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Home My WebLink About2014-00388 - addn/remodel/repair r � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 4 - PJ 0 3 8 8 * DATE ISSUED: OS/09/2014 OKONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,900.00 NOTE: SEPARATE PF.RMITS REQUIRED: PLUMBING,MECHANICAL,F?LEC"[RICnL(STATE) LOWER LEVEL REMODEL APPLICANT PERMIT FEE SCHEDULE 280.25 STATE SURCHARGE(VALUATION) 7.95 PLEKKENPOL BUILDERS TOTAL 288.20 401 E 78TH ST BLOOMINGTON, MN 55420- Payment(s) (952) 888-2225 CREDIT CARD 6152 28820 Minnesota State License#: cont-1797 OWNER O'CONNELL& LYNNE RASUMSSEN, BRIAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work tbr��hich this permit is issued shall be performed according to the approved plans and specif ca[ions,applicable City approvals,and the Sta[e Building Code. �I'his permit is tbr only the work described and does not grant permission for addi[ional or related work ti�hich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied witli whether or not specified hercin.'I�his permit will expire and become null and void if construction authorized is not commenced��ithin 180 days of the date of issuancc,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 confonnance with the State Building Code.This permit may be revoked at any time for due use. ,, � � � �)'l'L_GZ-,'` / / pplic t Permitee_ig ature Da e Issued By Si ature �-��[Sate . _ C�'`;3v-��S . ��i� a� ,�o ��i��, City o� Orono � ___ Building Permit Application for Maintenance / Replacement / Renovation �� (No structural expansion. Only windows, doors, siding, re-roof, etc.) j" O� Mailing Address: � / � ^JO��.\ PO Box 66 Permit number. ...� Crystal Bay, MN 55323-0066 Date received: ' � �—� I� Street Address: Received by: � �- � 2750 Kelley Parkway Plan review fee: � l `�� Orono, MN 55356 2 �KFSHO��' d� � � ' �'�J Total Fee: M ai n: 952-249-4600 Fax: 952-249-4616 www c��=�c��:��_m n__,_< This application form must be completed in full and all required information must be submitted. Incomptete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: t^ �. V� � 0 /j'l .� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No /f yes,a specia/event perrnit is required with Po/ice Department and City Counci!approva/60 days prior to the event. Shutt/e bus ervice wi//be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-pemritted events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: �LEKKt�VPo�. tS�1"��2S, �N�.. State License# (�0 p(7 a 7 Expiration Date: ��f��j� Lead Certification Number: �T., �,�q ss'-( Expiration Date: �jL f3o��s- (for work on homes that were constructed prior to 1978 �p Phone: (cell) � . (office) �S,?- 800" � Mailing Address: City: N ZIP: S'S" Contact Person: Z� ,�, Applicant is: on rac / Homeowner (Circle One) Email and/or Fax: t, p PROPERTY OWNER INFORMATION: Name: ^I OC,Wv tZC, AND LYNN�' S/kG.�SEN Phone(day): qs�� 3�S� G Address: 1,��' F1��N(„Fj C�(;'Z.c(� 1�11�i/tr� City: DI�ONC� ZIP: S'S'-S7 � Emailand/orFax: �yn�@ �dwlw►�• . [��K PROJECT INFORMATION: Overall ro�ect descri tion: 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) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(S) www,7ur�ne,;nal_acreek org Estimated Construction Valuation of Project(excluding land) � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required o�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 the inf rma�on the a li tion ma not be issued. ApplicanYs Signature: -�'� �� Date: Z Owner's Signature: Date: Last Updated:03/06/2013 PLAN RLVIEiIII �HEC�CLI�T FOR �EVV S�'R�C�EJ��S / 14DDiTIONS Address/Permit Number: 1�85 4=ft�v�c bl ��1� �� . Description ofwork: ��'� ��c.�1�dc�� e��— Septic review by: /'V 6A Date Approvecl: �� Zoning reviev�by: _ Date Approvect: Building review by: �-�---- Date�►pproved: � �D--/� Grading review by: /v��' Date Approvecl: � �oning District: Zoning File#: Reso#: Resa ate: �" �� Zoning: ot Area: SF/AC Width: Lot Coverage: SF _% Survey Sub 'tted: 0 Yes 0 No Date of Survey: R ised date ? : , '` Fro osed Setba s: ' Front(Lake) Rear(Street) � N S E W ) ( 6� S E W ) ther Buildings V�etfanc@ Side Side *: Defined Height: eak Height: FFE: F minu� fi feet= (Existing Contour� Perimeter(linear feet) = 5Q% _ #��tiaries Ok? � YES FOR k BUILDING WITH A BASEMENT OR CRAWL PACE: The distance between t lowest FOR A BUlLDING OPE A SLAB FflUNDR:TION: START WITH proposed floor(of the bas ent or crawl space)and the highest poin f the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. GABLE OR HIPPED ROOF �f you have a... ' • GABLE OR HIPPED ROOF(no windows): Subtract half the windows): SubtraCt half the distance distance between the highest poi between the highest point of the roof of the roof to the low point of th to the low point of the corresponding SUBTRACTION corresponding gable or hippe roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROO (with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half e ROOF TYPE) windows): Subtract half the distance distance between the p of the between the top of the highest highest window and e highest window and the highest point of the point of the roof roof ALL OTHER ROOF TYPES(flat, ': o ALL OTHER OF TYPES(flat, 6 mansard,etc:No subtraction. ".�` mansard,e :No subtraction. , ADDITION Add the distance between the top of slab � SUBTRACTION Subtract the tance between the (BASED ON and the highest existing grade adjacent to basemenU wl space floor and the EXISTING the foundation. (BASED ON EXISTING highest isting grade adjacent to the � GRADES) GRADES found t�on OR 10 feet(whichever is less). E ALS Defined building height � EQUALS D ned building height < .\ � Shoreland Dist ' t IVICWD �ermit Rece6vec� Avera e �akeshore Setb k Ilf�et? BIufF � Ye� � No C3 N/A � Yes � I�o t7 Yes Q No � Yes 0 No � N k' Permit Number. Setback: �` Storm atee�Q�ality� Existin� Proposec€ �� Free� ClJF' Re ireci Overl Districf Tier Fiardcover Harcicove� � Yes � No � Y s � No Type(s): Type(s): Updated: January 2013 v:\forms�plan review checklist 2013.docx �� '�'�� w ' � �' � � � ��<� , � , . �. . ':��;�� ,�;�"` <,,� � - t+n-, ��- -g ` REMARKS (in-house): ' Fees to be Char ed YES NO �� Permit Plan Reviev� � y State Surcharge � Investigation Fee �° SAC—Number of SAC Units L�' Qther(specify) � SQuare Foota e $ er S uare Foota e Basement x ' $ 1 St Floor X - � 2nd Flool' X - $ Garage X - � Estimated Construction Value: $ � �j �� ' Orono Inspections Required 1Mork Requiring Separate Permits Required State Permits � Site �Plumbing � Grading/ Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire � Electrical � Footing 0 Septic � Water Connection 0 Poured Wall Q Fireplace � Sewer Connection � Foundation Survey � Masonry 0 Lawn Irrigation 0 Radon Rock Bed Q Mfg. �Framing 0 Other(specify) Insulation � As-Built Survey �Final � Wetland Buffer Q Other(specify) REMARl4S (in-house): r,; � Other Review: Reviewed by: Date Approved: � Access: Existing: � YES � NO New: Q YES � NQ � OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED � � E P F € � � Updated: January 2013 v:\forms\ptan review checklist 2013.docx �,x i_ c��-�— DATE TIME " CITY OF ORONO CALLED IN INSPECTION N I�E _�3� EDULED 7 r � a � PERMIT NO. MPLETED ADDRESS OWNER L NE NO l "' �� CONTRACTOR e � DESCRIPTION � �� 4i ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfIANDS H O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS = INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DE -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � ��.�,�� - /Jb,�� - a a - � c�s . o _ � �' � �iv1GG � , 7-1g -/ ° L�.�� Yoo� , a-�-�lce - Q ��Q ��c�o•�s�} CO ��a is�/b/.fldQr'J �" �itJO r !� �� C`a r..�ll�� 2 W � W � J � ❑WORKSATISFACTORY:PROCEED /�oJECT COMPLETE � � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail f ' spection 24 hours in advance. (J52� 249-4600 Ow C tractor on site: � �� Z C� Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION E SCHEDULED — Tt � �¢Q_ PERMIT NO. � �—�3�COMPLETED ADDRESS � 2 R5 ��iKdG1 l.J�� Illl. OWNER TELEPHONE NO.l0� � ?JZg �� CONTRACTOR �e�F-�M1�D/'t„� � �(� �; DESCRIPTION r m( h � � ❑ FOO G ❑ PLUMBING FIN L ❑ EXCAV/GRADING/FILLING Q ❑ P URED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL ❑ I SULATION ❑ 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 p HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j O �. � O � W � Q � 2 W � W � � � d ' W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑ RRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY `O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 9-46�� -� . � OwnerlContractor on site: < Inspector. � � �� White Copyllnspector's File / Canary CopylSite Notice �-