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Home My WebLink About2014-00682 (bath remodel) CITY OF ORONO * 2 0 1 4 - 0 0 6 8 2 * 2750 KF,LLEY PARKWAY DA"TG ISSUED: 07/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3650 CASCO AVF. PIN : 20-I 17-23-31-0043 LEGAL DESC : REG. LAND SURVEY NO. 1 147 : LOT 000 BLOCK 000 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAI_, CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NO'I�E: SEPARATE PF,RMI"[�S RGQUIREU: PLUMBING,EI.ECTRICAL(STATE) Bn1'H RF?MOD[:L ANPLICANT PERM[T FEE SCHEDULE 265.50 LECY BROS HOMES STATE SURCHARGE(VALUATION) 7.50 15012 HWY 7 TOTAI, 273.00 MINNETONKA, MN 55345- Payment(s) (952)944-9499 CHECK 38901 273.00 Minnesota State License#: BUIL-20325555 OWNER GERSOVITZ, MR. & MRS. 3650 CASCO AVE WAYZATA, MN 5539]- AGREEMGNT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and specitica[ions,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.'I�his 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 180 days at any time after work has commcnced. 1'he applicant is responsible for assuring all required inspections are requested in conrormancc N�ith the State Building Code.'This permit may be re� �ed at any time for due cause. (�,, �� 1 �- � ��e � �� /5` Applicant rmitee ignature D te Is ued By Signature Date - City of Orono � �3�°Z' Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windaws, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: ��/�'DD�Og PO Box 66 (l Crystal Bay, MN 55323-0066 � Date received: 7 `/'�7 Street Address: , Received by: �S y � 2750 Kelley Parkway C j�" Plan review fee: �7 2-•`�g `� �'~ Orono, MN 55356 �I� � // l�kESH�� Total Fee: `'��7 f�� 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: ��.�(�� ' � � � ti�., ��.% 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: � ,.,, ��_ State License# �� S 5 S Expiration Date: ��,,t ��S Lead Certification Number: Expiration Date: ��,�,� (for work on homes that were constructed prior to 1978 —� Phone: (cell) 6 l a � -3`��:� _ -�-�c�t�' (office) (,S 2 � ��t-{�-j -�L.( `�c( Mailing Address: �p City: Z�F: S S 3�{� Contact Person: � � Applicant is: Contrac / Homeowner (Circle One) Email and/or Fax: � ��,i-- `, ( �.�;� (�;�_�� PROPERTY OWNER INFORMATION: Name: !'ti�=t�c � U.Lc� �S�-�. ��/'�,,.� i�� Phone (day): qsa-c�-}� -�a��,z Address: ?�'-.� ��X,�,� City: �j.ni�� ZIP: ��3�� Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) i�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) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ S �� 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 he i ormation,the a lication ma not be issued. ApplicanYs Signature: ct- v �-- Date: � � L Owner's Signature: Date: Last Updated 03/06/2013 � �LAIV FZEVIE11if CHEC�CLI�T FOR NEW STRUCTUF�ES / ADDITiOI�S Address/Permit Number: �� .�� s Description of work: � �-'� �C.9'�^ � ��-- Septic review by: /� �� Date Approved: Zoning review by: �� Date Approved: Building review by: Date Approved: '�" � "' ` � Grading review by: �l 00�' Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoni : Lot Area: SF/AC INidth: Lot Coverage: SF % &urvey mitted: 0 Yes 0 No Date of Survey: Revised date � : �� Pro osed Se acks: Front(Lake) Rear(Street) ( � S E NV ) ( � S E W ) p��er�uildi s Wetland Side Side ; Defined Height: Peak Height: FFE: FFE minus 6 f t= (Existing Contour) � � Perimeter(linear feet)= 50% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR C WL SPACE: The distance be en the fowest FOR A BU IPlG ON A SLAB FOUNDATION: START WITH proposed floor(of t' basement or crawl space)and the highe oint of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED R OF(no . GABLE OR HIPPED ROOF(no windows): Subtract half t windows): Subtract half the distance distance between the highe oint between the highest point of the roof of the roof to the low point of t to the low point of the corresponding SUBTRACTION corcesponding gable or hipped ro 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 th between the top of the highest highest window and the hig� window and the highest point of the �� point of the roof j roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF ES(flat, mansard,etc:No subtrection. mansard,etc):No traction. ADDITION Add the distance between the top of slab ` SUBTRACTION Subtract the distanc etween the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl s ce floor and the EXISTING the foundation. GRADES) highest existin rade adjacent to the GRADES foundation , 10 feet(whichever is less). ,EQUALS Defined building height < EQUALS Define uilding height Shorefae�d Distric4 �lICVIBD Permit Received Avera e L�keshore �e ck Met? �iuff � Yes � No � N/A � Yes � No � Yes No Q Yes 0 No 0 Permit Number: Setback: �tormw r Quality Exisfing Pro�osed Variance Required CUP R� uired Overla istrict Tier Harcicover Hardcover � Yes � iVa � Yes � No TYpe(s): TYPe(s): Up ated: January 2013 �� _�s�� v:1 orms\plan review checklist 2013.docx �� , t_ „ � }" ` REMARKS (in-house): Fees to be Char ed l°ES NO Permit Plan Review State Surcharge Investigation Fee � SAC—Number of SAC Unit� " Other(specify) �, S uare Foota e $ er S uare Foota e Basement X - $ 1s1 Floor X - $ Z"d Floo� X ' $ Garage X - $ Estimated Construction Value: $ �� "� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/ Filling 0 Well � Hardcover Removal � Mechanical � Fire � Electrical � Footing 0 Septic � Water Connection 0 Poured Wall � Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. 4 Framing 0 Other(specify) � Insulation �s-Built Survey Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Revievd: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFlCIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx �� \�� J «/ 'v�` � DATE TIME ITY OF ORONO CALLED IN / INSPECTION TICE SCHEDULED J PERMIT NO. � �4 COMPLETED ADDRESS ��5� C 0.�'-i_� OWNER TELEPHONE NO. I:Z�3tS'J-2,492 CONTRACTOR �� ; DESCRIPTION � � � � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT J LJ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINA� ❑ SEPTIC INSTALL � HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTfiACTOR TO MEET YOU:_YES_NO � CQ�MMENTS:�Gc'�'�.vl1C�w`-� �"'�� '—' a� � � � , F► �a� r_nr^,� /�� o " f/vtb�/e,� -G o - d�' '� � P,l�� ,�� - ��-a3 � � / � '�G vlo4l,GI.Gr(� I�J/ (�(/dOGJ �f/Ov!/Jt%� •s T`Y�� W � zG�11 wo✓� G'�w�.to%eL��c W � � ,pQ✓„K :L� •�;v(,�l ftQ J —V— � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSU RTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ' n 24 hours in advance. (952� 249-4600 Ownerf ontractor n sit • inspector. White Copyllnspector's File Canary CopylSite Notice �(/ � DA TIME � CITY OF ORONO CALLED IN _�_�__,_ INSPECTION NOT'I�i E SCHEDULED �/� _� PERMIT NO.��`�` +�d��'�COMP�EfED ADDRESS 365U �S�O/� OWNER TELEPHONE NO.�D�2 '��" 3r'"rC1 CONTRACTOR L��'1i � DESCRIPTION � � ❑ FOOTtNG O PLUMBI FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Qr ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL COVER REMOVAL ❑ PLUMBING RI � SEPTIC FINAL UNDA EMOVAL OWNERICONTRACTOR TO MEET YOU: _NO �� . c�.� COMMENTS: � W � a � � 0 a � 0 � W � Q � 2 W � W 2 j a W ❑�RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED O tSSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILI RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. `�\�,��a11 for the next inspection 24 hours in adva . 5 249-4600 � /� y OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice , , / -�,�-j � � � TIME ITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED �.�� PERMIT NO. Q � COMPLETED ADDRESS OWNER TELEPHONE NOUI.I�''G��'��g CONTRACTOR � DESCRIPTION �' ► , � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q O FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � /� _ � (�'f9. /c�/I . � !]D� �ne o � ��'ov�� fr p� �!'K _ 2 �L�<�fia�S Li,. A;`! !/��Yr�o-� $ — ° D �� ,b .0 y� 1 o K e� �� t ��.� W � �,�v�[ Q � �/'b r//xj e Co �G��c�o/S GJ A�`t�h /d � d� � G� �� roa-K3 �u /' _ / ji- �G.,..1.�-T 6 i /`P in��G rc.1 d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN �NSPECTOR WILI REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR '�I$PECTION REQUIRED.CALL TO ARRANGE ACCESS. V ' Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector_ Q� �- �� White Copyllnspector's File Canary CopyfSite Notice PROVIDE PUMP AND/OR ". PLUMBING ACCESS THROUGH TILE UNACCEPTABLE MANUFACTURER'S LABELED SAFETY GLAZING REQUIRED 7Z "x 'sats - I~'t�K� �T�r�► v t I �z"u�T: IA� w- W/ 0 r4f4e . i ts-pta51 . tei �Iz , r►�. �t�:�:l; _I 4*�E_"�'I�.�"_�-.-� � .'�":.� .:fit, "�� ."� .�„ .- .. s i SPECIAL NOTE SEE ATTACHED SHEET FOR Cbt-SYVWKx, � 2 CODE REQUIREMENTS t ti) U11 L' � �\ lei L` ltlil ��► N� L' � 111 ti 15012 HIGHWAY i, MINNETONK - A 5534 ONCE: 952-944-9499 FAX 952 -942 -IC Contact: ANDREW JOHNSRUD s 612-103-2253 -THIS PLAN MAY NOT BE USED, PHOTOCOPIED c REPRODUCED IN ANY FORM WITHOUT PRIOR WR11 CONSENT OF LECY EROS, HOMES, ACCORDING TO COPYRIGHT LAWS OF THE UNITED STATES. UCENSED -BUILDING CONTRACTOR "20325555 / - 1 "A- _ ORONO COPS REVIEWED for Cta E C MPLIAWJ -- r t pi,.AN CHECKED B DATE . -D C-6