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Home My WebLink About2013 - 01065 - addn/remodel/repair r ..� CITY OF ORONO I 11 III1111 II III1111111 I 0 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 985 WILLOW VIEW DR PIN : 28-118-23-44-0011 LEGAL DESC : WILLOW VIEW : LOT 010 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 21,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) PORCH FINISH APPLICANT PERMIT FEE SCHEDULE 354.00 FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 10.50 1380 DUCKWOOD DRIVE EAGAN, MN 55123- TOTAL 364.50 (612)710-0391 Minnesota State License#:20460771 OWNER BROCKMAN,JENNY&GERRY 985 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 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 revoked al any tk.- for due cause. )0/1- (-1/ 6)Y1A—r(A9A___ /0/ 2-4// /_."5 Applic. t Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 9 14c LA3 , LL *i \ I t✓w Y)ft j Description of work: C C)2Gli 1AJ LSO Septic review by: N IA Date Approved: Zoning review by: IVI IA Date Approved: Building review by: `tel Date Approved: i 0 -i"-/- 201 3 lJ Grading review by: or 4 Date Approved: oning District: Zoning File#: Reso#: Reso Date: Zoni ': Lot Area: SF/AC Width: Lot Coverage: SF ok Survey S 'mitted: ❑ Yes ❑ No Date of Survey: Revised date . : Proposed Set.-cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B • dings Wetland Side Side Defined Height: •ak Height: FFE: FFE minu • feet= (Existing Contour) Perimeter(linear feet) = ¢0% = #of Stories Ok? ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: N The distance between the Iov est FOR A B LDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basementior crawl space)and the highest point of 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(no • GABLE OR HIPPED ROOF(no windows): Subtract half the \. windows): Subtract half the distance distance between the highest point 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 roof \ SUBTRACTION gable or hipped roof (BASED ON ROOF • GABLE OR HIPPED ROOF(with \ (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ` ROOF TYPE) windows): Subtract half the distance distance between the top of th- N between the top of the highest highest window and the hig.-st \ window and the highest point of the point of the roof `v roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF T •ES(flat, mansard,etc):No btraction. \ mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distanc- .etween the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl s•:ce floor and the EXISTING the foundation. GRADES) highest existin• .rade adjacent to the GRADES)'., foundation •' 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined •uilding height N N. Shoreland Distric MCWD Permit Received Average Lakeshore Setback Met'? Bluff ❑ Yes 0 No 0 N/A ,\❑ Yes 0 No 0 Yes ►, No 0 Yes 0 No ❑ N/A — Permit Number: Sck: Stormwa••r Quality Existing Proposed \ Overla I istrict Tier Hardcover Hardcover Variance Required CUP Required \ 0 Yes 0 No 0 Yes ❑ \leo Type(s): Type(s): „\ Updated: January 2013 /V V C A4/3 Ai G e___ v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee t� 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: $ Z 1, t7 c9 0 el' Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ' 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. Framing 0 Other(specify) AY-Insulation O As-Built Survey prFinal O Wetland Buffer O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES ❑ NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx City of Orono Ai• 3ca`� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: o�13 ` 0iDcO5 /*) /IdPO Box 66Crystal Bay, MN 55323-0066 Date received:Street Address: Received by: 66-5- 2750 Kelley Parkway Plan review fee: .2 3Q• 10 CpdOrono, MN 55356.ktsHosTotal Fee: 020 13 - D IO 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: r( ix,--) \;I Q"; D C \ vim. _ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? CI Yes N❑ 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: +. SV-.e09. 3J,ASC—vThe" ..moi �sv ,� pc`a Li State License# c 9 0 0`- -7 1 ( Expiration Date: 3-31- I (-( Lead Certification Number: ti W Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) Co l. --) y ()Li —1 Ca (office) ?Co - 31 `J - 1 OS —? Mailing Address: S4.4 Do E.:4._e e s Lt/- City: S ZIP: 5 `j 1 Contact Person: u As2Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: �� Y ,�,� , ni g1-,e cR 0 0 PROPERTY OWNER INFORMATION: Name: 2(L ��,-� :c ✓-"N Phone (day): COI - (., c),-1 L 1 Address: q ,c.-k \Ji Q w'Q City: Ovov\C ZIP:.56----3e- Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ElSiding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ d-i 6a 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 .nfo ation,the a lication may not be issued. Applicant's Sig Date: l°/?c /l Owner's Signature: Date: Last Updated:03/06/2013 r-' S DATE ,/ TIME 1/ CITY OF ORONO CALLED IN —/O l cl INSPECTION NOTICE SCHEDULED /-l0/Y-- /..ee PERMIT NO. D/ d/ / LET/ED� ADDRESS ! /l` vt�Z c / L i,Le) OWNER TLE HONE NO. --/- - a -. CONTRACTOR f ez)vI 3t3 5 e vi �Ob rG = S 454,vL I, DESCRIPTION "� Lu ❑ FOOTING ❑ PLUMBING Fl AL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS y ` RAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Zg INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Is ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 2 ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS: Exibld/.1 f• 57't'v aL (•-k i4 1 5- --` a — Fe4 wt.I�5 ro✓ ��fr, e7r 6,4.4� ��/t✓/1 a ee.--— o c i - �o r-wt 1 ` /IDtl 5 e - eiCCS-','15 cp n5, NI-I df e-,v cc — P'Obr for Oci-ch - R - 3o `i 6cy45s b¢ LL• - --,1366 460A' - C,e/I ►r'5 - b4tt ii&-7/15s- Q c IC)/ Pre 414tIo� -4 vapor .C7�r ✓'rie,� z - cw a os - iriL -' S is 7 F a wt Ll L I - e- Ig - Fie, isf &'is - LU CC Efe==e 023 - p,k — J d W WoFI-K SATISFACTORY:PROCEED El PROJECT COMPLETE CW ❑CORRECT WORK E.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal e n incQection 24 hours in advance. (952) 249-4600 Owner ontractor o C AC.:.._'" White Copy/Inspector's File Canary Copy/Site Notice I DATE TIME V CITY OF O O O SC2P---- CALLED IN 43 — — INSPECTION NOTICE I SCHEDULED 4.3 / l.• PERMIT NA- 10/3 'r /040 -1; comm. • `J� ADDRESS ' LCJ/i/ 4,Gl/ 2)r OWNER • T PHON NO a`-70/_'2755 CONTRACTOR'f'IL.yG c 12 6erlam DESCRIPTION i c3 ASOk1 ilr.A..2 ❑ FOOTING LI PLUMBING FINAL ❑ EXCAV/GRADING/FILLING c 0 POURED WALL 0 MECHANICAL RI LI LAKESHORE/WETLANDS y ❑ FRAMING I=1 MECHANICAL FINAL 0 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS is 7F.,EINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP IT tki ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL , ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: EIeC.. /Ctoti G — a ,.&- -- lir witS/l'late -- erlo, e714 CC o /rt.) v 1#0,00 ^- I RGGJie e s_,ioke 4297 JP a z. ,i,// 4. Oar�. clo wttio /,e-Ae W .c k 2 Perim,t‘ f-r /7 W Z W cc Lu0 WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISS CERTIFICATE OF OCCUPANCY CZI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. - - spection 24 hours in advance. (952) 249-4600 Ow : C. 1 tractor on site: -- ,1, e, 4 Inspector. "41111.11111Aip/Po./ d "-Copyllnspector's File Canary CopylSite Notice