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Home My WebLink About2012 - 00641 - addn/remodel/repair CITY OF ORONO I I I 1111111111111111111011111110111111111111 ' 2750 KELLEY PARKWAY * 012 - 00641 DATE ISSUED: 07/26/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS A : 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 : $ 1,200.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) INSTALL OUTLETS/LIGHTING-DRYWALL EXERCISE ROOM APPLICANT PERMIT FEE SCHEDULE 47.75 RESIDENTIAL SERVICES INC PLAN REVIEW 31.04 3941 COLGATE AVENUE MINNETONKA, MN 55345- STATE SURCHARGE(VALUATION) 0.60 Minnesota State License#:20224948 TOTAL 79.39 PAID WITH CC# 9877 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 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 reques n conformance with the State Building Code.This permit may be revs ed any time f r dpe cause. f��`Y( 7 / 2Cr/ (Z 7 / 2_4/ / Applicant Permitee Si ture Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: C �c (1640 L.( (3.4 CO Bax 66 ‘fk, Permit number: 1 _'' Crystal Bay, MN 55323-0066 t'Date received: ` 7—9--/ e\" :Received by: � �- a \l\ yii ti Street Address: �" l�� ,ray ti 2750 Kelley Parkway Plan review fee: -13/4-......v. Orono, MN 55356 Total:Fee: ,47(-4, ,, - 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) /11s.7 /10�/z GENERAL INFORMATION:, Job Site Address: 103D CA)i LLOkJ cJ(E(.) ------ ,2 We' , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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: T,ES (od.:../-77f}L S ; vice` S live . State License# 2-ozz Lid.Leg Expiration Date: '317 r JZ�r LI Lead Certification Number: Expiration Date: / j (for work on homes that were constructed prior to 1978 Phone: 3 Z - 3 3 L(_ 3 ogco (office) (cell) Mailing Address: -.1(4 ( L -7-.. A_c, _ City: f'Ll 7764 ZIP:G yS- Contact Person: ----"f 14_/4., 1K_Ir2/4,-6 , Applicant is: ( ontractor , Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: `E ( t_A-u,'UA LO A-Lc-61,i r :< Phone(day): * -5--Z - Liz Ce - ei(37 Address: `a (03 o Lc)ILLoc..0 vILE.c,J `72 City: Cjred,Jo ZIP: S�3.T Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) emodel ElFire Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ElRe roof, other(specify) Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 El Window(s) www.minnehahacreek.orq Overall Project Description: NS-,---(A c_c_v0,—Lc-` / —( 77,ti; — Iie1w, - r x«c_ts,` iEoD"- Estimated Construction Valuation of Project (excluding land) $ (-,-2( .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 info ation is to annually update our records and records of other governmental agencies required by law. If you refuse to su9ply hhee informati•n`;the applicati• may not be issued. / Applicant's Signature: ___f_4:: Date: Cl I Z Last Updated: 08-09-2011 Plan Review Checklist for New Structures / Additions Address/ PID/Legal: IC 3 a Wn, LLOW\I C%�( Qa_ , Description of work: rw I5(4 d Septic review by: Nit lk Date Approved: Zoning reviewby: tvi Date Approved: Building review by: Jiz c64-__. Date Approved: 1 - 9— ZO (e- Grading review by: OM- Date Approved: Zoning File#: Resolution#: Resolution Date: . Zoning District Fire Department Post Office Scho. 'istrict . \ Zoning: Lot Area: SF/AC Width: repth: Survey Submitted: ❑Yes D No Date of Survey: Proposed Setbacks: Front(Lake) jti,` Rear(Street) ( N S E 'W ) ( N S E W Other Buildings Wetland Side Side Building Defined Height: ♦.`,. Building Peak Heig #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT O12\cRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the`masement floor/crawl START the distance between the slab and the highest space floor and the highestof peak,the top o WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the de line of a the deck line of a mansard roof,or the mansard roof, or the uppermost plspt on a ound uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest '',clow and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof \ and highest roof peak of a pitched roof SUBTRACT the distance between the basem: t floor/crawl ADD the distance between theslab and the highest space floor and the highest ex': ing grade withi'n\,, existing grade within the foundation the foundation or 10 feet,w ' hever is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF Shoreland District M.CWD Permit Received Averag:.Lakeshore Setback Bluff ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No ❑ Yes ❑ No CI Yes • o CI N/A Permit Number: Setback: Hardcover Zpt esExisting Proposed Variance Require. CUP Required 0.75;, ❑ Yes ❑ No ❑ Yes ❑ No 75`250' Type(s): pe(s): A50-500' r, 500-1000' REMARKS (in-house): /1/e CH-.t,..l Updated: 09/11/2009 . z:\forms\plan review checklist.docx p ..yy.. Fees to be Charged YES NO *003 WITU lf�,�4��h .�,� a,J.rk h a>r' =E'W s� I�,l.:,; - :- s, 1. K-a q�'.>'.y! -_ { fi;a .� Wpr�drk � �ti, i f� � d'� ? ',ass, Plan Review l � ''.e' WROAh e'ANZa3.*'{g Investigation Fee F0 �i1.... ifs Sewer Connection Park Fee � x 01e , awn c n< :-- -., _jf`' • 1€. :r i. *' JI. i F'J:.,'""z tt z1' T'�' " C t.,c Other(specify) _= ]44 .. 4) Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 1,2 00 4`) Orono Inspections Required Work Requiring Separate Permits Required State Permits D Site ❑ Plumbing D Grading /Filling ❑ Nell D Hardcover Removal 0 Mechanical ❑ Fire ,Electrical D Footing 0 Septic D Water Connection D Poured Wall D Fireplace 0 Sewer Connection D Foundation Survey D Masonry ❑ Lawn Irrigation D Radon Rock Bed D Mfg. 'Framing D Other(specify) D Insulation D As-Built Survey Final D Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: D YES 0 NO New: •0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:lforms\plan review checklist.docx .m (1) .7 IL ....i. i• • \.,.r • I ' IN:- 0.. - ' • i , l -. — :5' • . I - - ..,.. ...... ,i : •zi ') , ,!..-. d TT, , c.`,/ t - I' •• 4 „.. t- r._ i • . ....• 1. 6.1 ir? .- , Li lz .v . .. , - I. , a -- ke ,, H-,-, ' ‘1 ) C,) P.M.u. , '•• ,, / 14) ',.'".• • * ..... (..) \ ,,,/ j IS '1 ..j ; e" i > ' z 1.11 ... Ae CC a. . i \,1 `...• ii p Li d ( ,.., .) , , ,t) 0 D '-; \ (1 - , . , r` \„...4 C .; ... —, .., ,_; ••• ,i 'N. : '., _....) g• ,r-- '1- ... 7— N •7 ,. :. .0 'I • _.,. 6 't.,; .1:1, -, ., ;''' I "A' N —.1 q.i ." a .4- i• ,--tt -t i t..• .,. ) '' ,-/ •1 ,,, ...-' . -- \ .-' • --J < 0 , . 3 0-•...: j..H‘''' ,-..-_ -2. 7.i N 173 (, • ---,k., 0 (.1...i ......,,, L., r_ / TIME / CITY OF ORONO CALLED IN 7" "" 2 INSPECTION NOTICE /SCHEDULED 7� Z y• PERMIT NO. SCO P ETED ) ADDRESS /030 W///, (117'47b0c- OWNER T EP ,.NE NO. a=3 /10 CONTRACTO ��'Id%'/ —/ . DESCRIPTION .9r,- ij ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP Lu 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc 0 cc 0 W cc Lu W cc LU WQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED H ISSUE CERTIFICATE OF OCCUPANCY C) ❑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: 13.' "Inspector. / White Copy/Inspector's File Canary Copy/Site Notice T CITY OF ORONO CALLED IN /D DATE_E TIME INSPECTION NO/-0( ICE D��so SCHEDULED Z 1 / adv PERMIT NO.47D d COMPLETED' / ADDRESS /030 to/// ' i OWNER TELEPHONE NO.962 .33�3v�fo CONTRACTORAd-e-d-e-Pf-ti- CJLG� . >; DESCRIPTION / ° — I- LL, ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W CC O CC O W W CC W W CC OW ❑WORK SATISFACTORY:PROCEED JECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑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 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: Inspector. ' -J White Copy/Inspector's File Canary Copy/Site Notice