The URL can be used to link to this page

Home My WebLink About2016-00884 - addn/remodel/repair � CITY OF ORONO * 2 0 1 6 - 0 0 8 8 4 * . 2750 KELLEY PARKWAY DATE ISSUED: O8/OU2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1820 FOX ST PIN : 03-117-23-42-0009 LEGAL DESC : HI ACRES TWO : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 175,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) REMODEL AND DORMER ADDITION APPLICANT PERMIT FEE SCHEDULE 1,582.42 STATE SURCHARGE(VALUATION) 87.50 YERIGAN CONSTRUCTION TOTAL 1,669.92 27741 LINIVERSITY AVE NE ISANTI,MN 55040 Payment(s) (763)444-5353 CHECK 7694 1,669.92 Minnesota State License#: BUIL-3404 OWNER MCDONOUGH,PAUL&LYNNE 1820 FOX STREET WAYZATA, MN 55391- AGREEMENT AIYD SWORIY STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speciGcations,applicable City approvals,and the State Quilding Code. This permit is for oniy the work described and does not grant pemiission for additional or related work which requires separate permits. All provisions of►aws 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afier work has commenced. The applicant is responsible for assuring alI required inspections are requested in conformance with the State Building Code.This permit may be revoke time for due cause. f -� �1f1� �f,��.� �� ,� ; � � , , ,� �, � �� Applicant Per rtee Signature Date Issued By Signature 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: �l � PO Box 66 Crystal Bay, MN 55323-0066 n Date received: — p� Street Address: �� `� Received by: �� . y � 2750 Kelley Parkwa � • Plan review fee: 1 � v��.S�] �lqKFSHa �C' Orono, MN 55356 � � �� /�j � p, � ��`�� Total Fee: " '�l �^D Main: 952-249-4600 Fax: 952-249-4616 www.ci.afono.mn. 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: )Qi ZD }=C� ri ��T�r'��t" 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-permifted events will not be allowed. CONTRACTOR/APP�.ICANT INFORMATION: Name: .��r'�i Li�,�1 �o�,►S�%rZ u c:•7-)o�1 L.v i��/a,�v� State License# �,� � a -� �-� o y Expiration Date: 3 �1 1 Q; Lead Certification Number: N �:}•-r— ►�'7 z�7 .-Z, Expiration Date: � Z3 2� (for work on homes thaf w�re constructed prior to 1978 Phone: (cell) L}2�3L�--L)1)� (office) �7L 3�t)1)�-53�� Mailing Address: -�7 Lj 1 V,n�� r'es r-r ,�}v�-�, N�. C�tY� �'s��-r�. Z�P� 5�v4 d Contact Person: "DrNN 16 SAti V > G Applicant is: ontrac o�/ Homeowner (Circle One) Emailand/orFax: ��n.� ;s � �iE'riqcs,nCar��""rv�fi��r� = cor� �- PROPERTY OWNER INFORMATION: Name: �rL�L '�,�y-ToN Phone (day): Address: ��2 p Fp,c �vT��3�t— City: �'jgo.�� ZIP: Sr 3 q� Email and/or Fax: PROJECT INFORMATION: Overall project description: 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 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ 1�75';�oo J 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 ' ation,th licati m not be issued. ApplicanYs Signature: � ��' Date: '7/ZL/l4 Owner's Signature: Date: Last Updated:January 2016 ��,'�-„„ � �/(.�FY 6 /� 7CL �LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: l('7 `� �9�, �d`'e�� Permit No.: Description of work: J`�C�(lQ l �' ��`�i�',d^ eC�7�4R Date Rec'd: Septic review by: � ti Date Approved: C� � Zoning review by: Date Approved: ✓ Building review by: Date Approved: � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF °/a Survey Submitted: � Yes � No Date of Survey: Revised date ? : Landscape plan submitted? � es 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 Heig t: F FFE minus 6 feet = (Existing Contour; Perimeter(linear feet) = 50% = L.F. below grade Basement? � Yes � No, St ries FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC : FOR A BUILDING ON A SLAB FOUNDATION: The distance between th lowest proposed Slab at or above grade— START WITH floor(of the basement ,rawl space)and measure from hiqhest existina the highest point of th ro f. START WITH rq ade to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION • GABLE O HIPPED OOF(no Slab below grade—measure (BASED ON windows): Subtract h f the distance from highest existing grade to the ROOF TYPE) between he highest p nt of the roof hi hest oint of the roof. to the I point of the c rresponding If you have a... gable hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GAB OR HIPPED RO F(with (BASED ON (no windows): Subtract hatf win ws): Subtract half t e distance ROOF TYPE) the distance between the be een the top of the hig est highest point of the roof to wi dow and the highest po t of the the low point of the r f corresponding gable or hipped roof • LL OTHER ROOF TYPES flat, • GABLE OR HIPPED ROOF ansard,etc):No subtractio . (with windows): Subtract SUBTRACTION Sub act the distance between the half the distance between (BASED ON bas menUcrawl space floor and the the top of the highest EXISTING hig est existing grade adjacent to th window and the highest GRADES) fo dation OR 10 feet(whichever is I s). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS D fined building height subtraction. � Defined building height EQUALS Updated: May 2016 z:\forms\plan review checklist 5-2016.docx . Shoreland District MCWD Permit Average Lakeshore Setback g;uff Met? � Yes � No Permit Number: � Yes 0 No 0 N/A � Ye No � � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % 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 �1/' Other(specify) (_/' Square Footage $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd FIOOr X = $ Garage X = $ �� Estimated Construction Value: $ 1�� d�� Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site Plumbing � Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control Mechanical � Fire � Foundation Survey ❑ Hardcover Removal �Fireplace ❑ Water Connection 0 Framing ❑ Other(specify) � Masonry � Sewer Connection 0 Waterproofing/Drain tile �Mfg. � Lawn Irrigation ❑ Foundation Waterproofing � Other(specify) � Landscaping raming Insulation � As-Built Survey Final � Lathe Required State Permits � Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 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 �- !� � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `1 ' � �C �==�r PERMIT NO. "a ��,�- ��`� connP�ErE� ADDRESS �g �C �t; x J� OWNER TELEPHONE NO.Lo l� - 31�;(�-U7G'(p CONTRACTOR �I�-�0.'c� C� �-�n s�" � � �; DESCRIPTION � � ❑ FOOTING � PLUMBING FINAL p EXCAV/GRADING/FILLING Q�URED 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO 2 T � COMMENTS: I� c�� _ - -�-I�o � � r � ' ✓ ,G • �l /��d cP� c ✓ � o e n gr��eers .�/�•t ,� �D�/b�.�C, �. � ° — �/a.r�c%cs �/ G•�r 111E �-,�ola�"1� roo n�l •f�'p��'�o•� W , � �De� �e r��-��s .�l4.� --,r a,0o•�o v.�G - Q � W � , . . � l4F6s�� b U,r-�Qerc..�� G��/�-� � ��Stl,tS F/�_ j _��6�tis �f /,Urc�( G�t%sfi�� - ✓ �' ��Sc�G - � GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail f "nspection 24 hours in advance. (952) 249-4600 Ownerl tractor on ' �'��l Inspecto . R^' White Copyllnspector's File Canary CopylSite Notice ( / � C �- DATE b TIME CITY OF ORONO c,�►LLED IN � iNSPECTION NOTI 1�MEDULED - -�b ��=� PERMR NO. ��j COMPLETED ADDRESS � ��D ��'.� OWNER TELE��I�ONE NO. �Z - ' COMRACTOR ��V� � DESCRIPTION �""`' �� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i OwN�1�fTRACTOR TO MEET YWJ:_YES_NO � COMMENT'� � o �L✓ 9 v �L 1�[u s✓ � �, �C � o� � ��l io �✓ " �-� � o Sltis � Q �-�4,s �,�c.r✓D� (J� . � W � � j -G V � S �-- D W VMORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE � ❑CORRECT YMORK d PROCEED ❑ISSUE CERTIFICATE OF OCCUPI�NCY 0 ❑CORRECT WORK�LL FOR REINSPECTION TEMIPORARY V BEFORE COVERINO PERdtANENT ❑CORRECT UNSAFE CONDITION WfTMIN HOURS. O PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRAN(3E ACCESS. Cail br the next h�spectlon 2a hours in advanoe. (952) 249-4600 on site: In WAite CopyAnspscto�'s Fil� C�n�ry Copr1811�Notla i � . � � � �. % % � �' � DATE TIME CfTY OF ORONO cnLLED IN � INSPECTION NQTICE, a ti, H�u�eo ;�`��.1''[" � PERM�T NO. . �.t,. 1(� �� '��MPLEfED � ADDRESS ,I ,� �t_ ' f-� C ,;iC �--f-� OWNER TELEPHONE NO. �'�� ll�� CONTRACTOR � -- y � �� / � DESCRIPTION " j�c�/ �,r�/ . l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNEA/FIREPLACE ❑ COMPLAINT � �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE S PTIC INSTALL 2 OWNENCONTRACTOR TO MEET YWJ: YES_NO y COMMENTS: �J E C• �� ' �� r�6 � � ri'IDY9��— �/��Cr►o�- ' o� Oa��!S � ,/.��f"iG`I Q�r � � I�t>�n� rGY�rvt ' OO � � �/17d�As� C'd . ��. � 6� Q� W 0C Q 2 I 1 r.Jo/' � -+ � �s�¢��,�s �drr��`�- W � - / � //✓1e Lf' �/7i�� , � O WORK SATISFACTORY:PFtOCEED PROJECT COMPLEfE W ❑CORRECT WORK 3 P1iOCEED ❑I E CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERIN(i PERMANENT �CARRECT UNSAFE CONDITION WITHIN HOURS. p pf{pTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector: � Whits Copyllnspector's Flle Canary CopYlSfta Noties