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Home My WebLink About2014-00395 - addn/remodel/repair ` I - - � CITY OF ORONO 2750 KELLEY PARKWAY * Z � 1 - 0 0 3 9 5 * DATE IS UED: OS/27/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 I ADDRESS : 568 KEENE AVE PIN I : 02-117-23-31-0042 LEGAL DESC : MINNETONKA BLUFFS � : LOT 000 BLOCK 016 PERMIT TYPE I : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL I CONSTRUCTION T1YPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION I : $ 50,000.00 NOTE: SEPARATE P ITS REQUIRED: ELECTRICAL(STATE) CONVERTING DECK TO ENCLOSED PORCH I I I APPLICANT PERMIT FEE SCHEDULE 681.75 LINDUS CONSTRU TION INC STATE SURCHARGE(VALUATION) i 25.00 879 HWY 63 MAIL-IN FEE j 2.00 BALDWIN, WI 540 2- TOTAL I 708J5 (715)684-4647 Payment(s) I Minnesota State Lic se#: BUIL-BC007644 CREDIT CARD 6693 708.75 I OWNER DAVIDSON,DON.�LD&JOANNE 568 KEENE AVE. I WAYZATA,MN 5�391- AGREEME T AND SWORN STATEMENT The work for which this permit is issued shall be performed according to I the approved plans and pecifications,applicable City approvals,and the I State Building Code. T is permit is for only the work described and does j not grant permission fo additional or related work which requires separate permits. All provisions f laws and ordinances governing this rype of work shall be compied with v�hether or not specified herein.This permit will expire and become null�and void if construction authorized is not i commenced within 180�days of the date of issuance,or if construction is suspended for a period f 180 days at any time after work has commenced. The applicant is respon ible for assuring all required inspections are requested in conforma�ce with the State Building Code.This permit may be revoked at any time for due cause. ( /V� �`�� ' / / Applicant Permitee ignature Date . Issued y Signature Date I ; .. � �E1 ��F�� C��7��e�L.lv� ��e �� ! iTs��o��it�� E' �'��1�� k � � " AcidtessiPermf iVumtier: � t . � �� . �. - . . .. � Desc�iption of ork: � "1 i � ; , ; . /� � S�eptic v�e�ir by: t"t' D�te Approved: � Zoning diew by: < �ate Appro�od. ; � Buildin redi�w by: � Date Appmv�d, : . ,- -�r i � Gra�iin review by: � 1�- Date Appraved: . f Zoning District ' Zoning �i1e#:�� Reso#: �so Date:�';�`�." � . ! Zontng: �.ot Ar a: Z�� S /A�C ` 1�+8dth: Lot Cove�age: S� % � Survey Subm ed: !�Yes �FVo i��te of Survey: evi ate? : T � Prq.osed Setb cks: I f �ront(Lake) Re�r(Street) . ( � S E M1 ) f N S E W � Other Bui ings . Wetlancl ! Side 9ide { I � . ; ; i Defined Height Ps�k Height: FfE; FEE minus s fe�t= (�xistirrg C.ontaur� t .. - I Perime�r(line r f+eelt}}_ . 50%� #of��eries . �k? G S j _ � FOR A BUILDINC� H A'BASEM�NT OIt CRA1Nl.SPAC�: � ' e distacic�betwe:e�►it�e Iowest �OR ABUI1�ptNG ON A S�.AB fA DATION: . I STABT TH propo�ed flodr(cf tfie basertlerrt or Cr�ri . • spaCe�and the�igAe�t poitlt ot the roof. .dist�nGe betweeii p�top of siab and STAR'T W1T� I �-� � . � � , � ��.h�9�.PPIM�tI�e_roof. �� i It yoU have a... if h5t�te 8: E • GAB,L�OR �D R00�(no . CAB�E�ft: � �17,�tU0��r�� ,- � windrnNs)• ubtra�tihattfhe wind . �6ltaet,HalFyU�edistance ! dista etwsen ffle Migh�st poinf ;n the hf�h,estpointof�be npof . ( of ro0f td the Icauv po!M of the• . . t�th�low I. SUBT CTtON pcniliftg g�ble o hi rooi Pa�t of flie co4respoitding'` K �. 5iJ6'i7�A6TfON �ab(e k�hi}speil roof . � : _ l �By49E ON R�OF CABLE OFi 131PT��D RS30F�witfl f�+°iS��QN ,� • ` OABLE;Oi�H(PPER RqA�.(wRh � TYP� windows):'Sribhaat dalFU�e ft00f TYh HnrrdGws) �i�btraCt half the tlistah�:e � d+smnce becvli�en t�e;s�p ar th� betweei,tn�tqp a tk�e n�t � � � � highesY v�rit�dd�nr and th�highesf -_ '� �, � wihdow`ant�ahe high�,st pqitl�of the � pant of the to6f . Ali OTHER RdQF TYRES(flat, � � • ALk.QT�1��f2bOF'TY��S�fl�t` mAnea etc:NO sub action. f F.� �ansard etc):Nosulrtraction. � Subtrad the distance belween th ADb(TION the d[st8nae b�weAn tkte tgp cf Narb 6iJB; " GTION basem�enflcrawi space floqr and he (BAS�F3 ON d�e highest 89dbdng GrBde adj#Ce�t to E ON EXISTING h�gh�� EXISTING foundation. ' ng.grade adjacent to the GRADE ' D ) ,foundatiort OR SO feet � (whichever is less). EQ1iALS tl buNding heigM � EQUA 'befinetd buiiding height , � Shore�an District II�CIp�D Perneit Received. �vera �Lakeshore Setback et? - , Biuff � Yes G No N/A 0 Yes No ' �Yes � No � Yes S' No N Permit Number: Setb�ck: Stoemhrate Quality Existing Propas�cl � Over�a Di rict Tier Hardca�ver Hardca�+elr ��flance Requiced UP Required Yes CI No � Yes No T Pe(S�-�t.i� YPets)� Updated: January 013 v:lfiorrns�plan revie checklist 2018.docx REFAAARKS (in-house): Fees to be Cha eci lf£S NA : • " . - . I�t�n Re�iew ,a� :�:�� '. invesfigation fee ,'$�1�C;�t�s� - ;:�/ " _ . . , .. �ther fsPecifY) . l/ S uare Foota e $ er S uare Foota Basement X = $ �et Floor X - $ 2"d Fioor X = $ Carage X = $ Estimat�d Construc#ion Value: �, .S V,n.ot�;�'� �.� Orono Inspectior�s�Requifed Work Requiring Separa�e Permit� Required State Permits; � Site 0 Plumbing =C7 Grad�ng/`Fifling G Well � Hardcav�r Remo�a! � 'Mechanical G Fire Electrical G Footing G Septic G Water Conr��ction G Poured 1Nafl � Firepi�c� � G Sewer Connec�ion G Fountla�tiion Sunrey L]- Masonry C Lawn lrriga�i�n ' G Radon Rocl�Bed. � Mfg.: �rarni�g :: G Ofher°(specrfy} _ J�'Insul�tion t7 As=Built Survey ;,�Final . . fl Vlletiand Buffer ; G Other fisPecifY) RENiARKS (in-house): Other Review: Revievved by: Date Approved: ` Access: Existing: O YES 0 NO New: � YES � NO OFFICIAL REIV6ARlCS -TO BE NOTED Ok PERMI'Y AND INITi/ALLED Updated: January 2013 v:lfortnslplan review chedclist 2013.docx e . , � � �a��, City of Orono �o .�� - �� Building Permit Application 5 �I� for New Structures or Additions ��- � Mailing Address: •Q� / PO Box 66 Permit number: / ��Q Crystal Bay, MN 55323-0066 Date received: -5 ' T IStreetAddress:' Received by: y ,� 2750 Kelley Parkway Plan review fee: F c? Orono, MN b5356 � �'�kFSEio��' Main: 952-259-4600 Total Fee: ^�O/ ,�S Fax: 952-249-4616 �v�vw ci cronc��in us l S� 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: ��r�� '�%?�- ��I�(> / 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 approva160 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�� ' "a' State License# ;��'C� 7C�-y-y Expiration Date: �� =- - Phone: (cell) 9i5- �95 - 7��,j (office) l:�%� %Cr �� G,��'� Mailing Address: " � �.u� � Cit : ZIP: Contact Persorr: <-��--,-,;,� , �'�7sc. Applicant is: �Contractor_' / Homeowner (CircleOne) Email and/or Fax. �y�� <,,�� /,�,��y�.�_;�'�� -��-,�� PROPERTY OWNER INFORMATION: Name: --/ �2";r�%�/�'/ -� -� /��7;>�� c i��Sc�✓ Phone (day): I�� - � - �� Address: �'" > - �� > Cit : �� ZIP: �'�'�� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction r� Single Family with �esidence ❑Addition attached garage ❑ arage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation ° ,r��,S��i_��'�, detached garage ❑Office/Commercial ❑ Private Sewer ��Other. (specify)�/IL� �` ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water "Any earth movement may require ❑Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or ^ �7 Estimated Construction Valuation (excluding land) � • `�2'?2'r% Packet Last Updated: 04/19/2013 Page 22 of 23 , � 1 zor3 - b�a?q D�`! 1/p C�c��- � � �o /�/,3 �� p�� -�f"' — ,�ee a.�tc,� , . , �.� , STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) Z.Type of Construction �:; a. Length(ft.)= C,� Number of bedrooms= ❑Wood/Frame i b.Width(ft.)= � Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 1S`Story = ❑On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. �_ �� ; ApplicanYs Signature: `� '�`��`' ��S�f� Date: ��'�� Owner's Signature: ��iz��/�1-� Date: �%l/s' Packet Last Updated: 04/19/2013 Page 23 of 23 �� I �� V �%�'� DATE TIME CITY OIF ORONO CALLED IN INSPECTION NOTICE. cHE�u�E� -.j11�� PERMIT NO. COMPLETED ADDRESS �� F'��'�� "� OWNER TELEPHONE NO. � �� CONTRACTOR � f� _, - � DESCRIPTION r � /� �--� � � � ❑ FOOTING ❑ PLUMBING FINAL � .HADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ,� )RE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI NAL ❑ FOUNDATION/REMOVAL � OW��ONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � t�� -,�4� - � a� - �� - os.�ak� �P�f�6d•�- 6 K __ - . '' � '�I'oU�� G� �e-��o✓S c�t-fiG,.,, /d ��- � ° D f L.G. ,�j��oc�. .�- dt�A �/r . b�roa.+�.— W ' � - ��,� � wG�lC L� �'o w�Jle�c. Q � 2 ' �wt eo��..i '� �ro vciJ d Ga cPs�� Go rf<� .r /�e�«,.=t t�� W � j � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. __ Call for the next inspection 24 hours' advance. 5�� Owner ntractor on site: C+ � nspector. ��— � White Copyllnspector's File Canary CopylSfte Notice f � �� DATE TIME ✓ CITY OF ORONO CALLED IN ,— � INSPECTION NOTIC HEDULED 7— � � PERMIT NO. � �MPLETED ADDRESS OWNER EPH NE NO �—iaL'�� CONTRACTOR � �; DESCRIPTION � ly ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 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 INSTAIL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNEFiICONTRACTOR TO MEEf YOU:_YES_NO v�, COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � J GW ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑C RECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours i advance. (952) 249-4600 OwnerlContractor on site: � ' ' - Inspector. ' White Copyl�nspector's File � Canary CopylSite Notice � �� DATE _ TIME CITY OF ORONO CALLED IN ,p� � "�'2— INSPECTIO � �>�G�SCHEDULED 2-'i � PERMIT NO. �t'J�� COMPLETED ADDRESS � Q-� � OWNER TEL HONE NO 03 � �� CONTRACTOR (�Y�C�'e -f >; DESCRIPTION \ � l� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING � F�WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS FRAM l ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ISULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O / � � O � W � Q � 2 W � w � j W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Cail for the next inspection 24 hou in advance. (J52 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice Cp�' p TIME � C TY OF ORONO CALLED IN 7' � I SPECTIO�OTI E�3��SCHEDULED 2 ' ' P RMIT NO. COMPLEfED �_ A DRESS 'f6o �� '�� NER `� TELEP ONE NO. �5l 9�T 03�Z C NTRACTOR G S � D�SCRIPTION ` ��r� ��-- � ❑I FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI � LAKESHORFJWEfLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB � WATER HOOK-UP ❑ PROCaRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNIDATION/REMOVAL Z NERICONTRACTOR TO MEEf YOU:_YES_NO y C MMENTS: � a j JG a,.c - c'ohverf. � 0 '' br� .� c e - C.�. /! - 2 -! c� � � . ° rc�r - �e � ' - -3g 4� � ��rer W � Q 2 � I�'/�� is a ner �i��6��4�le so�cQ d�.l�-- � ! G, L� ��i�a� W � J 4�j SATISFACTORY:PROCEED ❑PRWECT COMPLEfE � CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 2a hours in advance. (952) 249-4600 wnerlContractor on site: I spector. � White Copyllnspector's File Canary CopylSite Notice