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Home My WebLink About2014-00336 - windows � CITY OF ORONO * 2 P1 1 4 — 0 0 3 3 6 * 2750 KELLEY PARKWAY DATE issUED: 04/24/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 350 BROWN RD S PIN : 03-117-23-13-0001 LEGAL DESC : UNPLATTED 03 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : W[NDOWS ,-- ,� , . VALUATION : �$ 12,000.00 APPLICANT PERMIT FEE SCHEDULE 22125 STATE SURCHARGE(VALUATION) 6.00 CHALFEN, RICHARD 350 BROWN RD S TOTAL 227.25 LONG LAKE, MN 55356- Payment(s) CHECK 9945 227.25 OWNER CHALFEN, RICHARD 350 BROWN RD S LONG LAKE, MN 55356- ACREEMENT AND SWORN STATEMENT I�he work for which Ihis pemiit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and the State f3uilding Code. 'I'his pennit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances goveming this typc of work shall be compied with whcther or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date ot�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 S[ate Building Code.This permit may be revoked at any time fbr due cause. L'�--£"�� C.�t�'J �� .nCi � �� / pplicant Permitee Signature Date Iss By Signature Date , PLAN I�EVIEW CHECF�LIST FOR NEW STRUCTURES / ADDITIONS ...__„.� . /� Address/Permit Number: �L-' ��:��.'Iv 1 "�� , Description of work: C�'.� d 1�:��Cr ct.= `='-�"Lf�;�'��-� //�, .��jZ-t�. s��. Septic review by: Atd �/� Date Approved: - Zoning review by: ✓�" d�l� Date Approved: �,/ / Building review_by_ �-�f�:��--� ____Date Approved:_ �� "�°`�' Grading review by: `��-',��- Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lo rea: SF/AC Width: Lot Coverage: SF �% Survey Submit d: � Yes � No Date of Survey: R�sed date(?): ' Pro osed Setbacks. � Front(Lake) ar(Street) ( N S E UV ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Pea Height: FFE: FE minus 6 feet= (Existing Contour) � Perimeter(linear feet) = 5 0 = of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE. The distance between the lowest FOR A BUILDIMG ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or cra space)and the highest point of the ro .. START WITH The distance between the top of slab and `� the highest point of the roaf. ` If you have a... • GABLE OR HIPPED RO (no :f you have a... windows): Subtract h the GABLE OR HIPPED ROOF(no windows): Subtract half the distance distance between t highest point between the highest point of the roof of the roof to the w point of the to the low point of the corresponding SUBTRACTION �nesponding able or hipped roof o �'�. SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE O IPPED ROOF(with !-��ASED ON • GABLE OR HIPPED ROOF(with NPE) windows. Subtract half the RbOF TYPE) windows): Subtract half the distance distan behveen the top of the "�-,` between the top of the highest ," hig st window and the highest � window and the highest point of the nt of the roof roof f;` o ALL OTHER ROOF TYPES(flat, " • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraction. ADD�TION Add the distance between the top of slab SUBTRACTION Subtrect the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXIS G basemenUcrawl space floor and the EXISTING the foundation. �' GRADES) highest existing grade adjacent to the GRADES = foundation OR 10 feet(whichever is less). EQUALS Defi ed building height EQUALS Defined building height i 1 ,,� Shorefand District I�ACWD Permit Received �Svera e Lakeshore Setback Met? Bluf� � Yes � No ❑ N/A � Yes ❑ No � Yes � No � Yes 0 No � N/A Permit Number: Setback: Stormwater Quali4y Existing Proposed Variance Required CUf� Required Overla District Tier Hardco�ser Hardcover � Yes � �do � Yes � No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx � � �,. , � ,� � . , . �� } �:��„ xe.,- M ,�.��; ,� ° REMARKS (in-house): Fees to be Char ed YES NO i Permit � Plan Review ;r� State Surcharge : -- ------ ----- Investigation-Fee - - -- -- -- -__ __ . _ SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1St Floor X = $ 2nd Floo� X = $ Garage X = � Estimated Construction Value: $ � ?��'`� "i'�" Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing � Grading/ Filling � Well 0 Hardcover Removal � Mechanical � Fire 0 Electrical 0 Footing � Septic � Water Connection ` � Poured Wall � Fireplace 0 Sewer Connection � Foundation Survey � Masonry 0 Lav�rn Irrigation � Radon Rock Bed 0 Mfg. � Framing � Other(specify) � 0 Insulation 0 As-Built Survey Final �" 0 Wetland Buffer 0 Other(specify) � REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: � YES ❑ NO OFFICIAL REAdIARKS -TO BE NOTED ON PERMIT AIVD INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx (..r� �_21- i� � CITY OF ORONO BUILDING PERMIT APPLICATION �� FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: d�� 0D3�� O PO Box 66 ,/ Crystal Bay, MN 55323-0066 Date received: 7 - z�-� StreetAddress:' Received by: y� G` 2750 Kelley Parkway Plan review fee: t �, Orono, MN 55356 AkES H O� Total Fee: a p��a '�'J 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: i5�? 3 ��ti � ;-� O .�v 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 I APPLICANT INFORMATION: Name: (Z�� ,�.4�2►� Ci-��s�<� State License# fyc��r.,i,,i�`. Expiration Date: Phone: (cell) (office) �S� - 5/7�- �i� � Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �.�-C_tt-rA�ua lc-ts�FC-r+� Phone (day): 95�-L-l7G��/G� Address: 35p �3iZc�,-v,✓ �Ze� S�c�r�- Cityp,�:�,,,t;i ZIP: SS3�� Email and/or Fax �Z f��„i ARCHITECT/ENGINEER INFORMATION: Name: �f�,.,/� Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Description of project: � /.,� ��` �f 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction �j�� f�� Single Family with �Residence ❑ Addition � attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building Rc�� ❑ Single Family with ❑ Deck ❑ Relocation s� �� `j detached garage ❑ Office/Commercial ❑ Private Sewer �Other: (specify) iL'1 D��` ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water *"Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (Specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ /y, �IJG� —7 STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction C � a. Length (ft.)= � , Number of bedrooms= ❑Wood/Frame b.Width (ft.)= � � Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bidg. c. Basement= Detached = ❑ ICF d. 15`Story = ❑ On-site Prefab e. 2�d Story= ❑ Off-site Prefab f. '/z Story = � ❑ Other(please specify): g.Total Area= � s REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ � Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan s' ❑ ❑ Hardcover Calculation s P ❑ 0 Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit O ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; � • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. 3 � Applicant's Signature: ��ti--.-(. �.ti�..�( Date: y�/�z�/ - � , Owner's Signature: ��-_✓< <�'+�-!!i Date: ��L�Z��r� .� �}U� D T TIME V CITY OF ORONO CALLED IN 7�� INSPECTION NOTI E SCHEDULED 7'Z`F/ -�� PERMIT NO.oZd/��3'�� COMPLETED ADDRESS 3S0 �Ey�'�6ztl�'( �l� -S' OWNER �� ELEPHONE NO. 9S�'�7� Dl��'-/ CONTRACTOR � DESCRIPTION ��n��s � ly ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS H Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W 2 Q � 2 W � � � � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours i advance. (J 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice i � � U_I W � � ( � � I � r i � I � i � � m � -- - I � � � I � � �ii � � �, N I � v � I b � � � �0'0� I � � D�GK �- a0 �- 0 I � Q O z 7 � -- o �0 � ti1 � � `ISTALL O �I' 1/4" 6L5 DR S" (EAJ � m ..................... ............ ....... � 30VE 4" (EAJ � - - -� I F � 2 � �� \ �i i ` � FUTURE �� HOT TUp � , 1 v / 1 � - � � � ,` �� / � \ I � � ♦ � � � � � � � Q �- „ ��/ 1 �I �G7 - � � rt 1 � 1 '�V I , � i � �l � �'I"ERTOPS �: � � DESK / t� ��/9�� :� -7 � , � l�l d( !/D L�S � � � pTy �'V ��5 �/ ''� j � � EXISTIT`16 — � � n EL�GTRIGAL S�c�! �O�L � — V l SE�VIGE EXISTII`16 100# R� L�(� l�'f /r�rl o!- / r G�f E � PROPAi'� G7L11�iDER n � f j� (r>�''�v d' � C/� �� /�,�o2-cti�( � (3)2X10 �EAM ` O A1 � � 2X10 JOISTS � I� 4'O" 3'O" �Y j j 16" O.G_ L-.11`1E OF � � � WALL ABOVE � i � i ' ' MANUF�CT�RER'S LABELED �-- - - , � 3 � � � � SAFE1'Y G�qZ(NG W� � �Q � R,EG2UIRED, LL ~� AG . _ __`�'�`.".` � � �� SPE�IAL IV�TE , . �- GLqss �N �,, ��.��,�, Q r --- o � � � SEE ATTACHED S�-lEET l � '� ��c ��a 2 - �` ' 3 O R �}s►�rw►c� ��-�c�'� ► `---- GODE REQUi��ENEP`1�� r----� .�..�.�..��,�.�..-�..�.._......... i ll- � 1'iEW POST �XISTiiy6 WEL..L {� i � i �EAM ABOVE � REVIEIN�@� for �� '��1�� L____J �. /.} � � I�tAN CHECKED BY CS�%��--- DATE '� -Z� � /Y _ �i ._. --' � Q (2)�1-1/2" LAM SMS � � -� �OTT. 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