all damaged property was previously competed to minimize mold growth
2) Replace Sleeper Floor in Basement with Green Treated Lumber
3) Level Sleeper Floor in Basement
4) Re-Insulate Floor in Basement with Extruded Polystyrene (had fiberglass)
5) Replace Drywall Bottom 2' Walls where required in Basement
6) Add Insulation in Vapor Barrier where Drywall was removed in Basement
7) Drywall Taping in Basement
8) Re-Trim Drywall in Basement
9) Replace Baseboard and Paint Baseboard in Basement
10) Seal the Walls & Ceiling with Stain Blocker where required in Basement
11) Paint Walls & Ceiling in Basement
12) Replace Flooring in Basement
13)Sand, Stain & Finish Floor in Basement
14) Replace Damaged Cabinets in Kitchen
15) Repair Dishwasher - Freeze Damage in Kitchen
16) Repair Plumbing in Owner's Bathroom
17) Repair or Replace Spiral Stairs (wood and aluminum)
18) Finish Lower Bathroom previously Stubbed in from Previous Permit in Basement
19) Relocate Laundry Room to Bathroom in Basement
20) Put in Cabinet and Sink in current Laundry location for Snack Bar in Basement
Reviewed for Code
Compliance City of Orono
Data 2//,/i (to U 4
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Reviewer ` ; Carbon monoxide d4toctor
) required within 10 ft.. o
v-�,c.t, (l , all sleeping rooms,
ORONO COPY SMOKE DETECTOR CONNrC T(.
�vTEL ��N„O! ,rC-
ING DEVICE OR OTHER DETEC1 OR AL':!-_,LE
SLEEPING AREAS.
J� / v`/e 7t 25 IX S
Main Level ' ( '
13'7" L
Kitchen b, _ `� •S
....... ..-.........13'11" r---11'6" ►.1 e� /7 ��
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-5 83" 114" Ill. 3^� �4 aS 6 vs
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M a �3 7 M Lighthouse Main Level Room? ) Fro, l
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Living Room r 1 1 1 �'--�s"
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I 20' �� Owner's Suite
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, 16'-.............,.........-+
Main Level
2329K6018 9/3/2015 Page: 35
Lower Level' f .
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10 ) 'r 6" 3'8" I 1 3t a�z,.. Z 60X'-‘ ,S st.- e_k .b�i h 5 \c-c._ \a.c-�,d-.
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Furnace Room F.
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6'11" J.7........yi'
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2329K6018 9/3/2015 Page:34
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CITY OF ORONO CALLED IN `
INSPECTION By aci CHEDULED v�— `/
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PERMIT NO. I ,-c�OMPLETE�J/Zn
ADDRESS 21 C. ,vY/� k-e---
OWNER Lk 24/1 t All TELEPHONE NO Z5''c5(-73 78'
CONTRACTOR
DESCRIPTION -9f, e,1,/t 0 66..a._
W ❑ FOOTING El DEMO-FINAL ❑ SEPTIC FINAL
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• ❑ POURED WALL El PLUMBING RI ❑ EXCAV/GRADING/FILLING
_ ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
• FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
• +NSULATION El WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP CI FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z• OWNERICONTRACTOR TO MEET YOU: YES_NO
Ei COMMENTS: E/ec E - 7 9 /6
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cc ,6BRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection24 hours in advance. (952) 249-4600
Owner/Contractor on site: -...1 .,R4 4 •4e�
Inspector. yf/'"�'715-
v
White Copyllnspector's File Canary CopylSite Notice
i% DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N T�',E D/:7C SCHEDULED . 1:th7--/—a41-11
PERMIT NO. 7 I(0 COMPLETED
ADDRESS 3 33L�----��N�EJN��y(
OWNER*flhll?( l C�ICt����h TELEPWO. i(%
CONTRACTOR -
} DESCRIPTION / (1
L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FIN 4/
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FI ING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 'i"
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECT! •Da%
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ 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
.
0 DEMO-SITE 0 S DTIC INSTALL
• OWNERICONTRACTOR TO MEET YOU:-,4-YES_NO
cc., COMMENTS:
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W ❑ `CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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. C
White Copyllnspector's File Canary CopylSite Notice
C., 1,---
e___-I---- /
—/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQTICE V-�S SCHEDULED --`�/0 / : Or)
PERMIT NO. LClb _ COMPLETED
ADDRESS 3-3-.7
Lu K- *`
OWNER .Et TELEPHONE NO. 7/5-y5b�7F ?
CONTRACTOR
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DESCRIPTION
LU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
_ 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
{ 441SULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Ac
Q
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cc., COMMENTS:
cc
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❑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
OwnerfC ctor Qn site: 'J e I14,reInspecto ti �
White Copyllnspector's File Canary CopylSite Notice
DA E TIME
CITY OF ORONO CALLED IN �7-7
INSPECTION NOTICE SCHEDULED —/2 —//
,: 0-C)
PERMIT NO. ,%3()/7 4D/7- COMPLETED
ADDRESS 3_.- c //Gf__ti f__ J -e e-
OWNER I -TELEP bNE N0 ,2/.5- 9S( - 737g
CONTRA OR /
-5.-. DESCRIPTION ifsiyt - ��" `' "�
L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
g ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE ElSEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES NO LL
COMMENTS: `J Go m�lc—/ei ��T�/G4� '-a/ wi'ilk
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0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COHERING PERMANENT
'CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 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. -,----)7 -i-- ,-L
White Copylinspector's File Canary Copy/Site Notice
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