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Home My WebLink About2012-01040 - addn/remodel/repair , CITY OF ORONO * 2 0 1 z — 0 1 0 4 a * . 2750 KELLEY PARKWAY DATE 1SSUED: 12/14/2012 , ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3585 FREDERICK ST PIN : 20-117-23-12-0025 LEGAL DESC : TILLSONS VILLA CARMAN : LOT 005 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTI V ITY : 434-RESIDENTIAL VALUATION : $ 22,365.05 NOTE: SEPERATE PFRM[TS RGQUIRED: FIREPLACE, ELGC'CRICAL(STA"CE) VALUA"f[ON WAS CHANGED 13Y CONTRnCTOR AS ORIGINAL VALUAT[ON [NCLUDED THG CAB[NETS. APPLICANT PERMIT FEE SCHEDULE 383.50 ERIK OLSEN PLAN REVIEW 249.28 ]161 WAYZATA BLVD E#308 WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) (1.18 (952)473-3520 TOTAL 643.96 Minnesota State License#: BC468842 OWNER GORMAN,JOHN & SHERRY 3585 FREDERICK ST WAYZATA, MN 5539]- AGREEMENT AND SWORN STATEMENT The�a�ork for which this permit is issued shall be perfonned 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 whcther or not specified herein.This permit will expirc 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 atter work has commenccd. "Che applicant is responsible for assuring all requircd inspections are requested in conformance with the State[3uilding Code.This permit may be �� revoked at any_time for due ca ,7 '" J ��'�- i iz-t�, -�-��;z �� /a--��/ —/�_ Appl�cant Permitce Signature �,yy;�� Date Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��/ � —�� v ��,0,�.\ PO Box 66 O,� Crystal Bay, MN 55323-0066 Date received: /�'� �—� � i�a �� ,�� StreetAddress: Received by: d�• � ' �_,=, 'S'�, � �� 2750 Kelley Parkway Plan review fee: L9kESIiOg'/ Orono, MN 55356 �--- - � - Total Fee: .� ��3 ,9�Q 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: �ob site Address: 3585 Frederick Street, Orono, MN 55391 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: Erik Olsen State �icense# BC-468842 Expiration Date: 3-31-2014 Lead Certification Number: QB 13252g Expiration Date: 2-3-2017 (for work on homes that were constructed prior to 1978 Phone: 952-473-3520 (ot�ice) 952-292-3081 (ce�q Mailing Address: City: �Ia zata Z1P: 55391 Contact Person: Erik Olsen Applicant is: ontractor / Homeowner (Circle One) Emai� and�or Fax: erik(a�cshbuilder.com Fax:952-473-3521 PROPERTY OWNER INFORMATION: rvame: lohn and Sherrv Gorman Phone (day): 651-206-7815 Address: 35�5 Frederick Street city: Orono, MN z�P: 55391 Email and/or Fax s�orman37n,�mail.com PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ]�J Re-roof, other(specify) �J Siding Some ❑ Other (specify) Fax: 952-471-0682 Patch hv firPnla�� Window(s) 2 WWW.minnehahacreek.orq Overall Project Description: Install 2 new windows and remove masonry fireplace. Minor interior wall framing per plan. Estimated Construction Valuation of Project(excluding land) $ �5&-A9 2Z, 3�5 , p$� 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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. �� /� / ApplicanYs Signature: .-�_�-c,.�C _;'�'�— Date: /f' �_;� - �'c�i �_ Last Updated: 08-09-2011 � Plan Review Checkfist for New Structures / Additions Address/ PID/ Legal: �� 3`� l i��Rt �-K �i Description of work: �^^=='� ��- Septic review by: � Date Approved: Zoning review by: Date Approved: Building review by: <�..�_. Date Approved: �`' -�a ��, Z_ , Grading review by: /ti'!�-- Date Approved: Zoning File#: Resolution #: Resolution Date: Zoning District Fire Department Post Office School District Zoning: ot Area: SF/AC Width: Depth: , Survey Submitted:'. ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front (Lake) ear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland � Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR AWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the asement floor/crawl START the distance between the slab and the highest space floor and the highest of peak,the top o#'�� WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the ck line of a - � the deck line of a mansard roof, or the mansard roof, or the uppermost oint�round uppermost point on a round or other arch-type or other arch-t e roof �' roof SUBTRACT half the distance between the�i e window and SUBTRACT half the distance between the highest window hi hest roof eak of a itc �roof and hi hest roof eak of a itched roof SUBTRACT the distance between , basement floo crawl ADD the distance between the slab and the highest space floor and th�ighest existing grade ithin existin rade within the foundation the foundation pr'10 feet, whichever is fess. EQUALS Defined buildin hei ht EQUALS Defined bui 'n hei ht Lot Coverage: SF � % Shorefan istrict MCWD Permit Received verage�Lakeshore Setback Bfuff ❑ Yes ❑ No 0 N/A ❑ Yes ❑ No Ct Y ❑ No ❑ s ❑ No � N/A Permit Number: Setback: Hardcover Zones Existin Proposed Varianc Required CUP Required D-75' I ❑ Yes ❑ No 0 Yes � No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): ��U C��Z`}�`� Updated: 09/11/2009 z:\fortns\plan review checkfist.docx ! Fees to be Charged YES NO ;Permit , , ..-, Pfan Review � - � 'State:,Surcharge _ �;.;. �,,,.�� Investigation Fee "SAC=�Nurriber�of:'SA°C'�Ll�iits � ,�4��, a .� _ , .,. ,,. , , _ , .- . .� Sewer Connection ;�Ilat�e�.�C�ra�r�ec�iz�n:�� `��;�:�,�,��i u� �; >,E..`,.��,, ;�� r� ,`��, Park Fee w � ��.;�,��2Y � � � s,'�'1#@�I15��Cb11��:�i��,�� +��+ -.s r� �r''r�� .��"� r�-�-m� � z, t.� �, � � � t�" Other(specify) ��Misce'I�a�neo�s�Cf�tees �� "�r� " '�'��r��' ^ ��c�� $,, `i�- .•�x�'l��c�1.�1_.��3�'�'r_ ..:-.�'��..�� '�-a --..�,,"�+.._�r±,��,�,.'�,.'.�"i�i,.,vx,��7 �;��'�:''„,��,� Cafculated By: € Square Foota e $ per Square Foota e Basement X = � 15t Ffoor X = � 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � G�y"�7S '� �'� Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing � Grading / Filling ❑ Well 0 Hardcover Removal � Mechanical 0 Fire ectrical ❑ Footing ❑ Septic ❑ Water Connection � Poured Wall ,�Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry � Lawn Irrigation ❑ Radon Rock Bed �,0'Mfg. Framing ❑ Other(specify) �'Insulation � As-Built Survey Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\formslplan review checklist.docx D E TIME V CITY OF ORONO CALLED IN �a INSPECTION NOTIC C� SCHEDULED a �.,� PERMIT NO. �?O��—D/�!�COMPLETED ADDRESS cJS�S t��/�-Q �� OWNER TELEPH NE N0.7-�Z Z/2 c�� CONTRACTOR � >; DESCRIPTION ��'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � L � � � �� o � � ��G� ��'l ( , .�p 0 � W � Q Z �J C� \ S� �-�"S �� NC. �S'F' W O � W � j d W ❑-WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �9RfTECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �Q5Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � ��Q(f� /� TIME ��ITY OF ORONO CALIED IN � INSPECTION NOTICE ,'r,� SCHEDULED � � � PERMIT NO. �(��"{�((J4O COMPLETED ADDRESS�� /'e�C�/'%C�� S I OWNER TELEPHONE NCf`.�� 7� �.�` �� CONTRACTOR �/ �� CL[ S�/r� � DESCRIPTION • � � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVA� 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 O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT NAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:�S_NO �(. � COMMENTS: � W 4 � J O � � O � W � Q � Z W � W � � GW �$K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sit . Inspector. White Copyllnspector's File Canary CopylSite Notice