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HomeMy WebLinkAbout2015-00751 - addn/remodel/repair CITY OF ORONO * z 0 1 5 - 0 0 7 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015 , ORONO, MN 55356- � (952 249-4600 FAX: 952) 249-4616 ADDRESS : 1291 BRIAR ST PIN : 10-117-23-31-0043 LEGAL DESC : CRYSTAL BAY MINNETONKA : LOT 000 BLOCK 003 PERMIT TYPE : ADD[TION/REMODEL/REPA[R PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) ADD A BATHROOM TO SECOND LEVEL APPLICANT PERMIT FEE SCHEDULE 123.91 PLAN REVIEW 80.54 ROSE CREEK BUILDERS LLC STATE SURCHARGE(VALUATION) 2.50 P O BOX 68 LORETTO, MN 55357- TOTAL 206.95 (763)717-8000 Payment(s) Minnesota State License#: BUIL-BC629805 CREDIT CARD 4087 206.95 OWNER KELLETT, KEVIN CURLEY&W P.O. BOX 41 CRYSTAL BAY,MN 55323- 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 construc[ion 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[he State Building Code.This permit may be revoked at any ti due cause. ���!) � 4r j��5- -^ �� � �-�_j��� �' � � (r� (� Applicant Permitee Sign re Date Issued By Signatu Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.�. �rvindavvs� dc�ars, s�a��g, rE-rc�c��; �tc. — NCJ STRUC�IJ�AL EXPA�ISIC?N) � O�r MailingAddress: Permit number. �b/S -� �j� �- �V� PO Box 66 Crystal Bay, MN 55323-0066� � Date received: \ Sfreet Address: � ,��� Received by: � � 2750 Kelle Parkwa ' ` Y Y � Plan review fee: ��t ` � Orono, MN 55356 qk�sE�o�� .. Total Fee: �d�. �5' 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: JobSiteAddress: ( �.. '�'j l �1p�(L. �'r 02.�y.JO M� ��39 ( 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 wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP LICANT INFORMATION: Name: b� J� c�o�Er-S �.�L State License# � (Qa,q �ps Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell)�'S Z- �5�. - � � (office) � ?�3. 7 ( ?- `�p� Mailing Address: , o D (p $ �.,op.d�Cp /Yl� s"S?S�� City: ZIP: �' 7 Contact Person: �pt�E M p�� Applicant is: C n ractor Homeowner (CircleOne) Email and/or Fax: ��� Ro-ytCp.e,E,k�i���octiS • c o� PROPERTY OWN INFORMATION: /� Name: �Wr��. ra,►.)c� ��lA-� � � fT�c,J g Phone(day): (°p� 2... '� �� - 3 er f Address: f 1.9 � (�j2..'n,� �� • City: DGZ,a�J• ZIP: S� 3�'� Email and/or Fax: PROJECT INFORMATION: Overall ro�ect description: ��F�v4n�M � Z``� 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) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) ww�v minnehahacreeko�� Estimated Construction Valuation of Project(excluding land) $ • 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 ou refuse to su I the informati , e a I' tion ma not b issued. ApplicanYs Signature: Date: � � � �� Owner's Signature: Date: Last Updated:January 2015 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � Z. �'l. l �/`1 a.t/' ���'� Permit No.: Description of work: �oG�`f'l�"mQrin /`S,G���ii Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � ` � Grading review by: Date Approved: , Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF /AC Width: Lot Coverage: SF % Survey Submitted: � Yes � N Date of Survey: Revised date ? : Proposed Setbacks: Front (Lake) Rear(Street) � � E W ) ( N E W ) Other Buildings Wetland S de Side Defined Height: Peak Height: F FFE minus 6 feet = (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade # of Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the low t p posed The distance between the top of START WITH floor(of the basement or cra spac )and START WITH slab and the highest point of the the highest point of the roof roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPP D ROOF(no (no windows): Subtract half windows): S�btr ct half the distanc the distance between the between the hi est point of the roof highest point of the roof to to the low poi of the corresponding the low point of the SUBTRACTION gable or hipp d roof corresponding gable or (BASED ON . GABLE O HIPPED ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF between e top of the highest ROOF TYPE) (with windows): Subtract window nd the highest point of the half the distance between roof the top of the highest • ALL HER ROOF TYPES(flat, window and the highest man rd,etc):No subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract e distance between the (flat,mansard,etc):No (BASED ON baseme crawl space floor and the subtraction. EXISTING highest xisting grade adjacent to the ADDITION Add the distance between the top GRADES) founda on OR 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Defin d building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District MCWD Permit Average akeshore Setback Bluff Met? O Yes � No ermit Number: � Yes No � N/A 0 Yes 0 No N/A—see attached Setback: Stormwater Quality Existin Hardcover Proposed Overlay District (� and sf) Hardcover Variance Req 'red CUP Required Tier circle one %and sf � Yes � No O Yes � No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 c:\users\rpeitso\documents\plan review checklist 2015.docx REMARKS (in-house): Fees to be Char ed YES NO Permit �/' Plan Review �j�' State Surcharge Investigation Fee �' SAC—Number of SAC Units Other(specify) Square Foota e $ per Square Foota e Basement X = $ 1S` Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ � , (�/�� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/ Filling 0 Well 0 Silt Fence/ Erosion Control Mechanical 0 Fire Electrical 0 Hardcover Removal 0 Septic � Water Connection � Footing 0 Fireplace � Sewer Connection O Poured Wall � Masonry 0 Lawn Irrigation 0 Foundation Survey � Mfg. � Landscaping 0 Foundation Waterproofing 0 Other(specify) 0 Radon Rock Bed Framing Insulation � As-Built Survey Final 0 ther(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: ❑ YES � NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 c:\users\rpeitso\documents\plan review checklist 2015.docx � �� _ � �'_. . . 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COMPLETED ADDRESS a � � OWNER/CONTR. o�� ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑IN LATION ❑COMPLAINT ❑ POURED WALL ❑ TED ASSEMBLY ❑ FIREPLACE ❑FOUND. DRAINAGE UILDING FINAL ❑SPRINKLER SYSTEM ❑FRAMING ❑SEPTIC INSTALL O � ❑SHEATHING ❑SEPTIC FINAL ❑ ti ❑PLUMBING RI ❑S&W HOOKUP O � ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMME z Q � J W _ J Z Q � � 11l � � � O � OO W R Q � 2 W � W � � CJ � FURTHER CORRECTIONS MAY BE REQUIRED RMIT FINALED � ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK&PROCEED V ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. O STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REC]UIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection rvices Owner/Contr. on site: Inspector: C��� 1 v��'" DATE TIM� / CITY OF ORONO CALLED IN v � INSPECTION NOTICE .�5` SCHEDULED --'��IS� PERMIT NO. 7�/.� C� COMPLEfED ADDRESS Z " I '' i Ct l OWNER TELEPHONE N � ���' �� � CONTRACTOR �!� ����5 � DESCRIPTION � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a J � O �. � � O � W � Q � 2 W � W � j a W ❑�N K SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours'n advance. (952� 249-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice