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Home My WebLink About2014-00171 - addn/remodel/repair M i CITY OF ORONO * z 0 1 4 - 0 r� 1 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1180 HERITAGE LA PIN : 10-117-23-13-0002 LEGAL DESC : FOXH[LL : LOT 002 BLOCK OOl PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 800.00 NOTE: SEPARAI�E PERMITS Ri:QU1RED: ELECTRICAL(STA"I'E) BUILD WALI,AND CLOSE"1'FOR[3ASL;MEN"�BEDROOM-BUILD UP FLOOR APPLICANT PERMIT FEE SCHEDULE 34.75 PLAN REVIEW 22.59 ZIEGLER& KELLY RISCHE, DAVID STATE SURCHARGE(VALUATION) 0.40 1 180 HERITAGE LA WAYZATA, MN 55391- TOTAL 57.74 Payment(s) CHECK 3468 57.74 OWNER ZIEGLER cX. KELLY RISCHE, DAVID 1180 HERITAGE LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this penni[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and Ihe 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 governing[his type ot�work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. rhe applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due eause. ` r-_..-) G2 `��, l _?�,�.�� , a� � �Splicant Permitee Si n re Date Issue y Signature Date � `� City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ,//�O A r MailiPO Bo�66� Permit number: —� �V� Crystal Bay, MN 55323-0066 Date received: � � i � Street Address: Received by: � .a ; ;, � � : ; 2750 Kelley Parkway Plan review fee: f� � Orono, MN 55356 ��sH��`/ Total Fee: 5�, �� 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: � � g b /��r�q �� Job Site Address: �� Witl 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 approva160 days prior to the event. Shuttle bus rvice will be required un/ess applicant demonstrates suffcient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I AP�LICANT INFORMATION: Name: �a�� .i��er State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �S Z-- �{S`f�$��'S (office) Mailing Address� � o {-{er-.�{� L LN City: 4 z�,-�. ZIP: 5S�4� Contact Person: �,0.�� .�e�l ec Applicant is: Contract r / omeowne �c��e o�e� Email and/or Fax: �z,ie�le2 �uc.�.o�,C,a�^ --6 PROPERTY OWNER FORMqTI N: • Name: aJ� � �C'. �C-T Phone(day): $Z.- �Sy-�S Address: f( 0 ri a l.� C�tY� Zc... Qryr.� ZIP: Ss�`( ( Email and/or Fax: dz ,� � �oo . Cbr^ PROJECT INFORMATION: Overall ro�ectdescri tion: �� 1 ��Se`� � �aS��P� 6�!��-- f�� oo� Type of Project: Any earth movement may also require ( ) MCWD review 8�permits: ❑ Door s �Remodel ❑ Fire Damage 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 ❑ Re-roof, other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) wwv✓.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �0 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 e information,the a lication ma not be issued. ApplicanYs Signature: � - Date: �z` ZS'�y Owner's Signature: � Date: �`�S"�Y Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / AQDITIONS Address/Permit Number: � � ��-'' � ��° ° �GL C�^�� Description of work: ��;=� ��li�'�.�,�.,� (�� \ f.�•�� `��- �b�/:�f �;-� .�.-��.�� Septic review by: ,�� s� Date Approved: Zoning review by: J�"r�� Date Approved: � 2 -ZG f Buildin review_b_: r- � ��:-�-- _ _ _____g y .,��' � Date Approved: � �' — - - -- ---. --- Grading review by: �/�- Date Approved: Zonin4g District: Zoning File#: Reso#: Reso Date� .� Zoning:�:�ot Area: SF/AC Width: Lot Coverage: SF _% Survey Submi�ted: � Yes � No Date of Survey: Revise date ? : Pro osed Setback�: �' '�� Front(Lake) `Rear(Street) � � S E W j ( N S E W ) Oth Buildings Wetland � Side Side .,�Q � Defined Height: P k Height: FFE: FFE nus 6 feet= (Existing Contourj Perimeter(linear feet) = 0% _ #of S ries Ok? � YES ;=. FOR A BUILDING WITH A BASEMENT OR CRAWL SP E: The distance between the lo st � R A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basemen r crawl space)and the highest point of th oof. � START WITH The distance between the top of slab and If you have a... the highest point of the roof. tf you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding � SUBTRACTION corresponding gable or hipped r of SUBTRACTION gable or hipped roof _ (BASED ON ROOF . GABLE OR HIPPED ROO�th (BASED ON . GABLE OR HIPPED ROOF(with ? T�'PE) windows): Subtract half th ROOF TYPE) windows): Subtract half the distance { distance between the to�f the between the top of the highest highest window and the ighest window and the highest point of 4he point of the roof �'� roof • ALL OTHER ROO YPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):N subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distanc between the ASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl s ce floor and the STING the foundation. GR,4DES) highest existing rade adjacent to the G ES foundation OR,�et(whichever is less). EQUA Defined building height - EQUALS Defined buU'ding height � Shoreland District r MCWD Permit Received Avera e Lakeshore Setbac et? Bluff � Yes ❑ No a N/A � Yes � No �� Yes 0 No� � Yes � No � N/A f Permit Number: Setback: Stormwater Q�ality Existing Proposed Variance Required CUP Requi d Overla District Tier Hardcover Hardcover 0 Yes � No � Yes ❑ No Type(s): Type(s): Updated: January 2013 >� J _.,, � v:\forms\plan review checklist 2013.docx �,f(,% C (`f'�/"1'7`�'( �J REMARKS (in-house): Fees to be Char ed YES NO Pe rm it �- Plan Review ��'` State Surcharge ��:�� ---- -- ___-– -- _ ___ -- - _ __ __ _ t___ _ _ ------- ---– — Investigation Fee SAC–Number of SAC Units Other(specify) Square Foota e $ er S uare Foota e Basement X - $ 1S`Floor X = � 2nd Floo� X - $ Garage X ' $ Estimated Construction Value: $ ��"�`�' ,_� Orono Inspections Required Work Requiring Separate Permits Required State Permits �.; 0 Site � Plumbing 0 Grading/ Filling 0 Well � Hardcover Removal � Mechanical Q Fire ��```Electrical ❑ Footing � Septic � Water Connection 0 Poured Wali ❑ Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed � Mfg. Framing � Other(specify) 0 Insulation 0 As-Built Survey Final � Wetland Buffer � Other(specify) REMARKS (in-house): �` Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:lforms\plan review checklist 2013.docx � J�-� �� _D E TIME V CITY OF ORONO� CALLED IN � � INSPECTION NOT� �/��SCHEDULED — - PERMIT NO. O COMPLETED ADDRESS � OWNER LEPH NE NO�So�"�j�j��57�7 CONTRACTOR >; DESCRIPTION , � �[�-�'�� L. � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS 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 ? p DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z �ONTRACTOR TO MEET YOU:�q YES_NO � COMMENTS: ' ' � � L.1 '-�rs r.,.� ws - ��bo r t- w�t/ls �� l� � . - � __/h aDi�F3�o� �mo a-�' S d f.�, s�s 4 s � �--, � G��S G hl�Se� "' W —�—�re v c�O � G ,�e c��cE.G �.L � i K�v�,a« � -� r `or � Cb vC� . K� � z � �Or�c t� •l 6K � Ca ve✓ � J d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � '�RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 �O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: � u �/ � Inspector.�� %�- '� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO..��7/ COMPLETED ��as_�S � ADDRESS�//� �rL�yG '�- OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION -�'17� ''«^- `G"'�� ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �WMAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FtNAL ❑ SEPTIC INSTALL ❑ HARD COVEfi REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �✓'�� f-��y � a ' lv4 i� s c l�T — `J�•l� 'ti3O �� J �'� O � e�� -- �_�� _ /�._.. 0 � W ��a�'� ,Ea _ Q � 5 ��i� � f'o u�p�� — 2 _'��s�r, - C3� �_ W � w � � , d � �WOFKSATISFACTORY:PROCEED ��ROJECTCOMPLEfE W ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52� 249-460� OwnerlContractor on site: Inspector. ��w White Copyl�nspector's File Canary CopyfSite Notice ;� DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED PERMIT NO. -bOi�� COMPLETED �� ADDRESS �/�� -�� '<< OWNER ��•s/��/�,�1�-+ ��TELEPHONE NO. CONTRACTOR �; DESCRIPTION �� !v'�6l �a✓ �, L` 'C3.�2 Y6y.�� -�''ha� � o w w s� r� bcoe�dK a s ty ❑ FOOTING ❑ PLUMBING L ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. �QLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a �e�w►�s �ra/�� , l�.o T� � <� F'6.- � o �i � iti�d �`�'��- �. � ° l�d p ne �t o ►�� - W � Q Z �QwS Q. Cci L� �ro r10 G•�"v ��s /C �' � .�I�+P�cU�P Q 7lKtt,G fKSD�c�lon, O� Cc�c�/f �u , J �n t W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOfi �1dS2ECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advan . (952� g-46� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice