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Home My WebLink About2013-00417 - addn/remodel/repair ` � CITY OF ORONO * 2 P1 1 3 - 0 0 4 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3470 BIRCH LA PIN : 08-117-23-43-0001 LEGAL DESC : BALDUR PARK : LOT 001 BLOCK 001 PERMIT TYPE : ADD[TION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 9,000.00 NOTE: REPAIRS TO PORCH/1NKIND DFCK REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 177.00 CASTLE ROCK COMPANIES, INC. STATE SURCHARGE(VALUATION) 4.50 2850 LINDGREN LN INDEPENDENCE, MN 55359 TOTAL 181.50 (6l2)308-6832 Minnesota State License#: BC445193 OWNER BERNARD, MR. & MRS. �� 3470 BIRCH LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I�he work for which this permit is issued shall be perTormed 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 suspended for a perind�f l80 days at any time after work has commenced. The applicant is responsible suring all re ed' ctions are requested in conform e with e State B � � g od .Tl�is permit may be revoked at�ry ti for due�use. ;; r''�� i �J � !�j ��C7� / ,.ft�plicant er ignature Date Issu By Signature Date Y SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono � i�� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O MailingAddress: Permitnumber: �0��7 � �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: 5'�$�-3 Street Address: Received by: y� � 2750 Kelley Parkway Plan review fee: ��S. D,j � Orono, MN 55356 0�0/3— � �� `�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. (Please print) GENERAL INFORMATION: Job Site Address: �� ( 7'L� ��>1��4�1 �-�t�l{�- Y� ' ��Z�,�t C �� ^� c��j 3`i I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�No /f yes, a special event permit is required with Police Department and City Counci/approva160 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: � =�`�t L.l: {�=C�� C"� �k�.(/�� > � N L . State License# ��L,.�(y�j /�l� Expiration Date: _� -._3��2Z�1�� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 3 Phone: (cell) ��. �L - :�>2 �, - �_.�','3 1 (office) Mailing Address: '� ;�L'� G � t�.,t (L�' Lr�r�� City: ' =P�rt( ',�.�IP: tj�j.3,� � Contact Person: "�� n � �� (N Applicant is: Contrac;r Homeowner (Circle One) Email and/or Fax: �'�� (��1��TI� ��G�,t(t�111�'�t 1'l l'E� : C � ►rl PROPERTY OWNER INFORMATION: Name: '_�`�� _�J� �' ��-!� Phone (day): (��Z— 2,� `� — � L,`I s�_ aaa�ess: •3�-I 7e t3� �C� 1;�3-�� c�ty: �' '�'N�� ziP: �53`i I ' Email and/or Fax: ��f� PROJECT INFORMATION: Overall project description: �"= �1�.S �TC� '�l�-L1-- Type of Project: Any earth movement may also 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 land) $ ` � �� 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�nf rmatio is to annually update our r �ords and records of other govemmental agencies required by law. If ou refuse t �u I the' for ation, a licati ma nf be issued. ApplicanYs Sigr�ature� --�--�-�"�'�� -- �� Date: `�-' � ��C'� � ��' � � Owner's Signature: Date: Last Updated:03/06/2013 F9LAN REVIEIIV CHEC�CLiST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �``�� (� � + +��-D� �--v`� (L� Description of work: I�:: �`=�i r2 5 � �;�v t`�-t-� �n•;c ,,�� ;`1..2�c ��.�=��!} ce-�>x�:.°��`T Septic review by: N 1+`� Date Approved: Zoning review by: �' �'� _ Date Approved: � Building review by: �� ' � W�,�.;..�•.-- Date Approved: �• ��a - r :�' Grading review by: IL� l�- Date Approved: ' "f Zon' g District: Zoning File#: Reso#: Reso Date: Zoning: t Area: SF/AC 1EVidth: Lot Coverage: SF �% Survey Subm ed: 0 Yes � No Date of Survey: Revised date ? : *� Pro osed Setbac : Front(Lake) �1�ear(Street) � � � E Vi( ) ( N S E ) Other Buildings lAletland Side Side Defined Height: Pe�k Height: FFE: FFE minus 6 feet= (Existing Contour) i � e ° Perimeter(linear feet) _ `�€�0% _ #of Stories Qk? 0 YES � FOR A BUILDING WITH A BASEMENT OR CRAWL SP��E: � f The distance between the lo est �� FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basemeill or crawl space)and the highest point of tP�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(no' . GABLE OR HIPPED ROOF(no windows): Subtract half the�` windows): Subtract half the distance distance between the highes�point ``� between the highest point of the roof of the roof to the low poin��`of the 4o the low point of the corresponding SUBTRACTION corresponding gabte or ipped roof �,,� SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED,ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtra�i°half the �'�, ROOF TYPE) windows): Subtract haff the distance ' distance betwee�Z`the top of the v between the top of the highest ; highest windoW`and the highest �`` window and the highest point of the point of the�oof roof • ALL OTt1�R ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansacd,etc):I�o subtraction. mansard,etc:No subtraction. a `A�DITION Add the distance between the top of slab SUBTRACTION Subtract t distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl space floor and the EXIS�,(NG the foundation. ' GRADES) highest`existing grade adjacent to the GRAD � fouqdation OR 10 feet(whichever is less). EQUALS'� Defined building height � EQUALS Qefined building height l i Shoreianc� Distr' t MCWD Permit Received Avera e Lakeshore Setback ? Bluff �` 0 Yes � No � N/A 0 Yes � No � Yes ❑ No � Yes 0 No � N/A Permit Number: tback: Stormwa�er Quality Existing Proposed Variance Required CU� Required Overla District Tier Hardcover Flardcover s Q Yes 0 No � Yes 8 No Type(s): Type(s): Updated: January 2013 � v:\forms�plan review checklist 2013.docx .�,_ ,. ..� ,,.,,, .v � _ _. ._. ..�-, . : �., . x. , �., . . . ... , ., . , . . . . r . � ,. . , _ , REMARKS (in-house): Fees to be Char ed YES IVO PePtl'Itt � Plan Review �'� State�urcharge g,,�'' Invest�gation Fee � 5AC—Number of SAC Units �•�'` Other(specify) �,.�-- Square Foota e $ er 8 uare FooYa e Basement X = $ 15t Floor X = $ 2nd FIoO� X = $ Garage X = $ ..��;. Estimated Construction Value: $ �`� �` E:�� Orono Inspections Requir�d Work l2equieing Separate Permit� Required State Permits � Site I] Plumbing � Grading/ Filling � Well � Hardcover Removal � Mechanical � Fire � Electrical �'Footing 0 Septic � Water Connection � Poured Wall � �ireplace 0 Sewer Connection 0 Foundation Survey � Masonry � Lawn Irrigation Q Radon Rock Bed O Mfg. Framing 0 Other(specify) � Insulation 0 As-Built Survey Final 0 Wetland Buffer O Other(specify) REF��Rt�� (in-house): Other Review: Reviewed by: Date Approved: ° Access: Existing: � YES � NO New: � YES 0 NO � OFFICI�RL REMARKS -TO BE NOTED ON PERIIAIT AND INITIALLED Updated: January 2013 v:lforms�plan review checklist 2013.docx � DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION O�{CE/� �] SCHEDULED � � � PERMIT NO�� "�✓v � ` COMPLETED ADDRESS 3�7 U ��J � - - OWNER TELEPHONE NO. �O�Z- ?D� �0��1/ CONTRACTOR C��J-�u-2� �-O c.-� �: DESCRIPTION ��'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � w � � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. GPHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice `�� DATE TIME � v I;ITY OF ORONO CALLED IN � I INSPECTION NOTICE SCHEDULED � _�� PERMIT NO�l.3O15 I � COMPLETED ADDRESS � �—I� � i rC�'l-, Lfl OWNER TELEPHONE NO. � ( � -`308� CONTRACTOR �� a.G-f- le 12�`IL >; DESCRIPTION ��( �-' �� ❑ 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 ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ S PTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW �W9'RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. `^ White Copyllnspector's File Canary CopylSite Notice DATE TIME J CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED �>- �7-� I Zi� ADDRESS �4'Lfl ��2.C'�1,� (�-o OWNER TELEPHONE NO. CONTRACTOR >: DESCRIPTION LL�/��OOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y�❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a <J/c � O� � J O � � O � W � Q � 2 W � W � � d � [�ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECT�ON REOUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContract r�-site: Inspect . White Copyllnspector's File Canary CopylSite Notice