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Home My WebLink About2014-00630 - remodel CITY OF ORONO * 2 0 1 4 — 0 0 6 3 0 * � �� 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRE�S : 3051 FARVIEW LA PIN : 04-117-23-33-0009 LF.GAL DESC : FARVIEW : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODGL/REPAIR PROPERTY TYPE : RGSIDENTIAL CONSTRUCTION TYPE : ADDN / REMODEL/ REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,500.00 NO"I'E: SI�:PnRn�I�L PI:RMI"I�S RIiQUIRI�,D: L�;I,E�:C'��RICAI.(S"I�n�l�f:) RGMODEI. APPLICANT PERMIT FEE SCHEDULE 88.50 DELANF,Y, DAVID& FRANC[NF, PLAN REVIEW 57.53 3051 FARV[EW LA STATE SURCHARGE (VALUATION) 1.25 LONG LAKE, MN 55356- TOTAL 147.28 Payment(s) CHECK 8680 147.28 OWNER DGLANEY, DAVID& FRANCINE 3051 FARV[F.W LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for�chich this permit is issucd shall be performed accordine tu the approved plans and specitications,applicable City approvals,and the State Buildine Code. This permit is for onl��the�cork described and docs not grant pemiission for additional or related work�vhich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied��ith whether or not specitied herein.'Chis 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�vork has commenced. The applicant is responsible 1i�r assuring all required inspections are requested� �orman� vi[h the State[3uilding Codc.This permit may be revoke at any t� or due �ause. -� � ,z , pli nt Permitee Signature Datc lssu d By Signaturc Datc , � CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O�O Mailing Address: Permit number: �� /�� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �v�� —� StreetAddress:' Received by: ✓�. y � 2750 Keiley Parkway ( �� Plan review fee: `�tq �,�' Orono, MN 5535 �l� kFsxo� Total Fee: ��7, �� 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: -.��..�j J �� i )��, r � r� Job Site Address: .� � 11 ✓ 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 ill e required unless appficant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATI N: /"`� G1� Name: �� Phone (day): /� � � Address: Cit : �lC�/ ZIP: Email and/or Fax �-(\[ �,—� l /_1 e , r � /' n. � . � ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: 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 detached garage ❑ Office/Commercial rivate Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water ""Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 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 Bldg. 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; • Ce�tifies 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 eithe� 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. - � I � Applicant's Signatur � � Date: Owner's Signature: Date: �L�R,�t �EViEUV �HEC�6LIST FOR I��tAI �TRUC�'UR�S / /�►QD�TlOf�S Address/Permit Number: �(,-� 1 ` '8��°�`� ��'�`� � �i'o�'� �r Description af wor�: ��:-�.-� �"-�'t"�e� £'-- Septic revievN by: .^�� Date Approved: Zoning review by: �.�;�� Date�►pproved: Building review by: , 4,�:a ��_�� Date �pprovec�: � % ;=� � �`( . a� Grading review by: � ��;�� Date Approved: Zhning District: Zoning File#: Reso#: Reso Date: �� on r�g: Lot Area: SF /AC VdidtF�: Lot C�verag�: SF�% �k, Survey ubmitted: ❑ Yes C3 No Date of�urvey: Revised datel�) Proposed etbacks: ;�` # Frant(l�ake'� Rear(Street) � � S L VN ) ( t� S E l�l� ) Other Buil ings Vlietland ` Sicie Side �efined Height: �: Peak Ffeight: FFE: FFE minus 6 eet= (Existing Contour) � � Perimeter(linear feet) _ �` 50% _ #of Stories Ok? O YES FOR A BUlLDING 1NlTH A BASEMEIVT ORCRAWL SPACE: � The distanc§�,between the lowest FOR i4 B�DIPlG ON R SLAB FOUNDATION: START WITH proposed floor�of the basement or crawl space)and the h hest point of the 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 HIP p ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtrac alf the windows): Subtract hatf the distance distance between the hest point between the highest point of the roof of the roof to the low poi of the � to the low point of the corresponding SUBTRACTION corresponding gable or hip�ed roof SUBTRACTION gable or hipped roof (BASED ON ROOF e GABLE OR HIPPED ROOF(�6th � (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the `� ROOF TYPE) windows): Subtract half the distance 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 TYPE��t, `� • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraClion. �� ADDITION Add the distance between the top of slab SUBTRACTION Subtrect the distance betwa2n the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space fl�r and the EXISTING the foundation. GRADES) highest existing grade�tljacent to the GRADES foundation OR 10 fe (whichever is less). EQUALS Defined buiiding height EQUALS Defined buildin eight 6 `�``_` Shorelanc� District C1MD �ermit �eceivec0 �►vera e Lakes re Setback IV�et? �1�4`f � Yes � No � N/A '< � Yes � No �� Ci Yes 0 No � � � Yes 0 No� CI N/A Permit Number: Setback: � Stormwater Quali�je Existing �r�pasec€ �arianc� Requirec� U� Required OverE� District ier Fiardcover Harcfcovee << Q Yes � No Yes � No ; �YPe(�)� TYP�(�;,�. . � ` Updated: January 2013 v:\forms�plan review checklist 2013.docx ;� �; s.. � ... �, . , ..., . . . �_: h �r_ u: .:,> . ., �_� . w a. . . .. ,4 ._. . . ,;. .�.s „_.� ..�,y.. _. .... ,�.,. .�. , r.,.� .., ..m. .��„ .. .„.. r.. .:�>. ..:_, ..,� t #;... .. .., . .. . . . . .. . , . ... - Y REMARKS (in-house): Fee�ta be Char ed YES NO Permit "-.�`"`�' Plan Review �°' Stiate Surcharge •�"�`r r Investigation Fe� SAC-�lumher af Sf�C tlnits ; Other(specify) - S uare Foota e $ er S uare Foota e Basement X - � 15'Floor X - $ 2nd Floof X - � Garage X - � , "` Estimated Construction Value: $ �=�_ ��`' Orono Inspections Required Work I�equiring Separate Permits Required State Permits 0 Site � Plumbing � Grading/ Filling 0 Well � Hardcover Removal E3 Mechanical � Fire � Electrical � 0 Footing Q Septic � Water Connection ! � Poured Wall 0 Fireplace � Sewer Connection �' � Foundation Survey � Masonry � Lawn Irrigation 0 Radon Rock Bed 0 Mfg. �Framing � Other(specify) � 0 Insulation . 0 s-Built Survey ��inal � Wetland Buffer � 0 Other(specify) �� &„ C � REMARKS (in-house): � � �- Other Review: Reviewed by: Date Appro�°�c�: �: , Access: Existing: ❑ YES 0 NO New: Q YES � NO � � OFFICl/�L REMARKS -TO BE NQTED ON PERnl61T AND INITIALLED 6: € � i 6 �` M 4 - p � Updated: January 2013 � { v:\forms\plan review checklist 2013.docx r �� :.� D TE TIME CITY OF ORONO CALLED IN � - L � INSPECTION T _D�� SCHEDULED — ' PERMIT NO�� MPLEfED ADDRE �0�� vl� �� OWNE EPHONE N� ��7 - CONTRACTOR � 9d � DESCRIPTION r�2�o�2�� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ OEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � , a �'��►.H s � c� K � J p� ,(�J �fRr�� '=�./� �� l ✓� WIt�.�`- rObw� �tS ° a��sc 4 ssC� — �6� � Srd�2-s' W � C� 5Qa l 4 l� /J G a C��'�.t�cyc �:.. 'F�-,F f o�•1 Q 2 --�� / / � _ � ��rd vt�J` CL2G�/'<«G �Z !AS , ,pv�o r �_ W , � �'pd2rcnc ' �evrec.$ -6 dK � lic��Gt� j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��CT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑COfiRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for t ' spection 24 hours in advance. (952) 249-4600 Owner ntractor on sit • ��v� Inspector. �'^� White Copyllnspector's File Canary CopylSite Notice � 5 � �- r % �� —' DATE TIME �`� CITY OF ORONO CALL�— INSPECTION NO ICE CHEDULED _s�.�(p �a PERMIT NO. �� a�O�OMPLETED ADDRESS J�C) ��/ �Q�'' V l e-W C-�Cl OWNER TELEPFTaNE NO. �� a��-��p� CONTRACTOR i DESCRIPTION � r d�� • ll1 ❑ 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 Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J -SITE ❑�TIC INSTALL OWNE NTRACTOR TO MEET YOU: YES_NO v�i MENTS: � W n� y _. � J O ). � O � W � Q � 2 W ' � ' W � j d W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE � O CORRECT WORK 8 PROCEED ISS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advan �9 49-46�� OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSi e Notice C/L� TIME � CITY OF ORONO CALLED IN � � �--- INSPECTION NOTICE SCHEDULED �� • PERMIT NO.�D l`f vd�� COMPLETED ADDRESS t3D.S� ��Ul�J � OWNER �� E'�� -TELEPF�ONE NO. ��7Z 237 d 4�0 CONTRACTOR � � DESCRIPTION / ��'��`'��x � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q TREE REMOVAL Z �INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � , � COMMENTS: �r��►K , t'or ��-�ra�,5 .�ro�cOQ�7 a W a � �G�h/�l�U� � l4 c.A� ��4 T!S tli•+a.•2t7� � 7�� e �. � -Va��lar h Q r r�Q � � �'u�� ..�r S - 0 � W " h � C Q �h5 c��- �- �i�t.•s�c vt,oa r 4 r r�e � — b � z � �'o{ c��" � a� � �a�Q r W � � � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O�❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 Ownerl ntractor on site: � tor. � White Copyilnspector's File Canary CopylSite Notice e..g ,,5 �� ✓ � q� TIME CITY OF ORONO CALLED IN ...J�- d"'� � �_ INSPECTION NQT�i ��fJ /�SCHEDULED - PERMIT NO. o�U "`� vCOMPLETED'.- \ ADDRESS �DSI l/�!/z �J`L�GCJ �G��-� OWNER TELEPHONE NO. SO�� 37��D CONTRACTOR � � DESCRIPTION �� ! ��1�� ' �� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 /�-F4PlAL ❑ WATER HOOK-UP �OLLOW-UP i��❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACT TO MEET YOU:,_I YnES�_NO . c�.� COMMENTS: C'� f� W � 3 -a�-�5 - a G/�c. �i a.eG — j rvv 4ti ,5 • �w �� t�r►�5 - �f- 6�5�c 0 � �✓�rc� - -t /6r( ��c�i !el.�( � �I�/��i lrU �Pi V�`�✓v.�/ �('7/l!/\� �C/ r �� i z � � 1a � W � � E j CiJ/� ��/ r o<n.5� m� �� I�- a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE a ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �E�fSPEL�ION REQUIRED.CALL TO ARRANGE ACCESS. / Ca�l for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: inspector. � White Copyllnspector's File Canary CopylSite Notice