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HomeMy WebLinkAbout2014-00744 - addn/remodel/repair CITY OF ORONO * z 0 1 4 — PJ 0 7 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/07/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1520 BOHNS POINT RD PIN : 09-117-23-33-0006 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 6,000.00 NO"I'E: SEYARA'I'E PERMI'[�S REQUIRF,D: ELE;C"I'RICAL(S7'A"I'E) REMOVE NON BEARING WAI,L-INS'1'ALL NEW CAf3(NETS MASTF.R CLOSET REMODEL APPLICANT PERMIT FEE SCHEDULE 132.75 PLAN REVIEW 86.29 CLARK SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 3.00 6125 CRESCENT DR. EDINA, MN 55436- TOTAL 222.04 (612)296-6873 Payment(s) Minnesota State License#: BUIL-BC617319 CREDIT CARD 3014 222.04 OWNER ABOOD, THOMAS&AMARA 1520 BOHNS POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORIY STATEMENT 7�he work for which this pem�it is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State I3uilding Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate pcmiits. 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 a[any time after work has commenced. 'The applicant is responsible fbr assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any�qme r dye cau . `/ / f � � ( �� / / Applicant Percnitee Signature Date Issued By Si ture G�� Datc . Cit of Orono �°� � Y Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O . `O MailiPg�Bd�d 6s�s: Permit number: 0�0! —C� d�`{ !V Crystal Bay, MN 55323-0066 Date received: 7-� �`�� Street Address: Received by: y�, G� 2750 Kelley Parkway �I'�`�� Plan review fee: �, Orono, MN 55356 � aa,a. �KESHD 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: �� �����v �"' �G{� . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �,No If yes, a specral 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/APP CANT INFORM TION: Name: �, T- �t � � State License# � � Expiration Date: 3- 7�( - ((o Lead Certification Number: ,��'. 22 _ Expiration Date: "�' — ZZ - !S (for work on homes that were constructed prior to 1978 Phone: (cell) � _ 2 - � (office) y _ Z� � Mailing Address: �� � �� t City: ZI : "� Contact Person: � � Applicant i . j(Contra Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER INFORMATION: Name: � � �,��a� Phone (day): (c �Z - 'Lc.�7- d-7�7 Address: �'�f�j '(�p�^ dicc� City: 1�'�7� ZIP: �•�,3y� �? (� '� /pGl� , Email and/or Fax: �� , / ,�A _ ' �i _ �1 � � ������ /z��`. �� � ' / PROJECT INFORMATION: Overall pro�ect descripti� �Ll�� �-� ��67G� r 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) $ O B� 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 informa' n i to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the' ti ,t lica� ma not be issued. Applicant's Signature: �" Date: �' Y" � � Owner's Signature: Date: Last Updated: 03/06/2013 ;: I�LAN REVIEW Ct�EC�L�ST FOR NEW STRUCTU�ES / 14DD6TIONS ; AddresslPermit Number: � � ��6�-�5 1�p �N i ��� Description of work: /Vf��`�.6� ��� � I ��'���'�a�'��,- �'� Septic review by: ,�/� Date Approved: Zoning review by: i°� Date Approved: Building review by: � Date Approved: �—� 6 �t`'� Grading review by: �/� Date Approved: oning District: Zoning File#: Reso#: Reso Date: 7; Zoni : Lot Area: SF/AC VVidth: Lot Coverage: _% Survey bmitted: � Yes � No Date of Survey: Revised te ? : �> Pro osed tbacks• Front(Lake Rear(Street) l � � E W ) ( t� S E 1ft� ) Other uildings 11Vetland Side �ide Defined Height: Peak Height: FFE: FFE " us 6 feet= (Existing Contour) Perimeter(linear feet) = 5�% _ #of S ies Qk? � YES $? FOR A BUILDING WITH A BASEMENT OR RAWL SPACE: The distance tween the lowest F A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(o he basement or crawl space)and the high t point 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 OF(no . GABLE OR HIPPED ROOF(no windows): Subtract half windows): Subtract half the distance distance between the highes oin between the highest point of the roof of the roof to the low point of th to the low point of the corresponding SUBTRACTION corresponding gable or hippe oo SUBTRACTIOM gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED R00 (with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) 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,et :No sub4raction. mansard,etc:No subtraction. ADDITION Add the dis4ance between the top of slab SUBTRACTION Subtract the di, nce between the (BASED ON and the highest existing grade adjace�t to (BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation. GRADES) highest exi mg grade adjacent to the RADES foundatio OR 10 feet(whichever is less). E ALS Defined building height Ef3UALS Defin buildirty height Shorelanct District, fdIC1EVD F'ermet Receiveci Avera e Lakeshore Setb ck fiflet? Bluff 0 Yes 0 No 0 N/A � Yes 0 No 0 Yes No 0 Yes 0 No 0 Permit Number: Setback: �;; �; Stormwa r Quality Existing Proposed �ariance Required CtDF Re ired Overfa istrict Tier Hardcover Hardcover � Yes � No � Yes � No Type(s): Type(s): Updated: January 2013 v:lforms\plan review checklist 2013.docx , ��: � .� .. � r _ ,, . �: , �; , : .. _ € a � REMARKS (in-house): � �. � � Fees to be Char ed YES NO �. ` Permit s Plan Review � State Surcharge r�°� Investigation Fee r SAC—Number of�AC d�nits �� Other(specify) � �' S uare Foota e $ er S uare Foota e � Basement X = $ � �: e- � 1S�Floor X = $ � � 2nd Floo� X = $ � Garage X = $ � Estimated Construction Value: $ �a��� �� � � Orono inspections Required VIlork Requiring Separate Permits Required State Permits 0 Site 0 Plumbing � Grading / Filling Cl Well � Hardcover Removal � Mechanical 0 Fire � Electrical � Footing � Septic � Water Connection � Poured Wall � Fireplace � Sewer Connection 0 Foundation Survey 0 Masonry � Lawn Irrigation �0 adon Rock Bed 0 Mfg. raming 0 Other(specify) Insulation 0 A�,s-Built Survey ��Final 0 Wetland Buffer a Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED r Updated: Ja�uary 2013 v:\forms�plan review checklist 2013.docx DATE TIME � CITY OF ORONO CALLED IN INSPECTION. ICE � scHE�u�e� PERMIT NO.� � V�� connP��eo /..?— .3%-/y ADDRESS /�5�"�0 .�a/n S ��• �� OWNER TEL PH�NE.NO. vZ Q�.� cc�3o y v��-c:��4!� CONTRACTOR L' ' �`' � �; DESCRIPTION r�'vu��l � 4� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP p COMPLAINT '� LI bEMO-SITE ❑ SEPTIC MAINT. „�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO v�, COMMENTS: � ,�E�r rv�.`� `'1 t��P✓ 'f�t���P� �7 �g // J ` O �G�%� � t irls� � //�! �i/Jf�C:�.�-'� >. � 0 �w� �. � � /I[)�a � C �eC . .�'�vi4.( - La�/- /T Q � ,_` � � K C � - �� ��� � ,g �f �F / , Go7 - -�•�r�oD � � d � ❑WORKSATISFAC ORY:PROCEED OJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. II for the next inspection 24 hours in advance. 952� 249-4600 Owner ntractor on site: ���Q � Inspector. ` �^- White Copyllnspector's Ffle Canary CopylSite Notice � �� =-�� [�a TE � TIME � CITY OF ORONO CALLED IN � �L - INSPECTION NOTICE CHEDULED g� - � PERMIT NO. " connP��Eo ADDRESS �� OWNER T PHON NO�lO1 ��-�g�-� CONTRACTOR G��� � � DESCRIPTION ��2-'�Z'�� N ���y����,��/y� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y �FRAMING ❑ MECHANiCAL FINAL ❑ TREE REMOVAL Z ,�CINSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTFiACTOR TO MEEi YOU:_YES_NO � COMMENTS: � �� - �-� U� o� ,Q , • a 1'�ervtdv� � I1o/� -�j��rws LJ�l� �.�. j �Sl`R�^' $(liZ`c CIoS�-L` - O � � �' ✓�/6/ ,h�sr/r� r - fQ�e� � �D ��ts� `. W Q ��s�4, h�A — � � j}K �— l'Qvo ✓ w � � � �WARI4SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Ow ConVactor on site: l6" Inspector. w Whit opyllnspector's File Canary CopylSite Notice � D T T ME y CITY OF ORONO CALLED IN ����� ��.� INSPECTIO TICE c�SCHEDULED �- t �— PERMIT NO�� ��� T COMPLETED ADDRESS �SZ-O �OI�r� T'� �`�' OWNER TELEPHONE NO.�I2 2q�° (���I� CONTRACTOR � K � r LL �--GM�_��`1�-' >; DESCRIPTION �^'��� ''�-'""�-'^'� �-� � lti ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q N SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT J -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a � � O � � O � W � Q � 2 W � w � , J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISS D ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 h rs in a . 52) 249-46�0 OwnedContractor on site: Inspector. White Copyl�nspector's File Canary Co ISite Notice