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HomeMy WebLinkAbout2018-00163 - addn/remodel/repair CITY OF ORONO * 2 0 1 8 - 0 0 1 6 3 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 680 WILLOW DR S PIN 03-117-23-33-0007 LEGAL DESC WEBBER HILLS LOT 012 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 3,375.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) TURN 3 SECOND FLOOR BEDROOMS INTO MASTER SUITE APPLICANT PERMIT FEE SCHEDULE 108.38 FPLAN REVIEW 70.45 FREEDOM BUILDERS P O BOX 274 STATE SURCHARGE(VALUATION) 1.69 HOPKINS,MN 55343- TOTAL 180.52 (612)720-9928 Payment(s) Minnesota State License#:BUIL-BC698126 CREDIT CARD 4958 180.52 OWNER TCF NATIONAL BANK 1405 XIENUM LANE N PLYMOUTH,MN 55441- 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 due cause. Z D l l8� Applicant Permitee Signature Date Issued by Si afore Date 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: U PO Box 66 Crystal Bay, MN 55323-0066 Date received: a Street Address: Received by: ti G� 2750 Kelley Parkway Plan review fee: F kESH��� Orono, MN 55356 `g Total Fee: I UQ•�� 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 INFORMATIO Job Site Address: 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 s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: -C-- LA(_T)E(2S State License# Expiration Date: -5S 3 Lead Certification Number: �c:�q L4 ' _ Expiration Date: ZD (for work on homes that were constructed prior to 1978 Phone: (cell) (0 Z-7 Z_0 "_ q9-2_B (office) Mailing Address: 'Eol ' > City: INS ZIP: Contact Person: L )uV26<_7uC_ Applicant is: ont / Homeowner (Circle One) Email and/or Fax: r I'�EGD(5�✓t TiL,i L>6R2;M til 6F GI`A-A 1 L_.GoM PROPERTY OWNER INFORMATION: Name: —FCE Bw , G(© ©US Phone(day): [ ( _ C5 _ C;S Address: I L4 C)s )(Emtu n k Lj� City:_}M M(50-9� ZIP: J S Lf4 1 Email and/or Fax: PROJECT INFORMATION: Overall project description:`lu. oyt�� fcx�r- '�rr ik�c� N�GS"�e- Type of Project: Any earth movement may also require 150 i ❑ Door(s) �.Remodel El Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 3 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: _y im Date: r I q Z1 Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 6 (9 u/l�ll[�IIV P/1I-V a Permit NO.:Z " 016 Description of work: Date Rec'd: Zzz�L Septic review by: Date Approved: Zoning review by: 42Date Approved: Building review by: Date Approved: Z 2 Grading review by: Date Approved: Zoning District: Zoning File M Resolution? Yes Reso M Reso Date: ;Sey: hed: Yes No Resolution/NA Zoning: Lot Area: SF C Width: uctural Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Reviseddate(?): Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed Proposed Setbacks: Front(Lake) Rear(Street) ( S E ) ( N S E W ) Other Buildings Wetland Side Side Buildin-q Hei ht Analysis: Distance Between First Floor and definedof Roof* (See"building height" (a) definition First Floor Elevation from building plans)/. (b) Highest Existing ground level (per sury y)or 1 ' above lowest ground level, (c) whichever is lower: Difference between b and (c)*: (d) DEFINED HEIGHT *if highest existing adjacent grade is above FFE-Heigh is(a)-(d): (e) *If highest existingadjacent rade i below FFE-Hei ht"s a + d Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes 0 No Permit tuber: 0 Yes 0 No 0 N/A 0 Yes 0 No 0 N/ -see attached Setback: Stormwater Quality Existing Pr posed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % nd s 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 zAforms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage 77X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection ❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection ❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation ❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping Framing ❑ Septic Insulation ❑ As-Built Survey Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well Electrical 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: June 2017 z:\fornns\plan review checklist 06-2017.docx ��/ Revlvvut---e for Code opn liancQ Ci of Orono Date �� Reviewer - I 0011 s 7 i Carbon monoxide detector required within 10 ft. of all sleeping rooms. BEDROOM WINDOWS FIRE EXIT RC:Q!J1RF_D__._ 20�"' r.41111'. G V' DTH r 24" Iffy f i Sid. C L'EA'7 H E_I G HT 5.7 SO. FT tv',N OPENING 44" M," S'LL HEIGHT 00 z SMOKE DETECTOR CONNECTED TO A SOUND- G80 Wt t..t-OW 01�, WAY IATA �-JiNG DEVICE OR OTHER DETECTOR AUDIBLE IN HAS.�. `�,, � s u �..r. SLEEPING AREAS.MUST BE WIRED. �CJ�l 1/4" --p I '- n" 'CSI -Lm \/ I I# r 1 � � � ��Jf Qj CA va 3 -o IT dui#ae�d4tatesruu#utu#at Proterflon Agienrij 014is is to rertifIl t4at CIOE� Freedom Builders - i has fulfilled the requirements of the Toxic Substances Control Act(TSCA) Section 402, and has received certification to conduct lead-based paint renovation, repair, and painting activities pursuant to 40 CFR Part 745.89 ,Ju Or urisbir#malt of* All EPA Administered States, Tribes, and Territories This certification is valid from the date of issuance and expires December 11, 2020 NAT-F159441-1 STgr� Certification # c�J d Sz Michelle Price, Chief Y November 27, 2015 M W Lead, Heavy Metals, and Inorganics Branch o Issued On X4 10 Z ���rqt PROZEG� INSPECTION NOTICE �C ^ �w ,V CITY OF a/oi�n �.1► 6� ED-IN DATE TIME SCHEDULED PERMIT NO.4-Zra .7 COMPLETE%5/72 ADDRESS 1,9e S_ OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: ZS r Li 4 Q i c ,'rs Tn A"t� c h Alir,'Y 2- 1n C f a n f S' a4z tL va b 0 cc 0 Lu Ccc Z w d cc FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED 0 ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED (-), . ORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: r� Inspector: r DATE TIME CITY OF ORONO CALLED IN INSPECTION CE SCHEDULED PERMIT NO. �� fs'3 COMPLET D ADDRESS 0 Al OWNER TELEP NE NOl� CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS L� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS- �eG• �Z OK W � I� GL �S�iGV �I�' Ge•�C� J 0K c LU Qr ACA-01.— y' S 'I- �r1q_ t•�-' , t,.�Gtt/•l�'i S► Q �' —t�fi G�i��c as �es c tesS�•9 W Go rr d��rrDK '�6rCI�_ Com✓ Qr W ❑WORK SATISAC OR :PROCEED r r 0 PROJECT COMPLETE W04CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ct BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O 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 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyMe Notice