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Home My WebLink About2014-00774 - addn/remodel/repair . CITY OF ORONO * 2 0 1 4 — 0 0 7 7 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 192] FAGERNESS POINT RD PIN : 17-117-23-23-0010 LEGAL DESC : FAGERNESS : LOT 018 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R ACTI V ITY : 434-RESIDENT[AL VALUATION : $ 1,575.00 NO"TF.: F?N"I'RY D}?CK RI?PI.ACf?MENT APPLICANT PERMIT FEE SCHEDULE 60.75 PLAN REVIEW 39.49 "I'93 CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 0.79 2974 OAKLAWN LANG MOUND, MN 55364- TOTAL 101.03 (952)484-4332 Nayment(s) Minnesota State License#: BUIL-BC5796�9 CHFCK 61 14 101.03 OWNF,R PETERSON, MR & MRS DARRYL 1921 FAGERNESS P"T RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMF,NT I�hc�vork for which this pennit is issued shall be per�brmcd according tu Uie approved plans and specitications,applicable City approvals,and thc State Building Code. This permit is for only the work describcd and docs not grant permission for additional or related work which requires scparatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pemiit will cxpire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended f'or a period of 180 days at any time after work has eommenced. I'he applicant is responsible for assuring all required inspections are requcsted in conforniance with the State Building Code.This permit may bc revoked at any time for due cause. �- ''-�I� � � ' � (, ` / / C,��pplac�lL.E-e.�+��tce�ignaiurc Da�c Issucd I3��Sign�t rc � f�ate _ � �� . � City of Orono ��-��`� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) /'� Mailing Address: Permit number: �l '-'�7 ��^/O PO Box 66 Crystal Bay, MN 55323-0066 Date received: 7—a�� Street Address: Received by: -�5.�, � 2750 Kelley Parkway Plan review fee: �� Orono, MN 55356 � � !�'�fSNv � /�/ 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: Job Site Address: � GC Z I �C�C �e�[il�� U `��, �� Will this be a Parade of Homes, Remodelers howcase ome 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 se ice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT ON: �� Name: { ��.,�. � !`•.•C.�� cn State License# � G Expiration Date: ' ��.jr � Lead Certification Nu er: /�,/ `— s _ Expiration Date: ' Z� � C (for work on homes that were constructed prior to 978 Phone: (cell) (, , (office) Mailing Address: � � `� City: �v�.1, ZIP: c Contact Person: �, i ^ Applicant is: ractor Homeowner (Circle One) Email and/or Fax: • � vL ' c, : � ' PROPERTY OWNER I�IFORMATI N: Name: �? �i� Phone (day): ( _ , Address: � G'r�rt,e S� Q��'" IZ� C�ty= !�' e�'b�'1 0 ZIP: �� Z�� Email and/or Fax: �— PROJECT INFORMATION: Overall ro'ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt �epair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ (� 1 S', a 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 altemative 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 annuall update our records and records of other governmental agencies required by law. If ou refuse to su I the i ' n�t e a not be issued. ApplicanYs Sig u�" Date: '� -' � Owner's Signature: Date: Last Updated:03/06l2013 �E..�� E�� -� �� l�� -�-�c��s ` ��-�c�� Address/Permit Number: �� E�'A�� S.S 6��n/f" �m� de�criptioe� of work: ��ii �'�.;:;C.r�� C��i Septic review by: ;��' Date �►pproved: y Zoning review by�: �� Date Approved: Buifding r�view lsy: Date Approveci: �' �`�' —�`� �'. Grading review by: �f,�- Date Approved: oning District: �onir�g Fil�#: Reso#: Reso �ate: Zo ' g: Lot�rea: SF/AC 1�+odth: Lat Cover��e: SF _% Survey ubmitteei: E� Yes � No Date of Sur�se�: Revise date ? : Proposed tbacks: Front(Lake F�ear(�tree�) 1 � � � � ) f � S E � ) Qth BuiEc�ir�� ltiletlanc9 �. Side Side Defined Height: Peafc I�eight: FFE: FFE inus 6 feet= (Existing Contour) �;` � , Perimeter(linear feet) = 50% _ #of ories Ok? Q� YES FOR A BUILDING WITH A BASEME T OR CRAVI►L SPACE: The tance between the lowest OR A BUI�DING OI�!A SLAB FOUND/ATION: START WITH propos floor(of the basement or crawl �, space)a the highest point of the roof. START WITH The distance between the top of slab and If you have .. the highest point of the roof. tf you have a... • GABLE R HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): ubtract half the windows): Subtract half the distance distance be een the highest p ; t between the highest point of the roof of the roof to t low point of e to the low point of the corresponding SUBTRACTION corresponding g le or hip d roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPE F(with (BASED ON . GABLE OR HIPPED ROOF(with NPE) windows): Subtract h the ROOF TYPE) windows): Sub4ract half the distance distance between t top f the between the top of the highest highest window a the hig st window and the highest point of the point of the roof roof ALL OTHER ROOF TYPES(flat, • ALL OTHER OOF TYPES(flat, • mansard,etc:No subtraction. mansard,e j:No subtrac4ion. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the di ca�ce between the (BASED ON and the highest existing grarle adjacent to (BASED ON EXISTING basemenVcr I space floor and the EXISTING the foundation. GRADES) highest exi ing grade adjacent to the GRADES foundatio OR 10 feet(whichever is less). EQUALS Defined building height a EQUALS Define builcEing heigh4 ShorelancE District I�ICVIB� F�ermi�F�ec�ivec� �►vera e La hore Setback t1�et? Bluff � Yes � R�o � N/A � Yes � No 0 Yes o � Yes � Q fV/A Permit Rumber: Setback: �; Stormwa r Qualit� �ristin� �rcapc�se� �/arianc� k�equirecf U� i�e�uired Overfa istric�fier t��rc@co��r Hardcove� L� Yes CE No Yes t� No Type(s): Type(s): Updated: January 2013 �' v:\forms\plan review checklist 2013.docx � �-; _. _ ..- -� �. .---� �@y� ,. .. ;,. ,� - -_��-4 . , -,.. « 5 e.,. ;�,. �v� �-. .,:. ,�.,� .�'s"„ .,v.�.t N� ��:�*;,<� _ � REMARKS (in-house): � Fees to be Char ed YES NO Pertnit Plan Revie�v � �; State 5urc{�arge !r�°"` Inv��tigation F�� SAC—Number of SAC Units � � Other(specify) � � �: � S uar� Foota e $per S uare Foota e � Basement X - � � 1 S` Floor X - $ � 2nd FIOo� X - $ � - $ �. Garage k - � �,« Estimated Construction Value: � �i�� Orono Inspections Required 1R4ork Requiring Separate Permits Recyuired State Fermits � Site Q Plumbing Q Grading/ Filling a Well ' +; Q Hardcover Removal 0 Mechanical ❑ Fire � Electrical Footing � Septic � Water Connection O Poured Wall 0 Fireplace � Sewer Connection 0 Foundation Survey � Niasonry ❑ Lawn Irrigation �; � Radon Rock Bed � Mfg. � � Framing 0 Other(specify) � C! Insulation �' � As-Built Survey � Final � Wetland Buffer : � Other(specify) REMARKS (in-house): �' � Other Review: Reviewed by: Date Approved: ` S ❑ IVO New: C� YES � NO Access: Existing: � YE OFFICIAL REI1liARKS -TQ BE NOTEI3 Oh� PERAAIT�OND INITIALLED �. , t'. ��. � f:. � I; �: Updated: January 2013 � v:lforms�plan review checklist 2013.docx € t; f M 4 � -�� , V3 � � ��. -� � �- 0 � � � i �� o � � � � �� 5 � � .-� �n� � .�.�.�.�_�� --- ; ^ /� � � C� �, : �.�__.�__.. � �;::�� t-- � � � -�; r� - � �=�..... ;� � � � � � ` � , � � � � � �f�+,+ �_ o� � � � � � . � � !-:,,.� � c<. � -�-> [[[_ �- ; �� 1 4�� 1 � `� � # _• �� /''� � r_y._...,..._.� ' � (� � ` t: .�--- � � ' f ; r � ( .�:. � � ' � � ! i � � i � /i'��, �, ` � �' ' � � L � 1 i �� ' E �A 1 /, - ) 1 f c� � E � �.__._.. �%J� l � `' ' ` � �-� � ' 7-) � {�,� � , �,� � � � 5 � , � o �� ( �-- : � � �'- ; ,: ; � n: � � � �,� � � - - _. � � �� C� �� ATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTIC` E /SCHEDULED � � PERMIT NO. Zv�T "��7 COMPLEfEb ADDRESS � � 2 I {—CcqE �E'SS �� OWNER TELEPHONE NO. � �8�� tr33Z CONTRACTOR C OY1.S� • . Sf�� i; DESCRIPTION � "' `' �� 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 ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINA�/ ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: W � `6 � le'� �"�`lCs �� iOK� ��tt�'S� a o �t ��e,pS — $��G - b� - � " l��D�/'� � N?4�rl�4r.n /'Yl�w • �/e� �� '�� O _ • sb�[D �4�C� D✓�vit�� W � Q Z '� 2c�V tSC b� ►��Gn Sr��/x�Z�E�� W � � yyl�t�i�l�a�%�, yyf,H , �� " c�� ,�'iorot qrc..�e -6— 'JG �v -� �4 oc{r W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � L�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ��CORRECT WORK,CALL FOR RElNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor oo site: �a/�E Inspector. h^' White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.C�•�'?�S� COMPLETED � ADDRESS�.�dl �a+�'�'� �E- �- OWNER TELEPHONE NO. CONTRACTOR T 9.3 �d�str�Lt��, �� ; DESCRIPTION EN �'�y �D�ec� /�a,o � � lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � IN ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ H D COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ��r►.,.� `lesl� r �-Ye.O 7� G�Ll �� ' j �K � � �� 0 � � ° ��✓5, q!�✓�, •Rc��i�t- -- c� � � �c .�r�c � Q � P1�Ut�.� ��7�'1 �-x�" ! z -�� - � �r-f t�.�'-�t- .��G'� �if��e� W � j a W ❑WORK SATISFACTORY:PROCEED `�A�IECT COMPLEfE � �pBBECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerfContractor on site: �/�� . Inspector. �- White Copylinspector's Ffle Canary CopylSite Notice