HomeMy WebLinkAbout2017 - 00670 - addn/remodel/repair 11 IIII 1I II 11I 1111111 1 II
CITY OF ORONO * 2 0 1 7 - 006 7 0
2750 KELLEY PARKWAY DATE ISSUED: 06/23/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 41 WILLOW DR N
PIN : 33-118-23-44-0031
LEGAL DESC : DANIELS LONG LAKE HEIGHTS
: LOT 012 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: DECK REPAIR AND BAY WINDOW REMODEL
APPLICANT PERMIT FEE SCHEDULE 123.87
OLSON, LONNY&AMY PLAN REVIEW 80.52
41 WILLOW DR N STATE SURCHARGE(VALUATION) 2.50
LONG LAKE,MN 55356- TOTAL 206.89
Payment(s)
CREDIT CARD 4758 206.89
OWNER
OLSON,LONNY&AMY
41 WILLOW DR N
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 he
revoked at any time for due cause.
-z3- Peikt, ) -)
pplican :'-ee Signature Date Issued B gnature I)ate
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
Mailing Address: Permit number: 030/700(770
OO Box 66
teCt.r.A"
Q Al1 Crystal Bay, MN 55323 0066 Date received: b---/�/I7
fr. i r t Address: Received by:
A..;; ,,
\2750 KelleyParkway
' l Plan review fe
Orono, MN 55356 7:k. ��
�KESHOW �''
V 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: 1
Job Site Address: / � `
,� . ��a wbc Q(�o))/f'V �.. 3.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Honie? ❑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/APP (CANT INFOR A ION:
N
Name: r3iVy 07s-v
State License# if/el / Expiration Date:
Lead Certification Number: "i/4 Expiration Date:
(for work on homes that were constructed prio to 1978
Phone: (cell) 323 —‘5-c,?,_ 7 c ) (office)
Mailing Address: 441 Arc tvey/d c,.✓ Dr. City: J t3..NG ZIP:, , D76
Contact Person: 4div/N Applicant is: Contractor / roil o i own (Circle One)
Email and/or Fax: ja,,,,s„ d` )j (, a e-.1----
PROPERTY OWNER I FORMATION: r.
Name: c7 0/.. -✓
Phone (day): 2.3- o F, ,, 8
Address:. r , ,yievk.✓ b City: b(c-a/4� ZIP: ���--rG'
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ -RemodelMCWD review&permits:
Door(s) DFire Damage
❑ Re-roof,asphalt Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar
0 Restoration 0 Water Damage Minnetonka, MN 55345
Phone: 952-471-05900 Re-roof,other(specify) Siding 0 Other: (specify)
Fax: 952-471-0682
Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ L.,'",---- :),D
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 info ion,the appl a not be issued.
Applicant's Signat Date: ' / ---/
Owner's Sign ure: Date:
Last Updated:January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ! ry r G</U/Q�r- AL Permit No.: Y"00 fe 7e2
Description of work: Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: 6f,,,.... -Gr- i Date Approved: k�� /G/Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: D Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Ye• 0 No Landscaper: ;
/
Proposed Setbacks: /
/
i
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side // Side
1
Defined Height: Peak Height: FFE. FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 0% = L.F. below grade
Basement? 0 Yes 0 No, Stori,s
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the low -t proposed Slab at or above grade—
floor(of the basement or cra I-pace)and measure from highest existing
START WITH the highest point of the roof grade to the highest point of the
START WITH roof even if fill was brought into
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIP' D ROOF( . Slab below grade—measure
(BASED ON windows): Sub act half the di ance from highest existing grade to the
ROOF TYPE) between the hi!hest point of the roof highest point of the roof.
to the low poi of the correspon•'ng If you have a...
gable or hipp-d roof SUBTRACTION • GABLE OR HIPPED ROOF
• GABLE OR IPPED ROOF(with (BASED ON (no windows): Subtract half
windows): .ubtract half the distant ROOF TYPE) the distance between the
between t e top of the highest highest point of the roof to
window a d the highest point of the the low point of the
corresponding gable or
roof
hipped roof
• ALL OT ER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansar.,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the••istance between the half the distance between
(BASED ON basement/cr-wl space floor and the the top of the highest
EXISTING highest existi g 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?
❑ Yes ❑ No Permit Number: 0 Yes 0 No 0 N/A
0 Yes
No 0
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
D Yes D No ❑ Yes D No
1 2 3 4 5 Type(s): Type(s):
Fees to be Charged YES NO
Permit V
Plan Review t '
State Surcharge t -
Investigation Fee
SAC— Number of SAC Units fr
Other(specify) t`
Square Footage $ per Square Footage
Basement X = $
1St Floor X = $
2nd Floor X = $
Garage X _ $
Estimated Construction Value: S .5*--I9 O
Orono Inspections Required Work Requiring Separate Permits
❑ Footing 0 Site 0 Plumbing 0 Grading/Filling
❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
D Foundation Survey 0 Hardcover Removal 0 Septic. 0 Water Connection
O Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection
raming01 0 Masonry
0 Lawn Irrigation
Insulation 0 Mfg. ❑ Landscaping
❑ As-Built Survey 0 Other(specify)
XFinal
D Lathe Required State Permits
O Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
D 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•\fnrmc\plan raviaui rharklict in_9n1F rinry
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICESCHEDULED A- /y 7•
PERMIT NO. O -7O OM
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OWNER < 01/I`1 rf- a 5,--, TELEPHONE NO.3�3 -5-eq--- 863
CONTRACTOR 4034n e 7
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i DESCRIPTION a__ KI/L
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
5 ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
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❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q grFRAMING 0 MECHANICAL FINAL 0 RATED WALLS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
LU ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W 0 WORK SATISFACTORY:PROCEED o� fS ❑PROJECT COMPLETE
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RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
r the next inspection 24 rs in a 952) 249-4600
• : _.....A.11 .:ctor on site:
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