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Home My WebLink About2012-00841 - addn/remodel/repair , ' • CITY OF ORONO * z 0 1 z - 0 0 8 4 1 * ' 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3593 CRYSTAL PL PIN : 17-117-23-43-0032 LEGAL DESC : NAVARRE HEIGHTS : LOT O11 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIV[TY : 434-RESIDENTIAL VALUATION : $ 1,200.00 NOTE: SEPERATE PLRMI��S RF,QUIRED: MECHANICAL AND I�,LH:CTRICnL(STATF,) IN"1'ERIOR FINISEI APPLICANT PERMIT FEE SCHEDULE 47.75 RADFORD, DANIEL&ORPHRA STATE SURCHARGE(VALUATION) 0.60 3593 CRYSTAL PL WAYZA'T'A, MN 55391- TOTAL 48.35 PAID WITH CC# 2680 OWNER RADFORD, DAN[EL&ORPHRA 3593 CRYSTAL PL WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This pemiit is for only the work described and does not grant pennission 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 specified herein.Tl�is permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if cons[ruction is suspended for a period of I 80 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may bc ed at an e for due cause. �`v� �o�-� ��-Z �i l Z �'i a 7i a-- Applieant Permitee Signature Date � Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �� af C��-a r�� , � ��6��ing Perrnit Appii�a�iQr� �or NEair��e�ance / F�e�Qv��io� (winaov��s, dvors, siding, r�-roof, etc.) M,aiiing Address: ' �Q/�—(�� —� ' Permit number: ,�'�,.^w Q,�. � PO Box 6o I �� Crystal Bay, MN 55323-Q066 j Qate received: ��a / � �'�a 4 ' �' �, i Street Address: Received by: ��} ��'�c, ; �; � G�/ 2750 Kelley Parkway Plan review fee: '\t`�,kEs��`,� Orono, MN 55356 �j Total Fee: o�C3.'�� Main: 952-249-4000 Fax: 952-249-4016 www.ci.orono.mn.us This appficaiion rorm must be completed in full and all required int"ormation must be submitted. fncompiete appficaiions will be returnecl. (Please print) GEN�RAL INFORMATIOt�� r S�fi� 7 � � �`�v7 � �� s `7 ��1 Job Site Address: � Will this be a Parade of Homes, Remodeiers wcase Home or other Display Home? U Yes No !f yes, a specra!event permit is required with Police Depanmenf and City Council approval 60 days prior to the event. Shuttie bus ervice wil!be required unless applicant demonstrates sufricient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLI��Nr"�ORMATIONf: Name: � f-} � " �' \ � o r l��'� ��- r`a � ��- State License # Expiration Qate: Lead Certification Number: Expiration Qate: (for work on homes fhat were constructed prior to 1978 Phone: (ofiice) (cell) Maiiing Address: Ciiy: ZIP: Contact Person: �� i3� r�� -ti � �� `� Appficant is: Contractor / Homeowner (Circfe One) E,rt-�ail an�,�-- ��cz� �� ,2�7 _ �� `7 � PROPcRTY OWN� INFO ATIO�t: '.I �ame: �� ` �'l � �� u Phone (day): � �( � 3 � � ( Z, � �� Address: � Z.. �I �C �O�E�l. �v�- .� City;L•�uG'i^ C9'�� ZtP: � S p'�-� Email and/or Fax PR�JECT INFORM�TIOI�: Type of Project I /any earth movement rray require ( ) emodel MCWD review& ermits: I ❑ Door s ❑ Fire Camage � P i Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 1E202 Minnetonka Blvd ❑ Re-roof, cedar I ❑ Restoration + � Deephaven, MN 55391 ❑V�,ater Damage I Pnone: 952-471-Q59� ❑ Re-roof, other(specify) I ❑ Siding ❑ Other: (specify} j Fax: 952-471-0682 i ❑Window(s) ; www.minnehahacreek.orq Ove�all Project DescriptioR: �sfimated Construction Vafuafion o� Project (exciuciing iand) � - APPLICAI�T ACKNOWLED��M�Iv�: • Agrees to provide all informaiion reauired or requested by the Building Depariment; • Certifies tnat the information supplied is true and correct to the best of his/her knowledge. The appii�ant recognizes that they � are solefy responsible for submitting a complete appiicaiion being aware that upon failure to do so, the siaff has no alternaiive � but to reject it until if is complete; • Some or all of tne inrormation that you are asked to provide on this application is classified by State law as eitner priva'te or I; �� confideniial. Private data is inforrrzation wnich qene�aliy cannot be given to the pubfic but can be given to the subject of fhe I i da.a. Confidential daia is informatior which generally cannot be given to eitner the pubiic or the subject of tne data. Our � I purpose and intended use of this informafion is to annualfy upc3ate our records and records of other govemmen;al agencies � re uired bv law. If ou rer to suppfv the inrormafion,the aopfi�ation mav not be issu�d. i A licant's Si nature: � �- - l. PP 9 � � Da'te: �d�� Z �, � Z. _ast Updated: OP-09-2D1' Pean Rev�ev�+ ��eckii�t for� [�e�a Structures / Adc�ition� Address/ PID/ Legal: � � �� ,�,� � � . . Description of work: �� Septic review by: Date Approved: Zoning review by: Date Approved: : Building review by: `�-m� �� Date Approved: � �� ,�� x°� � �, � Grading reviev�r by: Date l4pproved: Zoning File#: Resolution #: Resolution Date: `; Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: � Yes Q No Date of Survey: Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E IM ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES �� FOR A BUILDING 1lVITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof,or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof f: SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District IVICWD Permit Fteceived Avera e Lakeshore �etback Bluff 0 Yes ❑ No 0 N/A 0 Yes � No � Yes ❑ No � Yes � No 0 N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Requireci CUP Re uired 0-75' � Yes ❑ No ❑ Yes � No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forrns\plan review checklist.docx Fees to be Char ed YES NO Permit Plan Review e/ State Surcharge ✓ �� InvestigaYion Fee ,; SAC— Number of SAC Units �` Sewer Connection WaterConnect�on Park Fee Site lnspection Other(specify) Misce�faneous Fees Calcufated By: Square Foota e $ er S uare Foota e Basement X = $ �� 1 st Floor X = $ 2nd FI00� X = $ Garage X = $ Estimated Construction Value: $ �02�• � Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing 0 Grading / Filling � Well � Hardcover Removal f�I Mechanical � Fire �Electrical 0 Footing 0 Septic 0 Water Connection { 0 Poured Wall ❑ Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation ;� � Radon Rock Bed � Mfg. � Framing ❑ Other(specify) � Insulation 0 As-Built Survey i�Q Final ❑ Other(specify) REMARKS (in-house): Other Review: {2eviewed by: Date Approved: �` Access:Existing: 0 YES 0 NO New: � YES � NO REMARKS (TO BE NOTED ON PERf�fiT Al�f? I�IITi�►LLED BY PERSON PULLING PERMiT� � �� Updated: 09/11/2009 z:\forms\plan review checklist.docx �: �"�:�+'�3"e7G'�d�.+'� a c �." �� ,�1';F* �+".�* r'��*" #<a � - a �m g�-'x`w*j4 "'�° °+ ° �'U� � ."m' "s- � ,, ,, _ :x �_r:�3 .:,e �, ,. �� . . . _. ,. ,_ �... $am .�..�.�s;.,�,e,., ,F�_. t�� _ _ ..� _,, ., .��e.r,..�v Qi�a� .�.�;'�'�, e�..,:�.�":� DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE (,� / SCHEDULED ^ ( ' t '� PERMIT NO.��a �0��l l COMPLETED ADDRESS �S� � ��J�� OWNER �Q/J V � TELEPHONE NO. CONTRACTOR S� l t��- >`; DESCRIPTION �'�5✓ �A ��aN � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � �.tDlSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � j �W �'VVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site� Inspector. �� White Copyllnspector's File Canary CopylSite Notice