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Home My WebLink About2014-00352 - addn/remodel/repair � � CITY OF ORONO * Z � 1 4 - 0 0 3 5 2 * 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2014 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 825 BROWN RD S P1N : 10-117-23-21-0008 LEGAL DESC : CARRIAGE HILL : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 78,500.00 NOTE: SLPARA"I'E PERMITS REQUIRED: PLLJMB(NG, MECHANICAL,ELECIRICAI.(STATF,) APPLICANT PERMIT FEE SCHEDULE 899.25 STATE SURCHARGE (VALUATION) 39.25 TRESTLE CUSTOM HOMES, LLC TOTAL 938.50 5227 OAKLAWN AVENUE EDINA, MN 55424- Payment(s) Minnesota State License#: BUIL-BC652324 CREDIT CARD 4775 938.50 OWNER FERNANDEZ, MICHAEL& PATRICIA 825 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be perfbnned according to the approved plans and specitications,applicable City approvals,and the State Quilding Code. This pennit 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.1'his pennit will expire and become null and void if construction authorized is not commenced within]80 days of the date of issuance,or if construction is suspended Yor a period of 180 days at any time after work has commenced. "I'he applicant is responsible for ass�iring all required inspections are requested in confom�ance with the State Building Code.This permit may be revoked at any time for due cause. � �..�_�c� ��►.xs-i o4-2�—Z.a� `�"' � � Applicant Permitee Signature Date Issue y Signature Date � PLAN REVIEW CHECKLIST FOR NEW STRUGTURES / ADDiTIONS Address/Permit Number: ��'� �C-��ti�II4�-� ��ti �`�.;�� ,��v�' Description ofwork: �� . '� ; Septic review by: �"� ��`� Date Approved: Zoning review by: � G�� Date Approved: ____Building_review by:_ 0-� � � r' ��- Date Approved: � �� =�� ' �� - -— - -- ----pp--.---------------- G�ading review by: `T .�+` t � Date A roved- ,3 4 `� Zo 'ng District: Zoning File#: Reso#: Reso Date: , � ;; Zoning: ot Area: SF/AC Width: Lot Coverage: F �% Survey Sub 'tted: � Yes � No Date of Survey: Revised ate ? : � Pro osed Setba s: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Oth Buitdings Wetland Side Side Defined Height: ak Height: FFE: FFE nus 6 feet= (Existing Contour) �. Perimeter(linear feet)= 0% _ #of S ries Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SP E: x' The distance between the lo st � R A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basemen r crawl space)and the highest point of th oof. 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 windows): Subtract half the windows): Subtract half the distance distance between the highest poi between the highest point of the roof of the roof to the low point of th� to the low point of the corresponding �t SUBTRACTION corresponding gable or hippe�l roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED R�(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) wi�dows): Subtract hal he ROOF TYPE) windows): Subtract half the distance distance between th op of the between the top of the highest highest window an�he highest window and the highest point of the point of the roof roof • ALL OTHER .�F TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,e :No subtraction. DITION Add the distance between the top of slab SUBTRACTION Subtract the d' tance between the (B ED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUc wl space floor and the EXIS G the foundation. GRADES) highest e ting grade adjacent to the GRAD foundat' n OR 10 feet(whichever is less). EQUALS Deflned building height EQUALS Defi, d building height � Shoreland District MC4NQ Permit Received Avera e Lakeshore Setback t? Bluff � � Yes � No � N/A � Yes � No � Yes � o � Yes � No � N/A Permit Number: tback: Stormwater = uality Existing Proposed �/ariance Required CUP Required Overla Dia`t�rict Tier FEardcaver Hardcover �� Yes 0 No 0 Yes No Type(s): Type(s): Updated: January 2013 v:'�forms\plan review checklist 2013.docx . .�:... w..:. _ a.,, _ �_ e ,..,�.�,�.,.,.a � ..�,� �. , .�,w,.�,w�.�,.� � ,, , ,�. �.- ,. �� . ,,��. � . t' REMARKS (in-house): , Fees to be Char ed YES NO Permit � �' Plan Review State Surcharge =-�'`�6 --_ _ - - -_ _ _ ____ ____ --------------- — - - - .- -— Investigation-Fee -- _ _ - ___ - SAC-Number of SAC Units � �� Other(specify) " S uare Foota e $ er S uare Foota e Basement X - � 1S�Floor X - $ 2nd FIooP X $ Garage X - � �.- �j . .,e Estimated Construction Value: � �� ~� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/ Filling � ell 0 Hardcover Removal �°Nechanical 0 Fire Electrical � Footing � Septic 0 Water Connection � Poured Wall � Fireplace � Sewer Connection � Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. Framing 0 Other(specify) d Insulation � As-Built Survey Final ❑ Wetland Buffer 0 Other(specify) REMARKS (in-house): i �; �` � Date A roved: E Other Review: Reviewed by: PP Access: Existing: ❑ YES � NO New: � YES ❑ NO �; OFFICiAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED �'' f: � Updated: January 2013 v:\forms\plan review checklist 2013.docx � , � ; , � z � _ �� CITY OF ORONO BUILDING PERMIT APPLICATION Q �� FOR NEW STRUCTURES OR ADDITIONS � �O� Mailing Address: Permit number: p?D/ — �3S O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �- �,3 -/ Street Address:� Received by: ?"- y � 2750 Kelley Parkway Plan review fee: � 8"t� �� Ft,y ��,�' Orono, MN 55356 �Q/c�!_ GO�S kESH� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: c3 LS ��;�;� �y�zc;,-��J �=F� c��z, ,�1,� ��`-�� -`1 1► � 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/APPLICANT INFORMATION: Name: '�t2�=�'�`. ��o;'� �-lc��L1�=5 . ��.c� State License# �K- �,�Z3 Z Expiration Date: 03 - Z�«. Phone: cell . �2-�,,-' - �2��Z�. office �� z - 7�� - i l Mailing Address: Z.Z-7 �hY-i.1av�� l�.J�t"�=� Cit : c1�;N/� ZIP: S� Z Contact Person: P��'R,�ll� �3 CcaN�1� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: b��-,� ; z c. ��-��,+1��•�s��:� o�y1�.:.� cr�crv� PROPERTY OWNER INFO MATION: Name: T t�i�t- '��taAtJO�� Phone (day): �;,;�€ �5Z - `�3-- (c :� Address: �3L� x��,�-� ��i�c' G-L�Ps'7 City: ��=rx�c� ZIP: S r;��''t L -��1 l� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: To�r� 1�Ai�1 pE y,�1�C:� N= �>F TCh,2 f�-�-k-itTE<=�5 Phone (day): �,l�z l � Z<' - Zc'�m r�-r- �Z-T Address: Z-�4� u.3 3Q-4 ��• City:M►NN�A��S ZIP: `�,jS'41 �� Email and/or Fax: ��p.�.�p—�,�1� W}{,�. C T�2 t��liT-�.�-T.� .c�c�'�'1 �l�Z '`��t--Zr=�-� PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with � Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer �Other: (specify) �rT"��- P�'� ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage (�Public Water **Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) �pther: (speCify) 18202 Minnetonka Blvd B�,L �7�y��,. Deephaven, MN 55391 ,�..e�v� �p,y` � Phone: 952-471-0590 ��.t��, Fax: 952-471-0682 www.minnehahacreek.or �u�'�` Estimated Construction Valuation (excluding land) $ 7��j�� STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15t Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A plicable ❑ ❑ 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 ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ 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. ApplicanYs Signature: Date: Owner's Signature: Date: (� � �� T � V /D E TIME CITY OF ORONO CA�LED IN o " INSPECTION N TICE SCHEDULED �1� -'� PERMIT NO � �� COMPLETED ADDRESS a OWNER ELEP ONE NO. � ��3 g CONTRACTOR �� a DESCRIPTION � L�.E'JL.� � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULA ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ R N SLAB ❑ WATER HOOK-UP ❑ PROGRESS � L ❑ SEWER HOOK-UP ❑ COMPLAINT � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL Z OWNE O RACTOR T EET YOU�YES_NO � COMMENTS: � W a � J O �. � � O ' � W � Q � 2 W � W � J GW ❑WORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL 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. Call for the next inspection 24 h urs in advan . 49-4600 OwnerlConVactor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.p?j,`,[�� 3�� COMPLEfED ADDRESS �� [? ,: �t �c�• $. I L�,a� O NER TELEPHONE NO`. l CONTRACTOR �t�,�1 Lr2 C4-5��`�� /�`"� ��' � DESCRIPTION � t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfIANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO c� COMMENTS: a �C�✓�.� �I�e ✓ �y /��7 � �'ti ll �e� r �z j � ' _ O �� . � O � Q 1�Lj D�� lawte - � W �/c� �L GQ 6C Oru •cb c �`�c. ��. �� vG Ijc��i �P .ri t t��/ �/l So e a�t a.�, d/' Gc�c� � a�cY ��ss�-i•K� GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COM LEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILI REfURN ❑CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOR � PECTION REQUIRED.CALL TO ARRANGE ACCESS. � Call for the next inspection 24 hours in adva �. (952) 249-4600 OwnerlContractor on site: Inspector. � �'•�- � White Copyllnspector's Ffle Canary CopylSite Notice DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NO,T�ICE SCHEDULED PERMIT NO. ��'! o3$a- COMPLETED _�?-�Y ADDRESS ��S Q �v�n R�• S. OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y � FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � . a �✓�r.�i k� C G,r,rr[�[�-�, ,OP v u� .� � J O ^ P ` � � - /�54� l� - �� l �.l'�no� W�/l ` e'l� O ^ r �i��r��i - c � W � � �9 S -4r !�� rl��Yl��loa S Q - Z ,��lt� 4 ��CI�L. -�-al�t'/ �Kf��La h S f� � �� a�,�s — j � LD r��--� Z� GG�/<</ a W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � '�n� r q�TE� TIME CITY OF ORONO a'� —�SS INSPECTION N TIC SCHEDULED PERMIT N �` ' � OMPLETED ADDRESS � J S OWNER LE HON . �OZ� 3 � `1 CONTRACTOR �' -S �— �-'"�� f � DESCRIPTION �� — � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a J � O �. � O � W � Q � 2 W � W � i j d W� RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 u ' advanc . -4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSfte Notice