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Home My WebLink About2015-00343 - addn/remodel/repair CITY OF ORONO * 2 0 1 5 - 0 0 3 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/OU2015 ' ' ORONO, 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 : $ 4,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) (LAUNDRY ROOM REMODEL ONLY) APPLICANT PERMIT FEE SCHEDULE 108.42 PLAN REVIEW 70.47 PLEKKENPOL BUILDERS STATE SURCHARGE(VALUATION) 2.00 470 W 78TH ST BLOOMINGTON, MN 55420- TOTAL 180.89 (952) 888-2225 Payment(s) Minnesota State License#: BUIL-BCD01797 CREDIT CARD 6152 l 80.89 OW1vER O'CONNELL&LYNNE RASUMSSEN, BRIAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ci[y approvals,and the Sta[e 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 governing this type of wotk 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 180 days of[he date of issuance,or if cons[ruction is suspended for a period oY 180 days at any time afier 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[ ti for due use. . i ' � � / �� ,, , � , `� App ic t Permi e Signat e Date Vlssue y Signature Date City of Orono Bui,lding Permit Application for Maintenance / Replacement / Remodel (i.e, windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O MailingAddress: Permitnumber: GG�s-OG ' � �O PO Box 66 Crystal Bay, MN 55323-0066 � Date received: � ZS 5 Street Address: V" / Received by: 2i� yF G� 2750 Kelley Parkway C�'� 1' �J Plan review fee: � �}r/'� Orono, MN 55356 ��'J `�'�fSH�� I V� �� 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 bmitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: / ��'� % ' ) �� '� I/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 approval 60 days prior to the event. Shuttle bus s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A�PLICANT INFORMATION: Name: LLKK� �L'L (��L�25 zr'vL. State License# � �� 7� 7 Expiration Date: 3/ / ^ Lead Certification Number: ��T - ��j �'`j�� Expiration Date: �-/�3o�j� (for work on homes that were constructed prior to 1978 Phone: (cell) �/�_ 3��_ j�� (office) j��- .��-,,7�a� MailingAddress: �-70 l�/CSl 7�t ST City: �`,��,�� ZIP: S-S'y�p Contact Person: �,��-� ��j�_ ��-�— Applicant is: Contrac� / Homeowner �c��ae o�e> Email and/or Fax: -1c1ltZ�� ' (�le�kP��^�l, C�r-� PROPERTY OWNER INFORMATION: Name: _�� 1 j11L� Ci �LCN/�'ELL �N� L j�,�N� t� �/l1lfSSC-/v Phone (day): `(S�� a�.3/5� Address: �RS p=KE�NC/� C��, '112-�-�%. City: C�,��/�b ZIP: �`�3��/ Email and/or Fax: j��w/`�,� , C�vt� PROJECT INFORMATION: Overall project description: ��C�tNI�� ' �UGG'�I ��l-/l'"(�,E�- 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) 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) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ `�[�OO,oL 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 the inform tion the a lication ma not be issued. `'�� % -// Applicant's Signature: � �' y Date: -3 Owner's Signature: Date: Last Updated:January 2015 PLAN REVIEIlV CHECKLISI' FOR �EVN �TRtJC1'URES / �4�DITIOI�S �Address: � �� ;�� '�'�'-�J� ��.'`�� Permit No.:_ �e=��- ��'��' �. Description of work: ��r��',�'� ��`� ��'''��-��=�- Date Rec'd: .�` �-� � !� Septic review by: �`1!'�`d'=1 Date Approved: �' Zoning revievv ta��: ,;>�,,°, �°� � Date ApprovecE: � Building review by: r,�.d--- Date Approved: .�"�� - �i�j �" Grading review b�: �4� Date Approvec4: � �''' Zoning District: Zoning File#: E�eso#: Reso Date: i" � ning: Lot Area: SF/AC V!►idth: Lot Cawerag�: SF % �: Su Submitted: Q Yes � No Date of Survey: Revised date ? : Propose Setbacks: Front(La Rear(Street) � � S E W ) ( N S E W ) pther Buildi s Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 f et= (Existing Contour; Perimeter(linear feet) = 50%_ .F. below grade #of Stories FOR A BUILDING WITH A BASEM1AENT CRAWL SPACE: FOR A BUILQIN N A SLAB FOUNDATIOt�: The dista e between the lowest proposed The distance between the top of START W ITH floor(of the asement or crawl space)and START WITH slab and the highest point of the �.; the highest po t of the roof. roof. If you have a... If you have a... e GABLE OR HI ED ROOF(no • GABLE OR HIPPED ROOF � (no windows): Subtract half f; windows): Subtra half the distance the distance between the -i between the highest oint of the roof highest point of the roof to � to the low point of the c responding the low point of the �r SUBTRACTION gable or hipped roof corresponding gable or (BASED ON . GABLE OR HIPPED ROOF 'th SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the di ce (BASED ON • GABLE OR HIPPED ROOF � between the top of the high ROOF TYPE) (with windows): Subtract � window and the highest p t of the half the distance between roof the top of the highest window and the highest • ALL OTHER ROOF YPES(flat, point of the roof mansard,etc): subtraction. . ALL OTHER ROOF TYPES SUBTRACTION Subtract the dista between the (flat,mansard,etc):No (BASED ON basemenUcrawl pace floor and the subtraction. EXISTING highest existi grade adjacent to the ADDITION Add the distance between the top GRADES) foundation R 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Define uilding height EXISTING grade adjacent to the foundation. GRADES UALS Definet!building height Shorelanci District MC4'UD Permit Averag� Lakeshore Setb k Bluff h7et? �°� Permit Number: ❑ Yes � No � N/A � Yes a No :° � Yes No � � N/A—see attached Setb k: �: E. � Stormwate uality �� r�e�`��, Proposec! �: Overlay istrict o FBardcover �ariar��e E�ec@uireci CUP Re tred �- Tier cir e one ��a and sfl %and s e � Yes E3 No � Yes CI o � 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx ____� _._ _. .--- - ----, --_ - - REMARKS (in-house): t�ees to be Char ed YES f�0 Perm it �s° Plan Redievm - St�te Sur�harge �-�"' Investigation Fee y/` SAC—f�umber of SAC lJnits t,�•-°'" �k Other(s�ecify) S uare Foota e $ er S usre Foofia � Basement X = $ 15i Floor X = $ 2nd Floo� X = $ Garage X = $ � �`� E�timated Construction ualue: $ �f. �"C1C.� Orono Inspections Required Work Reauiring Separste Permits Required State Permits Q Site �Plumbing Q Grading/ Filling 0 Well 0 Silt Fence/ Erosion Control � Mechanical ❑ Fire Electrical Q Fiardcover Removal Q Septic 0 Water Connection � Footing 0 Fireplace � Sewer Connection Q Poured Wall Q Masonry 0 Lawn lrrigation ❑ Foundation Survey ❑ Mfg. ❑ Landscaping � Foundation Waterproofing 0 Other(specify) � Radon Rock Bed �Framing � 0 Insulation � f►s-Built Survey �Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: ;; �. Access: Existing: � YES � NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED � Updated: January 2015 z:\forms\plan review checklist 2015.docx �'� t��w..��"�� ws� ��:t � �.::, 4 �, a �..;, �h�,:�:-..�� 3 m�' '�.g"� '"'� „ n. ,� t,_7 F +,� z,�� '`��r�� u"..b��.��"3'�^. ,_,_�r��,.aw ,� �„z�..£.acza.Gr fi6.�..�:+�.-.� m..r,,,3� . 4,,d .., . . „ .. .>.. .��.,r ��?.. .�(. ,. .. � +ta. . . �.. ,...t�,.� `�k�,t�,..K.�..= �..�,�`t;' ..�_-�L, .. .....�s�.�;a..,�:ss,,,.,t... c�-� �— �' —D T,�E� TIMf: � CITY OF ORONO CAL�ED IN �� INSPECTION NO IC ,�✓!�?� SCHEDULED � � PERMIT NO. '7J MPLETED ADDRESS l �� OWNER T L NE NO.�� CONTRACTOR ��S �; DESCRIPTION ��'"`�''� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAI RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q�`F+P1AL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/FiEMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: ��'G t� �n�G �, -�6 -/3 � a ��cc�r� /vv...� �.,..coc�eL - � o ' S r„�U�[ie �.� �c C a o��_ .Oia vsh c�lJ �" /�Gl Gclv✓6� � � ►K-.o/�� -- 0 � W � Q � Z � n W �a✓w�-� �i�'C.[l+Cd/ � j d � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE W ❑ CORRECT WORK 8�PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT i_7 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 f t inspection 24 hours in advance. (952) 249-4600 Ow rfContractor on site: Q � 1 Inspec o _ ��-- White Copyflnspector's File Canary CopylSite Notice