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Home My WebLink About2014-00196 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 - P1 0 1 9 6 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2685 COPPER VIEW DR P[N : 33-118-23-43-OO18 LEGAL DESC : ROSCH ADDN : LO"[' 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RES[DENTIAL CONSTRUCTfON TYPE : ADDN /REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 100,000.00 NOI'E: SEPARATE PF,RMITS REQUIRED: PLUMBING,MECHAN[CAL, ELEC"I'RICAL(STATE) R�MODEI. APPLICANT PERMIT FEE SCHEDULE 1,056.75 STATE SURCHARGE(VALUATION) 50.00 SCHRADER& COMPAN[ES TOTAL 1,106.75 4725 EXCELSIOR BLVD#300 Payment(s) ST LOUIS PARK, MN 55416- (952)465-3582 CHECK 8348 1,106.75 Minnesota State License#: BUIL-BC592473 OWNER TURKBAS, MR. & MRS. JAY 2685 COPPER VIEW DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT "I'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding 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 specitied herein.This permit will expire and become null and void il�construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended ibr a period of 180 days at an��time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. .� ;, . � '"-�7 � /� J C ' �:.�✓ �,�- 'f � 2 S `� i i ,,: Applicant rmitee Signa ure Date (ssued E3y S�g ature Date • �� /� • �� (J1� `�� / City of Orono .��`'I 3.r �-�� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) .- �O A;� Mailing Address: Permit number. a-�/ —0�/ � 'VO � PO Box 66 C rystal Ba y, MN 55323-0066 Date received: �—l Z —J I � � ,� Street Address: Received by: ��c `,� �.:' 2750 Kelley Parkway Plan review fee: �O�lo, � �t��_�5F"l��j Orono,MN 55356 d(�1�� 0�/�,� � ----� 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. (P/ease print) GENERAL INFORMATION: '/Q c A_Q��,L V/�I�t/ D�L. . Job Site Address r�(v O 7 � 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 servi e will be required unless applicant demonstrates su�cient on-site parking is available. Non-permiKed events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: /� Name: SC/`f2/�OB'ft- La/N�AN��S State License# C 5� Z y 7 3 Expiration Date: � Lead Certification Number: ^/� Expiration Date: (for work on homes that were constructed prior to 1978 q Phone: (cell) �/Z- a�0 •�ar3 (office) /$Z• y6s' 35�Z Mailing Address: �}�,� �jcC I LVD � 3do City: _ LpuK k ZIP: sS5//( Contact Person: ANQ�'l SCMf2.14bL�7i-/�✓/Z.OD`/ Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: $�Q� SCH2l4be„J�CO�L!/�f�N��'S �p/1� PROPERTY OWNER INFORMATION: Name: �A t� '�`L(/2- Q�S _ _ _ - ____— Phone (day): gsZ- '](07• L3 D(o Address: �$S C'o PO�n. v�e�,v D� � c�ty: D/t.o�vo ziP: 5 S 3 S G Email and/or Fax: "�"'u�KBAS � ShfOGK'DD�To2 • COYN PROJECT INFORMATION: Overall ro�ect descri tion: 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.mir,nehahacre�k.org Estimated Construction Valuation of Project(excluding land) $ /D�.O�D . -- 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su � orm on,the a lication ma not be issued. ApplicanYs Signature: Date: ( I PLAIV I�EVIEW CHECKLIST FOR NEW STRUCTURES / /4DDITIONS Address/Permit Number: �� °��-'��`� Description of weark: ��W��C� Septic review by: _�/� Date Approved: Zoning review by: av /-� Date Approved: __Building_review by:__ Date Approved: �"�>� ' ��`r -------_----- _____------ ----- ---- Grading review by: �/� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot ea: SF/AC Width: Lot Coverage: SF 9/0 Survey Submitte � 0 Yes � No Date of Survey: Revised date ? : Pro osed Setbacks: Front(Lake) Ftear treet) ( N S E W ) ( N S E W ) Other Buii ngs Wetland Side Side � Defined Height: Peak He ht: FFE: FFE minus feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories�` Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: " 4 The distance between the lowest FOR A ILDING ON A SLAB FOUNDATION: START WITH proposed Floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. GABLE OR HIPPED ROOF(no ;f you have a... i ' GABLE OR HIPPED ROOF(no � windows): Subtract half the windows): Subtract half the distance distance between the highest point 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 a (BASED ON ROOF . GABLE OR HIPPED ROOF(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 th between the top of the highest highest window and the high t 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 subtraction. mansard,etc):No su raction. ADDITI Add the distance between the top of slab SUBTRACTION Subtract the distance b een the (BASED and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl spac oor and the EXISTING the foundation. GRADES) highest existing gr e adjacent to the GRADES foundation OR 1 feet(whichever is less). EQUALS Defined building height EQUALS Defined buii ng height �; Shoreland District IVICWD Permit Receided Avera e Lakeshore Setback Met. Bluff ❑ Yes 0 No � N/A Yes ❑ No � Yes � o ❑ Yes 0 No Q N/A Permit Number: S back: ; Stormwater Quality Existing Proposed Variance Required CUP Required �~ Overla District Tier Hardcover Hardcover � Yes � No D Yes � No Type(s): �'ype(s): Updated: January 2013 �� ,�(Q.-� v:lforms\plan review checklist 2013.docx _ �_ : REMARKS (in-house): � Fees to be Char ed YES NO Permit Plan Review � State Surcharge � - - - - - -- __._— -- - _ _ _- - - Investigation Fee - SAC-Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e i Basement X = $ 1St Floor X = $ 2nd Floo� X - � Garage x - $ Estimated Construction Value: $ !OC��C)pO°v Orono Inspections Required Work Requiring Separate Permits Required State Permits � � Site Plumbing � Grading/ Filling � Well � 0 Hardcover Removal �echanical � Fire Electrical � Footing 0 Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection CI Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. raming � Other(specify) Insulation � As-Built Survey �Final �� Wetland Buffer � Other(specify) � REMARKS (in-house): � p Other Review: Reviewed by: Date Approved: � Access: Existing: � YES 0 NO New: � YES � NO { OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx � � � (� Z DATE `' TIME � ITY OF ORONO CALLED IN INSPECTION NOTIC�� _�ic'r��CHEDULED -�� • �� PERMIT NO. V OMPLETED ADDRESS�lf� �, [�/��C`�rU/C.Q.(,lJ /ilL OWNER TELEPHONE NO:�`J��`b9Q� CONTRACTOR � DESCRIPTION �� y�- � � ❑ FOOTING O PLUMBING FINAL " ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEP C INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP 1 �FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 4� O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILI RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95 =46�� OwnerlContractor on site: Inspector. White Copyflnspector's File Canary Cop ISite Notice �Il�.��j� DATE TIM CITY OF ORONO � CALLED IN INSPECTION NOTICE20)�-�a3SCHEDULED PERMIT NO. / OMPLEf�D,� ADDRESS b U ' OWNER TELEPHONE NO. CONTRACTOR i �.... � DESCRIPTION � ❑ FOOTING �LUMBING FINA� ❑ EXCAV/GR DING/FI ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR LANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q�DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ EMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O �. � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 9-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN S" INSPECTION TI SCHEDULED � � PERMIT NO. D � COMPLETED ADDRESS � r OWNER TEL HONE NO.��Z ��D ��.� CONTRACTOR v � � w � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FI A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � y�1 � , �, �p� O /' �V'- ',r "'1 ' r _i ✓ :/, � � � � W ,, � Q � r W `'� � - .,.[ W � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑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 REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95 24 -46QQ OwnerlContractor on site: Inspector. �� _, i ti �� White Copyllnspector's File �� Canary CopylSite Notice