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Home My WebLink About2013-00263 - addn/remodel/repair CITY OF ORONO *� 3 - 0 0 Z 6 3 * • 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4051 HIGHWOOD RD PIN : 07-117-23-44-0076 LEGAL DESC : REG. LAND SURVEY NO. 1420 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION /REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,059.00 NOTE: DrCK BOARD AND WALKWAY REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 162.25 CONCEPT LANDSCAPING PLAN REVIEW 105.46 3153 PRIEST LANE MOUND, MN 55364 STATE SURCHARGE(VALUATION) 3.53 �� TOTAL 271.24 OWNER ROUSE, WILLIAM&ANITA 4051 HIGHWOOD ROAD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be performed according to [he approved plans and speci6cations,applicable City approvals,and the State Building Code. This permit is for only the work describcd and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing Ihis 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 Stat�'Building Code.This permit may be revoked at a d us � 'y� �y� /� � ,a , 3 ermi e Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � 4 City of Orono �a�%�� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a0�.3� �b°�(o 3 �OnI� PO Box 66 ! Crystal Bay, MN 55323-0066 Date received: ��(8- ,, (,� � � � �� Street Address: Received by: � -�� - 2750 Kelley Parlcway Plan review fee: � � ��' Orono, MN 55356 `�'rf�H��/� � ��l � _ _ � 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: JobSiteAddress: �OS� 1'��9h � c�oc� POZ � C�n6r10 , �''1� �53�`f 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 DepaRment and City Council approva!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: C�n1�eP� �.ars�v ��P��+J �- State License# � �, 5 o (o(o� Expiration Date: 3� 3� ( Lead Certification Number: Ne T N�c � Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �� e: �-(3'I�/ (office) �j 5�: -�(7� - ti i� Q Mailing Address: (�aX y 3o C+tY= r`1 o uN� ZIP: S53i� Contact Person: �"�M S M 1 r �'� Applicant is: Contra o / Homeowner (Cirde One) Email and/orFax: �h sw� c rN 3ioz �� -�.RanrlefNef , nl�T PROPERTY OWNER INFORMATION: Name: (�j��. (��u�5� Phone (day): ��z $I �- zo g S Address: �(n 5� ��G.r..F ,,.i oon p City: O 2otJ o Z�P: �53�� Email and/or Fax: PROJECT 1NFORMATION: 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) �r�-K'��o(�K a Q�e.�C" www minnehahacreek orq Estimated Construction Valuation of Project(excluding land} $ 7D 5� , o0 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all infoRnation 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 confrdential. 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 i rmation,the li tion ma not be issued. ApplicanYs Signature: .x�. Date: � - �� - / 3 / Owner's Signature: Date: Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: `-IOst i-11 �'-�"uC�pt7 Z0�`� Description of work: I�cC..k- /-}iv ,� W�4y�w�H ��:�t-�qc-LM��T l /,�J �c�,v�1 Septic review by: tJ I A Date Approved: Zoning review by: ��P Date Approved: Building review by: Date Approved: �1-�� ZO �3 Grading review by: l�1 f� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: % Zonin • Lot Area: SF/AC Width: Lot Coverage: SF % Survey S mitted: 0 Yes 0 No Date of Survey: Revised date Proposed Se cks: Front(Lake) � � Rear(Street) ( N S E W ) ( N S E W ) Other Rrfildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance between he lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the ba ment or crawl space)and the highest poi of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF o . 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 the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window andthe highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,et y:No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the di ance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation. GRADES) highest exi ing grade adjacent to the GRADES foundatiqn OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defin building height �, \ Shoreland District MCWD Permit Received Avera e Lakeshore Setbacl�Met? Bluff ❑ Yes ❑ No 0 N/A ❑ Yes � No 0 Yes No 0 Yes 0 No 0 N/A Permit Number: Setback: Stormwa r Quality Existing Proposed Variance Required CUP Require Overla District Tier Hardcover Hardcover 0 Yes 0 No 0 Yes No Type(s): Type(s): Updated: Janua��2013 v:\formslplan review checklist 2013.docx i REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review �j State Surcharge . Investigation Fee �` SAC—Number of SAC Units `'"� Other(specify) Square Foota e $per Square Foota e Basement X = $ 15�Floor X = $ 2nd FI00� X = $ Garage X = $ Estimated Construction Value: $ �1��I:=° Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing � Grading / Filling � Well � Hardcover Removal 0 Mechanical � Fire 0 Electrical Footing � Septic � Water Connection � Poured Wall 0 Fireptace � Sewer Connection 0 Foundation Survey � Masonry 0 Lawn Irrigation 0 Radon Rock Bed � Mfg. � �Framing � Other(specify) � Insulation � As-Built Survey .O�Final 0 Wetland Buffer � 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 2013 v:\forms\plan review checklist 2013.docx �� . � Boardwalk and deck en r t y to Guest House Exact footprint replacement �i�0��o� 7o.Sr HNNy.l�tS �,. �� . , _' ' ^ , " � 5µ��s o , , { �1�v4 FcA �r.erci''Ji��i � �.��c.!l:a f�� 1�., C', �' .:� i �. .� �i v�..`S C.%i�::ii(j�^!`,5 �,'!� ra:��, c:a,�.:r;i��, c;��,... �;;: ..:i;.�s��`.��; t.;� �:�;:r�: it��=i :;��.. � :a :�:_ C�'f?�!?Ci ii:?pf �:riC':'✓, :`.'( 3 (.I1 r�� {Nii.l 3 (f,;:itrr(ifTl .1 �?C'�jf�(. � 01 O;�e�, ;u�r.}raifs n,u�t f}� �e i��t�r ��;iu:e ra�i�; r�n crn;rrentai , -- ,' pat:em so tiiUt a sp�iere 4" in diametar cannot p�ss tf;ro�gh, � y 33' _ � � ' , 4' ; � 4, � f � -- -- - - _ __ _- ---- _ _ _--- _ _------ - - - ------- � � �G,� �'�!i�� t�i'..ra ='�%�i�i��,s � I deckin 2x6 Cedar S4S �' ' �! 9 �, � { u 51� 9 _ __ -- I joist 2x10 treated �----�{ - 2 � �2 Q r�►rh OF� Z- 2 x t 0 w �n�+ 3 �o STS --r =-- -- ,.,,,.,:.�,�,�,:,: ��_ �,,:��..,,, �_ �_,,.,�.a � .e�„�. � �,.,�,�a.,. N �"T��^_�*.�-�"'�►p ,^�e'�;r-;.*"' (^,�'"�� k�.��.��, �c� '�r �n z i;:F:�� +i. � ' s�,••':�. ,f��7'�' A� �,,,,..�. PLAN CNECKED BY Dr"-�T� 4- Z3- Z��3 �� — DATE TIME ✓ CITY OF ORONO CALLED IN I �3 INSPECTION NOTICE SCHEDULED -l8'-t .' � PERMIT NOv�O/3 dO�� C�MPLETED � � � ADDRE�:. "�"'''�� OWNER LEPHONE NO. �O� � - � CONTRACTOR � >; DESCRIPTION `��=1� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/GR DING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LA FJWETLANDS � 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � �d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContracto n si • - Inspector� White Copylinspector's File Canary CopylSite Notice �`� DA TIME V CITY OF ORONO CALLED IN - � � INSPECTION NOTICE SCHEDULED � ,3:� PERMIT NO.��I��DD� COMPLETED �/ ADDRESS � OWNER TE�PHG�NSO. ��Z �� CONTRACTOR >: DESCRIPTION —��-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o ��C_.% �? �!'�--�t S � �' � �� S,�3 � � � ��"1,"�-' ^ 0 � Q ' � c�'S � �'� '�' z �T�:�• r�.,�� s � t �3-�� W � W � � d W ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W �RRECT WORK&PROCEED f i ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner►Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � �� DAT / TIME V CITY OF ORONO CALLED IN 7-fi- �3 INSPECTION NOTICE SCHEDULED �]-/D -�� /D�— PERMIT NO.�D/3�OD2(o.3 C MPL ED ADDRESS S OWNER EPH NE NO.�� ' " CONTRACTOR � DESCRIPTION " � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL Z OWN ONTRAC MEET YOU:�YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED �.V'f�OJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEFMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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Of OR� � �O ��. � � � ` � \ ..� SITE PLAtd 2O ' 24.5 1 \ � � � GRADING P�.AN ..9:4---.... � �APf�ROVED R•cP�4u.- Dc:ZK f wq w __ � � � � - -------- �� -� � � � `� `� ,- D �!�P�4��.=i? ��ITH R�f;'ISIONS ,� � EXISTING � \ � � i (947.2) � m N � .,� �s �� a� � ❑ DISAPP � �:� � (956.3) _-- ' �0 w � � \ ��- ` BY � � � � � � oo � � � � �� GARAG E i ° � �' DATE Y•�4 - Ze�� y GARAGE FLOOR � � �� \ i Z ELEV=954.2 � � � � —-954— � � � 0 �' �� --o � 24b � � � � � � ` ` �z � � ---� ' � ��, �� M � ,' � (953.7) � � � � Um �M ------ � �� -------- -- � _ \J\ �� \� �� Z �� (549.0) � \ \` .�� ! � � � � � \ � � d� --95r � � O 1 , �, � � � wEL� � � , —.p .sa... 27.s �_ : ' �\ `��, �� n