The URL can be used to link to this page

Home My WebLink About2014-00259 - addn/remodel/repair . � CITY OF ORONO * 2 0 1 4 - 0 0 2 5 9 * 2750 KELLEY PARKWAY DATE [SSUED: 04/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 120 CREEK RIDGE PASS PIN : 03-117-23-12-0014 LEGAL DESC : CREEKSIDE IN ORONO : LOT 003 BLOCK 001 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPARAT�PERMITS R�QUIRED: PLUMBING,MF,CHANICnL, ELF,CTRICAL(STATE) INTF,RIOR FINISFI APPLICANT PERMIT FEE SCHEDULE 574.25 PLAN REVIEW 37326 GUSTAFSON, MICHAEL& SUSAN STATE SURCHARGE(VALUATION) 20.00 1000 SHELARD PKWY#300 MINNEAPOLIS, MN 55426- TOTAL 967.51 Payment(s) CHECK 10457 967.51 OWNER GUSTAFSON, MICHAEL& SUSAN 1000 SHELARD PKWY#300 MINNEAPOLIS, MN 55426- 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 Slate E3uilding Code. This permit is for only the work described and does not grant permission for additional or relaled work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not speciYied 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 at any time after work has commenced. The applicant is respo isible for ass ng all required inspections are requested in�infor ce with the tate E3uilding Code.This permit may be revoked aI y�[i e f r due caus . / � ` /� _—_.__�_._._ �/ � x� �� / / Applicant Permitee ignature Date [ss d I3y Signature Date ' /� � 5� Cit of Orono C�� U Y Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) i�-,�Q A';:� Mailing Address: � „ �b Z5 Permit number: �YO� POBox66 — �, Crystal Bay, MN 55323-0066 Date received: �/ 4 i (; � Street Address: Received by: s, �� ; • t;. � : 2750 Kelley Parkway Plan review fee: �� f� �� Orono, MN 55356 ?k�St{O,'� /�p/I ,S� __ 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: � �n " � Job Site Address: �� -Y��-� �� 1`�'��S S ��c(L�� 'V1/v 5� 3J� 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 s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: (' Name: �� L��,�� L . ��.�; "�S 'tS.:f, ��'��,-�. vWv+�l� 1 State License# xpiration Date: ' Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �c��ie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: (� Name: 1/V1 �LI.�c,e.� L . Cji.<s'�G�-s��J Phone (day): -�( 2 - jp� - �j(o`'7 Z Address: �y.e�,j� , ��' �t S S City: �Vy,,,� ZIP: 5��j"� Email and/or Fax: _ .�+.�s G S,;��, e -�tic�,s -� �H �;� c; �r � , Cvr,-i PROJECT INFORMATION: Overall ro�ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ 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 ❑ Re-roof, other(specify) ❑ Siding �Other: (specify) Phone: 952-471-0590 �( Fax: 952-471-0682 ❑Window(s) �,��+>�+ I��S�n-.C��" www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �/Or Ol)� 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 info[fnat' n is t annu ly update our records and records of other governmental agencies required by law. If ou refuse to su I th ' rm tio ,t on ma not be issued. Applicant's Signatur�:' �`` Date: 3 / _. —_... Owner's Signature:. � � -- Date: 3�� Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR IVEW STRUCTURES / ADDITIONS AddresslPermit Number: 4 2� �E'2..��1� t2 0�� SS Description of work: __ �A '�, tir �� Septic review by: �� p � Date Approved: Zoning review by: Date Approved: _ Building review by:_ o v..� Date Approved: �-1 � e '� Grading review by: /v B �- Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoni : Lot Area: SF/AC VNicith: Lot Coverage: SF % Survey bmitted: 0 Yes � No Date of Survey: Revised dat Pro osed Se acks: Front(Lake) Rear(Street) ( � S E W ) ( N S E W ) Other B ' dings Wetland Side Side Defined Height: Peak Height: FFE: FFE mi 6 feet= (Existing Contour) ; Perimeter(linear feet) = 50% _ #of S ies Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR C ,L SPACE: ' The distance betw the lowest OR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of th sement or crawl space)and the highest 'nt 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 highe po between the highest point of the roof of the roof to the low poi f the to the low point of the corresponding SUBTRACTION corresponding gable ipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPP ROOF(with (BASED ON . GABLE OR HIPPED ROOF(wi4h TYPE) windows): Sub ct half the ROOF TYPE) windows): Subtract half the distance distance be en the top of the be4ween the top of the highest highest wi ow and the highest window and the highest point of the pointof "eroof �. roof � . ALL OTHER ROOF TYPES flat, $ • ALL THER ROOF TYPES(flat, ma�sard,etc:No subtraction. sard,etc):No subtraction. ADDITION Add the distance between the top of slab " SUBTRACTION Sub ct the distance between the �(BASED ON and the highest.existing grade adjacent to (BASED ON EXISTING b emenUcrawl space floor and the EXISTING the foundation. GRADES) ighest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height �\ \ Shoreland istrict MCWQ Permit Recei�red �4vera e Lakeshore Setback et? Bluff � Yes 0 No ❑ N/A 0 Yes 0 No 0 Yes � ❑ No � Yes � No � N/A ' Permit Number: Setback: Stormw ter Quality Existing Proposed Variance Required CUP Required Overl District Tier F�ardcover Hardcover ❑ Yes ❑ No ❑ Yes � No Type(s): Type(s): Updated: January 2013 � v:\forms\plan review checklist 2013.docx �D �� ,z� a�r:� : �.� �..r. ,� :�. ��' t.:` �+s°`, °'t �:r�;M^�"�'X.�a' �*i:� .� °�a' � ��rs��'�-�,r�,� ��,r.-�"�,�x' _ �'x' �`,�'��s±f r'��v�'r t %,�,r.y.; �a"'�C"g 1a��l '4.f' �` e't . � ,.rje.' � t ✓ zt z�'�r��"yx'�'��", `xx9^-,'.�`" ,+�` r�'�;�r.�t�".��^��gfi ,rzL�'s;t-+A.i.,i,!y�e5:� „?e�'�.��r��.e�Y�`r�'�,'£�'_ ^r,�.=.��,^°'..�s"' �.,�`.��.,:`�. ��'��a��,.`��'c :.:�:+��.s�.�+'� _ _ . . 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 Basement X - $ 1 S`Floor X ' � 2nd Floo� X ` $ Garage X - $ Estimated Construction Value: $ � �y D�� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �Plumbing 0 Grading/ Filling � Well 0 Hardcover Removal �Mechanical � Fire }� Electrical � Footing 0 Septic � Water Connection 0 Poured Wall � Fireplace 0 Sewer Connection � Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. �'Framing 0 Other(specify) �nsulation � As-Built Survey �Final ❑ Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES ❑ NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED t; E � Updated: January 2013 v:\forms\plan review checklist 2013.docx ��""' '�.� "� ° '' 's�'�� !VS �_.��..:��y�� si«F�; � `� ��t i� E �•y � ---> > �ev'��3..J �;° 3 � _ , �- :1-� S�'ECIAi.. N��"E ��r� �at`^j r...� ; ' r � !,-°��—G 1�e t � - SEE ATTACHED SHEET � ��ft p� P s i �'� . .. :� � G'�t C.;S e`.. ... `.E ,.. .� 5 ,� �_.�_ . ,. , . .. _ . , w .�T ;°•ti, ;– ; t':.�i'�d (.s��::ti� '+�v FO R � ts�nn c�rc t z, t��.�: , ,.. . . '�i C `�£" � .�`: ` ">_# ° ��',r:%j iT CODE REQUl�EA�'�ENTf3 i ;�`�' �.. �� }�{�Q[j/��7�� i r=__='_ � / � DATE TIME CITY OF OR NO CALLED IN 7_0�� INSPECTION NOTICE SCHEDULED 7- 9-f S -��T PERMIT NO. -�� COMPLETED � ADDRESS ` � OWNER TELEPHONE NO�Ia-S��"j�O77 CONTRACTOR • u � DESCRIPTION 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 ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �EINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SE TIC INSTALL OWNE NTRACTOR TO MEET YOU:�YES_NO c�i� COMMENTS: ��prG�✓'��G�L ��4� - � a S�PO�� a�. ' 0/� o� D� � c� ,D�� . - � — � s��ss— D�< ° ff� f�or '� �,��,�� d- Aia!>�srSO�' W � Q � 2 /'' _ n � Ps�.�n�t t�rt¢��b/ W � � J d W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: f�<�� Inspector. ` 7G,.3 - o�5 White Copyflnspector's File Cenary CopylSfte Notice �� 6-a�T�7 TIME � CITY OF ORONO c-� INSPECTION NOTIC SCHEDULED �a�_, �•'� PERMIT NO.o?D COMPLETED ADDRESS �� rs. OWNER �S TELEPHONE NQp/�3 S��' c!lo77 CONTRACTOR � � DESCRIPTION � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:��'f� ril� �r�,,�te� w�Cs (� 7�J rJe� W0.�Gj 4w�E�Si/�+ 4J�[�S. � � -�t� Ca�� /•GtG ♦ � Oi fI�K � f S ' S � � ). ^� � � t6 ��QO/ / t� • W �� !'c ir�d e. elG��i^�GI.0 /K 5/�Cc�'�/ ,//f o r � Qr'�UO r tti�' i 2 !/154�• t .S QDC�Sfil�t4' � o. �� -d ��C -�'— �'a v�✓ � � � � � a W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��RR€CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O v❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOfi ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: •�e inspector. White Copyllnspector's File Canary CopylSite Notice