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Home My WebLink About2013 - 00443 - addn/remodel/repair • 4. 11 I I III 111 II II II 11 I III II CITY OF ORONO * 20 1 3 - 00443 * 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 950 WILLOW VIEW DR PIN : 28-118-23-44-0017 LEGAL DESC : WILLOW VIEW : LOT 006 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,200.00 NOTE: THE DECK STAIR SHOULD BE SHOWN ON THE FINAL AS-BUILT SURVEY AS WELL AS ALL OTHER IMPROVEMENTS ON THE PROPERTY. ((INITIAL) APPLICANT PERMIT FEE SCHEDULE 47.75 LARRY OLSON CUSTOM HOMES PLAN REVIEW 31.04 3100 JEWEL LA N PLYMOUTH, MN 55447 STATE SURCHARGE(VALUATION) 0.60 (763)221-2460 TOTAL 79.39 Minnesota State License#: BC580774 OWNER KANIVE, JUSTIN&ALYSSA 950 WILLOW VIEW DR 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 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,, ,..time for due cause. PPSignature < /Q Applicant Pe ; e Date Issu• By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS I L Address/Permit Number: WI I1 O Description of work: gi1 ed Septic review by: - ' / Alk Date Approved: 2 Zoning review by: U��_ Date Approved: (J(�>0 I Building review by: IOW Date Approved: G -- /1 -13 Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zo 'ng: Lot Area: SF/AC Width: Lot Coverage: SF _% Surve Submitted: D Yes 0 No Date of Survey: Revised date(?): Propose Setbacks: i • Front(La ) Rear(Street) ( N S E W ) ( N S E W ) ,-Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50% = #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMEN I R CRAWL SPACE: The dist- ce between the lowest FORA BUILDING ON A SLAB FOUNDATION: START WITH proposed ,or(of the basement or cr- 1 space)and t - highest point of the .of. 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 •PED -aOF(no • GABLE OR HIPPED ROOF(no windows): Sub -ct-alf the windows): Subtract half the distance distance between e highest point between the highest point of the roof of the roof to th‘ o •oint of the to the low point of the corresponding SUBTRACTION correspondin! gable o ipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF • GABLE Or HIPPED RO• (with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) window : Subtract half the ROOF TYPE) windows): Subtract half the distance dista e between the top of th- between the top of the highest hig -st window and the highest window and the highest point of the p•nt of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION -ubtract the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shorelan District MCWD Permit Received Average Lakesho - Setback Met? Bluff D Yes O No D N/A D Yes O No 0 Yes 0 No 0 Yes D No D N/A — Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required C► • Required Overlay District Tier Hardcover Hardcover 0 Yes 0 No • es D No Type(s): Type(s):\, Updated: January 2013 „ (�) /' v:\forms\plan review checklist 2013.docx /vV 1, 07'47e\,51 REMARKS (in-house): Fees to be Charged YES NO Permit, h. :. ; , Plan Review State Surcharge Lam; Investigation Fee SAC='Number°of-SAC Units, _, '" 'f ; Other(specify) Square Footage $per Square Footage Basement X = $ 15t Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 1, 2-06 Orono Inspections Required Work Requiring Separate Permits Required State Permits D Site D Plumbing 0 Grading/ Filling 0 Well D Hardcover Removal D Mechanical 0 Fire 0 Electrical O Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection D Foundation Survey D Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. O Framing 0 Other(specify) O Insulation 0 ffrs-Built Survey Final O Wetland Buffer D 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 ply 1 AC&fL ri'tf `01710141 d 11a Gt - 0l-- `f'ie ag - )ne24 cP S-but-i-1&. St/u4-1z4 as we(( 61S a (( 0 v t %►4-1on5\ 3 (5-)., fA4 prri- J2-t, - . ) Updated: January 2013 v:\forrns\plan review checklist 2013.docx jAX 1 v CITY OF ORONO 1 V A Q , :I BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �,,y' A, Mailing Address: Permit number: U I ?Y 00'1(13 �0� PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: (0-4-15 Street Address: Received by: 114'r 'r S 2750 Kelley Parkway Plan review fee: F L t Orono, MN 55356 RkESHo9 $79 3 9 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: 1 5 0 GO: 1 IOL,,,) U Ls e w 1J`(- ``I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El 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/APPLICANT INFORMATION: Name: L)4 r('/ Q1 So'J CL' o 14ov^r's State License# V C_ 5 £3O 7 7 if Expiration Date: ' -5/ — / f Phone: (cell) 16, 3 ag. I -,) L((,D (office) '74, 3- L/7 6. •-COCl S Mailing Address: • o ` --e,,t,e( _ci kt tv Ci : Pi v+-rtry F ZIP: 55 e Contact Person: f^14.r r y p f s()Vs.) Applicant is: -on ra / Homeowner (circle One) Email and/or Fax: lac' fy 01 ScfJ et)14-iS ►1f c,0 ..-. PROPERTY OWNER INFORMATION: Name: 3sc,5 4-\-•-•. et• ci-I y 5 5 e' 1'V e- Phone(day): Address: /5'0 w - l I o' ' V =r w 0{i''e City: Oro ZIP: 55 3 51.. Email and/or Fax A , kcx v‘"U t e o i c k 5 '‘ • CO I1,\ ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction NI Single Family with 0 Residence ❑Addition attached garage 0 Garage/Accessory Bldg. 0 Public Sewer ❑Accessory Building 0 Single Family with [2.-Deck ❑ Relocation detached garage 0 Office/Commercial ❑ Private Sewer 4 Other: (specify) neck 4a r. 0 Multiple Family/Condo 0 Warehouse 0 Public 0 Storage 0 Public Water "`Any earth movement may also require 0 Commercial 0 Other(specify) MCWD review&permits. 0 Industrial 0 Private Well Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.org $ v6 Estimated Construction Valuation (excluding land) 1 r ? O 0. STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction r a. Length(ft)= 16 Number of bedrooms= A Wood/Frame b.Width(ft.)= y r Number of garage stalls: 0 Masonry Areas in square feet Attached= ❑ Metal 0 Pole Bldg. c. Basement= Detached= ❑ ICF d. 1St Story = 0 On-site Prefab e.2nd Story= 0 Off-site Prefab f. 1/2 Story = 0 Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable )2t 0 Permit Application ❑ ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form CI 0 Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ 0 Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ 0 Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit(s) ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested,a temporary Certificate of Occupancy may be issued upon receipt of a$10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: ( Date: Gr -/O -/ , Owner's Signature: Date: DATE TIME CITY OF ORONO CA ED IN INSPECTION NOTICE SCHEDULED 63/21/`3 oKJ PERMIT NO.&O - !]•' COMPLETED ADDRESS 550 pi j //814J Vtt°&-9 OWNER // ,n, �__ TELEPHONE NO7b 3 ZZ( 2: :16 CONTRACTOR La.. ' Z)15-011 .a�i%' DESCRIPTION Dec-k_.- V 5 Lu ❑ FOOTING ❑ PLUMBING FINAt EXCAV/GRADING/FILLING ❑ POURED WALL CI MECHANICAL RI ❑I LAKESHORE/WETLANDS h ❑ FRAMING 0 MECHANICAL FINAL TREE REMOVAL Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE [ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc Lu Q.. cc 0 cc 0 cc z cc 0 IQ 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ORRE6T WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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. White Copy/Inspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NS TICSSCHEDULED q/2 �1 V Q r) PERMIT NO. 1.0/3-,C0PI-3 COMPLETED ADDRESS 960 (A)i/(O t t) ViLk.) DTZ OWNER TELEPHONE NO. ??v 22/-2 0 CONTRACTOR / n_r,'lJ Cfsuri (c. w 3.: DESCRIPTION /43c- `-7-insp a-6'e__. i /,.)0C I ku 0 FOOTING 0 PLUMBING FINAL E] EXCAV/GRADING/FILLING ❑ Q POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS " 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS !"zINAL 0 SEWER HOOK-UP 0 COMPLAINT ✓ ❑ DEMO-SITE ❑ SEPTIC MAINT. A-FOLLOW-UP ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ku n6®euro#. - _06( ide i& 9,00�S 4- 0 4"L .6a-6v.Li,' s&rrieY is fey1v,'e.D -oir Lai C (/ Qre r4 w,9 a.( ..'.Z csC AGcJ -- W �Ae/�.•t t,,loth CC 14 ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN LI 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. 91---- - White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF-MONO CALLED IN INSPEcTIIiN NOTICE SCHEDULED PEN NO. X631 UG4143 0 PLETEq ADDRESS V W ( ise.) OWNER TELEPHONE NO. CONTRACTOR ,� ,/ DESCRIPTION Aes IQ 0 FOOTING I=1PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INS ION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ DON SLAB ❑ WATER HOOK-UP 0 PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DE O-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO rte., COMMENTS: cc .....:. AL A. <24-9b/ cc 0 et z c7137'. 7557 W CC 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE • 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance. / ) 249-4600 Owner/Contractor on site: � Ado�' i Inspector. White Copyllnspector's File Canary Copy/Site Notice