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Home My WebLink About2014-00238 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 - 0 0 2 3 S * � 2750 KELLF,Y PARKWAY DATE ISSUED: 04/04/2014 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS ` : 2620 FOX ST PIN : 04-117-23-42-0010 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,500.00 NOTE: SEPARATE PERM[TS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) I3ATI IROOM REMODEL ��l�,,,.( � t.� APPLICANT PERM[T FEE SCHEDULE 162.25 PLAN REVIEW 105.46 JAFFRAY, MR. & MRS. STATE SURCHARGE(VALUATION) 3.75 2620 FOX S"]' WAYZATA, MN 55391- TOTAL 271.46 Payment(s) CHECK 6080 271.46 OWNER JAFFRAY, MR. & MRS. 2620 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building 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 goveming 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 no[ 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 aze requested in conformance with the State B mg Code.This permit may bc revoked at ari,�y tirt}e�or due cause. . � / %Z� �, `(—�I-:�1�1 ,�` :f � � �'��c ;s�7 � � Applicant Permitee Signature Date Issued By Signature Date ��y �� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O ' Mailing Address: d � �� PO Box 66 Permit number: �� -. D �� Crystal Bay, MN 55323-0066 Date received: - 2 S— I , ' � Sfreet Address: Received by: 2�- `� � �; 2750 Kelley Parkway Plan review fe : ` ' Orono, MN 55356 '��'��Fsri��' Total Fee: ��. �l' �� Main: 952-249-4600 Fax: 952-249-4616 ��:��c�o;:.,r�:� ;�,�; ;;;; ___ _-____ _ __ This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: I ' / i \ Job Site Address: ,,�� v K E��Fe t W••� Zw T�; , /l1 n S`�3� ( Jrsn a � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes, a specia/event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site paricing is available_ Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �_.� c��l ��1�� t��y � {�u..vtt c1.;n�� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) � i a_ �v� - -j J 1 (office) Mailing Address: � , ;}il ��, S�.�l� City: �,,/,, �� ZIP: > > 3�� Contact Person: [��,i�� ,��('��r Applicant is: Contractor / omeowner (Circle One) Email and/or Fax: ��.�pe,- i� ��r�Y C' S�"��;� � (u.^� , , � � PROPERTY OWNER INFORMATION: / Name: flf,(��/ -1 �� -��,Y �/n��l� ��1-��y Phone (day): `1 >�l- �j'�1- �J l 1 Address: � � 1� �^,,, S�- City: U,/•.,yz�_�� ZIP: S'S3; � Email and/or Fax: �,Q�.-,p�, i�- ��r-,� L �,,y�4,/ : � v "� PROJECT INFORMATION: Overall ro�ect descri tion: 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) 18202 Minnetonka Btvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding [�j Other: (specify) Phone: 952-471-0590 Fax: 952 471-0682 ❑WindOW(S) �Sr f�.f.u^� �(tnu�x�•�� _ � Estimated Construction Valuation of Project(excluding land) $ 7 �i1 J. cv 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 ion is to ann Ily update our records and records of other governmental agencies required by law. If ou refuse to su I the i rmation, t a lication ma not be issued. ApplicanYs Signature: Date: � ��-`�- �f Y Owner's Signature: Date: � -2 � " �-v/y � , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADQITIQNS A�dress/Permit Number: � �� t�� j Description of work: �f-Tbf�1��"r � (�Cr ` Septic review by: A�t F� Date Approved: Zoning review by: f'v�� Date Approved: Building review_by__ Date Approved: �-2�-- �E� ------------- Grading review by: �� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: �;, Zon : Lot Are�: SF/AC �ic�th: Lot Goverage: SF ; /---�°O Survey mitted: � Yes 0 No Date of Survey: Revised date ? � Pro osed Set cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Build'a gs VNettand Side Side Defined Height: eak Height: FFE: FFE minus 6 et= (Existing Contour) Perimeter(tinear feet) = 50% _ #of Stories Ok? 0 YES ? FOR A BUILDIfVG WITH A BASEMENT OR CRAWL ACE: The distance between th lowest FOR A BUI ING ON A SLAB FOUNDATION: START WITH proposed floor(of the base ent or crawl space)and the highest point 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(n . GABLE OR HIPPED ROOF(no windows): Subtract 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 gabie or hipped roof SUBTRACTION gabie or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (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 highe ' window and the highest point of the point of the roof roof • ALL OTHER ROOF TYF S(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No su �action. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance b � een the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl spa floor and the EXISTING the foundation. GR,4DES) highest existing gr,ade adjacent to the RADES foundation OR k4 feet(whichever is less). UALS Defined building height EQUALS Defined buiYHing height Shor�land �istrict IIIIICWD Permit Received Avera � La�eshore Setb k IVlet? Bluff s y� 0 Yes ❑ No � N/A ❑ Yes 0 No CI Yes � Nt� �� ❑ Yes � No � N/A� Setback: y// Permit Number: �tormwrater Quality Existing PropasecC Variance Required CUR Requi d " Overla Dis#rict Tier Harcicover Hardcover �� '° � Yes 0 No � Yes No �" �`� TYPe�S)� TYpe(S)� �, ; Update . January 2013 �r� �r ��¢PV�.� v:\forms\plan review checklist 2013.docx �� ..:. .. ..,.. . :,.. ,. .. . : .. , _ � �. v ,. ._..� . . ___ _ �� REMARKS (in-house): — Fees to be Char ed YES NO Permit a� � Plan Review State Surcharge �""� — -- - --- _ -- - _ _ -- _ __ _ _ _. ---_ __--- investigation Fee -- -- SAC-(�umber of SAC Units = Other(specify� � �� S uare Foota e $ er S uare Foota e � _ t, Basement X � �" �.; 1S`Floor X = $ � 2nd FIoO� X - $ �' Garage X - $ � � �� Estimated Construction Value: $ ��.�� ` Orono Inspections Required Work Requiring Separate Permits Required State Permits � � � Site Plumbing � Grading/Filling O Well k � Hardcover Removal ,F�Mechanical � Fire � Electrical � 0 Footing 0 Septic � Water Conrrection 0 Poured Wall 0 Fireplace � Sewer Connection � ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation � � Radon Rock Bed 0 Mfg. � �Framing � Other(specify) ' Insulation �� 0 As-Built Survey Final � 4 ❑ Wetland Buffer � C] Other(specify) �;' � REMAFtKS (in-house): r 6i f � Other Review: Rev�ewed by: Date Approved: � Access: Existing: ❑ YES 0 NO Nev�r: ❑ YES ❑ NO � OFFIClAL REMARKS -TO BE NOTED Ot� FERMIT aND {NITIALLED } � ; i � , F: Updated: January 2013 v:\forms\plan review checklist 2013.docx � �j � �9�� ` � f� � '�, � ,� �` d' . � �` ' �. � �' . . � 1� i�` � . � � �1 � � � � lower level bathroom remodel � ; �� - ��-�.: �� .> --� j Appr��red r��;�iiiL{J ;;r �;��:�':,��s s'��' �� proviued far aU n�w � _a �, �y ::�,: bu�4�irgs in such a ��;t;�; Gs t� �� p6ainly visi�le and l�gibie from the stree; or ra��! fronting the r p y, __.._ ._ _ ._ ;_ �Pw�;�� Gq�� before : � � ► P��%V �Ir.�L �C��i l i f�' ,�i�'�:iJ;lJ� ��j FLU��It°1G ACCESS �� THROUGH T1LE U9`dACC��-;'��r ��'`,�^1 `�`'�� (�P�r �-t��_�� . �`��' I bathtub ,� ��.�i.� �%�' � V L G afte r. i� ,, m��! _, _ -�- ,_T � co �t � ��n � S h�v v (��n��.��r„ half wall � ,� �- 1 � c� 1 :1 � � � � �1� S l� �`4�' 1� ��+� t.j, iC•—r c_r �1 �� i� �}/' . � ��} 7 � /-\-V , �!r'T:?I�:'��TL't ULJ�SlCE �� - . �l � ,� 5� . � � �, �� -�Y:� � � �� ;� : � U �+ I � . �� j ` y gI, r � � � V , i \ IJ91� � ' �.: �'` �►� 'L 4 �;� (e �.�G�— G•r� � � } � � �' SP��IAL. I�lO"T'E �� S�'E A�7�,C�--��E� ��t�ET . FOR r-�+s�,��c,�:., �L_�U-�2 RE�/IEVVED fo�- C�DE C�l�JIPLIANCE CQDE R�'�U��i�?fE�'dT� p�„qN CHECKED BY DATE 3- z�-�`1 �� DAT TIME ✓ CITY OF ORONO CALLED IN - � 1NSPECTION NOTI E SCHEDULED — T , U� PERMIT NO. - ��a3� COMPLETED ADDRESS ad ao ��,c. .�f' OWNER TELEPHONE N0.��7Z �F7� OD.3S� CONTRACTOR �G�C-��'Y�1 �ybtQ� O - � DESC PTION r � � ❑ F TING ❑ PLUMB FINAL ❑ EXCAV/GRADING/FILLING Q ❑ OURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � J d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours i advance. (g52) -46�� OwnerlContractor on site: Inspector. White Copyflnspector's File anary CopylSite N ice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.p�C��/-C�� COMPLETED �S�r- ADDRESS 1�� aC �'`• OWNER i��"•i�rs �T�f�r�_� TELEPHONE NO. CONTRACTOR �; DESCRIPTION ��`�'�� E'��L � ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS � Q ❑ 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. �F6LLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: �� ` �j / / � �N/ ✓Y►�� //�L�O- ✓ �4r!�c� � �-�£ �� 1'Cl i/ Q o ��L�/` ��IS��f�� r'r�.�;.�s - - �5' - ly ' � K 0 � Q �� YK�Z � c�r ,Su/.� � u.f Uc c:�r,4i��0 ��=5 z '�i•Yi e � . � X�r�� q�4� � 7��n� �a� �.� � G�/�- �c�- 6�'jQ W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED '�JSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � � Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ��`-�-- , White Copyllnspector's Ffle Canary CopylSite Notice � � �� ` � � DATE TIME f CITY OF ORONO CALLED IN INSPECTION NOTICE � SCHEDULED -_�— = �� PERMIT NO. �-f�I U ��Z� COMPLETED ADDRESS Z"�' �� I`L% X S`f OWNER -��5� ��'P TELEPHONE NO.�'� �� `��"�O�I CONTRACTOR � � DESCRIPTION r �t�-�� ` �" �� ,� ��./AZJ� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL Q O_ W�IEit1691�FT CTOR TO MEEi YOU: YES_NO 1 . C MMENTS. C�LI-��!� c�L� C�- l� l�l�IL.- �/�.( �� a vr � ` e��'' � � �i `� � � � !/� .� 5�+�t d�P G��ec.C:�� > 4 � ��oa•�s -.E- Co �(�e��.� c.��«. � /d � �� roor� _ W � Q � G$ti o-� [.c)6.�� G?�a.t,�p��o W � W � j d W ❑WORKSATISFACTORY:PROCEED G PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �SQNSPECTION REQUIRED_CALL TO ARRANGE ACCESS. v Call forthe next inspection 24 hours in a nce. (g52) 249-4600 OwnerlContractor on site: /iDK c� � Inspector. /�.,, '7�`� White Copyllnspector's Ffle Canary CopylSite Notice