HomeMy WebLinkAbout2012-00535 - addn/remodel/repair CITY OF ORONO * z 0 1 2 - 0 0 5 3 5 *
° • ' 2750 KELLEY PARKWAY DATE ISSUED: 06/21/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : I 14 CHEVY CHASE DR
PIN : 36-118-23-41-0035
LECAL DESC : HILL O'WAY MANOR
: LOT 001 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENT[AL
VALUATION : $ 25,000.00
NOTE: SEPGRATE YERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE, ELF,CTRICAL(S"I'A1�E)
REMOVE 15'BEARING WALL ADD 2 14"LUL
NEW KITCHEN
PLAN REVIEW COLLECTED ON PERMIT 2012-00534 $268.45
APPLICANT PERMIT FEE SCHEDULE 413.00
KNIGHT CONST. DESIGN STATE SURCHARGE(VALUATION) 12.50
2989 WATERTOWER P. TOTAL 425.50
CHANHASSEN, MN 55317
(952)361-4949
Minnesota State License#: BCO22883
OWNER
MCLEAN, CHRISTOPHER& ELIZABETH
I l4 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"fhe work for which this pennit is issued shall be pertormed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. 'Chis permit is for only thc work described and does
not grant permission for additional or related work which requires separale
pennits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if consVuction 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.
I�he 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.
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App a ennitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�._� �
City of Orono `'�" �����) ��
' Building Permit Application for Maintenance / Renovati
(windows, doors, siding, re-roof, etc.) ��25 So
Mailing Address: Permit number: �O/�-OOJ`.3J`�
O�,L,�,�0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: -/ -/Z-
� �.,,. � �t��
.� , �, � Street Address: Received by: �c.ra�
�y', ;�:
�'.� � ��� ^�� �ti 2750 Kelley Parkway Plan review fee: ��/o� -BOJ�3
�9,xEs��� Orono, MN 55356 ��/� �S
Total Fee: G�J
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:
Job Site Address: //�/ (',`l-c,v.� � �, - s� 1�� ,.,��.� �w :� ,---��_��,� �,-til.`.,' � 5 3� �
Will this be a Parade of Homes, Remodelers howcase Home or other Display Horhe? ❑ Yes [�NNo
If yes, a special event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��,h �;,��,t C',.-�.-�;f���1-��, �
State License# -����z z �.�,. � Expiration Date: .�v���
Lead Certification Number: Expiration Date: �
(for work on homes thaf were constructed prior to 1978
Phone: �l2- `1� '�� �`t� `( (office) � �Z-`3�: r- ��J Y� (cell)
Mailing Address: c �;�� �„�,_ �. City: L+ �� �`0._y,t ZIP:
,..t� ��
Contact Person: '"S =. Applicant is: Contractor Homeowner (Circle One)
Email and/or Fax: �� C�—k„��4�nk,r�,,,,,�.���.,, < <,,.--� _ �';, 5 Z-31� l -L��tS c
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PROPERTY OWNER INFORMATION:
Name: '� � ����
Phone (day): G�-Z - �L- � _-�S Z I
Address: //`� C/.��-✓ �ius� Dr„� �_ City: (.,/:.�,. � _�.` ZIP: ���5'�
Email and/or Fax �
PROJECT INFORMATION:
Type of Project: Any earth movement may 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 s eci Phone: 952-471-0590
( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: - ,, ��;�_ /.'� r ����,� �0.`� _ � -i`/�' v - J �kj,�
Estimated Construction Valuation of Project (excluding land) <' ����
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
re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
��
ApplicanYs Signature: �,� ;/i�" � - Date: ��.�-� l `�` Z� i Z_
Last Updated: 08-09-2011
� � � � • Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: /,�� C�FL vy C�tr•�5c ,D�
Description of work: l� � �-c1-��.v rcx-�u,�n� (
Septic review by: JV;A Date Approved:
Zoning review by: �V!� Date Approved:
Building review by: ������ Date Approved: L - ��0 - � 2
Grading review by: � i i3 Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zonin District Fire Department Post Office Sc�4ol District
,/
Zoning: Lot Area: SF/AC Width: �� Depth:
Survey Submitted: 0 Yes � No Date of Survey: O
Pro osed Setbacks: ��
.
Front(Lake) Rear(Street) ( N S E W ) ( N S E N�) Other Buildings Wetland
Side Side ;
Building Defined Height: Building Peak Height�' #of Stories Ok?: � YES
FOR A BUILDING WITH 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 r,�und uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest vvindo�nr 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
SUBTRACT the distance between the basement floor/crawl � ADD the distance between the slab and the highest
space floor and the highest exist�hg grade within existin rade within the foundation
the foundation or 10 feet,whichever is less. .�QUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF `� %
Shoreland District MCWD Permit Received Avera e Lak shore Setback Bluff
fl Yes � No 0 N/A '�, � Yes 0 No
0 Yes ❑ No � Yes � No�� ❑ N/A
Permit Number: �� Setback:
Hardcover Zones Existin Proposed Variance Required CUP Required
0-75' 0 Yes 0 No ` � Yes ❑ No
75-250' TYPe�S): TYpe�'s�:
250-500' �.
50Q�1000' �_
i
REMARKS (in-house):_ ,�ti� L i-�✓-};vC,��
Updated: 09/11 I2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO • � • • �
Permit �/
Plan Review ,_, �
°'State Surcharge ��
Investigation Fee !
SAC-�Number ofSAC Units
Sewer Connection ;
`�Water Connection : ���,;
Park Fee
�Site�lnspection
Other(specify)
Misceilaneous>Fees
Calculated By:
S uare Foota e $ er S uare Foota e
Basement X = $
1 S' Floor X = $
2nd FIOOf X = �
Garage X = �
Estimated Construction Value: $ Z`�, � � � �y
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site P mbing � Grading / Filling 0 II
0 Hardcover Removal Mechanical ❑ Fire Electrical
0 Footing 0 Septic � Water Connection
� Poured Wall � Fireplace ❑ Sewer Connection
0 Foundation Survey � Masonry � Lawn Irrigation
� adon Rock Bed � Mfg.
F aming � Other(specify)
Insulation
0 9s-Built Survey
��Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: ❑ YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\forms�plan review checklist.docx
d"'" D TE TIME �
CITY OF ORONO CALLED IN 7_�
INSPECTION NOTICE SCHEDULED 7-l/ -/�-
PERMIT NO.aO�� �S'3� COMPLETED
ADDRESS l�� C�-/�� �-��- '�'��
OWNER TELEPHONEN0. 7��-� y�� Z��3
CONTRACTOR L�/�c�� �� J����^
�: DESCRIPTION l n��-`�-r�-
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11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site-
Inspector. � `-� �
White Copyllnspector's File Canary CopylSite Notice
�� � 7�-�' . ��Er -� TIME j�,
CITY OF ORONO CALLED IN ��I ,� 1 I
INSPECTION NOTICE SCHEDULED �-1�-�—H-rr �
PERMIT NO. !"'���5 COMPLETED
ADDRESS � '
OWNER TEL PHONE N . �� ���7 �� ��`1
CONTRACTOR I�� 1���� ���'��-S�
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�: DESCRIPTION ' '� '
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lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/ LL�N
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS �
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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 ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on sitej
Inspector. �-7_��;I �,-
White Copylinspector's File Canary CopylSite Notice
�" � DATE TIME �
CITY OF ORONO CALLED IN -
INSPECTION NOTICE CHEDULED - - 3 �
PERMIT NO. a o�a-0�53�OMPLETE
ADDRESS G
OWNER LEPHO E NO. �D����� �`!�Y
CONTRACTOR C�.
>; DESCRIPTION G�"`--�� �'��
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
WCORRECT WORK'8rPR66EE�� '❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUfRED.CALlTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. _/`� .
White Copyllnspector's File Canary CopylSite Notice