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Home My WebLink About2013-00963 - finish basement . . � CITY OF ORONO * Z 0 1 3 - P1 0 9 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3625 EILEEN ST PIN : OS-117-23-21-0024 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT MB BLOCK MB PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/ REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 50,000.00 NO'1'E: SEPARATE PERMI'I�S REQUIRED: PLUMBING,MECIIANICAL,F,LECI�RICAL(STATE) F[NISEI E3ASEMENT TO SHF,ETROCK ONLY AS PER ORIGINAL PLANS APPLICANT PERMIT FEE SCHEDULE 681.75 BETZ BUILDERS INC. STATE SURCHARGE(VALUATION) 25.00 300 CRESTVIEW AVE. LONG LAKE, MN 55356 TOTAL 706.75 (612)221-2963 Minnesota State License#: BC3515 OWIYER RYAN, BOB 3625 EILEEN ST MAPLF, PLAIN, MN 55359- AGREEMENT AND SWORIV STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and thc State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which reyuires separate permits. All provisions of laws and ordinanccs goveming 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 time after work has commenced. The applicant is responsible Yor assuring all required inspections are requeste �n conformance with[he Sta[e Building Code.This permi[may be revo� d any time for du cause. � s �� " i /'i/.�' � �� l /�l/ npplicant Permitec Sign• r Date Iss ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. C�'W-�3 � CITY OF ORONO q �a BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: 3 �a°9�3 � �O PO Box 66 /� Crystal Bay, MN 55323-0066 Date received: 7' ��G^"�� StreetAddress:' Received by: y � 2750 Kelley Parkway Plan review fee: `� G Orono, MN 55356 tqkFSHO�� ?�� •�� Total Fee: 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: b Job Site Address: j(�a„� �) � �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 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/APP NT NFORM ION: Name: � State License# � C � Ex iration Date: / Phone: cell office � 7� Mailing Address: ! ` Cit � ZIP: — Contact Person: � � Applicant is: Contrac / Homeowner (Circle One) Email and/or Fax: �i PROPERTY OWNER ly T,�ON: Name: � ,�� ')/'�-�� Phone (day): Address: City: ZIP: Email and/or Fax � I ARCHITECT/ENGINEER INFORMATION: � Name: Phone (day): � Address: City: ZIP: Email and/or Fax: L�)s��,� ��i'�.6M I'�-�v�-b� ��'o�-.3 S PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction �Single Family with Residence ❑Addition attached garage Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck �Relocation �lN%� �� detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify)�a�� ❑ Multiple Family/Condo ❑Warehouse �9-5 �� C�12�,uA.J�/a�yuy ❑ Public ❑ Storage ❑ Public Water "*Any earth movement may als require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Oth2r: (SpeCify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��%, �pa -� STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bidg. c. Basement= ' Detached = ❑ ICF d. 1 S�Story = • ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ � Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: � Date: ��'/� �` � Owner's Signature: Date: � PLAN RE�IEW CHECKLIST FQR �VEW ST �- RUCTURES / ADDITIONS Address/Permit Number: �� C�C.e''"cc� � � � Description ofwork: _ ��Civ�.�e� F�le�,s� j� —,PL'� �(Z��,��,�� gA Septic review by: r�1 l� Date Approved: � Zoning review by: e•►(✓� Date Approved: Building review by: �� Date Approved: � ' E� � � �� Grading rediew by: dvl � Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: ot Area: SF/AC 16�idth: Lot Coverage: _% Survey Sub itted: ❑ Yes Q No Date of Survey: Revised d te(?): Pro osed Setb ks: � Front(Lake) Rear(Street) ( N S E W ) ( N S E V1l ) Other uildings Wetland Side Side � Defineci Height: eak Height: FFE: FFE m' us 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of St ies Ok? � YES � FOR A BUILDING 1NIITH A BASEMENT OR CRAVYL ACE: � The distance between th lowest � - FO A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the baserRent or crawl space)and the highest point d he roof. 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 y of the roof to the low point of the �� to the low point of the corresponding SUBTRACTION corresponding gable or hipped r f SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF ith (BASED ON . GABLE OR HIPPED ROOF(with NPE� windows): Subtract half th �. ROOF TYPE) windows): Subtract half the distance distance between the to of the � between the top of the highest highest window and t highest �� window and the highest point of the -�= point of the roof \ roof • ALL OTHER ROkSF TYPES(flat, � • ALL OTHER ROOF TYPES(flat, mansard,etc) o subtraction. mansard,etc:No subtraction. A'�,DITION Add the distance between the top of slab SUBTRACTION Subtract the dis ce between the (BA$ED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcra space floor and the EXISTfNG the foundation. GRADES) highest exis ng grade adjacent to the GRADES' foundatio OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defin building height � � Shorelanc! Distric NfC1lV� Permit �eceiveci Avera e Lakeshore Setback IVlet? Bluff 0 Yes ❑ No ❑ N/A Yes � No � Yes �►0 0 Yes 0 No 0 N/A Permit Number: Setback: Storr�w er C�uality Existing Rroposed �►�riance �equired CUP Required Overl District Tier Hardcover Hardcover � Yes 0 No � Yes � No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx .u,;�,- :�.��...�'�whr�+.s..z��,.*4!�a.gh��a.k``�'+�st�q�;;,,r3a�nu�ur�.avk,aa3�,,sY�mr9�yss�a�,�r^�*.+ep.��c�,:�.��t�gu �a:�c�,�..:�.��'�,Y+� _ �;f�.;x�x,.'��,O�.r�,`�a5�.`��_ �� _, � _ . .. .... . . . .. ... . �. - . . _ i, x�op'£LOZ lsi��ayo rnaina�ue�d�siwo��:n £lOZ ti�nue� :pa3epd� Ii «; 'r s�' 'i y, '' 4311`dillNl aN`d lIW2i3d NO a310N 38 Ol-S�21�/W32! l`dl�l��0 #> � ON 0 S�J� 0 :nnaN ON � S3A � :6ugsix� :ssa��y i;, � :panoaddy aaeQ :�(q pannainaa :nnainaa aay�0 }yS Y.'-' ly- Y f.. , :(asnoy-uf) S}�21mW32i �� : i; � (�(�i�ads)�au�0 � �` �a�}n8 pue�}aM p ! � �eui�� ,. �(an.ing�lin8-st/ O ; uoi�e�nsu� ; �, ° ;; (�(}i�ads)�ay�0 � 6ui�.ue�� € �6�W 0 Pa8 �1�0� uopea p = uoi}e6i�� unne� ❑ iGuoseW p �(a�ung uoi�epuno� ❑ uoi��auuo��annag p a�e�da�i� p II�M Pa�nod p uoi��auuo��a�eM p �i�dag p 6ui�oo� p ''' �e�u;�a�� a�i� ❑ �e�iueu�aw� �enouaa� �ano�p�eH p �� IIaM 0 6uill!� / 6uipe�� p 6uiq�.un�d a�!S O i ; ¢` s�iw�ad a�e;g pa��nbaa s�iw�ad a�e�edag 6ui�inba� ��o� pa�inba�{ suo��adsu� ouap � �:, � � �o :an�e/� uoi��n�;suo� pa�eua!;s3 t � $ _ X a6e�e� ; x $ = X �oo��P�Z � $ = X �oo��3s� �'{ $ X �uawase8 ; _ �� a �oo� a�en g�a $ a �oo j a�en g � � (i4i�ads)�a�a0 � �3!�ft �bS�o�aqwnN—�bS aa� uai�e6i�sanu� a6a�y�anS a�e;g _ nna�naa ue�d s $itu�ad ON S3A pa �Ey� aq o;saa� :(asnoy-ui) S�{�yW321 � .. . . .. .. Y', .. ..a.`s, :�,..�Y�'a��S'��`i��Saf.a��+'r�w�,�g�+�:`��;"� ..„� ... � 't^"�"�;. �zcYF -,�� _ , . (j � �� DATE TIME �1 CITY OF ORONO CALLED IN -�_ �75-�,� INSPECTION NOTICE SCHEDULED � Lt�i.��— PERMIT NO. ,�C��.f;ClC�� COMPLETED ADDRESS ��1�� i /�'��? S7` OWNER TELEPHONE NO. l��3 CONTRACTOR � DESCRIPTION �� l � � � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOFFJWEfLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � j$-FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: �/ac. �', .��r/ �7' / /� a /• 5 e4 l S u-•�x/J 4�'�e� Ca�i�✓ j Q �/'4�{�� v��4� S�sG c s f��i��. �'c✓^ � pl4. :.., L-L_ �a<i�.-�.Kf .!- to.► e�'1� . 0 Z''�f14 5 P W � Q � 2 W � W 2 J d W ❑WORKSATISFACTORY:PROCEED O PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTEO.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: 7�0 w� Q d tL � Inspector_ ti-- White Copyllnspector's Ffle Canary CopylSite Notice �� D E TIME ✓ CITY OF ORONO CALLED IN lU- J� INSPECTION NOTICE SCHEDULED /D��—/3 � PERMIT NO. ��d3 "��7� c L�rED �` A��RESS .��; ��5� /� ��t� OWNER PHONE NO. Z Z�/""ZC/� � CONTRACTOR '� 1� � � DESCRIPTION � �o��ti'�-- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � J � �/'`�'�- `�'J' � �Z � � ° ��c�c� W � Q � 2 W � W � J d W� �l RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice �� TE TIME ✓ CITY OF ORONO CALLED IN �D` -�'. INSPECTION NOZ�iF.,� � SCHEDULED /D�" �� PERMiT NO. �� MPLETED � ADDRESS � , OWNER TELEPHONE NO.r�1a—O�Y�� CONTRACTOR � DESCRIPTION v � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � j d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor o site: Inspector. � White Copyllnspector's File Canary CopylSfte Notice