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Home My WebLink About2013-00583 - addn/remodel/repair . , CITY OF ORONO * 2 0 1 3 - 0 P1 5 8 � 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 139 CHEVY CHASE DR PIN : 36-118-23-41-0025 LEGAL DESC : HILL O'WAY MANOR : LOT 020 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPARATE PERMI"I'S REQUIRED: PLUMBING,MECI IANICAL,FIREPLACE, ELF,CTRICAL(STA"I'E) KI"I'CHEN REMODFL APPLICANT pERMIT FEE SCHEDULE 756.75 MDR CONSTRUCTION INC PLAN REVIEW 491.89 7635 COMMERCE STREET � HAMEL, MN 55340- STATE SURCHARGE(VALUATION) 30.00 (612)369-6553 TOTAL 1,278.64 Minnesota State License#: BC630706 PAID WITH CC# 5600 OWNER BELTRAND, BYAN &WENDY 139 CHEVY CHASE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfbrmed according to the approved plans and specifications,applicable City approvais,and the State Building Code. This permit 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 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be , r ked at y t e for due cause. 7 � � � � � , , A p c nt e itee Signature Date [ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . a,,,�--- I��k�- �-i-l3 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. On�y windows, doors, siding, re-roof, etc.) �O • Mailing Address: Permit number: 0�0��j�b(�� O� nrO PO Box 66 I Crystal Bay, MN 55323-0066 Date received: �P'�7—�-� Street Address: Received by: y ` 2750 Kelley Parkway Plan review fee: � G tqkESH�� Orono, MN 55356 pr Total Fee: � � 7 g �� Main: 952-249-4600 Fax: 952-249-4616 . www.ci.orono.mn.us 1 This application form must b� completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 1- Job Site Address: I,3`� C-�1�l� Y (' �l u �� , C��VI. G ' 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. , a CONTRACTOR/APPLICANT INFORMATION: � Name: ]�/1 D � L�:U1;�'r� �Zc C.• State License# (�j �, � 3�� 7v � Expiration Date: �_3j -Zv l y Lead Certification Number. �A•-�-�:_ j Z 3 �c� � - � Expiration Date: L�- c� -�b i 7 (for work on homes that we're constructed prior to 1978 Phone: (cell) b I Z—�6 9 -- ��j 3 (office) Mailing Address: � �-� City: • ZIP: ��3• d Contact Person: �l � KE, �o� Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: J�y�,Ke V OC. K rj �.�►�+-erP�� s�s : �� w, PROPERTY OWNER INFO MATION: Name: 1,1�f;I��,, � f�.11��n �e,�tV'a_2ti� Phone (day): 2 - �y S -1 v� v / Address: � 3g ��U Y � u 5� �R City: �)j��.,� � ZIP: S S�� I Email and/or Fax: J PROJECT INFORMATION: Overall project description: - � � Type of Project: Any earth movement may also require ❑ Door(s) �-Remodel ❑ Fire Damage MCWD review 8�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) $ (u, vv� ' APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • �ertifies 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 the ' formation,the a lication ma not be issued. � ApplicanYs Signature: Date: f� ' �Z - zU l 3 , „� � Owner's Signature: � Date: � � ��T — �d � � Last Updated:03/06/2013 - _ , . I�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: ►�3� G H`�y C l-+��` O R Description of work: K- ► c ��v ��►'w��=Z Septic review by: a�I r✓� Date Approved: Zoning review by: �'v//4 Date Approved: Building review by: ��l.t�-- Date Approved: l� � 2`r'! � ?A �3 Grading review by: N/r'-� Date Approved: Zoning District: Zoning File#: Reso#: Re o Date: Zoni : Lot Area: SF/AC Width: Lot Coverage: SF _% Survey bmitted: 0 Yes � No Date of Survey: evised date ? : Proposed S acks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side ,,,. � Defined Height: . Peak Height: FFE: F E minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ # Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAVVL SPACE: The distance betweerr dhe lowest OR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the b�sgment or crawl space)and the highest poi�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 ROOF o . 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 the to the low point of the corresponding SUBTRACTION corresponding gable or hippe oof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROO (with (BASED ON • GABLE OR HIPPED ROOF(with �'PE) windows): Subtract half e � ROOF TYPE) windows): Subtract half the distance distance between the p of the between the top of the highest highest window and e highest � window and the highest point of the point of the roof �, roof • ALL OTHER OF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,e :No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the d nce between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUc wl space floor and the EXISTING the foundation. GRADES) highest e �ing grade adjacent to the DES founda' n OR 10 feet(whichever is less). E ALS Defined building height EQUALS Defi ed building height Shoreland Distri MCWD Permit Received Avera e Lakeshore Setb k Met? Bluff � Yes � No � N/A � Yes � No 0 Yes No � Yes 0 No � N Permit Number: Setback: Storm ter Quality Existing Proposed Variance Required CUP Re ired Over District Tier Hardcover Hardcover � Yes � No � Yes 0 No Type(s): Type(s): Updated.�January 2013 ��.0 � �� 6 � v:\forms lan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surchaige�"`�� "` � ° . � � ��,��:'' � Investigation Fee SAC—Number of SAC Units 3 �,"� �� '� �'� �'� ,� ��` � '�� .��:x: �:� �.� ��, �. Other(specify) S uare Foota e $per S uare Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ (��°,n�U°'� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �'Plumbing 0 Grading/ Filling � Well 0 Hardcover Removal Ja'Mechanical 0 Fire ,j]''Electrical � Footing 0 Septic � Water Connection � Poured Wall Fireplace � Sewer Connection 0 Foundation Survey 0 Masonry � Lawn Irrigation 0 Radon Rock Bed �}'Mfg. r�raming � Other(specify) nsulation � As-Built Survey p�Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: � YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� PERMIT NO. o�O�C3•a458� COMPLETED ___�� ADDRESS ��p C�Gv.� C�ueS� �O/'� � � OWNER TELEPHONE NO. CONTRACTOR I�� • �: DESCRIPTION /�s��eh rB�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��.FJNAL O SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEfi REMOVAL � ❑ PLUMBING RI � SEPTIC FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: a //"P1Ivt.I✓i flo�Gr -�a•l�� ?'� G•e!l �o�' �f j �r�l,�G /�rl S,,O�GG�itln. O � � 1 � �� It� /lON1� - W � Q p/�'is� Ga 6/ d/o na ty !re�t' �' Sc�� Z �i�'1�r /iZ S�De��d� d� c.��f"� G,�u yls�°�.� - W � W � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 7 INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advan . (952) 249-46�� OwnerlContractor on site: . Inspector. � White Copyllnspector's File Canary CopylSite Notiee �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED rt—f 8� �= �v PERMITN0. 2O�3—�� COMPLEfED ADDRESS_/�9 C'�� OWNER TELEPHONE NO. CONTRACTOR � u� � j DESCRIPTION K�� k�'�- �'�a.—� � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �EOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:YES_NO � COMMENTS: � a J�<l �"-b/!< � h,(p/eo L�e. � � O S . �. �F � 6- �d�.rGLLa.i � �rblil.vv O " � O � W � Q � 2 � fOB/r.rc� �i rl¢�,� W � j � ❑WORKSATISFACTORY:PROCEED !�'4Z�JECTCOMPLETE � ❑CORRECT WORK 8 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 RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952) 249-4600 Owner! ntractor on site: ��1�� Inspector. �:��— White Copyllnspector's File Canary CopyfSite Notice - � � 'Z�.�-"' DAT TIME ✓ CIN OF ORO CALLED IN Z'� �� INSPECTION NOTICE SCHEDULED �`-' .3 � PERMIT NO-��J' L%2��COMPLETED ADDRESS �3� L��'L�i/✓G1 L��:Q/.L� OWNER LEPH NE NOlr� � ��-3 CONTRACTOR �� DESCRIPTION ""'��l7L�Y1� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfIANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT J ❑ 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: � W a � � O �. � O � W � Q � 2 W � W � � J d W� �M1(QRK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ,�� DAT TIME / ✓ CITY OF ORONO CALLED IN �'2� �,, ��— INSPECTION OTICE O � SCHEDULED � � �ERMIT N�. � •S COM�LETED ADDRESS �3/ �� r�'/d.P, OWNER TELEPHONENO.�P�Z 3 YJdJ—� CONTRACTOR rn � I�- C-� >; DESCRIPTION I� S�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � a ��-�'./L � � 1 � l� �. � 0 � W � Q � Z W Tc W � j d K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTIO(V REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspecti n 24 I}e s in adva ce.�5 249-46QQ OwnerlContractor on site: '/ Inspector. White Copylinspector's File Canary CopylSite Notice