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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� SP'ECIAL NOTE ` ���=����:����.� ��t;'°,���'�;"�'� D S ET `� - - .`�•, ,-;`= e '�''' �� ��r �a'��IE ��36"�IiPI..!�oBVC� . 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'� ; : �� J t � . _cac i � p . .�. � ����4t t � �� rt�` � � � � �� �;, � � i �� '�I '11!_ :tl _ � � . = 1 . yr .... _ � �:. ; '` ;�y ...' � , � ., � _ ! . . .. y i ..I f � / f �� � ! �,"�_ _ � '� I i I�I > .. . `i:Y� 4�v^•1� � �1 J ;;� � ( 11 i �. �i i � '��;i k I, + � I ;� ' ` n.; �"_' �c..-b-�w.�..- � Jy_..-- —I_..s_._.' �. i j N..i . � ' ��! � 1�:..��V.l�_�� r_ t f t� ��. � ,r .i ' ., I a:. � , � ' � i � _. .. . . . ... . . . __ .. .. . _. '� -tjt•-T,��,�.�... . .,r..��p+- _' _ . I'� - - ._-•.... L7�.1-.a...,,� . .�... � Y. .. . .,.... . . .�. _t4-..' ' . T. _ : .�_'. ' -.L�. 4.. � �-w'� - - t. _, .� . .. . . , . .............. , . . .. , . .. . .....,x ��.tr•+• . . ` ` , � �, 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 W � j _ . o /��� G�✓✓��ta�s �ro u��i ' � o� 0 �!� t�Jo✓ ,� Co r.,c,o%Z'c �/ ��,��� W -� � �� Q � 2 ' � ���-Z ��-�l�J W � J � ❑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/� � , . a . O�ourb.� �i.�� -�� ��isss w.��+ s o(� P/'ouo�p�. Ga�le Co.«.�0l� r K� �i`c�ra�C O ��`1�5�. /KSt�'���r� /"G'f sS�Cr LO�G"J - - - — � GDr�ect 1r C�fl a� ���w.s��cz te.�, W � � 5 r�tod�cs^�a - �l� Q z ' es�e�s � c�►l� � n��N4� .D �.�� �-a�a��0o�f�d �.n�t,P�ti�L-�-/�c-� a • j W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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. OWNER TELEPHONE NO. CONTRACTOR �ZQ-�t Pr(5 1 � � DESCRIPTION ���70.�, �c•�ea�f �'�.oc.l � ❑ 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: ;t7��wi�t ^ LtelaC��-✓ �rled� � �4 Ll �.a"r a 4 �cti./_ /�lSv erL�ia.�. � � O � !�� DNe /�a�rt� - � 0 � W � ���CG.S� G4(l GJI�i.. /b G�Qr. t ��Gl Q 2 G }'reG��_�"t 5�0 et�ro�, a' � C�� Q' !_S tCo ` - � Qso2 ��4�9-�G� � j d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED `❑,STOP OROER POSTED.CALI INSPECTOR �INSPECTION REQUIRED.CALL TO ARFANGE ACCESS. ✓ � Cail for the next inspection 24 hours in adva . 952 249-46� OwnerlContractor on site: Inspector. ��^� White Copyllnspector's File Canary CopylSite Notice �✓ � �� � DATE TIME � � 4 CITY OF ORONO CALLED IN . 3 INSPECTION NOTICE SCHEDULED j��1����� PERMIT NO. ����(C I�-3 COMPLETED ADDRESS `� CI ' � `� �" �- OWNER , TELEP N NO. �L����1/ -�`1�,�,� CONTRACTOR ��!1 f�/"7� � DESCRIPTION ' 'r�'�-�1'1 ���� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E V/GRADING/FILLING 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 � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � 1 J d � WOR ,ATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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