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Home My WebLink About2015 - 00201 - addn/remodel/repair CITY OF ORONO I*111 0 1 1 1 5 11 1 011 011 z 011��1*1 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2015 ! ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1085 WILDHURST TR PIN : 07-117-23-24-0029 LEGAL DESC : TONKAVIEW GARDENS : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 100,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) COMPLETE INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 1,109.59 STATE SURCHARGE(VALUATION) 50.00 KINGDOM BUILDERS TOTAL 1,159.59 9099 30TH ST SW Payment(s) HOWARD LAKE,MN 55349- CREDIT CARD 5938 1,159.59 (612)272-4901 Minnesota State License#: BUIL-234129 OWNER JURLAND, STEVEN 1085 WILDHURST TR 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 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 c, . ance w' he •to Building Code.This permit may be revoked at an'ti .D or due a .e. Plj(V l(5 / / 7 a Applicant Pe ite- Signature Date Issued By Signature Date City of Orono B!ailding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O A Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: 1. Street Address: Received by: G` 2750 Kelley Parkway Plan review fee: ,4,\IIIL Orono, MN 55356�k@SHO�- 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: / 8 z LOi-fzi.2SY TizA-I L Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes [44No 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/API ICANT INFORMATION: Name: --J urs) / tCM.c_ 1)3fl- (4.04,rxw1 60;`oi—S State License# 13L2-34-(z,7 Expiration Date: ','3ii� l�, Lead Certification Number: i— i/7 z 4-7 -% Expiration Date: io/1 / zo l (for work on homes that were constructed prior to 1978 / � Phone: (cell) (office) lA('off o2 2 //g0 Mailing Address: qeicic/ 30774 ST S. City:4,„4.e0 L A-1i_-_ ZIP: S-S3 4-- Contact Person: LSL. -SLA.uL ,.,D Applicant is: toi / Homeowner (Circle One) Email and/or Fax: 1.....6_a_ Q —t-1%v 1,i Keric.)1,1.Ip�i` 1 G(t✓'S , lk-4.:— PROPERTY OWNER INFORMATION: Name: s`T£ us: -LAV LAJA,D Phone(day): ( S--2_- ( r3 - 12)0'3 Address: 5 7_-i.,, t t t 3-c-1. S-r- t,.r City: r Lx,�.-.....,, -r-r.,,„ZIP: .f — Email and/or Fax: S3..4 1-1,_t_,.,,,.,c_k,�s,.vt�,cL , con‘ PROJECT INFORMATION: Overall project description: Cc1LF i wD .c-,,z rZ -eab Type of Project: Any earth movement may also require MCWD review&permits: ❑ Door(s) Remodel IDFire Damage 0 Re-roof,asphalt 1:1 Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar 0 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) $ /be) Co U 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 inf. , atioi,t - application may not be issued. j Applicant's Signature: Date: Zl i 4.1 5--- Owner's Owner's Signature: Date: Last Updated:January 2015 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: l c7 'S •,((._O( -"'91 iyV}-t C. Permit No.: Description of work: h-e.--(-- Date Rec'd: Septic review by: Al//N Date Approved: Zoning review by: A/ /A Date Approved: Building review by: Date Approved: Z-17 --241/3 Grading review by: e/f A- Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Z• ing: Lot Area: SF/AC Width: Lot Coverage: SF 0/0 / Su - Submitted: 0 Yes 0 No Date of Survey: Reyfsed date(?): Propos- • Setbacks: Front(La' - Rear(Street) ( N S E W ) ( N S E W ) ether Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR .-AWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance ,-tween the lowest propos-. The distance between the top of START WITH floor(of the bas-•ent or crawl space). d START WITH slab and the highest point of the the highest point o e roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPED -••F(no (no windows): Subtract half windows): Subtract e distance the distance between the between the highe point• the roof highest point of the roof to to the low point• the corresp.- ding the low point of the SUBTRACTION gable or hippe• roof corresponding gable or (BASED ON • GABLE O' IPPED ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows• Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF betwe- the top of the highest ROOF TYPE) (with windows): Subtract wind• and the highest point of the half the distance between ro. the top of the highest • •LL OTHER ROOF TYPES(flat, window and the highest point of the roof mansard,etc):No subtraction. • ALL OTHER ROOF TYPES SUBTRACTION ` btract the distance between the (flat,mansard,etc):No (BASED ON basement/crawl space floor and the subtraction. EXISTING highest existing grade adjacent to the •DDITION Add the distance between the top GRADES) foundation OR 10 feet(whichever is less). (:•SED ON of slab and the highest existing EQUALS Defined building height EXI ' NG grade adjacent to the foundation. GRAD EQUALS Defined building height Shorelan. District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes 0 No ❑ N/A ❑ Y-.- ❑ No ❑ Y: ❑ No 0 N/A—see attached Setback: St• mwater Quality Existing Hardcover Proposed •verlay District CYO and sf) Hardcover Variance Required CUP Required Tier(circle one) (% and sf) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx iv--a C 1-E-► 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: $ /00,ODD °L— Orono Inspections Required Work Requiring Separate Permits Required State Permits O Site rEiPlumbing D Grading/ Filling 0 Well O Silt Fence/ Erosion Control 121--Mechanical 0 Fire 7,121. Electrical O Hardcover Removal 0 Septic 0 Water Connection O Footing 0 Fireplace 0 Sewer Connection O Poured Wall 0 Masonry 0 Lawn Irrigation O Foundation Survey 0 Mfg. 0 Landscaping O Foundation Waterproofing 0 Other(specify) O Radon Rock Bed ,Framing 'Insulation O As-Built Survey inal O 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 -? -1-- / o f DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED >Qraf PERMIT NO. 70i ?4 / COMPL,ETED • ADDRESS /0 8�� / % ic-1/ ' (,IY,S'f —Tk -. OWNER TELEPHONE N IZ 2-7. - �1R'0 i CONTRACTOR ��'' edelts i DESCRIPTION '2'� � / -/�' /' 1 W ❑ FOOTING❑ 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION RAMING ❑ MECHANICAL FINAL 0 PROGRESS F_ CATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL ...._ ❑ W TER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY S OVER HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE EPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU YES NO COMMENS: EIPG. 71 /tisv- — UC cc 0 n r4-F.{step, 4-a, z=4- F.A CIk59S. - cc 0 Dee ,d a II b a /6 AY•T i'va y cr 4- g2> ril eel. rbib144 Oe,l►rc` o / /r r,,- ., e ter cc jk rr eQ 6 r i4 � �.►L W °547 / M. . . /4 _ ti. " GL. ,A I ifv. . '® h " i 4 dd„vak r IQ IQ CC 4-.--. .r • -16,4.41,":, dess GY Q ce //7'S 71,ced 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 advance. (952) 249-4600 Owner/Contractor on site: Inspector. ()/,w White Copyllnspector's File Canary CopylSite Notice 'f •-e--.3t--"------ /4 7 DATE 4 TIME CITY OF ORONO CALLED IN �f% INSPECTION NOTICE SCHEDULED 7'-2R 7--/s /f '340 PERMIT NO. c/S- //CO��PLE�TE/'/ ADDRESS /D gS &,i LdARJJ OWNER NO. '-.17 - rj CONTRACTOR f7 dr/kg--- 37. DESCRIPTION ► I , % -low J0114.0. IN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ID PLUMBING FINAL El TREE REMOVAL ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION It ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ElFINAL 1:1WATER HOOK-UP ElFOLLOW-UP W ❑ AS BUILT-SURVEY ElSEWER HOOK-UP ElHARD COVER REMOVAL v ❑ DEMO-SITE El SEPTIC INSTALL l=1FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q.. cc czi ii evjei 51/ , :) or) cco 421. At ' i W cc Q 12 W Z W Cc d W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O 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 1249-4600 Owner/Contractor on site: 41/1 Inspector. White Copyllnspector's File Canary CopylSIte Notice I 3 DATE TIME` / �CITY OF ORONO CALLED IN TIME" INSPECTION NOTICE SCHEDULED Z i t'1 LIS ci;2,c PERMIT NS COMPLETED ADDRESS 0 X 5 l111_Q,& Y t i 1 . OWNER TELEPHONE NOcc)1'1'a-("- -P1.01, CONTRACTOR KC n \ r, i DESCRIPTION ar" -0 W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING h ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 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 J ,--.❑ DEMO-SITE 0 TIC INSTALL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: I YES NO oy COMMENTS: `� CC W a CC <CC / 49 4.,...,,, , I / . / T o '' W cc ';[ ;;t3.6 /), I. cA .,....._ x ....—/ p cl_cW _Ailccai ❑ SATISFACTORY:PROCEED )4JEIPLETE I RTIFICATE OF OCCUPANCY OCC • ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 ' 9-4600 Owner/Contractor on site: / / ; Inspector. Air White Copyllnspector's File Canary Copy/Site Notice I 11-71 . DATE TIM/ CITY OF ORONO CALLED IN lull///// INSPECTION NOTICE SCHEDULED 2/,a/± 9.:. ,30 PERMIT NO. 2 015-00a-01 COMPLETED ADDRESS 1 ogs LJt to ntr-i en; � _ �/ OWNER TELEPHONE_NO. Vf o? ? 7901 CONTRACTOR tvrjskyrY1 /3 kJ • DESCRIPTION , - tUO - /C "Yv',i. tV ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 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 ❑(S/PTIC INSTALL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:Ty/ YES NO 0 c.0 COMMENTS:,------. Q. pm i/in2, lie,'-6-- 7"�/fi`tc�t CC et i coil wt SG�c.J=✓ r i�itiIpciZ` , cc d I.SCk.fse.‘2 <4t ' - V e w6 c zl W 5 45�C5 .--(7 cc ________Lf______ .., //evt, -f 110 144 Q z /Ctrs 4 All 71k6 fru•^- bas1,P 9a5 -�15ki" 9 //#f 6'.S Lu cc 0 Lu ❑WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CCW CO WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 • - : • : ion 24 hours in advance. (952) 249-4600 Own:, Con.r. •• • • sit-. 4 . e' Inspector. Oma. 7f152- White Copyflnspector's File Canary Copy/Site Notice