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Home My WebLink About2011-01269 - addn/remodel/repair r � CITY OF ORONO PERMIT NO.: 2011-01269 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 10/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3405 HIGH LA PIN : OS-117-23-11-0002 LEGAL DESC : REG. LAND SURVEY NO. 0843 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 90,444.00 NOTG: SL'PGRATG PERMITS REQUIRED: ELECTRICAL(STATE) WINDOWS, SIDING,ROOF AND RAISG A ROOF SLIGHTLY TO PREVENT ICF,DAMS APPLICANT PERMIT FEE SCHEDULE 989.25 KRECH EXTERIORS STATE SURCHARGE(VALUATION) 45.22 5858 BLACKSHIRE PATH TOTAL 1,034.47 INVER GROVE HE[GHTS, MN 55076- Minnesota State License#:20583274 OWNER REILLY, KEVIN& DENISE 3405 HIGH LA LONG LAKE, MN 55356- AGREEMENT AND SWORN 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 I3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing 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 180 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 Sta[e Building Code.This permit may be revoked at a �ti e f due c se. � l a� l �L1.�J��_ l(� Z(l / pplicant Permitee Signature Date Iss By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � �7 ` n 20 � Cit of Orono / �� i / Y Building Permit Application for Maintenance / �enovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: pZ0//-0/ .¢,�,�. PO Box 66 O � O Crystal Bay, MN 55323-0066 Date received: / / — / �. a, �, „��„ a, Street Address: Received by: '�',F, � �v �ti�' 2750 Kelley Parkway Plan review fee: �p.3�. � r9kE8H�g'� Orono, MN 55356 a �/- / `7 - 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 submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ,�4��' ,q �,,,,g �'�,�dno � Will this be a Parade of Homes, Remodelevs 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��.h �x�e.�,_e��s State License# �� y o� �,35- Expiration Date: 3 - �/ - a d/a Lead Certification Number: _�� '�y S 3 S— / Expiration Date: �_ � - �p�5 (for work on homes that were constructed prior to 1978 Phone: s (office) �/ a . (cell) Mailing Address: < < '� City: �„", (�,,, � ZIP: — p Contact Person: n yji(;� Applicant is: tractor / Homeowner �ci��ie o�e> Email and/or Fax: � ,� ' PROPERTY OWNER INFORMATION: Name: c% ,� t �M,s� �,� .. Phone(day): _ Address: „ City: ZIP: Email and/or Fax j��Q � ),,,,� 1 /� mQ� . ��n.. PROJECT INFORMATION: Type of ProjeCt: Any earth movement may require 0 Door(8) �model ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Re-roof,asphalt [•�Repair 0'S�orm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) �ding ❑Other: (specify) Fax: 952-471-0682 indow(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ f'U yy � 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: ��_ � Date: /�j - / �_ �p /� Last Updated: 08-09-2011 � . i � . a ' s• �• � � • .� �`�� 'a"'"�'"�,�,. � . . +. .....,.. 5866 Blackshire Path Phone: 65t-68&6368 Inver Grove Heights, MN 55076 Cell:6rz-z98'Sg35 dmiranda@krechexteriors.com Fax:651'994'1388 www.krechexteriors.com MN LIC#zo583z74 ♦ � Plan Reuiew Checkiist for New Structures / Additions Address/ PID /Legaf: �`'t OS 1-1 t��-� t�N L Description of work: � i G '7�0 0 t=' nl(� t2.�� /'- �o p� 7� /i'-�t�f SC.p Septic review by: i'l�//� Date Approved: ,Zoning review by: � Date Approved: /u-Z� -ZD/1 Buifciing review by: C�---- Date Approved: /c�-?.� - �0�f Grading reviewby: /U'!A- Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office � School ' trict � Zoning: Lot Area: SF /AC Width: epth: Survey Submitte . ❑ Yes ❑ No Date of Survey; PropQsed Setbacks: Front(Lake) Rea Street) ( N S E W ) ( N S E Other'Buiidings Wetland Side Side i Building Defined Height:. Building Peak He� t: #of Stories Ok?: ❑ YES FdR A BUILDING WITH A BASEMENT OR CRAWL SP E: FOR A BUILDING ON A SLAB FOUNDATION: START WITH ' the ciistance between the basement' r/cra START the distance between the slab and the highest space floor and the highest roof peak,th p of WITH roof peak,the top of the comice of a flat roof, the cornice of a flat roof,the deck line o the deck fine of a mansard roof, or:#he , � mansard roof, or the uppermost poin n a rou uppermost point on a round or other arch-type � � or other arch-t pe roof roof SUBTRACT half the distancebetween the hi est window and SUBTRACT half the distance between'the highest window hi hest roof eak of a itche oof and hi hest roof peak of a itched coof SUBTRACT the distance between the sement floor/crawl D the distance between the slab and:.the highest space floor and the high t existing grade within exisfin rade within the"foundation I the foundation or 10 f t,whichever is less. EQU S Defined builtlin hei ht EQUALS Definetl buildin h ht Lot Coverage: SF % Shoreland Distric MCWD Permit Received Avera e Lakesh Setback I Bfuff ❑ Yes ❑ No ❑ N/A � ❑ Yes ❑ No `� Yes No ❑ Yes 0 No f�/A j--- � Permit Number: � Setback: Hardcov r Zones ' Existin. Proposed Variance ReqLired CUP Required -7�' � ❑ Yes ❑ No � As ❑ No 5-250' TYP��S)� TYPe(5)� 250-500' � � 500-1000' I REMARKS (in-house): /j/v �-/g'NGL. Updated: �9/11/2009 z:lformslplan rsview checklist.docx , Fees to be Charged �ES NO M �P��'itaiii��t�a�4��«��, �,�x�, ' lr �� ,�., w ,�+ +�aF�',mv;��r�YB�t�'�s��*ir�e �*�n _�,?'r"�P�� _ '•`y� 5�w,��' r, �-`� �� u:.� �'h,�t�. i Pfan Review '"State°.;Suir��a� '��` � ,,,�}.� ��'; 4 ��r��'1"��i,��i��;�a`'�F.a�,.r. •:, ,�z invesfigation ree ��,��Number of=SAC<Units, _ ��'� �,��;- ; ,��" .� �_._., . :. � � � . , y•, ^. � Y.. _ . „�, ,.� .,,: -,�.. Sewer Connection I � �� , �y ��E;I�C'��Il(a�31m:� � '��,``�� t.��` ,r �- > �....eir�.�aom« �"'�+� a,wc._e. .�,,-ny ..Y N_-''rt'�¢,�n1�t� h'u� `"" '�; � . .: .. ,<a-..s .,.._ , ... e�:. Park Fee I . -��_ ._.� ,: .. '��e �s��i�n . ° -��,,..,�,- �, _. „ ,..,._ �.µ �,� . . _ �,�n� _ _. _ Other-(specify) - � � ,. �,"».�:;. � _ , _ ,.. ,. �1-a.s�:�'��,'.�..�� " ` - - . , � .. . . _:. ` Calculateii By.: Square Foota e $ per Square Foota e Basement X _ � 15t Floor X _ � 2nd FIDOT X _ � Garage � X = g Estimated Construction Value: � �I O� `�{'-�(� �0`° Orono Inspections RequirecJ Work Requiring Separate Permits Required'State Permits ❑ Site ❑ Plumbing ❑ Grading l Filling ❑ Wel� ❑ Hardcover Removal � IVlechanical ❑ Fire Electrical � Footing ` � Septic ❑ 1Nater:Connection � Poured Wall ❑ Firepface D Sewer-Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn frrigati�n ❑ adon Rock Bed ❑ Mfg. Framing ❑ Other(specify) Insulation ❑ As-Built Sunrey �Final n Other(specify) REMARKS (in-fiouse): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YE5 ❑ NU New: ❑ YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: Q9/11/2009 z:lfortns\plan review checklist.docx � (�-'��` � / DATE TIME ��` � CITY OF ORONO CALLED IN �� INSPECTION NOTICE /� � SCHEDULED I� G �• �`�-' PERMIT NO.��l I '� v��' � COMPLETED ADDRESS � ��J � �CI�J L�' OWNER TELEPHONE O. .�'�C' ��C _•�%�� CONTRACTOR �)�<'D1 f� r >: DESCRIPTION � �� lLt ❑ FOOTING ❑ PLUMBING FINAL ❑ EX V/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL. ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � f►T -1 • �� Jy'J >. � O � W � Q � Z W � W � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on ' e: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DAT TIME � CITY OF ORONO D`�j� CALLED IN /�-�� INSPECTION NOTI E SCHEDULED �� PERMIT NO. — COMPLETED ADDRESS �� 5 � �-� OWNER TELEPHONE NO. � �z '�S 5 937� CONTRACTOR /�/�� DESCRIPTION ��"i�i � ��1-ni /— �� 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � ti � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �' ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ;i ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: lnspector. � � � � White Copyllnspector's File Canary Copy/Site Notice