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Home My WebLink About2016-00755 - addn/remodel/repair . ' CITY OF ORONO * z 0 1 6 - 0 0 7 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1395 BROWN RD S PIN : 10-117-23-31-0050 LEGAL DESC : MARKVILLE : LOT 005 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,500.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) REPAIR/REMODEL STORM DAMAGE APPLICANT PERMIT FEE SCHEDULE 185.83 PLAN REVIEW 120.79 KUNTZ CUSTOM HOMES STATE SURCHARGE(VALUATION) 4.25 1630 OXFORD AVE DELANO, MN 55328- TOTAL 310.87 Minnesota State License#: BUIL-BC225049 Payment(s) CHECK 7460 310.87 OWNER KALEY, MR. &MRS. PHILIP 1395 BROWN RD S WAYZATA, MN 55391- 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 docs not grant permission 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.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 l80 days at any time afrer 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. ^ '� �'�„�� L' �j��`j`��(�i � I 'L�� r� �/ �l� �� Applicant Permitee Sign ture Date Issued B gnature Date City of Orono �` `�`�� Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. – NO STRUCTURAL EXPANSION) �O . ` Mailing Address: Permit number: �� l��O PO Box 66 _ Crystal Bay, MN 55323-0066�� Date received: --/ Street Address: � Received by: y�, � 2750 Kelley Parkway (P�� Plan review fee: ��kFs H�Q`�. L Orono, MN 55356 Total Fee: � �� g � 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. (Please print) GENERAL INFORMATION: Job Site Address: G ��,�, Y-� � -( "1 ;�C.1-�; Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o /f yes,a specia/event permit is required with Po/ice Department and City Counci/approval 60 days prior to the event. Shutt/e bus se ice wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permrtted events will not be allowed. CONTRACTOR/APP I�ANT I FORMATION: Name: —' lJ� �'vt �1�t�1PS State License# Expiration Date: �-- 3 � — �� L-��+��^^�ie� N��mhp�� 1 �� y� Expiration Date: —�^ (for work on homes fhat were constructed pr�or to 1978 Phone: (cell) - � -- " � �' (office) Mailing Address Q !" ; City: ZIP: Contact Person: � Applicant is: ra / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER IN ORMATION: Name: `� ` , Phone(day): � y�3 � 7 Address: � ��,�,F� City: ,-�.c� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt Repair Storm Damage Minnehaha Creek Watershed District(MCWD) � ---_1�Minnetonka Blvd ❑ Re-roof,cedar Restoration ❑Water Damage �e onka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orQ 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 required by law. If ou refuse to su I he information,the a lication ma not be issued. Applicant's Signature: ^ Date: �� Z �� ` � , Owner's Signature: ; Date: �a ' 2 15 – � � Last Updated:January 20 6 _ � .�'�' � � � �, ,/�� /'f�, � � . � ��A,I� �E�'fE1�11 �I�ECKL�ST �Ol� �E�V �TRfJCTURES / ��QiTIO�ES . � y � �` Address: �� s°.-��''"�, CJ� Permit No.:�d��`��.�� Description of�vork: Date Rec'd: Septic review by: Date Approved: Zoning review by: ,� Date Approved:� ,, p . Building review by: �� Date Approved: � �' Grading review by: Date Approved: �` Zonfng District: Zoning File#: Re��#: Reso Date: �oning: Lot Area: SF/AC �Vlidth: Lot Coverage: SF % � Sunrey Submitted: ❑ Yes � No Date of Survey: Revised date(?): �� `' Landscape plan submitteci? 0 Y�s Q No Landscaper: � . Proposed Setbacks: � Front(Lake) Rear(�treet) ( -,,N S E W ) ( N S E ,%lllf ) Other�uildings Wetland Side Side Defined Height: Peak Fteeght: FFE: FFE minus 6 feet= (Existing Contour) ��.`. Perimeter(linear feet} Y 50% = L.F. below gracie °�. � Basement? 0 Yes ❑ No, Stories .� ,: FOR A BUILQII�G WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest propos,d Slab at or above grade— floor(of the basement or crawl space)anc� measure from hiQhest existinq � START WITH � the highest point of the roof. � START WITH �9 ade to the highest point of the � roof even if fill was brought in to �t elevate home. If you have a... � SUBTR,4CTION • GABLE OR HIPPED ROOF(no �� Slab below grade—measure �: (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof � hi hest oint of the roof. to the low point of the correspo�ding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half � the distance between the windows): Subtract hatf the distance ROOF TYPE) highest point of the roof to between the top of the highest the low point of the ' window and the highest point of the corresponding gable or roof hipped roof �• • ALL OTHER ROOF TYPES(flat, < GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES �;_ (flat,mansard,etc):No EQUALS Deflined builcling height subtraction. Oefined building height EQUAL3 Updated: October 2015 z:\forms\plan review checklist 10-20'k5.docx �.�� s,�..w�...�_._..�, ,.:,.,� .�_r,._.,__ �.�.� _._.�..,_-__�..:.�.--_. __ , _ . _ _ Shoreland District MCVVa Permit Average Lakeshore Setback Bluff M et? � 0 Yes 6� No Permit Number: � Yes 0 No � N/A � Ye No � ❑ N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): , E: Fees to be Char ed YES NO � Permit ':��'"' ! � Plan Review � ` State Surcharge t�:�� Investigation Fee � � �AC- Number of SAC Units �,;�" � Other(specify) r,s'� i �` Square Foata e $ per Square Footage Basement X = $ �`. 1 St Floor X = $ a � 2nd Floo� X = $ , � Garage X = $ � � �` Estimated Construction �+alue: $ �'e _.�� . � . Orono lnspections Required Work Requiring Se�arate Permits t � i ❑ Footing 0 Site Q Plumbing ❑ Grading/Filling � ❑ Poured Wall � Silt Fence/Erosion Control ❑ Mechanical ❑ Fire �, ❑ Foundation Survey � Hardcover Removal ❑ Septic � Water Connection �� ❑ Foundation Waterproofing 0 Other(specify) ❑ Fireplace ❑ Sewer Connection ; � ,Framing � Masonry � Lawn Irrigation � Insulation ❑ Mfg. ❑ Landscaping ❑ As-Built Survey� ❑ Other(specify) � Final Q Lathe Requirec! State Permits ;- 0 Other(specify) r ❑ Well Electrical � > REfl�EiRKS (in-house): OFFIClAL REM/�RKS -TO BE NOTED ON PERNi1T AND INITIALLED: �' ❑ See Builder Rcknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 r\fnrmc\nlan rovia�ni nc�rklic4 1f1_9MF rinrv � . Carbon monoxide detector n� " � required within 10 ft. of ��r� �� k� �e��a fo� �oa� all sleeping rcoms. ��Compliance City Orono /, � Data ��'`�' SMOi�DETECTOR CONNECTEO TO A SOUND- t�vC� i;�r QE'r;C�OR GTHcR DETECTOR AUDIBLE�N \�� ('�j R@ ewer ;'.>L �Pl�:u AR`FS. o� _ � ` \F� , ; � � �� - . � ' , '�` � �� /�� . t� � � �' ��- � �� ,�v �,w 2� � � � � N � �` �.� �P�x� � � �� c � hQ�, ( �� .� � � � � '1 �� J�� r►� ..��:� ' �j � � G f�d� ,�, G�"� t ��j� �� i � � �v ; � � � �� \� .��-, �''� � ; � ; � �� ' � � � � � � p�� i � � �� ( i � � �� r�� V� � �� ( � � � - � � � � �2� —�=�-, c��,t,� ��. �f C � �� , o� �� 2-'C ✓1/�.� V�.. � 1� Y\-�-- I h.� J In I Y � � � -.��-- � �,-�;_,,,,� �,�, �-�c�-�- � �� c�,,J� c=� 2�. rv�.� v� ��s-h��__ �. X � .. �2 �J �c� �v e � ,� 1� � ��-<1Z S � �� - � �► s�., ( �-� � ��e� I�-c e ��,��-- -��---� �`�'� �-�� '� -�� " �'�s,� � z Te� �� -- � �ie.� I( ��-�► .--��t-� �e w ��v� /�-� ��'� � � � ��o � �• ��-►�, �t;�v � p `�r�,� ��, ��.. 1 J� w� � � �-e. S�.�e�,�-w / �-t� 1 � �/� � ',�-� `� '�-� � _ ��- 1 �30 � �.�C C�v e��:o ��S k � , , G (� V � 7 D-� TIME CITY OF ORONO CALLED IN INSPECTION�,O,T„ICE SCHEDULED 7- �7 ~/l� /D_' 3 v PERMIT NO.o��t � —��5 COMPLEfED ADDRESS �� -'�� OWNER EL HONE N Z�.S a��-��-5 CONTRACTOR �- �� L � DESCRIPTION , `��'L � ty ❑ FOOTWG ❑ 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 INSPECT�ON Q `�RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � '�fu INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �L ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: ��E'�-• � �f6v�IQ c e%G'�'rc�G � • . a �� /ns,O e�cL`ior�. � J O p _ / , , � � / rU f//S1 G ,�[O�I rLr -�6r �V�'l �Cl�/iKr ° 5 E�wt s - _ Q (� ,�rV�!O e YY1sG/1G�t�L.C�/ C�A�1Pc�0/S -�,pr Ztli�-b�r,s 'fb�fa�� nc✓ c'ini/riau�� Fa��h — � _ . jCd�fQc�� G ll �oi ��.v,oecZ`,�5•., a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerfContractor on site: Inspect . � White Copyflnspector's File Canary CopylSite Notice �� `� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � " ° PERMIT NO. `�/�I(,'�"CC 7J✓COMPLETED ` �� ADDRESS '-� �/ � �'�7�� /� � OWNER TELEPHONE NO. f�� `��- y�� CONTRACTOR / '� L l �� / �� "��S � DESCRIPTION �-�`j � " ,�9 - y ,�%� ty ❑ FOOT�N ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POU D WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ F NDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INS LATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑•,SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�L YES_NO /\ c�., COMMENTS: � W C � J O �. � O � � W 2 Q � -''1 � 2 W � W ; � �. J d W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24�hours in advance. (g52) 49-46�� OwnerlContractor on site: - - Inspector. White CopyAnspector's File �' Canary CopylSite Notice . G,`� ' DATE TIME CITY OF ORONO CALLED IN �'r�.L. � INSPECTIOI�.(VOTICE,,r�1 SCHEDULED w PERMIT NO�F9I�P � V'' `� __ COMPLETED ADDRESS I ��P' �2i��"� �k-'�>S� ,S OWNER TELEPHONE NO.`�i� a3q �3�J CONTRACTOR �'�4�� -L��^ � DESCRIPTION -�� 4~j ❑ 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 _ ❑ — ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATIO ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � - a �' ��oScA �c// S.�is-� �a4.�c ��L, j CiL�lI/r�e� ��cctf' -7� [.rt�Pa�S�.Pc b'� � r-�-� c�Bc.�1 e s� � �4-!� �iClS�r�LC � O � W � � - � /�tr��c - c� �s�i �s Q � z � O l< � Co�e� W � j a � RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING 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 advance. (952) 249-4600 OwnerfContractor on site: Inspector. G�/ n— � - White Copyllnspector's File Cenary CopyfSfte Notice