HomeMy WebLinkAbout2013-00123 - addn/remodel/repair CITY OF ORONO * z 0 1 3 - 0 0 1 z 3 *
' � 2750 KELLEY PARKWAY naT� �SSUEn: 02/20/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 745 BRIDGEWATER DR
PIN : 33-118-23-11-0108
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 50,637.06
NOTE: SEPERATE PERM[1'S REQUIRED: PLUMBING,MGCHANICAL,ELECTRICAL(STATG)
BASEMENT FINISH-2 E3EDROOMS-LIVING AREA AND FULL BATH
APPLICANT PERMIT FEE SCHEDULE 689.25
REN PRO PLAN REVIEW 448.01
8535 CENTRAL AVE.#107 � �
BLAINE, MN 55434- STATE SURCHARGE(VALUATION) 2532
(763)269-6598 TOTAL 1,162.58
Minnesota State License#: BC638457
OWNER
SCHAEFER,CHRISTOPER
745 BRIDGEWATER DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
'I�he work for which this permit is issued shall bc perlormcd according to
thc approved plans and specitications,applicable Ciry approvals,and thc
Statc C3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires scparate
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 I 80 days at any time afrer 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 t ie for d ca e.
:� /��J / / � �Z�� o�j ,��J //3
Ap ' nt ermitee Signature Date Issue y 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.) C.� ��l I
=__> Mailing Address:
��,�,� PO Box 66 Permit number: ��j- - �,
Q, \ Q Crystal Bay, MN 55323-0066 Date received: 02 -a,D- 13
a l����'?�,� '. �, Street Address: Received by: �''✓� L..D
�'�nt���y;;����,ti 2750 Kelley Parkway Plan review fee:
`�kEsxo4'' Orono, MN 55356
'--� Total Fee: ����, ��
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: � ` . ��. �� �_
Will this be a Parade of Homes, Remode ers Sh case 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 rvic ill be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT�[INFORMATION: j �
Name: �'•1...,� T7 ��,r.e 2�t..t i �-���'� L-�-C_
State License# • � � Expiration Date: , �
Lead Certification Number: ' ,-� � . , �� �� `���
�s ��L�,�j���� -�G,� Expiration Date: ��,� � f �y j�
(for work on homes that were constructed prior to 1978
Phone: ` � � � , '" ,�' " (office) ,. , ', Li `j (cell)
Mailing Address: G�j�j � �' �;, ,� ,. City: (_t�� • �,,��5 ZIP:
Contact Person: ��.� ,� Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: �c's �t1 �)f� i �+��1��1j'i.dt.��� (Cl32 �-!�; �' •:�l?jG� . �,�L�l�'
PROPERTY OWNER INFORMATION:
Name: [� � ,r� � ��,���..� �-� �
Phone (day): - - .
Address --f `s City: %� : ZIP:
Email and/or Fax q : ., „ ' � <� �.t
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑ Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding � Other: (specify) � Fax: 952-471-0682
❑Window(s) �(�e'�y�Q��"�i�j Www.minnehah�creek.ora
Overall Project Description: ` >Y/ , " c��e�r �' tn�.-- c�-!r� �'✓:;r - �fJla�
Estimated Construction Val tion of Project(excluding land) $ Gjn,���, G?t�
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
re uired b law. If ou refuse to su I the information,the a 'on ma not be issued.
ApplicanYs Signature: Date: d����,3
Last Updated: 08-09-2011
PLAN REVIEW CHECKLfST FOR �E11V STRUCTURES / ADDITIONS
Address/Permit Number: ��'`_� ������'� �;���`�` ��
Description of vvork: N������t;�"��`�'i+ ����,!`a� ��
Septic review by: ,�,• �� Date Approvecl:
Zoning review by: a�:� E �'� Date Approved:
Building review by: �s.� ���:r� Date Approved: �-� j��� a�
Grading review by: �" ��'� Date Approved:
'_' Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF /AC Width: Lot Coverage: SF _%
Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( P! S E !� ) pther Buildings 19Vetland
Side Side
Defined Height: Peak Height: FFE: FF� minus 6 feet= (Existing Con4our)
Perimeter(linear fieet) = 50% _ #of Stories Ok? � YES
� FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement or crawl
space),�nd the highest point of the roof. START WITH The distance between the top of slab and
the highest point of the roof.
� If you have a... If you have a...
` • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
,;f 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 the between the top of the highest
highest window and the highest window and the highest point of the
point of the raof roof
ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat,
� mansard,etc:No subtraction.
mansard,etc):No subtraction. ADDITION Add the dista�ce between the top of slab
SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation.
GRADES) highest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQU�4LS Defined building height
EQUALS Defined buiiding height
Shoeeland Dis4riet M�VI�� €'ermit Re�eidec£ �ivera � �akeshore Setback Niet? Blu�f
� Yes ❑ No � N/A � Yes � No
� Yes � No � Yes � No � N/A
Permit Number: Setback:
StormvNater Quafit�r �xisting Proposed �ariance ��quired Cll�' Require�'
Oveela District'6ier Hardcover Harc�cover
� Yes � No � Yes C7 No
_ Type(s): Type(s):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
�.. ;
REMARKS (in-house):
� Fees to be Char ec! YES NO
Permit
Plan Revievv
State 3ur�harge �;d``
,
Investigation Fee
SAC—(�umber of SAC Units
Other(specify)
l S uare Foota e $ er S uare Foota e
Basement X - $
15t Floor X = $
2nd Floo� X - �
4 Garage X - �
9—_ � . ':�`.�,�
Estimated Construction Value: $ �� � � � .
a
Orono Inspections Required vVork Requiring Separate Permits Required State Permits
0 Site ,�`Plumbing 0 Grading/ Filling 0 Well
� Hardcover Removal �Mechanical 0 Fire Electrical
� Footing 0 Septic Q Water Connection
0 Poured Wall 0 Fireplace ❑ Sewer Connection
0 Foundation Sunrey � Masonry 0 Lawn Irrigation
0 Radon Rock Bed 0 Mfg.
�Framing 0 Other(specify)
,�`Insulation
0 As-Built Survey
�Final
� Wetland Buffer
❑ Other(specify)
�"
�
V REMARKS (in-house):
�
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES � IVO New: 0 YES 0 NO
OFFICiAL R�I�ARF�� -TO BE NOTED ON PERMIT i4ND INITIALLED
Updated: January 2013
v:\forms\plan review checklist 2013.docx
____��__ ---.y---- �2 0 r�c�
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DATE TIME \/
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED =1� �-UcS
PERMIT NO.�� � - ��� COMPLETED L-i�r
ADDRESS 7�/'S �����Gsc�4��� C�r' -
OWNER TELEPHONE NO.
CONTRACTOR ��''` �a
�
� DESCRIPTION L' G• FN`5'( r�� �s��E�c..�
4� ❑ 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
1,�p�"���y'�y"��� ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: e ��- << �aL^ �' L "�S
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� ❑WORK SATISFACTORY:PROCEED �fl�'JEET COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:���'��
Inspector. ���^- �
White Copyilnspector's File Canary CopylSite Notiee
� �� DATE TIM�
CITIf OF ORONO �CALLED IN
INSPECTION NOTI ��/2,3SCHEDULED ����
PERMIT NO. � COMPLETED �
ADDRESS `
OWNER O. �%�' � g�
CONTRACTO r
d/�
�; DESCRIPTION � �a � ������
�
l� ❑ FOOTING ❑ PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
�
O O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNEfl/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL at Mfi ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J � PLUMBING RI ❑ SE T FINAL ❑ FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:�YES_NO
Z w �� D `
� COMMENTSf /,l r�b��d� G�e��'''� �Mr'.L !KS/�
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�1SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerfContractor on site:
Inspector. �i !•^- �
White Copyllnspector's File Canary CopylSite Notice
DATE TIM�,/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMITNO. �oL3 �r�ora3 COMPLETED �i -
ADDRESS 7 S`5 L°��cPe e�d�,� D r.
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL ❑ SEWER HOOK-UP p COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT.
�FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
`❑,STOP OROER POSTED.CALI INSPECTOR
�INSPECTION REQUIRED.CALL TO ARFANGE ACCESS.
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Cail for the next inspection 24 hours in adva . 952 249-46�
OwnerlContractor on site:
Inspector. ��^�
White Copyllnspector's File Canary CopylSite Notice
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INSPECTION NOTICE SCHEDULED j��1�����
PERMIT NO. ����(C I�-3 COMPLETED
ADDRESS `� CI ' � `� �" �-
OWNER , TELEP N NO. �L����1/ -�`1�,�,�
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� DESCRIPTION ' 'r�'�-�1'1 ����
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINA�
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAfiD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTFiACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONOITiONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice