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Home My WebLink About2014-00145 - addn/remodel/repair CITY OF ORONO * Z 0 1 4 - 0 0 1 4 5 * , 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1700 FOX ST PIN : 03-117-23-41-0007 LEGAL DESC : UNPLATTED 03 1 17 23 : LOT MB BLOCK MB PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 201,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAI.,ELECTRICAL(STATE) REMODEL 2ND FLOOR BATHROOM REPLACE 58 WINDOWS AND 3 EXTERIOR DOORS ADV PLAN REVIEW COLLECTED ON$51,000 VALUE OF BATHROOM REMODEL WINDOW AND DOOR REPLACEMENT IS VALUED A"I'$150,000 APPLICANT PERMIT FEE SCHEDULE 1,662.75 STATE SURCHARGE(VALUATION) 100.50 YERIGAN CONSTRUCTION TOTAL 1,763.25 27741 UNIVERSITY AVE NE ISANTI, MN 55040 Payment(s) (763)444-5353 CREDIT CARD 4404 1,763.25 Minnesota State License#: BUIL-3404 OWNER Craigbank Associates 15407 MCGINTY RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs 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 spccitied herein."I�his 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 a[�n}ctime for due c se. ) � �� ,� z��Lf� � �a�� ,� Applicant Permite ignature Date Issue By Signature Date Cit of Orono � 7�� Y l Bui!ding Permit Application for Maintenance / Replacement / Renovation ` (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: � g-��O PO Box 66 Permit number: �01 —DD l�S Crystal Bay, MN 55323-0066 Date received: Z'�8'�`� Street Address: • � Received by: �S y� ` 2750 Kelley Parkway Plan review fee: 0 � l,ykFSHO��,C' Orono, MN 55356� �� d��/_�jDl (� 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: �-7C(� �C� x �,�-j-, �� 2'c'' '�Y��' �`� '� �� 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: y -- _�L=1�J `3j.N J-„ �. V�rJ��f�.� ��r��F'/��J`�' . State License# ��(>(�y ].jGil"�i Expiration Date: � ,�j /y Lead Certification Number: fj 7-_ r.�^�,�--� _ j Expiration Date: t,,�2 2)�,5 (for work on homes that w�re constructed prior to 1978 - . Phone: (cell) ��;,i�>;t,.�. -�,l))�j (office) �J�,' _h, L)L��/ `L�`�� Mailing Address: Z t�j � , y ;_- . �,�� r /Y�=, ity: �,A N Ti ZIP: ��-Gyy/,> Contact Person: j� �; '�' A licant is: on rac or / Homeowner (Circle One) �".�,,,�s .._)AK+��/� PP� Email and/or Fax: „�,y�=^;n;' � y��,r�r�r��('�j�'j';�r��M� PROPERTY OWNER INFORMATION: Name: �12��:ir'�,a<v i�_ �' �11 V rt� ��.� G jY��-i J�-'�D Phone (day): Address: t7�-�C� �—�X �iyr�l--�-t- City: �2C�U�� ZIP: :,�C,�v��/ Email and/or Fax: i�F:-Ma T4 1 i.- ,tl �N- _N - . PROJECT INFORMATION: Overall projectdescription:'f�=�%/+��= ',��5 �+��^,�G�'�=�:= i�f^it� ��=�1-' �.%G�� Type of Project: Any earth movement may also require ❑ Door(s) 0 Remodel ❑ Fire Damage MCWD review&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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.or Estimated Construction Valuation of Project(excluding land) $ `�) ODO . /5�''�0� =- r c I,��v % ,✓Aiii .v�'yv�,, 7'c�i►z 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 inform � is to an ally update ur records and records of other governmental agencies required by law. If ou refuse to su I th ' form ti n, e li io a not be issued. ApplicanYs Signature: Date: '2 �D1�`� Owner's Signature: Date: Last Updated: 03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS ; Address/Permit Number: '"l 6�C� � O x- �� Description of work: !� t�"T' �'► c�=w��--� i��,� �¢ Septic reviev�r by: /i1/ E$ Date Approved: Zoning review by: �� Date Approved: �` _ �uilding review_by: _ Date Approved: �p ?�— Z�� -- - -- _ _ -- _ _ _ - -- -- -- ------- Grading review by: 0/`a Date Approved: a oning District: Zoning File#: Reso#: Reso Date: Zonin Ar �� . ot ea: SF/AC Width: Lot Coverage: SF � /o Survey Sub ' ed: 0 Yes 0 No Date of Survey: Revised date � . I�ro osed Setbac : � Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Other Buil�gs Wetland �ide Side y Defined Height: ak Height: FFE: FFE minus feet= (Existing Contour� � ! Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES FOR A BUILDING WITFI A BASEMENT OR CRAWL ACE: The distance between t lowest FQR A ILDING 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 If you have a... the highest point of the roof. , If you have a... • GABLE OR HIPPED ROOF o . GABLE OR HIPPED ROOF(no windows): Subtract half the d' windows): Subtract half the distance distance between the highest po`i�t behveen the highest point of the roof of the roof to the low point of the SUBTRACTION corresponding gable or hipped roof to the low point of the corresponding (BASED ON ROOF SUBTRACTION gable or hipped roof • GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with NPE� windows): Subtract half the � ROOF TYPE) windows): Subtract halt the distance distance between the top of th behween the top of the highest highest window and the higl�st window and the highest point of the point of the roof �� roof • ALL OTHER ROOF T �ES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No s traction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance tween the (BASED ON and the hi hest existin (BASED ON EXISTING basemenUcrawl s e floor and the 9 g grade adjacent to P, EXISTING thefoundation. GRADES) highest existing�de adjacent to the GRADES foundation OR 0 feet(whichever is less). UALS Defined building height EQUALS Defined bu ing height 3, Shoreland District MCWD Permit Received Avera e Lakeshore Set ck Met? Bluff 0 Yes 0 No � N/A ❑ Yes ❑ No 0 Yes ❑ N C7 Yes � No � Permit Number: Setback: Stormwater ality Existing Proposed �ariance Required CUP Re ired Overla Di ict Tier Fiardcover Hardcover � Yes 0 No � Yes ❑ No Type(s): Type(s): Upd d: January 2013 � � ��9��p �� v:\forms\plan review checklist 2013.docx Y �� .: REMARKS (in-house): -- Fees to be Char ed YES NO Permit � Plan Review � State Surcharge r� . ___ _ . . __ _ _ ___ - - - _ _ ___ _ __ _ __ _ ___ _-- ; tnvesfigati�n Fee - �AC-Nur�ber of SAC Units Other(specify) � S uare Foota e $per S uare Foota e Basement X - $ � 1 S' Floor X - $ Znd FlOot' X - $ Garage X - $ Estimated Canstruction Value: � ��,t �� Orono Inspectians Required Work Requiring Separate Rermits Required State Permits ❑ Site �Plumbing 0 Grading/ Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire � Electrical � Footing ❑ Septic 0 Water Connection ❑ Poured Wall 0 Fireplace ❑ Sewer Connection � Foundation Survey Qi Masonry ❑ Lawn Irrigation _ [7 Radon Rock Bed 0 Mfg. Framing � Other(specify) ,�Insulation � As-Built Survey �3' Final ❑ Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: ?; Access: Existing: 0 YES � NO New: O YES ❑ NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx �_ � � DA ,/ TIME ✓ CITY OF ORONO CALLED IN ✓�— �/Y' INSPECTION I SCHEDULED �.�--�1 ^�� PERMITN�� '�� COMPLEfED ADDRESS � OWNER _ , � TEL HONE NO��- �� CONTRACTOR ��G'!�� DESCRIPTION v� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS O ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: _ � � `� ✓�a�� s� Se. — � �'Do�d CIG��Kc ^ SOr�y �4»�l cY j 6 �, � � � U��l! b� cvvc�e•e 4// �5 � — 0 � W � l'K �` CUve � -- Q � a W � w 2 � J d W� �l6IQ,eK SATISFACTORY:PROCEED ❑ PHOJECT COMPLEfE � ❑CORRECT WOFK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: . Inspector. � White Copyllnspector's File Cenary CopylSfte Notice