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Home My WebLink About2014-00230 - addn/remodel/repair CITY OF ORONO � 0 1 4 - 0 0 2 3 0 * Y, 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PF,RMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPARATE PERMI"I�S REQIiIRF.D: NLUMBING. MI:CHAN1CAl„I:I,I�.CTRICi1l,(S'I�A�ff:) LOWER LEVI;L FINISI I APPLICANT PERMIT FEE SCHEDULE 756.75 STATE SURCHARGE(VALUATION) 30.00 J WOODKOW, LLC TOTAL 786.75 2700 RANCHV[EW LANE N Payment(s) PLYMOUTH, MN 55447- (612) 791-8996 CREDIT CARD 4870 786.75 Minnesota State License#: BUIL-677495 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�hc work for which[his permit is issucd shall be perfomied according to d�c approvcd plans and specitications,applicablc City approvals,and the State Building Code. This permit is for only the work described and does not grant permission t�or additional or related work which requires separate permiU. nll 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 authorircd is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I SO days at any time atter work has commenced. I�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."I�his permit ma��bc revoked at any ti� � d a�e- // � ? Z� / / Ap icant Permitee ign ure ate Issued [3y Signature Datc �5.�� .? City of Orono 3 'Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) A, Mailing Address: � � ��(V PO Box 66 Permit number: b/ (Oj) � Crystal Bay, MN 55323-0066 Date received: i � Received b �, � Sfreet Address: y� fi `� 2750 Kelley Parkway Plan review fee: �� "�� 9 �"��esr�o�e Orono, MN 55356 �� ---� 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: '�3'�i� F�x 5 ��- E'; c.�-�:; I�N . S'��S �- 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. Shutt/e 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: ;T_ �..i�i��4r�:,., +-�-�-- State License# �� -� y �� Expiration Date: 3 ' -3 j •� �� Lead Certification Number. �-��- 3��3�Y. •- i�-t - C; ~� i:? . � Expiration Date: •Z ` (for work on homes that were constructed prior to 1978 Phone: (cell) r�i-Z - '7`� I - �;�� . (office) 5�� Mailing Address: ,2'1 oU �„��:i;�,,�, l�v� N . City: �t „N� �.�.�„ ZIP: �,-�=� � • Contact Person: �'��,L, ��ti�y_ Applicant is: Contractor / Homeowner �c��aeooe> Email and/or Fax: • �` ' - �i,�? !Ci.i ��/v t.[�.c�P�i.V a S�' t'h�.�U v� S �'�'v`� PROPERTY OWNER INFORMATION: Name: ��y �� t�.Ur� Phone(day): ��Z� 'I o t - (G�4�h� Address: 3?.,-;at; �� 5."t-- City: �;,.,�,,.,;; ZIP: � ;,;� �, Email and/or Fax: ��N� (,� � � �r; �� a��. ��•,N PROJECT INFORMATION: Overall ro�ect descri tion: -I��Lr F� �L� 1�:,•��-r �-��►�1 ��v..s`�, 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) ❑ Re-roof, cedar 18202 Minnetonka Blvd ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding �,Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) �-•�-• ��►5� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $��y� c�� ., �''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 informatio is annually update our records and records of other governmental agencies required by law. If ou refuse to su I the in ma n, he a lication ma not be issued. ApplicanYs Signature: Date: `3 1�- ; t Owner's Signature: � iv''" � Date: =� �� Last Updated:03/06/2013 PLAN REVIEW CHECKLiST FOR I�EW STRIJCTURES / ADDITIONS Address/Permit Number:._ �3� � � � x S�t�A,�Z^ Description of work: �c,✓�/C. C�E�VeL eCisve.�t�1 Septic review by: �<� Date Approved: Zoning review by: �� ate Approved: __ ____Building review_by: _ Date Approved: �Z�� ' �f _ - ---- _ _-- - ------ _--- Grading revie�by: �� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: �' Zo ' g: Lot Area: SF/AC Width: Lot Coverage: SF ° Survey ubmitted: ❑ Yes 0 No Date of Survey: Revised date ? : Pro osed tbacks: Front(Lake' Rear(Streetj ( N S E W ) ( N S E W ) Other Build' gs Wetland Side Side / Defined Height: Peak Height: FFE: FFE minus eet= (Existing Contour) r'; Perimeter(linear feet) _ �`' 50% _ #�of Stories Ok? � YES � FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: The distan betwee�the lowest FOR A ILDING ON A SLAB FOUNDATIOPE: START WITH proposed floo of the basement or crawl space)and the ' hest point of the roof. START WITH The distance between the top of slab and �: the highest point of the roof. r. If you have a... If you have a... • GABLE OR HIP D ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtrac alf the windows): Subtract half the distance �'' distance between the 'ghest 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 d roof SUBTRACTION gabie or hipped roof (BASED ON ROOF e GABLE OR HIPPED ROOF( ' (BASED ON • GABLE OR HIPPED ROOF(Wiih TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract haif the distance distance between the top of� between the top of the highest highest window and the h� est window and the highest point of the point of the roof � roof ALL OTHER ROOF PES(flat, �`� • ALL OTHER ROOF TYPES(8at, � mansard,etc:No subtraction. mansard,etc):No ubtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distanc etween the (BASED ON and the highest existing grade adjacent to �' (BASED ON EXISTING basemenUcrawl s ce floor and the \ EXISTING the foundation. GRADES) highest existin rade adjacent to the GRADES foundation O 10 feet(whichever is less). ., EQUALS Defined building height EQUALS Defined iiding height � �, s� Shoreland District MCWD Permit Received A�rera e Lakeshore�etback Met? Bluff � 0 Yes � No 0 N/A 0 Yes 0 No 0 Yes � 0 0 Yes 0 No �N/A Permit Number: Setback: Stormwa r Quality Existing Proposed Variance Required CU equired � Overla istrict Tier Fiardcover Hardcover ' ❑ Yes a No � � No Type(s): Type(s): Updated: January 2013 �� C ��..� v�\forms\ptan review checklist 2013.docx . �i'`,� '"�>.��. , a�,'� ix{; r"��4 al`lX��F ^r "- d� ,rY �kr�:fiTM' ,e.. .•".. �'d ',tR'4�a' - '".. +"�+�` ^n'�tL�`.�„�" `�� ..,. � , . �y�� :z,. . ,,,,, _ p"",a-,.. ,.w-_ , . -.. � :. _.. . v �. _ . . ,. ..v��. p; �, ` REMARKS (in-house): � � Fees to be Char ed YES NO �ermit Ptan Review ✓ State 3urcharge � - - -- __ --- --- - __--- -__ --- - - - -- — _ - - - - --- lnvestigation Fee- ----- SAC—Number of SAC Units Other{specify� � S uare Foota e $ er S uare Foota e Basement X - $ 1S`Floor X - � 2nd FIoOP X - $ Garage X ' $ f o V s Estimated Construction Value: $ ��o��^ Orono Inspections Required Work f�equiring Separate Permits Required State Permits � Plumbin Q Grading/ Filling � Well � Site 9 � Hardcover Removal �Mechanical � Fire Electrical 0 Footing 0 Septic 0 Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection �` 0 Foundation Survey 0 Masonry � Lawn Irrigation 0 Radon Rock Bed 0 Mfg. ,:' �Framing 0 Other(specify) Insulation � As-Built Survey y�Final � Wetland Buffer � Other(specify) REIViARKS (in-house): Other Review: Reviewed by: Date Approved: �` Access: Existing: � YES � NO New: 0 YES ❑ NO OFFICIAL REMARKS -TO BE NQTED ON PERMIT AND INITIALLED '�SS � CA� �� Updated: January 2013 v:\forms\plan review checklist 2013.docx ��-/ , / DATE TIME �� CITY OF ORONO �a� CALLED IN ��T � INSPECTION I�C.�E� SCHEDULED I PERMIT NO. � COMPLETED ADDRESS �� OX S��-� OWNER �� TELEPHONE NO.��2��TGI� CiQIo CONTRACTOR �� ' � � �--�� DESCRIPTION �� l��°� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT Q -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTFiACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52 QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite No ice �r� `� /�� bATE TIME CITY OF ORONO CALLED IN INSPECTION IC SCHEDULED � �� PERMIT NO. �� conn ereo ADDRESS � OWNER TELEP ONE NO.��Z�7/�rg�g� CONTRACTOR ' � r� �l/ � �; DESCRIPTION f�� —LL /'I/'J��c'/ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_Nq i � z . FG�t.td(Q'�..^ c�., COMMENTS: _�X'��'�a�'' 1,Jt !l3— �/►c�wr��c � a �� r'Q-�s��a�:�� ro v�� , s�-��z�s"+t— � _R�faP O��e a�' �-.e •R.e� 4�t</ rt�i�7� � �. - .. � ,o�-�C�io�- ��t�ct��o-�. /.��ll• � �/7 �� SCet� e le�tr�c�G De.r1�L�rt L�tan. �... � �-�' . Q 7�D �lo7�e �► �aorw a.� �' e�tc'�� r.ro... Z .I- i:� �ae ��7 �l�Gk �'a� /%� ex�rc��G t�ip, W � ��![ � �ec�/'�GtL �e�1e�r�iow l ti. 507�'� � G�45� 'f�t�'IC'� � �t I'cb.n. � �G c fi O/� _ L o r cX�'f' V d!f t!5 G Cue✓ W ❑WORKSATISFACTORY: ROCEED ❑ PROJECTCOMPLEfE � L�9$�ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site:�d �E Inspector. Q 1 rv� Et White Copyllnspector's Flle Canary CopylSite Notice � � � — pAT TIME ✓ CITY OF ORONO CALLED IN �" �� INSPECTION NOTICE SCHEDUL� �� /.'� PERMIT NO. �O �a�co ��[S�:; ADDRESS � 3�D ,.._ , OWNER TELEPHONE ND�I ^ l� CONTRACTOR � DESCRIPTION - � � � ❑ FOO G ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ P URED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS Q RAMING ❑ 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 ❑ HAAD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O �. � O � W � Q � 2 W � � W � � d W� RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in ance. (g52) 249-4600 OwnerlContractor on site: Inspector_ White Copyllnspector's File nary CopylSite Notiee