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HomeMy WebLinkAbout2015-01336 - basement finish . w CITY OF ORONO * Z 0 1 5 - 0 1 3 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 1UO2/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2320 GLENDALE COVE LA PIN : 34-118-23-33-0064 LEGAL DESC : GLENDALE COVE : LOT 005 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 38,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL,ELECTRICAL(STATE) BASEMENT FINISH APPLICANT PERM[T FEE SCHEDULE 580.42 PLAN REVIEW 377.27 FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 19.00 1380 DUCKWOOD DRIVE EAGAN, MN 55123- TOTAL 976.69 (612)710-0391 Payment(s) Minnesota State License#: BUIL-20460771 CHECK 4881 976.69 OWIYER NOZNESKY, JUSTIN& SARA 2320 GLENDALE COVE LA LONG LAKE,MN 55356- AGREEMENT AND SWORIY STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,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 not commenced within l80 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[any time for due cau�. _..-.---'----`.� f. �—._._._ f �—s�7 ) �C� � // � z-> � �/ Z/L/ plicant Permitee Signa e Da Issued By S' ature Date � PLAN REVIEW ChIECKLIST FOR NEW �TRUCl'UFtES / ADDITIONS . Z� ��� � ����� �' ° Address: � �? �� �� Permit No.: ���� � ��.�'� Description of work: Date Rec'd: Septic review by: _��t�G�^ � �e Ce`�� Date Approved: Zoning review by: � � Date�Approved: Building review by: ��9� ��°`' Date Approved: p� �� � � Gradinc� review by: Date Approved: Zoning District: Zoning File#: Reso�: Reso Date: Zoning: Lot Area: SF/AC V1�idth: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date(?): Pro osed Setbacks: Front(Lake) Rear(Street) � N � � � ) ( 1� S E W ) Other Buildings Wetiand �ide Side % �efined Height: Peak`�ieight: FFE: FFE m' us 6 feet= (Existing Contour Perimeter(linear feet)_ �0%= L.F. below grade #of Stories FOR A BUILDING l�1(ITH A BASENEE�lT OR CRA'VNL FACE: FOR UILDIt�G Old 1�SLAB FOUNDATIOfV: The distance betw n the lowest proposed The distance between the top of START W ITH floor(of the baseme t or crawl space)and START W ITH siab and the highest point of the the highest point of t e roof. roof. If you have a... If you have a.. � GABLE OR HIP D ROOF(no • GABLE OR HIPPED ROOF (no windows): Subtract half windows): Subtr t half the di nce the distance between the between the highe t point o e roof highest point of the roof to to the low point of t e cor sponding SUBTRACTION gable or hipped roo the low point of the corresponding gable or (BASED ON . GABLE OR HIPPE OOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtr t h If the distance (BASED ON . GABLE OR HIPPED ROOF between the to of the ighest ROOF TYPE) (with windows): Subtract window and t highes point of the ' half the distance between roof the top of the highest • ALL OTH R ROOF TYP S(flat, window and the highest mansar ;etc):No subtrac'on. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the istance between th (flat,mansard,etc):No (BASED ON basemenU rawi space floor and t subtraction. :• EXISTING highest e isting grade adjacent to t e ADDlTION Add the distance between the top � GRADES) founda' n OR 10 feet(whichever is ess). (BASED ON of slab and the highest existing � E QUAL� D e f i n d l s u i l e f i n g h e i g h t EXISTING g r a d e a d j a ce n t t o t h e f o u n d a t i o n. GRADES EQUALS Defined building height Shorelar�d District flACWD Permit Average Lakeshore Setback g�uff Met? a Yes � No : Permii Number: � Yes 6 No � N/A � Yes � No % � N/A—see attached Setback: Stormwater Qua{ity , pr������p �v�rla �i�YP[Cf ���isfing Harc�c���r � (% and s� ��������� �`�r6�r�c� F�equir�s! CUP Required 1'ier circle one %ana s � Yes � t�o Q Yes C3 No 1 � 3 4 �- Type( : Type(s): Updated: January 2015 `` z:\forms\plan review checklist 2015.docx ` REMAR!(S (in-house): � Fees to be Char ed YES NO � Permit �..-� �: Plan Reviev�s �`' � State Surcharge � Investigation Fee �� ��C-Number of SAC Units �''� Qther(specify) S uare F�ota e $ er S uare Foota e Basement X - $ 15'Floor X = $ 2"d Floo� X - $ r Garage X - � � �=� ,����� �� Estimated Construction Value: $ ��� ���� � E Orono Inspections Required Work Requiring Separate Permits Required State Permits Q Site Plumbing 0 Grading/ Filling � Well � Siit Fence/ Erosion Control Mechanical � Fire ' Electrical �i` � Hardcover Removal � eptic 0 Water Connection �: ❑ Footin a Fireplace 0 Sewer Connection 9 a � Poured Vt�all � Masonry � Lawn Irrigation �' Q Foundation Survey 0 Mfg. � Landscaping = Q Foundation Waterproofing ❑ Other(specify) � � Radon Rock Bed 'Framing Insulation ❑ As-Built Survey Final 0 Other(specify) REMARKS (in-house): ' Other Review: Reviewed by: Date Approved: � Access: Existing: � YES ❑ NO New: 0 YES ❑ NO � � OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND tNITIALLE� � � � � �� r s Updated: January 2015 z:\forms\plan review checklist 2015.docx T ;;� TM� - � r�" -n z � �r +A�, > °�s� �,.. �,_ , . � _. . , _ _ . .,`� , xn�. , _, e. Gn� . �_, � :,� s ., �._� 1 City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: s — (��� 1� O PO Box 66 Crystal Bay, MN 55323-0066 / Date received: l 0 1�( �S StreetAddress: /Alj� Received by: �{ � � o��.., 6�, G� 2750 Kelley Parkway � Plan reviewfee� � � �+ �- ,L t�kESHO�� Orono, MN 55356 � � � Total Fee: g�/ ��' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �U 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: � �� �' �' ��'..��._O 1�����c...j� �ovrc_ �_c�l�-�- 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 approva/60 days prior to the event. Shutt/e bus se/vice will be required un/ess applicant demonstrates su�cient on-site parking is availa6/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ,� �si�... �- .., �,�•e,� � . � State License# p�� a-�-� ) Expiration Date: � 2ot-6 4 G� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �, Z_ �,� �, �!-� Z � (office) � 5 l- 2��- - �oo(� Mailing Address: o � y � 1„�. City:�.� �,,,s ���� ZIP: ���� Contact Person: �Q-,,,_, �rs�„��' Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��ws-��� � ��� t.f o2�1 �6 ���� Phone (day): �,� z _ Za-z- ?g2� Address: �Z 3'z o C�l-v.�1�..i-� (�w ( � ,��_ Cit : �.��S� Y (?ron o ZIP: Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: �y'�s�i`"�^ '`' Y 1'Nl b �q Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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) d�sLr�.� P��s`� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ - Od c�7 � 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 _ info mation,the a lication ma not be issued. _�.,,_ _ , ApplicanYs Signature: ' ������ `��- `�� � -''.�' Date: � � 1 L ;� �-'�S Owner's Signature: Date: Last Updated:January 2015 ��� ��`%� DATE TIM CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO.�Q I�-O�3�o COMPLETED ADDRESS 2 3 Z C� � I P ���( IG �( OWNER TELEPHONE NO. (-v� ��/���7� CONTRACTOR �/n ��1� �� � DESCRIPTION � `� ly ❑ FOOTING ❑ DEMO-FINAL S TIC FINAL � Q ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q /�FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �V❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE EPTIC INSTALL � OWNERICONTHACTOR TO MEET YOU: YES_NO ��� � COMMENTS: L •G . ��n•s�C - y C �ec �'f. _ /U _01�_ /� � j / � D� -�4/✓e� Q�ct! tt1Z�� o y� �� � -�1��. !D` �i�rr�aGf � �e � U/� tS��i� l�I�Ed ° RiS6 0� � �•�a,�.«.� - � W � �+y�,,,�_ . Q •i4�c � ✓ (� �Ks uG- a W � w � j a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConUactor on site: l l vr�- Inspector. � 1� � White Copylinspector's Ffle Canary CopylSlte Notiee � ��1 � ,' D. TIME \� q��,c U CITY OF ORONO CALLED IN 1� INSPECTION TIC SCHEDULED / / �— PERMIT NO. �'� IJ�3�COMP ETED ADDRESS ���'!!��`�� � ►�L C7�t-� OWNER L�E N0.1��°7' "rI��P. - �l 7-� CONTRACTOR f �� � � DESCRIPTION S �.-� u/ Y�� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in ance. (g52 46�� OwnerlContractor on site: Inspector. White Copyflnspector's File ary CopylSite Notice l�� ( (/ ` � DATE TIME ��CITY OF ORONO ALLED IN INSPECTION NO�ICE l�j�HEDULEO �l � PERMIT NO. % � COMPLETED ADDRESS ? � �-(`' �-� I c``'i�7c���' �E,i.� OWNER TELEPHONE NO.���� -�/��'' �/��1-� CONTRACTOR �%�'�(��S�'1 I�f�P,��� � DESCRIPTION �L�� � �1 � ly ❑ FOOTING ❑ DEMO-FINAL ❑ PTIC FINAL 8���� Q ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL J'���� Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION �—� Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑.S PTIC INSTALL 2 OWNER/CONTFiACTOR TO MEET YOU:�YES_NO c�., COMMENTS: � W � � J O � � O � t W � Q �i _ 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hou in advan ) 49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice