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HomeMy WebLinkAbout2016 - 00653 - addn/remodel/repair CITY OF ORONO I I I II I l I I I I I1I I I I 1 I I 1 I 1 I I T * 2016 - 00653 * 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1030 WILLOW VIEW DR PIN : 28-118-23-41-0012 LEGAL DESC : WILLOW VIEW : LOT 002 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,300.00 NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 108.38 PLAN REVIEW 70.45 ON-POINT CONSTRUCTION&REMODELING STATE SURCHARGE(VALUATION) 1.65 15849 MADISON STREET NE HAM LAKE,MN 55304- TOTAL 180.48 Minnesota State License#:BUIL-BC693355 Payment(s) CREDIT CARD 8271 180.48 OWNER WALLANDER,RAPHAEL&LAURA 1030 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 at any time for dueo ause. /YYJ � ` R�t-��� ; / 9 / / (o la pplicant P itee Signature ate Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��� )) _ CoA Mailing Address: Permit number: t/7 �Z,(--) O PO Box 66 / // (4Crystal Bay, MN 55323-0066 Date received: b/ a Street Address: Received by: 1. G� 2750 Kelley Parkway Plan review fee: I he I Lick- ! Orono, MN 55356A. -4ESHO- Total Fee: ' 0� • (F Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 0 This application form must be completed in full and all required information must be submitted. . Ln/1 Incomplete applications will be returned. (Please print) `f GENERAL INFORMATION: ,rt Job Site Address: /o 3 0 (,�, 1/0(J Vc.-e 4J ,Qr vc- Lc, t 4 i /( 5 S 3S 6 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? E Yes Et 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/APPLICANTI�NFORMATION:/ I / / Name: all - rb,‘.1 Corr s/e<scko•, t Re.. me.„ '�1,In a State License# 15(..- ‘73..? c- Ex ration Date: d yAl'y/ 20/ 7 Lead Certification Number: NAT-F15-,/S..3 ?-/ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ‘/2 - 9,‘ 02 '7? (office) Ce 01 Mailing Address: /rg '/ /i'l e's„ sr iu r City: /40,4 L94 ZIP: 3-53o1- Contact Person: ii,j,24Q,/ L.4 j Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ry,'I(-Q ,, Z ,,,QA. . 6f4,,.1, 60,,-1 PROPERTY OWNER INFORMATION: `` Name: 4gpnorl lJebe, Phone (day): `f5-2- r 8V - l ct fl Address: /03° 64): cx Ue,'�. City: Lo ii L4(--c. ZP: s-3-3 S^6 Email and/or Fax: / PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) EJRemodel 0 Fire Damage MCWD review&permits: 0 Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd 0 Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345 0 Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 3 VV.00 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: l), Date: S,/3//20/-‘ Owner's Signature: AllkiLed Date: c7/ 1 Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: /0 O (/l// // u t/ rCR/ / 2 ill Permit No.:006-005-C Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Wi7-77e/1 �1L'�E'f Date Approved: 7 �p f Grading review by: Date Approved: Zoning District: Zoning File#: Reso #: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF Survey Submitted: ❑ Yes ❑ No Date of Survey: // Revised date(?): Landscape plan submitted? ❑ Ye ❑ No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S W ) Other Buildings Wetland Side Si•e 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 lowest•rop•sed Slab at or above grade— START WITH floor(of the basement or crawl •ace) :nd 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 into elevate home. If you have a... SUBTRACTION • GABLE OR HIPP r P ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the hi- est point of the roof highest point of the roof. to the low poi t of the corresponding If you have a... gable or hip•ed roof SUBTRACTION • GABLE OR HIPPED ROOF • GABLE O' HIPPED ROOF(with (BASED ON (no windows): Subtract half window : Subtract half the distance ROOF TYPE) the distance between the betwe= the top of the highest highest point of the roof to wind• and the highest point of the the low point of the corresponding gable or roo hipped roof • A OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF ansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Sub act the distance between the half the distance between (BASED ON ba•-ment/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) f'.undation 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 0 ❑ Yes ❑ No No _ 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) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit (/" Plan Review V State Surcharge Investigation Fee V/' SAC—Number of SAC Units t/' Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ ..3300 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 ❑ 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 ❑ Insulation 0 Mfg. 0 Landscaping ❑ As-Built Survey 0 Other(specify) Final ❑ Lathe Required State Permits ❑ Other(specify) 0 Well 71XElectrical 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.\fnrmc\plan rovio.i rhorklict 1f_9f 1F dory k win COPY >, J r� Cj �r� Reviewed for Code Compliance City of Orono Date ' 7 INReviewer L: SMOKE DETECTOR CONNECTED TO A SOUND- — ING DEVICE OR OTHER DETECTOR AUDIBLE IN SLEEPING AREAS.4111111111111111, _ Carbon monoxide detector required within 10 ft. of all sleeping rooms. So'-70\ %"- -fi ~ kiN o Q, - i ' X11 ,' 1 W I • $ � 1,-- --.....,. \\( -_______A -:. -\ -___, --i 1 ‘,.::::__-_--I-,_ I I I I --- . 1> \'' .— .,...c. h N _` M1g IiN ss, .,z, 1 P O _ `'.=•\1/ NOI1VA313 )10VN 1:1383M • 1 -rt Ck' ' ll '. >.1 <?, ',... \ ., p ,,• g 1.g Zit, ti NOLLVA313 IN31111d11103 < -'..,....,_ -',.---- 4-,`-, '455 ,- --1-:-N., \ • ; -- "I z 1. ..._._..t. I . '--! , , 1-1- I 1 !.._:i . -, . 1-i...--••• '-`\ i K;i c _ . .... , ‘,.........\/. 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Qi2P 52 ,I1 .- 1 gggggiggggig I: r r,-- Page 3 of 4 s t w ABT4 Trapdoor Electriscreen Estimate#: ABT4137SST13G3W-24-2-5 339501 F I 1. M $ C R E E N Screen Material: Aspect Ratio: Mounting: Case Color: Batten Color: StudioTek 130 G3 2.35 : 1 Ceiling Mount White Black Control(s): Projector: Image Brightness: Perforation: Installation Diagram STI Mfg:SONY-Model: VPL-VW665ES None Project Name: Dealer; Requested By: Estimated By: Estimate Date: Need By: MAGNOLIA HI-FI JASON FARDER July Yepez III 5/3/2016 5/3/2016 4x 01/21n 150.5in[3823][+1-.25" Rough Opening MOUNTING HOLES -1 143.25in[3639] 1 In .. 13114±114 In r T ROUGH 101!2 In C C • OPEINING MOUNTING HOLES 1 TOP VIEW 1 InT 151.75in[3854]OVERALL 12 3/4 In f. 141.25in[3588] 7/6 in 718 In �•i_�,I 91141n _ I1 l I 61/8 in J 31/21n ADJUSTABLE 7 140.5in[3569] FRONT VIEW SIDE VIEW ["' 140.75in 3575(NOT TO SCALE) [ ] REMOVABLE ACCESS lOr G �J 4 141/2 In PANELS(BOTH SIDES) W Ifel1 f 701 pa°� '1lmet mg 171 /Bei Pei ii I / \ 4 I BOTTOM VIEW --4in Customer Acceptance: Date: Notes: RESTRICTION:The information contained in the proposal is confidential and proprietary to Stewart Filmscreen Corporation,shall not be disclosed beyond the -../ client company,and shall not be duplicated,used,or disclosed in whole or in part for any purpose except to evaluate this proposal 1riiS DOCUMENT IS PROPRIETARY PROPERTY OF STEWART FILMSCREEN CORPORATION AND SHALL NOT BE DUPLICATED OR DISCLOSED WITHOUT WRITTEN PERMISSION ©STEWART FILMSCREEN®CORPORATION 2014 05/03/16 03:16 PM ciii____ -.f— /�,.� DATE TIME Y CITY OF ORONO CALLED IN /Q _ 1 INSPECTION NOTICE ear EDULED /6' /.' -7(i7 PERMIT NO.c3O/6 PLETED ADDRESS /6O am/ ` J (� ) Oe OWNER - ' TE £ HON NO'Z-94'36z7(� CONTRACTOR - T� t---k-1- ....1.1 a ted • ;; DESCRIPTION /' 71�[ W ❑ FOOTING El DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL El PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL CITREE REMOVAL _Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING El MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP El FOLLOW-UP _ EIAS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE CISEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o9 COMMENTS: E/2c- k:7-- ' cl rc c,Jo✓k W, ( ( noV"-- cc a ci(r 1- c*wt,.,c . cc J Fra/A4.•ct5 .. :31 ov e k.c.E.Q s-L/ � ` O �M� i cc ` kb )lie o/ 06-friy . 11Ge,,,G;00 o Pra✓t o e e/ed r'4G 12 . - . . Q W tea- p� --k5- ,ems 4. eV j d �W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 8641FIECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑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: Inspect' Y' White Copy/Inspector's File Canary Copy/Site Notice