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Home My WebLink About2016-00849 - addn/remodel/repair CITY OF ORONO * Z 0 1 6 - PJ 0 8 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1991 FAGERNESS PO[NT RD PIN : 18-117-23-41-0001 LEGAL DESC : FAGERNESS : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTN[TY : 434-RESIDENTIAL VALUATION : $ 22,000.00 NOTE: IN ORDER TO HAVE THE NEW OVERHANGS APPROVED ON TMS PERMIT,THE CLIENT HAD TO GO THROUGH A VARIANCE PROCESS. THEY ARE ALSO PUTTING ON A NEW ROOF,DOORS,WINDOWS,FASCIA AND SOFFIT WHICH ARE ALL MINOR nLTERAT[ONS. APPLICANT PERMIT FEE SCHEDULE 38720 PLAN REVIEW 251.68 MICHAEL GALLUS CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 11.00 6306 EHLER AVE. DELANO,MN 55328 TOTAL 649.88 (952)446-1753 Payment(s) Minnesota State License#: BUIL-20061956 CHECK 4917 649.88 OWNER MILLIREN,GUY&SALLY 1991 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AIVD 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 E3uilding 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 time after 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 y time for due cause. / �C Z.G � ` � /� (� / �,�O App icant Permitee Signature Date Issued ignature Date ► � � City of Orono �``��- �� -�� Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: �'��' -C�'�� PO Box 66 Crystal Bay, MN 55323-0066 Date received: � C� %t� Street Address: Received by: 'C�� y � �, G� 2750 Kelley Parkway Plan revie e: ' ��'`�� '� FE - t Orono, MN 55356 �kESH�� r �� 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: (q�/ t-�<�r,�-s S 1�0, .-"� ��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/APPLICANT INFORMATION: Name: i'Z�< < ��:r � �-t�//� s 1�.:.s � J� �_ State License# ,�� ;��,�i S � Expiration Date: 3 3, _ Zvi� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (;,c� ?c i- i'7%� (office) `�>��- -yy� -, �S�� Mailing Address: , �,� �.�, �t �:�,:< City: �?�(<<�,;, ZIP: �s 3� Contact Person: ��,,,, �;�L /(:. 5 Applicant is: �ontracto,l.,/ Homeowner (Circle One) Email and/or Fax: �I�P;� .�4, //� s(�cj ,,,,�., ( . c� ,--- � J PROPERTY OWNER INFORMATION: Name: ��:,�,.; w'1: %/�� -� �.. Phone (day): —5 - � i � - 3 5�5 3 Address: _/j�/ �=�. ��.�t,,....;,s �;. � T �� City: C�.�... � ZIP: � S 3l/ Email and/or Fax: PROJECT INFORMATION: Overall project description: f�"`-' f^�''�r h��`��S . ��, ��i (f'' � ' Type of Project: Any earth movement may also require � [�Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: (�Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 [r�Window(s) in5'J�QI( T�C/41 Y—Sv r--T'� Fax: 952-471-0682 www.minnehahacreek.ora Estimated Construction Valuation of Project (excluding land) $ ��, c u c_ 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 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 ou refuse to su I the information,the lication ma not be issued. ApplicanYs Signature: '�� '�� / Date: 7�z` ,� ` � � Owner's Signature: Date: Last Updated:January 2016 � �� G��( �/�.�C PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS h � , � f p Address: � ��C �S��i�'��-� ` ��'l /�?� .' C°��.8 Permit No.: ��1`' ��%�l / I i ,--- Description of work: �� '�-� J�,? �-V<<tf� ' _�C��',";. � � =�u Date Rec'd: Septic review by: ��-�,C/r�� ' ,�� Date Approved: ( L- � Zoning review by: Date Approved: � . , Building review by: '� - j Date Approved: �-f � + Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date � : Landscape plan submitted? � Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side / Defined Height: Peak Height:�� FFE: FFE minus 6 feet= (Existing Contour; Perimeter(linear feet) = 50�= L.F. below grade , Basement? � Yes � No, Sto�es % FOR A BUILDING WITH A BASEMENT OR CRAWL S�ACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance be een the lowest proposed Slab at or above grade— START WITH floor(of the ba ement or crawl space)and measure from highest existina the highest p9int of the roof. ra ade to the highest point of the � START WffH roof even if fill was brought in to ' � elevate home. If,you hav�e a... SUBTRACTION •�: G�(BLE OR HIPPED ROOF(no Slab below grade—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 (no windows): Subtract half • '' GABLE OR HIPPED ROOF(with (BASED ON the distance between the windows): Subtract half the distance ROOF TYPE) highest point of the roof to between the top of the highest �Nindow and the highest point of the the low point of the roof corresponding gable or hipped roof • AL`;L OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF m�nsard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract t:e dista�ce between the half the distance between (BASED Of� basement�rawl space floor and the the top of the highest EXISTING.: highest exi�ting grade adjacent to the window and the highest GRADES.�J foundation QR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQU S Defined buildi g height subtraction. Defined building height j� �'\ EQUALS Updated: May 2016 z:\forms\plan review checklist 5-2016.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes � No 0 N/A 0 Yes � � Yes � No No � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one °/o and sf % and sf � Yes 0 No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review State Surcharge �� Investigation Fee SAC— Number of SAC Units Other(specify) Square Footage $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd FIOo� X = $ Garage X = $ � �'' � , �..�- /� i Estimated Construction Value: $ ) (i Orono Inspections Required Work Requiring Separate Permits , �L '.5�Cl�' � � Site 0 Plumbing 0 Grading/Filling �C ��d.F � Silt Fence/Erosion Control 0 Mechanical 0 Fire �'rt��!r,V'_f _�S � Hardcover Removal ❑ Fireplace � Water Connection � Other(specify) � Masonry � Sewer Connection 1e ❑ Mfg. 0 Lawn Irrigation � ,��'�1�� _ � Other(specify) 0 Landscaping ,... / Final 0 Required State Permits � � 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: May 2016 z:\forms\plan review checklist 5-2016.docx . ` �_ CEIVED " �omp Ci of Orono�Q(��O �(�� n �-� �ya��e � il tJ t,/ 2 O L�1 6 Jemy 6ruenhagen JUL ,��.a�wo�a<a,� 118 Hazalw d Avs. / Golayne,MN 5532] [ --� D�� I (952)466-99T4 _-� ` nC icvA ce�sen. I'-O�, - �I�(r�0`R�N� �� X - ��viewer .��`"'.� 6" i RIEZE i I BOARD � __ 2x6 FASGIA - a � � � - �� _ �� BOARD ��ro -- _ - _ __ �_��_ � -e�.+ _ - - -- - ��a�� ro _-- �e„�� - — _ - /-:- y . � ��,��, - - - - - - -- -- _ ._ _ ��»�� -- - _ _ -_ _ � ___ — _ - �:a�� _ - i -- , �_O, -- i �6�� — - - - --- _ - - - - _._-. - _ - -- - - �XISTIi�16 -- -- _ n _ _ WALL EXISTIN6 � L-1 � — — � � � - - _ _ �00� �� __ �� . SO�FIT _ — �OLJLJ ❑u�❑ __ LJ00�- _-- -- - _ = �mry " II agax� � ��g� Ib�55 NW 'ouoa0 �p2� �uiod ssauaa6n� Ibbl �� m ��=�ry �g��§�� i � � � � � I � �� I I � �o �� '�a°° �.� � ��sP � �� g�� ° f `�<�� N � � � mi��m O I � � � � L--- - j � I � II � i I i II, I I � � j � � � I � i � � � � —� � — Q �I �� I I N lfl -� I � I j ��. �, I . , . , � � � WOQ� �Q�Q ��l i � ; j � ! I I III � I � O�O I I I �, I' Ii l cD dl cv W � I I � i I� � II I I i ll � � _ I ' I I li I � i I II _ i - I I '� I i � llll I � � � lill II I " I� I�I ' I = I II ' - I i II I ' � I O I I II i I � � i I _ I ; i � i � II - � � � � i �� I � il Illli i � III � � I � i � � _ - � � i � � � � Ili I i l i Oiii I� i . 11 l il� II I I � j � �i , ' , � - � - I Q Ilil II I — i li i � � � � � I I I � � � I� i I � � — I I � . I ' ll � �� d I I _ � I� I iil �� II � � I w v � � — ill i I I N N I i � � III I� II , � Wp d � � � � i = / R'� � � � � I II - i i IIIII �Q �P I I � I� � � II � II II = j O x � J1-1--II - - - �!, � - - il �D fL1 N I II I II �-�.. -� ii � . ill � �� . � � � � I � I � I I I I I Iljl � i 1 I _I I I i � � II i � � -II I I � I � I � � I � I� I Illilll I I . � I I I I � I � � � I \ � � � � � - , 0 � - I' I � I � � � I ' ll i �1 � i ii � i I � � �--� � II ' II � ' ii � i �// v II �II v � IIJ� lll � �l ln � illl� � � Il�ll i � liili � I II j Ili 'li , I .. II� I �I � '' � � jII � IIiII � ml��' � ji� � �I II III I ' I II i � � II' li I i - ' I �I ' IIl I II - II I i li i � I i � m� I i l � � I I I ii � ---�— � � � o � C� DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTIC scHEou�e� � PERMIT NO. � ��COMPLETED ADDRESS C ^�` '� 7� �� OWNER TELEP ONE NO.C�'��'`�'�3�� CONTRACTOR �� C'f��l``/��,� � DESCRIPTION ,`� / ' 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL� �1i� � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/ ING ' '7� 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 J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE �] EPTIC INSTALL 2 OWNERICONTMCTOR TO M YES_NO v�i COMMENTS: t�i, - ��0�V J O� s':f P S�i d h/ �/►A�� /GP'r" 1'✓�Gf a 0 �..//a,(` ./�I��4 Gtin� GL�yl�f'A/'S GOM��A� ). � O • ' /C�a ,,r,,.t 4 0.�. .r-s.��','�..f' �� oan� v�;c�.��a.r' W 1 Q 1?� A/�b/k�i . � � — ��L�i �� .,.G�` �7�/ � j W WORK SATiSFACTORY:f91C6GGD PROJECT COMPLETE ��CORRECT WORK�PROCEED �ISSUE CERTiFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: �G��/ Inspector. f�4'rL�-�' White CopyAnspector's Ffle C�nary CopyfSFts Notke