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Home My WebLink About2013-00193 - addn/remodel/repair CITY OF ORONO * Z 0 1 3 - 0 0 1 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3460 BIRCH LA PIN : 08-117-23-43-0027 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 019 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 55,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) KITCHEN REMODEL ADV PLAN REVIEW$467.51 PD 2013-00192 APPLICANT PERMIT FEE SCHEDULE 719.25 M&M HOME CONTRACTORS STATE SURCHARGE(VALUATION) 27.50 205 WINKLER TRAIL COLOGNE,MN 55322- TOTAL 746.75 (612)554-2556 PAID WITH CC# 1137 Minnesota State License#: BC560376 OWNER LISLE, STEVEB&ANGELA 3460 BIRCH LA WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,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 spended for a perio of 180 days at any time afrer work has commenced. Th'e ap t i r spo ib,e r suring all required inspections are requested n co rm�n e tiv uilding Code.This permit may be revoked at y � e for u'e ca s ., 1 I� � `` Applicar�t P ; te i at re� — �/D� / � �� / � / � '�.` � � Issu y Sign rc Datc `I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �,w.r�` 3`�`'`'3 City of Orono Building Permit Application for Maintenance / Renovation � �� S- (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. G��01' D��3 Og,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 3 'ZD- 13 �� '' �- Received by: S y � �, Street Address: �'.�, 'Q �� '�� ti�' 2750 Kelley Parkway Plan review fee: (07 Sf Pd �l L9,kESK��'�' Orono, MN 55356 CL -- aoia-or�lq2- --� 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: JobSiteAddress: ',� �!�• �_� 'i��t� � \ � �,1�1�.�:_ � 1 �^>11(�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a specia/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 su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �. -� �l 1 � ° �_.- State License# G .r--��,�(o Expiration Date: 3 31 / Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: Cl�� . �c'�� Z ��: (office) ��;�,_ j:.��( - �S�� (cell) Mailing Address: y`?� ` �� i i � .�,� �} City: '� ��;�,� ZIP:� '�� Contact Person: T��K� �� 1�� Applicant is: (�ontractor �Homeowner (CircleOne) Email and/or Fax: j \ � � � l ,�_ ' -{_L; ' � � PROPERTY OWNER INFORMATION: Name: -�� .�1( C.',, �.:� Il< �{ 1� � � ��r��{, Phone(day): Address: �y(v�^; ��i� l 1� 1 t l� City: l ��ill� ZIP: Email and/or Fax ` PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) �{temodel ❑ Fire Damage MCWD review&permits: � �-� Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Overall Project Description: � ' � � 1 Estimated Construction Valuation of Project(excluding land) $ `�r', C�',�.� 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'�enerally c nl�ot be given to the public but can be given to the subject of the data. Confidential data is informafion;whi�h gener Ily da n � given to either the public or the subject of the data. Our purpose and intended use of this infor�mat n is to annu�Ily, te our records and records of other governmental agencies re uired b law. If ou refuse to s4� 'I 'the formati n, h a � li fl ma not be issued. ApplicanYs Signature: ; �/ �! / Date: '� Last Updated: 08-09-2011 i� � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �y�� \J��C.� �IU l, Description of work: �<. I"�C-l-�t_-!" I��m� D�=Z- Septic review by: 1�1 � 14 Date Approved: Zoning review by: OJ 1� Date Approved: Building review by: Date Approved: 3 ' Z-S '�� Grading review by: !v�� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zonin • Lot Area: SF/AC Width: Lot Coverage: SF ° Survey Su itted: 0 Yes 0 No Date of Survey: Revised date ? : Pro osed Set cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildi s Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 fe = (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories k? � YES FOR A BUILDING WITH A BASEMENT OR CR L SPACE: The distance betw n the lowest FOR A BUtLDI ON A SLAB FOUNDATION: START WITH proposed floor(of th asement or crawl space)and the highest int 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 RO (no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest p t 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 hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(fl , � ALL OTHER ROOF TYPES(flat, mansard,etc):No subtracti . mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance betwee e (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space floor nd the EXISTING the foundation. GRADES) highest existing grade a cent to the GRADES foundation OR 10 fee hichever is less). UALS Defined building height EQUALS Defined building ight Shoreland District CWD Permit Received Avera e Lakeshore Set Met? Bluff 0 Yes � No ❑ N/A 0 Yes 0 No ❑ Yes 0 No ❑ Yes 0 No 0 N Permit Number: Setback: Stormwater Qu ity Existing Proposed Variance Required CUP Requ Overla Distr' t Tier Hardcover Hardcover 0 Yes 0 No 0 Yes No Type(s): Type(s): Updated: January 2013 v:\forms\ptan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit c/ Plan Review State Surcharge investigation Fee SAC—Number of SAC Units Other(specify) Square Foota e $ per Square Footage Basement X = $ 15f Floor X = $ 2nd FI00� X = $ Garage X = $ oa Estimated Construction Value: �� 0� � Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading / Filling � Well � Hardcover Removal 0 Mechanical � Fire Electrical 0 Footing 0 Septic � Water Connection 0 Poured Wall 0 Fireplace � Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 adon Rock Bed � Mfg. � Framing � Other(specify) 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: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx DATE TIME v CITY OF ORONO CALLED IN `�-/Z' / 3 INSPECTION NOTICE SCHEDULED `I-l� ' �3 ►0 :a6 PERMIT NO.aD�3 - b D 1 9.� COMPLETED ADDRESS ��I�O fiiRG�� .!-n� OWNER TELEPHONE NO. `rj?'3��"�`r3� CONTRACTOR /�'�tM �; DESCRIPTION � �- !/��a� �a+ o�'�- ��l.S✓ � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WAL� ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y �d 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � 1 Ci�' �'� � �- (..�/�--�-� � 1 � �f 'U i� �'� -�-r.f, ..� �' � �r�2�' Z: �S �'�5v�� W � Q � z W � W � � GW /�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE �� \ W ❑CORRECT WORK&PROCEED ❑ ISSUt CERTIFICATE OF OCCUPANCY � ❑ 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.CAII INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. C �� ''�/ _ White Copyllnspector's File Canary CopylSite Notice � D E TIME V CITY OF ORONO CALLED IN s=I INSPECTION NOTICE SCHEDULED � � PERMIT NO.aoi3 - 0�19� COMPLETED ADDRESS .3�(,� [ JU1_-C� � OWNER TELEPHONE NO. R�� 3��T'3 � CONTRACTOR �N�f� �� : DESCRIPTION / l�� - `�/��L'�'' � � � ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMM NTS: a M A l�� (� �O �f �1 t�-`� � � �^�� 0 � ��c 1� �' Q� ��•�-t 0 � W � � . �, Q c�v r � `� �2 Z � c�' a� ,�v�v�-F � ¢ ao • W � � GW ❑WORK SATISFACTORY:PROCEED �9J�CT COMPLETE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONRE4UIRED.CAIITOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ? 4'— F) " '? I'— a, I P, iL, M iL LJ Z C.C. I FOR r- 0 +,SM 0)6& M En 0 FIRST FLOOR PLAN CODE REQUIREMENTS SCALE: 1/4"=1'- 0" k1 I T- c- I-- kEI\J IIC- 0AX) 0 G RE7 1-mv. =E co PLAN CHECKED BYU W >- J I . wztw0Q�w W ZM W Xi ozo pwoo 0 a- OLL, oMM W >- �- § �s '0 -m z m — m- g No N zgg ozpozwFwMF!o cL to o- m D Q: nuwU!z<B wz <: 9 8F, o N� ., z wt- zoo o w Q � Z.k� -, 2 tj Jp 25 Si zMsd8.g t'-UOZwp w w o<opow, 25z -601- cl 2-<a,-wj-mw, aSpm< z -.z M.�'0 P-wwolmww o m w c L) �Lc z w w �! ww 5MQE won. En 'mm 0mo, < 5 m w Z ow? L -w A m M LL 0 0 . z 0 Lli C) I 00 Ltl LO 0)