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Home My WebLink About2016-00341 - addn/remodel/repair � CITY OF ORONO * Z 0 1 6 — 0 0 3 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 25 CYGNET PL PIN : 04-117-23-22-0007 LEGAL DESC : SWAN LAKE ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 93,240.00 NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN&MASTER SUITE REMODEL APPLICANT PERMIT FEE SCHEDULE 1,062.64 PLAN REVIEW 690.72 PHEASANT RUN CONSTRUCTION STATE SURCHARGE(VALUATION) 46.62 1109 141ST LANE NE HAM LAKE, MN 55304 TOTAL 1,799.98 (763)862-2106 Payment(s) Minnesota State License#: BUIL-20193061 CREDIT CARD 7387 1,799.98 OWNER MCLEAN, SEAN&MARIE 25 CYGNET PL LONG LAKE,MN 55356- AGREEMENT AriD 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 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 180 days at any[ime 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. ' ; �� `,, �`� / - I � ` � � � t z� � � i � L t Permitee Signature Date Issued By ignature Date v��x w� v� v� �v Building Permi� Application for Maintenance i Replacement 1 Remadel — Residentiai ONLY �, �A, � t`� r ' :.t � ^� s. ¢;.�;. +a"usf'��<:ty'' , ":�M��.l+„^;�, �at'd$s' ,. �,.. ,'r` 'k.�"�.v. - ��$,� ��h��p�a.F$`:��.xo ;4,�'',,. r•�aJ'�i�x�w,��4s .'r _ �`' � Maiting Address: Perrnit number: 2�� r`��-�� PO Box 66 � � '� Crystai Bay, MN 55323-QO '� Date received: �_�.0� � � i Streer Add��ess �1� Received by: _�� _ ��i �,�� 2750 Kailey Parkway 1,�� r Pfan review fee: e 6�-C'� ` � `�' Orono,MN 55356 � � (■�� 'fA'YCSYlC>�`'ti-`' — / '�_.__.�� ; Total Fee: / � <• �ry Main: 852-249-Q800 Fax: 952-249-�F616 �wvv,cl_or+anc�_rr�,ri�� J � This appfication form must be completed �n fufl and ail required information must be sub�iitted. Incamplete appiications will be returned. (Please pri��t) GENERAL INFORMATION: .� � �! tF � Job Sife Address: �.� A , ; �;,r__ -- WiEI this be a Parade of Homes, Rem ' ers Showcase Home or othe�Display Home? Yes No lf yes, a specia/event perrn+f�s rsqurred wrfn Police Department arxt Crfy Gounul approvat 60 days prror fo the event. ShuttJe bus se ice wiR be repuir$d unless applicar►t demonsirates suffic�ent on-site parking rs available. lVon-permitfed events wrG nof be aMowed. CONTRACTOR/APPLICANT iNFORI�ATION: Name: _��`,��`� ��.�� .,;,<<:.,��'4��-�vw� Expiratian Daie: 3.-7�f �`�� '"�� 1 1'�[.�( - �-` .�v'JU �,' 1�} a�`��;; _. Expiration Date: , �7�;,.� Lead Certification Ni,mber: ;�j�� _�.1 .��.�.�,-- - ----__ __.__ --- -- .�-�,,-,�� (for work or+hames that were constructed prior to 9978 '� Phone: {cefl) �,,�-;�„ �7�� ,��'� (office) Mai�ing Address: 1 iCl`i I`��f rf �-: �� /'li�:. City��-'�.,,�,y �";�;;t ZIP: ��`'�,,�t Contact Person: �`�� ,��,,.� Applicant is: + Cont�H meowner �ci.de o�> Email and/or�ax: �.r.��.�,,� t'��,�. `-�' f,,.�.1�,� l , t„-..� PROPERTY OWNER INFORMATIt?N: Name: �=;r-z.,: � ��<<.�;� ^1�;.L.�(�.:,,z Phone(day}: ""1�._ �l_�^_`'�_��..�____.___ ; � Address: � ��;�,t �- ��t.� s,� _ City: �"`:j �,.;a�,� ZIP: `�"?� ,��(�, �maif andlor Fax: ,,fi a:r;z ,�� r .�.�� C�t_��»�.�a�s �-,.:-, PROJECT iNFORMATION; Overall project description: ��r,��t��rv, �' �'�tt; j-�t.;�_ � :-�; , ;��,..��t� ' Type o#Project: - � y�W�� Any earth movement may atso require ? ❑ Door(s) (�Remodel ❑ Fire Damage � �CWD review 8�permlts: ❑ Re-roof,asphalt `�[] Repair ❑Storm Damage � Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-rooP,cedar ❑ RestoraUon ❑Wat�r Damage Minnetonka,MN 55345 ❑ Re-roaf,other{speciy) 0 Siding ❑Other:{specify} � Phone: 952-471-0590 �ax: 952�t71-0682 ❑ONindow(s) � ',,E � ,.� _��:r? Estimated Construction Valuation of Project(exciuding land} � ..�`t(� , APPLICANT ACKNOWLEDGfMENT: _ _ ___ �, i • Agrees to provide all informatian required or requssled by#he 8uilding Oepartment; � • Certifies that the informatian supplied is true and correct ta the b�st of his/her knowledge. The appiicant recognizes that they are I � solely responsible for submitting a complete application being aware that upan failure to do so,the staff has no altemative but to E reject it until it is comptete; 1 I , • Some or all of the information that you are asked to provide on this application is classified by Siate Vaw as either private ar i canfidenhal. Private data is information which generally cannot be given tb the pub��c but caR be given to the subtect of the data. Confidential data is information which ger�erally cannot be give� to either the pub(ic or the subject of the data. Our purpose and fntended use o#this information is to nnua{ly update our records and records of other governmental agencies required by law. tf � you refuse to su i the infoi i .��e� licatipn m�not be issued. --_--_-- -_ -- ----�-___--_.___ Applicant's Signa#ure: � � Date: /�,2—�tp _ Owner's Signature: �� Date: =3� �T� � ��v� �l'" Z � � � � �' � � � ��AN I�EufEV11 CHECKLIST FOR I�EIIV �TF�UCTtJI�ES I /�1DDITiONS Address: �� fG� Permit No.: Description of work: � Date Rec'd: Se tic review b `7(?G'✓Cv� � v�/�l/t �� 1�� p Y� v � Date Approved: Zoning review by: Date Approved: Buildin review b � `T' � � 9 Y� Date Approved: , Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Vllidth: Lot Coverage: SF % Survey Submitted: ❑ Yes ❑ No Date of Survey: Revised date(?): Landscape plan submitteci? 0 Yes � No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W j ( N S E W ) Other Buildings Wetiand Side Side Defined Height: Peak Fleight: FFE: FFE minus 6 feet= (Existing Contour Rerimeter(linear feet) = 5Q% ! L.F, below gracie Basement? ❑ Yes ❑ No, Stories �'. FOR A BUILDING WITH A BASEMEtJT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: � The distance between the lowest proposed Slab at or above grade— floor(of the basement or crawl space)and measure from hiqhest existing START WITH the highest point of the roof. rade to the highest point of the � START WITH ; roof even ii fill was brought in to If you have a... elevate home. SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grede—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 corresponding If you have a... gable or hipped roof SUBTRACTION ` GABLE OR HIPPED ROOF GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half ? e windows): Subtract half the distance ROOF TYPE) the distance between the " between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof e 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 N::; GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building heigh4 subtraction. Defined building heigh4 EQUALS �',' Updated: October 2015 z:\forms\plan review checklist 10-2015.docx � n�vN yLUG"UL i�l��I�dy�moine�uc�u�aw�v}\.� 960Z�a9o1�0 �Pa1�Pd(1 �pano�dde pue pa�}i�uqns aq �snua suoi�e�n��e��ano�p�ey pue�(anans}�inq-se ue�(auo�.0 nna�sa�o asea�a� o��oud ❑ w�o� ;uawa�pa�nnou��y�ap�m8 aag p �a3l�dlllNl 4iV�d 11W?�3d NO a310N 38 Ol- S�2i�dW321 �HI�I��O :(asnoy-u�) S�21`dW321 �e�i��a13� IIaM � (�C�i�ads)�ay�0 ❑ s;iw�ad a3�lS Paainbab aul�l 0 �2ui� (�C�i�ads)aay}p p �ianang llin8-sy p 6uide�spue� ❑ �6�W p uoi}e�nsu�� uoi�e6u�� unne� p tiuosew ❑ 6uiwea� uoi}�auuo��annag p a�e�daJi� ❑ (�(�i�ads)�ay�p p 6ui�ooad�a�eM uoi�epuno� p uoi��auuo��a}eM p �i�dag ❑ �enowa�{aano�p�eH p �(an.ing uo�;epuno� p ;; aai� p �e�iuey�aw �a�uo� uoisa�/a�ua��ig ❑ IIeM pamod p 6ui��i� /6uipe�� ❑ 6uiqwn�d� a�iS p 6ugoo� p s;iu��ad a;eaedag 6u�a�nbaa �ao/N pannbaa suoi;�adsu� ouo�p � :anse,� uoi;�naasuo� pa;elui;s3 � � � � $ = X a6e�e� $ = X aool� P�Z 5 $ = X �ool� is l � $ = X �ua�uas�8 ; a e;oo� a�enbg�ad $ a e}oo� a�enbg (�(�i�ads)aay�0 S3!�fl �`dS�o�aqwn�l—�tfS aa� uoi;eBi;sanu� a6�ey�ang a�e�g nnaina� ueld ;iva�a� ON S3Jl pa �ey� aq o;saa� :(s)ad�(1 :(s)ad�(1 S � E Z 6 oN p sa,� p oN p sa� p �s pue % �S Pu� % auo a��n� paa�nbab d�� paainbaa a�ueiaen �ano�p�eH aano�paeH aail;�i�;sia �(e��anp pasodoad Bui�six3 R;isen�aa;ennwao;S :�{�eq�ag Pay�e}�e aas—d/N � °N o sa :�aqwn iw�a °N ❑ SaA � ❑ sa� p `d/N ❑ N � h � N 3. d �n18 ��eq;ag a�oysa�{e� a6eaany 3lwaad aM�W a�i��sid pue�a�oyg � �� V L/ � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ��/ SCHEDULED � I� �, PERMIT NO. ��'��"��''�7I connP�ErEo ADDRESS �� C �� c� 1�' �� / OWNER TELEPHONE �^ ��'�� g�� CONTRACTOR ��'�-� �� -Ll� � DESCRIPTION ��`�r� �- " �� lL ❑ FOOTING ❑ DEMO-FINALt �>/� q�� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI n�� ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL � ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑1S�TIC INSTALL 2 OWNERICONTHACTOR TO MEET YOU:�L YES_NO v�i COMMENTS:_ �—/�'�cc. LJ 1 - .S '�o �(, . � a �- F�...«._ — ..�✓ ,�/c•c — o �� $��/ 4// �Je.t��`.a��c�s ..., �L .�c�,sZs'� � 0/� �!`� GD�� ✓ O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 f ' spection 24 hours in advance. (952� 249-46�� Ow Contractor on si • G Q�O'I�J r Inspector. � � White Copyllnspecto�'s Ffle Canary CopylSite Notice �' ��" ' � ��/�TE TIME CITY OF ORONO CALLED IN � r--�— INSPECTION NOTICE SCHEDULED '' - __;L� PERMIT NO.��i�.�� COMPLETED ADDRESS S OWNER � EL�HO NOS�" � g � ba/, CONTRACTOR u�YY �� DESCRIPTION � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTFUCTOR TO MEET YOU:_YES_NO v�, COMMENTS: W ' a T�rs�� - �yt� � , -�S.�c. ��v�� /�?•� �.?Sa��irr �!! �sZEe.� Q-�•!s�r . d O /Sr.e� °'� �^ �^ - - � G� 5�l �'le.'��-s�,�s i� -��s'rs�� Qs .�.s c�s,Jc9 o /� . _ �/ SG4� C�S��•c� �lq.�i �li- ,f�lits�iEE-i.-i� �_. Q f�� 7offQ V �� 2 i��s 45 �i _ � lca�o.� G�s� � G�h v� �� .6c�,� T4� c j � Gp � ✓c��E � 6�C � GQ✓c✓ a � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W �C�OFiRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE CWERING 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 forthe next inspection 24 hours irladvance. (g52j 249-46�� Ownerl actor o ._� r� � 0 Inspector. �7�► 7�` White Copyllnspector's File Canary CopylSite Notice .,; ��/ DATE TIME `� CITY OF ORONO CALLED IN INSPECTIO TICE SCHEDULED h > /l �a� PERMIT NO� '� ��ll COMPLEfED ' ADDRESS Z J C��C1t'��,� t(,(C� OWNER � TELEPHONE NO. CU�LC1'�(� �I�� CONTRACTOR SU,'1k L'v'� ' "� � DESCRIPTION �� d� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA� ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINA ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �1�- �:d/<tL- ' � ��'� J�s a �J�c/�C;r ��,,t a�Po L " S.rJ• —t G -U��- -D� � g</ I�K co�.,o l� ' 0 � � 0 � W � � /1��✓Wt•C/ �o'f4�e� Q � z W � W � J � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSU RTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: / � � Inspector_ �`"' White Copyllnspector's File Canary CopylSite Notice