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Home My WebLink About2014-00343 - addn/remodel/repair CITYOFORONO * z0 14 - PJ034�3 � -. 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 75 CRYSTAL CREEK RD PIN : 33-118-23-33-0003 LEGAL DESC : CRYSTAL CREEK : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPARA"I'E PERMIT'S RrQUIRI?D: PLUMI3ING,MECkIANICAL,ELECTRICAL(S"I'ATE) K[TCHEN REMODI:I, APPLICANT PERMIT FEE SCHEDULE 466.75 PLAN REVIEW 303.39 LECY BROS HOMES STATE SURCHARGE(VALUATION) 15.00 15012 HWY 7 MINNETONKA, MN 55345 TOTAL 78514 (952)944-9499 Payment(s) Minnesota State License#: BUIL-20325555 CHECK 38334 785.14 OWNER LARSON, ERIC & PAMF,LA 75 CRYSTAL CRF,EK RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pennit wiil 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 ibr a period of 180 days at any time after work has commenced. The applicant 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. .,�'1 � ��'�:� �v ��f � 2S � � Applicanf PermiCee Signature ate Issued By Si ure � Date �c.Q�-�- ��2� "�� . Cit of Orono � v Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �-''� Mailing Address: Permit number: c72b� `t-� /%'��/�A Po BoX ss / \ Crystal Bay, MN 55323-0066 Date received: "'v�a—� l � y,, Street Address: Received by: ti�' �! 2750 Kelley Parkway Plan review . � �`-';' Orono, MN 55356 ��fSN�� / �__�- Total F e: ��5, 'y- 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 mus Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: '� �G��' S Y�- (�, -�i �b�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No N yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se�vice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��L�t ts��-t-��D�Jt�L/n.(� ��-�lsC'� State License# j3��Z �s�� Expiration Date: 3 3� /� u� �c�.,t,� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �(0--3..(�-3�j- �/y � (office) 4'SZ- 7�f� -3 7 g 3 Mailing Address: ��Z �.��,q..c.f r7 City;/Lf«ati��ZIP: �s3�� Contact Person: f�i��/� �,c�y�-�� Applicant is: on rac / Homeowner (Circle One) Email and/or Fax: ��rn�,v-��q L�X�2e-�. C��,,� PROPERTY OWNER INFORMATION: Name: �,Cl� /�'�'[.f.� ��`�/ 4.�j25p� Phone (day): (2�2, '' $O! -' �p��O Address: r7� ��g�q�� (�� c�ty: ce-,r��tX�- ziP: j�3� Email and/or Fax: �0�9T�' ��a Q2 ��vt 5 r� ✓�n�✓3�Bz?�S PROJECT INFORMATION: Overall pro�ect descri tion: (�0 �b� !�t TCE�c� 7�0 �y��+.c��, Type of Project: Any earth movement may a so require ❑ Door(s) ,�Remodel ❑ Fire Damage MCWD review 8�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) R�� / www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ "��m 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 altemative 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 govemmental agencies required by law. If ou refuse to su I the informatio the a lication ma not be issued. ApplicanYs Signature: Date: � / Owner's Signature: Date: =1�2 � ' � -I Last Updated:03/06/2013 r° x';; . ..,�" .,r-»_y' .,.,,....�, :7�. ...r .w»��a�+!s3.;.5„w�.ua.�.,�,.p.�..�..�..-€�n"� ':,..��'z.Y'�w.s+Fa�yg��a�y�fr �,4, _ _ ..--,, _�. -.� .,.:�._ . . . ...,� .,:... , µ ..n... . ... .�,,,;� � ... ; .��.. REMARKS (in-house): Fees to be Char ed YES NO Permit �� Plan Review � ' State Surch�rge �� - - - - ---- - _ _ -- - - --- - -- ___ -- —___ _- ---- - -- . __ _ Investigation Fee � SAC-Number of SAC Units Other(specify) S uare Foota e $ er 5 uare Foota e Basement X - � 15t Floor X - $ fi 2nd FIOOf X $ Garage X - $ Estimated Construction Value: � ��r�� Orono In�pections Required Work Requiring Separate Permits Required State Permits � Site �..�`� lumbing 0 Grading/ Filling � Well � Hardcover Removal ,� Mechanical 0 Fire ' Electrical 0 Footing 0 Septic 0 Water Connection ', � Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey � Masonry � Lawn Irrigation P` � Radon Rock Bed � Mfg. Framing 0 Other(specify) 0 Insulation 0 As-Built Survey =''Final � Wetland Buffer §. � Other(specify) ' REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES � NO OFFICIAL. REIViARKS -TO BE iVQTED ON PERMIT Aid� tt��TIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx �: PLAN REVIEW CHECKLIST FOR IVEW STRUCTURES / ADDITIONS ,AddresslPermit Number:_ �� ..�C.�1�i r-1� �„�f�� p�� - Description of work: t� > ��..�� "�'�'°�-� Septic review by: f� i� Date Approved: Zoning review by: f✓ i� Date Approved: _ ____Building review by___ .�:� � l•:e.e��-��- Date Approved: �7 - r"�/ - �. Grading review by: ��,�� Date Approved: Zon ng District: Zoning File#: Reso#: Reso Date: ` Zoning: ot Area: SF/AC Width: Lot Coverage: SF % Survey Sub 'tted: � Yes � No Date of Survey: Revised date : Pro osed Setba s: Front(Lake� ear(Streetj ( N S E 1M ) ( N S E W ) Other Bui ings 4�letland {H Side Side Defined Height: P k Height: FFE: FFE minus feet= (Existing Contour) Perimeter(linear feet) _ % _ #of Storie Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA : i The distance between the low FOR A ILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement crawl ' space)and the highest point of the r f. 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 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 (BASED ON ROOF • gable or hipped roof • GABLE OR HIPPED ROOF(with (BASED ON GABLE OR HIPPED ROOF(with TYPE� windows): Subtrect half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the high 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 su raction. mansard,etc:No subtraction. A IT�ON Add the distance between the top of slab � SUBTRACTION Subtract the distance b een the (BA ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl spa floor and the EXISTI the foundation. GRADES) highest existing gr e adjacent to the GRADES foundation OR feet(whichever is less). EQUALS Defined building height EQUALS Defined bui ing height e� Shoreland District MGWQ Permit Received Avera e Lakeshore Setback Met. �luff � Yes 0 No � N/A Yes 0 No 0 Yes � o � Yes � No � N/A Permit Number: Set ck: Stormwat Quality Existing Proposed �ariance Required CUP Required Overla istrict Tier Hardcover Hardcover ❑ Yes ❑ t3o � Yes 0 0 �, Type(s): Type(s): Updated: January 2013 �� ,�� v:\forms\plan review checklist 2013.docx �e �.: CITYOFORONO * 2P114 - 00343 * 2750 KELLEY PARKWAY DATE [SSUED: 04/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 75 CRYSTAL CREEK RD PIN : 33-118-23-33-0003 LEGAL DESC : CRYSTAL CREEK : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAI,,ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 466.75 PLAN REVIEW 30339 LECY BROS HOMES STATE SURCHARGE(VALUATION) 15.00 15012 HWY 7 MINNETONKA, MN 55345 TOTAL 785.14 (952)944-9499 Payment(s) Minnesota State License#: BUIL-20325555 CHECK 38334 785.14 OW1vER LARSON, ERIC &PAMELA 75 CRYSTAL CREEK RD LONG LAKE, MN 55356- 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 State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expice 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 responsible for assuring all required inspections aze requested in conformance with the State Building Code.This pecmit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date ✓ DATE TIME ', CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED ��a� ��1'Ci PERMIT NO. ' �� C LETED ADDRESS C'�'`�—� OWNER EPHONE NO. CONTRACTOR i � �; DESCRIPTION � ly ❑ FOOTING ❑ PLUMBING F AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSU ATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � 1 AL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �� , � - � O , � O � W � Q � 2 W � W � j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN 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. 49-46�0 OwnerlContractor on site: Inspector. White Copyltnspector's File Canary CopylSite Notice