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Home My WebLink About2014-01288 -addn/remodel/repair , � CITY OF ORONO *�� 1 2 s 8 * 2750 KELLEY PARKWAY DATE ISSUED: 1U05/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : ]000 COX FARM KD PIN : 27-118-23-32-0018 LEGAL DESC : SHADOWOOD FARM : LOT 008 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NO'1'E: SEPARATE PERMI"1'S RGQUIRI�,D: PLUMBING,MECHnNICAL, ELF,CTRICAL(S'I�ATF.) BASEMENT HINISH APPLICANT PERMIT FEE SCHEDULF 574.25 PLAN REVIEW 373.26 BUILT TO PERFECTION, LLC 8181 CURTIS LANE STATE SURCHARGE(VALUATION) 20.00 EDEN PRAIRIE, MN 55347- TOTAL 967.51 (612) 868-9099 Payment(s) Minnesota State License#: BUIL-BC627542 CREDIT CARD 6333 967.5 I OWNER NARUM, DAVID& CAROL 1000 COX FARM ROAD LONG LAKE, MN 55356- AGRF,EMENT AND SWORN STATEMENT The��ork for H�hich this permit is issucd shall be performed aecording to the approved plans and specitications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission fbr additional or related work which requires separate permits. All provisions of laws and ordinanccs goveming this type of work shall be compied with whether or not specificd 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 oC 180 days at any time after work has commenced. Thc applicant is resppnsible for assuring all required inspections are requested in 'onformanc with the State[3uilding Code.'This permit may be revoked at a�r,u time for di c cause. \ �'`�'� �� i � �� i-S / Applicant PermiC��S �nature ale Issued ignature Date �� ; �; :�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �D� ��n �'�1l1� f� � Description of work: �I'�Sc- > > �e�iSt-� Septic reviev� by: e��. s' �� I , � as�� Date Approved: i+ -3- / `� Zoning review by: /� ii� � �R �5�� Date Approved: Building review by: � Date Approved:� i -� — J� . �t� Grading review by. ,n1� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zon : Lot Area: SF/AC 11Vidth: Lot Coverage: F _% Survey S mitted: 0 Yes t� No Date of Survey: Revised ate ? : Pro osed Se acks: Front(Lake) Rear(Street) ( � S E W ) ( N S E W ) Ot Buildings Wetland Side Side Defined Height: Peak Height: FFE: FF inus 6 feet= (Existing Contoue) Perimeter(linear feet) = 50% _ #a tories Ok? � YES FOR A BUILDING WITH A BASEfi�ENT OR RAWL SPACE: The distance tween the lowest FOR A BUILDIPlG ON A SLAB FOUNDATION: START WITH proposed floor(o the basement or crawl space)and the hig st 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`{tOOF(no . GABLE OR HIPPED ROOF(no windows): Subtract ha the windows): Subtract half the distance distance between the hig st p int between the highest point of the roof of the roof to the low point o e to the low point of the corresponding SUBTRACTION corresponding gable or hip oof SUBTRACTION gable or hipped roof (BASED ON ROOf . GABLE OR HIPPED RO F(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract h the ROOF TYPE) windows): Subtract half the distance distance between th op of the between the 4op of the highest highest window an the highest window and the highest point of the point of the roof roof ALL OTHER OF TYPES(flat, • ALL OTHER ROOF TYPES(flat, � mansard,etc:No subtraction. mansard,e :No subtraction. ADDITION Add the distance between the top of slab SUBTRACTIOR Subtract the di ance between the (BASED ON and the highest existing grade adjacent to }•f (BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation. GRADES) highest exi ing grade adjacent to the GRADES foundati OR 10 feet(whichever is less). EQUALS Defined building height EQU�4LS Defin d building height Shorelanci �istrict MCWD Permit Received Avera e l�akeshore etback Met? Bluff � Yes 0 No 0 N/A 0 Yes � No 0 Yes No ❑ Yes � No N/A Permit Number: Setback: Stormv+ea r Quality Existing Proposed Variance Required CUP equired Overla istrict Tier Harcicover Hardcover � Yes 0 No � Ye 0 No Type(s): Type(s): �� Updated: January 2013 _< v:\forms\plan review checklist 2013.docx �Q �� > ��;� �: .. .�. . . . �;aw . , ,; _ . �. ;�` 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 uars Foota e Basement X - $ 15f Floor X - $ 2nd Floo► X ' � Garage X ' � Estimated Construction Value: $ '`�10,c�c9t) °� Orono Inspections Required Work Requiring Separate Permit� Required State Permits 0 Site �Plumbing 0 Grading/ Filling � Well � Hardcover Removal �d"Mechanical � Fire �Electrical � Footing � Septic � Water Connection 0 Poured Wall � Fireplace � Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation 0 Radon Rock Bed � Mfg. ; ja'Framing Q Other(specify) �'Insulation � As-Built Survey �inal � 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 REfVIARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx VI�y VI VI VIIV Building Permit Application for Maintenance / Replacement/ Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O � Mailing Address: Permit numbec O ` �� 2 � �� F �/�, PO Box 66 Crystal Bay,MN 55323-0066 Date received: �� ' �-� � ^ 1 1� Street Address: Received by: �/ 2750 Kelley Parkway Plan review fee: ��c � �� Orono,MN 55356 ��KF�Fii��t�� Total Fee: �.5 I Main: 952-249�600 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 wlll be returned. (Please print) GENERAL INFORMATION: - Job Site Address: i %i � �� G Will this be a Parade of Homes,Remodelers owcase Home or other Display Home? Yes No If yes,a special event permif is 2quired with Police DepaRment and C�ty Council approval 60 deys prror fo Me even[ Shuttle bus sarvice wdl be 2qurred unless applicant demonstretes su/hc�ent on-sde parking is evailable. Non-permitted events will not be ellowed. CONTRACTOR/APPLICANT IN�ORMATION: Name: �,.� �, �3�` rc •��.v ��< State License# � Expiration Date: '"' — Lead Certification Number: - Expiration Date: - w (for work on homes that e construc� nor to 1978 Phone: (cell) j �� (office) _ Mailing Address: � 7-1� /j City. '' A��,l'i�Z�P: . .S Contact Person: �/�; �7 i Applicant is: Contractor / Homeowner �cimie one� Email and/or Fax: �JS� �,,�r f-� ��-�Q[�On LL C �-��" PROPERTY OWNER INFORM�T� Name: D.i�,'� .Ar" � �u r Phone(day�:l.•�.I X,�� ,�� - �,y,� � Address: /Jc+u L'a1. �-R�^ R�A � City: �nv�v� ZIP: ��j�j � Email and/or Fax: �� J �fjJ (.'��M PROJECT INFORMATION: Overall ro ect descri tion: I Type of Project: Any eaRh movement may also require ' ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed Distrid(MCWD) 18202 Minnetonka Blvd ❑Re-roof,eedar ❑Restoration ❑Water Damage Deephaven,MN 55391 � ❑Re-roof,other(speclry) ❑Siding ❑Other.(specify) Phone: 952-471-0590 � Fax: 952-471-0682 � ❑Window(s) (35r�rt /'��nl�S� vvww mmnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . CeAifies that the information supplied is true and corred to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete applicaGon being aware that upon failure to do so,the slaff has no alternative but to reject it until it is comptete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidentfal. Private data is information which generally cannot be given to the public but can be given[o 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 inforniation i ually update our records and records of other govemmental agencies required by law. If ou refuse to su I the infor on,the lication ma not be issued. ApplicanYs Signature: Date: �� ' Owner's Signature: Date: • �� {��dhG oper'irg on rtenor beanrg'�va!!.whir,h rr,cludes a i 1'span �� 1�J �N�rth a r�c�m the�iotl�e. The beam[o rnalude ��..��f/rip'L"'w7�E� 'K+�t2'L�'s �VC*T'1 �PL6v�G G-3n�te?04 wdh s!o��e.c�dr.h sihe l Gir ,,._�,. a = -. ,=,�,rvy^F�rer.�aca � .� � "8 . � a9 �L �+'` .. . .. .. ..._ .. __ __ ps ia._ '�..... :,y�� ._ � �16 , St=r.�'our T � - " . �Y�,�..Atea �. � � _ ,- a --'� . � .�-- o_ - � . � ?..�ti ,ry.r7 �, C`�tf „�.. y , � �l.....,� �� I 11� • , �� 1 . r „� �--'—'<'-�'--:.'—_,( � ��- �� .�; - _ �� p ..:,� .:Y-�y�. o VV''11 1. ,K:"1..�..' ^ ,:.�_. -� ; k ` I .r.;q,stn�.s � w N. � . li �;,�., � ^ Bare�a ii� - � ,��,�des s,�� f�,r9� ��- , �, !�g?ype X Sh�etrock non-vented m�cro .�� . -,�s��e�,�,�� U�tdE 0# St'r�itS A�d 11�I��R . e- � ��,rnacv Rocm ce�;7-rn, �. _,,r� � i` y � , {Y { , ...,yt;. i " J � � � ti � u °; J s '2/�h x� 'F ;:arol erd Devi4 Narum � �.•/, 'F-;ar � 'C'.0 Ccx Farm Rd „ ^.r;�o.MN 55397 � Srale-1/8•=1, - ^�n�5h��f$qVB/p F@e(- ; ;�;0 �,.r�.r BE��.O�� l��OWS SPECdAL N�OTE F9tZc EY.4T F�.�UIR�� 2�'" ��. r'.�-,�•.��tl'. �^y'��N SEE ATTAC'�-4�'D SHEET 2� i�t? ;�. �. at_��NT � „ �.�. Gr_.ti��,�: ; ��_� �OR 5.7 :��. �=� ��xi�� '�-�4��G CODE REQU€F��r�E�ITS 44" Ni,-hX S S LL I-�'�i�HT REVIEWED for COD� C�M�'�.�� p�.AN CHECKED B DATE t1 _��"`( � —� � DATE TIME • CITY OF ORONO CALLED IN v? '��`� INSPECTION��E _O Z$,��cHEDULED a�/S _� PERMIT NO. d MPLEfED ADDRESS J� OWNER TELEP ONE N .��-��a�� CONTR/�ZTOR ��-LL��" �-�1�' C�T/l/yf � DESCRIPTION �L�'`" ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FR ING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP = BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � 2 J O >. � O � � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ JECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . g52) 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary opylSite Notice �- � S-Q-�- .. DATE TIME CITY OF ORONO CALLED IN �l ' —�-. �— INSPECTION OTIC �2� g, SCHEDULED `1-2b-/ �1 �� PERMIT NO. connP�ErE� ADDRESS l�� OWNER NE NOb�°�'�b�� CONTRArTOR�U � - �� 't' �; DESCRIPTION ��'UO�� l� ❑ FOOTiNG O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z'�JCI�SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �� I��'bi4.0 — W ^ �jC'fe r�D� .�O�s��on, L�.�t�S — s�� a o - r�� - s.�� '6��.� '' — ��_e �CC s � wc�lKo�,t c��- �P-/9 � _ � / ` � C` d/ r/'ia� Q � /',L F`�$�O d �� G/��S�.S DB � b n cv c � wcc <l — �c�6ss r�-- � W � S �� •� cv.E,�c,.� —' ��S L� 6�"'�. � � 1��G'Lv�� Q� "1�—�p�� J GW �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �Cl1H9ECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ��.�� White Copyllnspector's File Canary CopylSite Notice � -1 � 1 DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED /L-a�/ !� l-`� PERMIT NO. 'D�oZS��COMPLEfED ADDRESS ��DD OWNER T P O NO. �� CONTRACTOR � � DESCRIPTION �� 4� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q Q�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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS: � �� '��N�s�i.. � � W � o ��. �•L d,� � ��- �/C�5� r�< �I.G'L�k.�r " � O � W r ` � Q l' �"� ` � � 2 W � W � � � � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. C "nspection 24 hours in advance. (952� 249-4600 Own IContractor on site: � inspec White Copyllnspector's Ffle Canary CopylSite Notiee