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Home My WebLink About2014-00002 - addn/remodel/repair c • CITY OF ORONO * 2 0 1 4 - 0 0 0 0 2 * 2750 KELLEY PARKWAY DATE ISSUED: O1/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 133 CHEVY CHASE DR PIN : 36-118-23-41-0022 LEGAL DESC : HILL O'WAY MANOR : LOT 017 BLOCK 001 PERMIT TYPE : ADDIT[ON /REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/ REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SFPARATE PERMITS REQUIRED: PI.UMI3ING, MECHAN[CAL, GLECTRICAI,(S"I�A'I�G) KITCHEN AND POWDF,R ROOM RFMODEL APPLICANT PERMIT FEE SCHEDULE 221.25 STATE SURCHARGE(VALUATION) 6.00 OLSON, MR. & MRS. ROBERT TO'TAL 227.25 133 CHEVY CHASE DR WAYZATA, MN 55391 Payment(s) CHECK 227•25 OWNER OLSON, MR. & MRS. ROBER"[' l33 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT fhc work for which this permit is issued shall be performed according to thc approved plans and spccitications,applicable Ciry approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming 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 180 days at any time al�ter work has commenced. The applicant is responsi�ble.for assuring all rcquired inspections are requested in contorman�e with the State Building Code.This permit may be revoked at any tiine"for� e cause. i, '�� / ��j''""� �. ��-/ / l �' i App icant Permi ee Si�nature Date � Issu d y Signaturc Date � � City of Orono � �� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: dD/ -d000 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � " �� / Street Address: ,l� Received by: y � 2750 Kelley Parkway � Plan review fee: / 3, � � � `qkESH��G Orono, MN 55356 `' ao� �_ oaoa� 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: �U �� Job Site Address: � , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus seivice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA T INFORMATION: ►vame: �f�P� y'��'� �L�.SD� State License# Expiration Date: Lead Certification Number: . Expiration Date: (for work on homes that were constructed prior to 1978 �l�,�f Phone: (cell) ' f 2- � _ � ,. � (efftse) -�� - f 2 Mailing Address: � � City: � ZIP: — Contact Person: Applicant is: Contractor / omeown (Circle One) Email and/or Fax: �� o�� ''ROPERTY OWNER INFORMATION: n ame: ,�(��i�;� � ��KL�i4��l �L,S�LSf(� Phone (day): �^ Address: � City: .(�-,1,� ZIP: ��t Email and/or Fax: � ,�J PROJECT INFORMATION: Overall project description: � �IU� � � Type of Project: A y earth movement may al o require ❑ Door(s) �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 tand) $ �D i,(,t�TS�� 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 w ' ge erally cannot be given to either the public or the subject of the data. Our purpose and intended use of this informati is I date our records and records of other governmental agencies required by law. If ou refuse to su I the i �r h li tion ma not be issued. Applicant's Signature: Date: �� /�-/, _ � , Owner's Signature: � ! Date: � � � Last Updated: 03/06/2013 PLAN I�EVIEW CHECKLIST FOR NEVII STRUCTURES / ADDITIONS Address/Permit Number: l3� C F�<—==`�� C�S� o�• Description of work: ��Vt.€�d�;�— Septic review by: � d/�9 Date Approved: Zoning review by: /d9 �`_ Date Approved: _ ___ __Building review by_ Date Approved: �-.3 -�/� Grading rediew by: �+'i� Date Approved: � Z ning District: Zoning File#: Reso#: Reso Date: Zoni : Lot Area: SF/AC Width: Lot Coverage: SF �% Survey ubmitted: � Yes � No Date of Survey: Revised date(?): Pro osed tbacks: a } Frant(Lake Rear(Street) ( N S E VIO ) ( N S E W ) �ther Buildings etland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories ? � YES FOR A BUILDING WITH A BASEMEN R CRI�WL SPACE: The dis ce between the lowest FOR A BUILDI ON A SLAB FOUNDATION: � START WITH proposed or(of the basement or crawl space)and highest point of the roof. START WITH The distance behveen the top of slab and If you have a... the highest point of the roof. � • GABLE OR PED ROOF(no :f you have a... GABLE OR HIPPED ROOF(no windows): Sub ct half the windows): Subtract half the distance distance between e highest point between the highest point of the roof of the roof to the lo oint of the to the low point of the corresponding SUBTRACTIOPI corresponding gable o ipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED RO (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 behveen the top of the highest highest window and the highe window and the highest point of the point of the roof roof • ALL OTHER ROOF TY� S(flat, . ALL OTHER ROOF TYPES(flat, mansard,etc):No s raction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab ` SUBTRACTION Subtract the distance een the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl spa, floor and the EXISTING the foundation. GRADES) highest existing g�de adjacent to the GRADES foundation OR feet(whichever is less). EQUALS Defned building height EQUALS Defined b ' iru3 height Shoreiand District MCWD Permit Received Avera e Lakesh e Setback Met? Bfuff � Yes � No � N/A � Yes � No �; 0 Yes � o ❑ Yes 0 No � N/A � i. Permit Number: Setback: , Stormwater uality Existing Proposed Variance Required C Required Overla Di trict Tier Harelcover Hardcover 0 Yes � No � es � No Type(s): Type(s): Updat2d: January 2013 v:lforms\plan review checklist 2013.docx �.., ;� REMARKS (in-house): Fees to be Char ed YES NO Permit �� Pian Review .� State Surcharge --_ _ _-_ _ _ ___ _- --- - �-- �lnvestigationFee - SAC-Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1S'Floor X = � 2nd Floor X = � Garage X = $ Estimated Construction Value: $ 9 2�OOt7 � Orono Inspections Required Work Reguiring Separate Permits Required State Permits 0 Site � mbing 0 Grading/ Filiing 0 Well � Hardcover Removal Mechanical � Fire �Electrical � Footing � Septic 0 Water Connection _'` � Poured Wall � Fireplace � Sewer Connection � Foundation Sunrey � Masonry 0 Lawn Irrigation 0 Radon Rock Bed � Mfg. �Framing � Other(specify) �'Insulation 0 As-Built Sunrey �Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: � YES O NO OFFICfAL REMARKS -TO BE NOTED ON PERIIAfT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx � �� '"�v' DATE TIME `� CITY OF ORONO CALIED IN �`� � � INSPECTION O I ty�� SCHEDULED � —� PERMIT NO. "u� COMPLETED ADDRESS � � 3 C-�a `�'�t�A..'� OWNER �. U�� TELEPHONE NO�� ,3 `�" � CONTRACTOR �; DESCRIPTION � • � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Qict-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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. (J52 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary Copy/Site otice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a7b/�'-- CC'�ri� COMPLETED — ADDRESS �.3� �" e��..> C�i�S e� ��" � OWNER �d�'-:✓'C �So-'l TELEPHONE NO. CONTRACTOR � DESCRIPTION /��• 1F-�Oc��c� v �c`�-s'I- ✓"�'�c��l � � D FOOTING ❑ PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �jplAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � CGMMENTS: � � ` a 1/-��r��C /f�� :� �� '�l/' �-a r � � �. o ��i�G /!�.� - — � ��. - i �3 �' �/5� - �1 !�L - � ��5 'i5` ° Cl� �r�v�h� � :d >,�, ��.0 �h��a� � W /� � �c✓ Q Lt�-��•� (J�'c.Pv u v ws.S Q 2 t',_ '� r"e c• C. �! � ) ��L�`� �. W e_ - ._ I�C �r r� � ,��`l�e�/�� +��k C�� l�t�_ :��wt ` �i.,r�i�� J a W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE �RRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. a11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlC tractor on site: �c?�'� �.SD�'1 � _._ In ector.__�; � ►�`� �J� White Copyllnspector's File Canary CopylSite Notice � �� ^ AT TIME CITY OF ORONO CALLED IN �� INSPECTION TIC SCHEDU�ED //�—!� . PERMIT N ��MPLETED ADDRESS � OWNER TELEPHONE NO. �.� r73"S�Z� CONTRA TOR �; DESCRIPTION �•�Z� �� r Jr � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHORFJWEfLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL v � PLUMBING RI ❑ $EPTIC FINAL ❑ FOUNbATION/REMOVAL �NTRACTOR TO MEET YOU;�YES_NO c., COMMENTS: � � a �lP�; �c,�� - 1 - ��.� o ` .� i��kP ��E��r �� - C� ��tPG�✓� � �e� �� 0 � � � �� W�u ��dl�� Q � Z � ,DC-�� r�.�� 1��_� W � � � U WORK SATISFACTORY:PROCEED ��ROJECT COMPLEfE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I forthe next inspection 24 hours in advance. (952) 249-4600 O n ntractor on site: ��?�r � ��`�� Inspector. �i �'� V White Copyllnspector's Ffle Canary CopylSite Notice