HomeMy WebLinkAbout2014-00369 - fill in indoor pool . ` CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: OS/02/2014
ORONO, MN 55356-
` (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3051 FARVIEW LA
P1N : 04-117-23-33-0009
LECAL DESC : FARVIEW
: LOT 007 BLOCK 001
PERMIT TYPE : ADD[TION/REMODEC./REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION /��� : $ 8,000.00
NOTE: FILL IN HEii�f)OOR POOI,.
OTHER INSPECTION RI-;Q[1[RI?D-INSPECTINO BEFORE THE FOOTINGS ARF.POURED.
APPLICANT PERMIT FEE SCHEDULE 162.25
STATE SURCHARGE(VALUATION) 4.00
DELANEY, DAVID& FRANCINE
3051 FARVIEW LA TOTAL 166.25
LONG LAKE, MN 55356- Payment(s)
CHECK 21760 166.25
OWNER
DELANEY, DAVID& FRANCINE
3051 FARVIEW LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perYormed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 'I his 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 goveming this type of work
shall be compied with whether or not specitied herein.'l�his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or it�construction is
suspended for a period of l80 days at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State E�uilding Code.'l�his permit may be
revoked at any time for du use.
/ /
A pl ca ermitee ' ture Date Issued By S g aturc Date
,� N
' City of Orono �
Building Permit Application for Maintenance / Replacement / Renovation �
(No structural expansion. Only windows, doors, siding, re-roof, etc. �j
/ Mailing Address: ���
��NO PO Box 66 PeRnit number:
Crystal Bay, MN 55323-0066, �� ,f/ Date received:
`, ���. ��,� —
^ , � � Street Address: �,;U � Received by:
: � 2750 Kelley Parkway p�(1�' �' plan review fee:
f � Orono, MN 55356 ���
`qkfSHOQ'� // .�S
Total Fee: �,v
Main: 952-249-4600 Fax: 952-249-4616 ww�v 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: n �.�- c
Job Site Address: ��-(`i5 ��1 i��'J �,N �!-'��f jM I\ ��3..}�
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 approva!60 days prior to the event. Shuttle bus servi wil!be
required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be al/owed.
CONTRACTOR!APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (o�ce)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner �c�rue o�e>
Email and/or Fax:
PROPERTY OWNER INFORMAT�N:
Name: `f�+,U � 1J J�C 1`�=�'
Phone (day): � � �
Address: V� V,� ,,/� City: ��fJ� ZIP: ��.���j
Email and/or Fax: ''
► ��"11 �,�5r�1. �' L
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 ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(speciiy) ❑Siding �Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682 •
❑Window(s) �� li �r' DCj��–POC�-� 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 canno be given to either the public or the subject of the data. Our purpose and
intended use of this information is to ann pda o records and records of other governmental agencies required by law. If
ou refuse to su I t info a , h li ti m not issued.
� �
ApplicanYs Signature: -� Date: " i � �
Owner's Signature: Date:
Last Updated:03/O6/2013
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�L�4N REl�lEId+V CHEC�L��� FOR �E1Af STt��CTURES / �4D�ITIOl�S
Address/Permit Number: ���� ��d��o�=r� C.-�
Description of workr-� �e �� f� � � ���/� �`���
Septic review by: ,d�/e� Qate�pproved:
Zoning revieva by: � � �at�Approved:
B�ailding revievN by: Date Approvecl: 5��U ' �'�
` Gracling review by: �/f� Date Approved:
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Zoning District: ZQning File#: t�eso#: Reso Date:
Zo ' g: Lot�rea: SF/AC 1EVidth: Lot Coverage: F %
°, —
Survey bmitted: � Yes 0 No Date of�urvey: Revised te � :
Pro osed Se acks:
Front(Lake) Rear(Street) ( N S E � ) ( N! S E 1l16 ) Other B iidings VVetl�nd
Side Sicie
Defined Height: Peak Height: FFE: FFE minus feet= (Existing Contour)
i
Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR CRA SPACE:
The distance between e lowest �OR R BUI ING ON A SLAB FOUNDATION:
START WITH proposed floor(of the bas ent or crawl
space)and the highest poin f the roof. START WITH The distance between the top of slab and
the highest point of the roof.
: If you have a._ �, If you have a...
;:" � GABLE OR HIPPED ROOF(n . GABLE OR HIPPED ROOF(no
� windows): Subhact half the windows): Subtract half the distance
�. distance between the highest point between the highest point of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with
nPE� windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
xs distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES at, • ALL OTHER ROOF TYPES(flat,
mansard,etc:No subtraction.
mansard,etc):No subtra on. ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distance betwe the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenVcrawl space flo and the EXISTING the foundation.
GRADES) highest existing grade jacent to the GRADES
foundation OR 10 fe (whichever is less). EQUALS Defined buildin4 heigh4
EQUALS Qefined buildin eight �
i•
�horeeanc� District MC1�t�D Permit Ir�ecei�e� A�rera � Lakeshore Settsack 1�61et� �luf�
v 0 Yes � IVo C� N/A ❑ Yes � No
` 0 Yes � No ❑ Yes � No � N/A
Permit Number: Setback:
Stormvaater ality Existing f�ropased ��riance Required CUP Requii�e@
Overla Di rict Tiec Hardcaver Harcicover
� Yes Q No � Yes � �� No
�: TYPe�S)� TYpe(S)�
Updated: January 2013
v:\formslplan review checklist 2013.docx
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REMARKS (in-house):
X'
1
Fees to be Char ec� YES NO
Permit
Plan Review
State Surcharg�
Investigation Fee
SAC—Number of SAC llnits
Other(specifyr)
'�. S uare Foota e $ er S uare Foota e
Basement X - $
15` Floor X = $
2nd Floo� X - $
� Garage X - $
ev
�:
Estimafied Construction Value: $ �j f���
Orono Inspections Required Work Requiring Separate F�ermits Required State Permits
0 Site � Plumbing � Grading/ Filling 0 Well
� Hardcover Ftemoval � Mechanical � Fire � Electrical
�8��-- 0 Septic Q Water Connection
� Poured Wall ❑ Fireplace 0 Sewer Connection
0 Foundation Survey � Masonry 0 Lawn Irrigation
� Radon Rock Bed � Mfg.
0 Framing � Other(specify)
� Insulation
a As-Built Survey
Final
� Wetland Buffer
� Other (specify
����� ���� .�
REMARKS (in-house):
Other Review: Reviewed by: Date �Rpproved:
Access: Existing: � YES 0 NO New: � YES � NO
OFFICIAL REMARKS -TO BE NOTED 0(� PERAltIT AND INITi�L�ED
Updated: January 2013
v:\formslplan review checklist 2013.docx
� DATE TIME �/
CITY OF ORONO CA�LED IN 5 l0
INSPECTION NOTI E SCHEDULED ��� ;
PERMIT NO. � ���� COMPLEfED �`
ADDRESS ��3D J�� �Q-/''�G��.cJ �-�
OWNER `�c TELEPHONE NO.�P�Z Q'�� �R7v
CONTRACTOR P�Cti/c.LC�
�: DESCRIPTION J�-a-� � �'e�!'�1/�
�
� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAAD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �+at9RIC5AT�SFACTORY:PROCEED ❑ PROJECT COMPIEfE
W �/O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP OFIDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 inspection 2 hours in advance. (952) 249-46��
Owner ontractor on site:
Inspecto . y"'
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN �
iNSPECTION OTICE SCHEDULED
PERMIT NO. � � COMPLETED � �
ADDRESS 3C3�/ Fa,.v�c.,.� �n ,
OWNER �2�'e- !�e%�TELEPHONE NO.
CONTRACTOR
� DESCRIPTION 'F` �� `'v �'��°�� .���r
k� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON S�AB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ��FINAL ❑ WATER HOOK-UP �LOW-UP
Q(/�-
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED �T COMPLEfE
� ❑CORRECT WORK 8 PROCEED �_I ISSUE ERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � il l�� �
White Copyllnspector's File Canary CopylSite Notice