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�.
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plicant Permitee Signa e Da Issued By S' ature Date
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PLAN REVIEW ChIECKLIST FOR NEW �TRUCl'UFtES / ADDITIONS
.
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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 ``
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` 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 - �
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�� 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
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� OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND tNITIALLE�
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Updated: January 2015
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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: �{ �
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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
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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
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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
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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� �
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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
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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
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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
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( (/ ` � 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
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2 OWNER/CONTFiACTOR TO MEET YOU:�YES_NO
c�., COMMENTS:
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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