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Home My WebLink About2017-00247 - bathroom remodel CITY OF ORONO * 2 0 1 7 - 0 0 z 4 7 * 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3051 FARVIEW LA PIN : 04-117-23-33-0009 LEGAL DESC : FARVIEW : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) E3ATHROOM REMODEL ONLY APPLICANT PERMIT FEE SCHEDULE 278.77 PLAN REV[EW 181.20 DELANEY, DAVID&FRANCINE STATE SURCHARGE(VALUATION) 7.50 3051 FARVIEW LA LONG LAKE, MN 55356- TOTAL 467.47 Payment(s) CHECK 5068 467.47 OWIYER DELANEY, DAVID&FRANCINE 3051 FARV[EW 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 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 Iaws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will cxpire 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 l80 days at any time after 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 at any tim ue cause. . G%�2 l � � � � � � / � / Applicant Permitee Signature � Date Issued By nature Date t � City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. -- NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: �1' / / " � ") O PO Box 66 , Crystal Bay, MN 55323-0066 �� Date received: %-y � "� � Street Address: �� I�' Received by: �"�!2% �'� � �i � �' `� 1 / _ tiF! � 2750 Kelley Parkway Z_ I Plan review fee: �`c9-C' ':t" CZ%Ef� �� Orono, MN 55356 J �kfsF,o� ,�7, �-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. (P/ease print) GENERAL INFORMATION: � - f �' Job Site Address: � ;l .� � fi��t��-l�! i�(�� L�p.�f C ` 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: `j�rN l,� E � ��f t�l�,)��f State License# I�J�� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIO : / Name: �C.`, � � �L.�l�,,;��`�l Phone (day): Q,S 'L, 2-S�� J� � �r�7� Address: �i�i'� � �i4�l �� i��I�� E_�� CitY� �� ZIP: J�.7� Email and/or Fax: 1..t-�y �,f� � �.�� r ('�� ,� 1 � PROJECT INFORMATION: Overall projectdescription: ��-� �l , � � �� 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) $ v, 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 ann u�late our records and records of other governmental agencies required by law. If ou refuse to su I for n e a I� ion ma not be issued. ApplicanYs Signature: �� —�' �� Date: r� � � , Owner's Signature: -� � � Date: Last Updated:January 2016 � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS . -, ,��" �/ Address: .�� S'`L{C�''ti/'l ('.vV� �i�L� Permit No.:��t/l 7" �� `7 � Description of work: Date Rec'd: � /l Septic review by: Date Approved: Zoning review by: "�� Date Approved: � Building review by: �� Date Approved: ' Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot C verage: SF % Survey Submitted: � Yes 0 No ;- • Date of Survey: Revised date ? : Landscape plan submitted? � Yes � No Landscaper:� Proposed Setbacks: '� � Front (Lake) Rear(Street) ( N S E W ) (' N S E W ) Other Buildings Wetland Side` Side Defined Height: Peak Height: ' FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _' L.F. below grade Basement? 0 Yes 0 No, Stories f f FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade- START WITH floor(of the basement or crawl space)and measure from hiqhest existinq the highest point of the roof. rade to the highest point of the START WITH roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. to the low point of the corresponding', If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half • windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. t0 (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the ' window and the highest GRADES) foundation OR 10 feet(whichever is less). `� • point of the roof ALL OTHER ROOF TYPES ' (flat,mansard,etc):No EQUALS ,_. Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes � No Permit Number: � Yes 0 No 0 N/A � Ye No � 0 N/A–see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes 0 No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit �/' Plan Review � State Surcharge (/�" Investigation Fee SAC–Number of SAC Units `/' Other(specify) V— Square Footage $ per Square Footage Basement X = $ 15f Floor X = $ 2"d FI00� X = $ Garage X = $ Estimated Construction Value: $ / `/. Lyl y' l,l e�—. Orono Inspections Required Work Requiring Separate Permits 0 Footing ❑ Site Plumbing � Grading/Filling � Poured Wall � Silt Fence/Erosion Control Mechanical � Fire 0 Foundation Survey ❑ Hardcover Removal � Septic � Water Connection 0 Foundation Waterproofing ❑ Other(specify) � Fireplace � Sewer Connection �Framing 0 Masonry 0 Lawn Irrigation Insulation ❑ Mfg. 0 Landscaping � As-Built Survey ❑ Other(specify) �Final � Lathe Required State Permits � Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan ravia�u rharklicf 1(1_�(11F rinrv / r ' • ti � '` ; �;�a� / � . ,: R��r�z�ec� f�r Cg�� f �a . �&_ � �� `,;#,.� � ��.i� . 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' _� , '' - ' . •' f � � � . 1 1 ; - �r� "i� �'�'' � . / . t , � �3i�:��' � i — . \ � � � - - �� /f, , �' '� \ . �.= � _ _ ��i ,�' '' �� .�G � . �� nMe � CITY OF ORONO cnLLED IN � �' '� INSPECTION OTICE SCHEDULED — _ //� PERMR NO. coM�� ADDR �J� OMIN TELEPHONE N��7'��D CONfRACTOR � DESCRIPTION ��u�a�� 1y ❑ FOOTING ❑ DEMO-FINAL O SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(i/FILLINf3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TAEE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPWNT r INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O�N911COffTRACTOR TO MEEf YOU:_YE8_NO � COMMENT& � �ttiS�+G• �•r �xs� r��ra�e� -' � ' tc�al/S - b� �Ks�.G• cJ/ v•13. . � pr� . , - - a� 11 -�i r!r� �C�/i�c;_P G it`��L�s�,ss e... �a� k � /��c T 5 � � �/'pv�+b� !�s�' d�C �'y�6✓oc.� Ct,�GI 6J� � V_�. , W � �O�'rt<i` �.t a '�— �S G�a t.t'�c/ � � J W O WiORiC SATISFACTORY:PFiOCEED ❑PFIOJECT OOMPLETE ��6�iECT W�OWC a PROCEED ❑ISSUE CERTIFK'.ATE OF OOCUPMNCY D ❑�CT YMOFiK.CALI WR F�INSPECTION TBiAPOR1IRY �C1 �� PERMANBdT ❑COFifiECTUNSAFEOONDRION WITHIN HOUR3. ❑PHOTOTAKEN INSPECT�OR WILL RETURN ❑CITATION 18SUED D STOP OF�ER P08TF.D.CALL INSPECiOR O INSPECTION REOUIRED.G1LL TO AHRI�N(iE/1CCES3. cw�«�n.��u no�h��,o.. (952) 249-4d00 �� : �?'� - 1NMN CoV1l��''�� Gn�ry CapyfalM Nolla DATE TIME ITY OF ORONO ALLED IN �C,� INSPECTION NOTICE��,�yy�'` SCHEDULED ��'f ' PERMRNO..rt^Jh��lt7� COMPLETED ADDRESS � Cg OWNER �L Q1�• �l(�`�1�.TELEPHONE . ��' 9'gn CONTRACTOR � DESCRIPTION ��y/l� ° � ty ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING ILLI G �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ TIC INSTALL Z OWNERICOlfTRACTOR TO MEET YiOU: YES_NO y COMMENTS: a� � L-le-a�.-.'r�l �S r'.�„�.A�Pi�G� 5-/- /7 _o/r j � > > � ,�J�R M,N A Gt�YJ?J �n./S �o M.D �' G�rv� �O W � Q � 2 � W � � , � %�WORK SATISFACTOFlY:PROCEED ❑PROJECT COMPLETE w!�CORRECT WORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REtNSPECTION TEMPORARY V BEFOREC�NERING PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTA710N ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Csll for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: �nspector: /�Q.;/C �• WMte CopyAnspectw^s FII� Canary CopylSit�Notlw