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Home My WebLink About2016-00114 - addn/remodel/repair . . CITY OF ORONO * 2 0 1 6 - 0 0 1 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2699 KELLY AVE PIN : 21-117-23-23-0041 LEGAL DESC : WALTERS PORT : LOT 002 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�T TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 120,000.00 NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) INTERIOR REMODEL/REPAIR&WINDOWS APPLICANT PERMIT FEE SCHEDULE l,235.92 STATE SURCHARGE(VALUATION) 60.00 MORIN&TANYA SREPEL,CHARLES TOTAL 1,295.92 2699 KELLY AVE Payment(s) EXCELSIOR,MN 55331- CHECK 1047 1,295.92 OWNER MORIN&TANYA SREPEL,CHARLES 2699 KELLY AVE EXCELSIOR, MN 55331- 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 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 State Building Code.This permit may be revoked at any time for due cause. Z D �-eG � � � �l � pp icant Permitee Signature Date Issued B ignature Date City of Orono Bra.�ildirig Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSiON) A, Mailing Address: •sr , � �O'V PO Box 66 Permit number. . �;�(� �� C�'� t ' � Crystal Bay, MN 55323-0066 Date received: � ' - -�3 i ,-� �,., � � . � ! Received by: �� _,__ � Street Address (�� "� � . y�qk�SHOQ'�,L` Oron�o, MN 5356 aY /�I�P- ` Plan review fee: �� L ,'j • �4� -t� F � � � ��. Total Fee: �� <!,1� 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: 2(o°1a �\\�.I ��1Z. �X�.2,\S�c�� t�� 3� Will this be a Parade of Homes, Remodele s 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: -CO.�r1�ic� S,C�,CJ2� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ��2_ $G�_ 0l7 1 (office) Mailing Address: c� City: [�`S•�� ZIP: Contact Person: -�-� Sr�� Applicant is: Contractor / omeowne (CircleOne) Email and/or Fax: g«�,M�•� , pi0\• C�aM PROPERTY OWNER INFORMATION: Name: ��,.Y�v0. �fe�2.� Phone (day): ��-L� 4�t�1_ C�IZ� Address: 2�qal ��v �,� City. C�,\S�� ZIP: Lj�331 Email and/or Fax: S�e(J2.\rv�pc-�r� (� O�e�l• Cc.� , ,. PROJECT INFORMATION: Overall pro�ect description: --�---�'lf�"I' / �`'� �''�'' r x t�=-c1.� ' ' ��` �' � ;j '�;�y�+;�,,�,�� Type of Project: Any earth moveme may Iso reqyire ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt �Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, cedar 15320 Minnetonka Blvd ❑ 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) $ 120,l,OD 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. Jf ou refuse to su I the information, the a lication ma not be issued. Applicant's Signature: Date: Owner's Signature: Date: or �— �Ol/o �� ' Last Updated:January 2016 _ �� .�� c��.�� a:��e��c� /�ddress: 2.�p ��' �'`� llS!' �-U� Permit �o.• 201�e" ��/�' Description c�work: /7 P,�Q Q�Q� � /,(/'l!�( /,�(,{/�' Date Rec'd- Septic review by: Gt/G�/' �L�l� Date Approvec�: 2oning review b�: � Pi -- . ��l,�/ 1� Date Approved;� � ��Q �ufiding review by: Date ApProveci: �, ! Grading review l�y: Date ApProved: Zoning Distcict: Zoning Fite#: Reso#: Reso Date: Zoning: Lot Area: SF/ C Width: fi Coverage: SF °i • Survey Submitted: Q Yes �; Q No Date of Surv . f�evised date(�)• Landscape plan submitted? �Yes t7 No Landscap : Pro ossd Setbacks: Frant(Lake) Rear(Street) ( N $ E W ( N S E VII j Other Buildings Wettand - �ide Side , De#irtetl Height: Peak Hei ht: FFE: F�E:minus 6 feet= (Existing Conto� Perirneter(linear feet) = 5 /o= L.F. below grade Basement? �Yes � No, � , to �es ' FOR A BUILDING WITH A BAS�M�NT OR CRAWL S ACE: FOR A gU11,DING ON A 3LA8 FOUNDAT,ION: The distanee be n the Ipwest proposed Slab at or above g�ade— START 1NITH floor(of the bas t or crawl space)and measure froin hiahest existina the highest po t of roof. START W1TH : 9-�to the highest point of'ffie roof:even if fiu was brought in to If you have ... elevaie home.' SU�TRACTION • GA E OR HI ED itOOF(no ' SlqbPbelow gratle—massure (BASED ON wf ows): Su Ct half the distance from highest exFsting grade to the ROOF TYPE) b een Ute hig st point of the roof h' hest nt of the roof. t the bw po`M the correspondin9 if you haye a.<: abie w hipped r SUBTRqCT10N; ' �BLE OR HIPPfD ROOF • C�ABLE OR HIRP ROOF(with (BASED"ON (�o+Mndows): SubVact haff windows): Subtra h�ff the distance ROOF TYPE) Yhe distance between the between the top of e hi�hest highest point of the roof to window and the hig st'poi�Yof the ' the 9ow point of!he roof° aoneSponding gaWe�r • ALL OTHER ROOF ES(flat, h�� mansard,etc);No su traction. • GABLE OR HIPPED ROOF (with windows):8ubhact SUBi'RACTION' Subtract the distance be n the ` half the distance between (BASED ON basemenUcrawispace floor nd the the top of the highest EXISTING hlghest exfsdng grade adjac t to the wint�ow and the highest ; GRADES) foundation OR 10 feet(which ver is less). poMt of the roof • ALL OTHER RO�F TYPES `EQUALS : Deflned building hetght (flat,mansard,etc):No su traction. Deflne buiiding height EQUAIS Updated: October 2015 z:\formslplan review chedclist 10-2U15.docx �average Lakeshore Setback 8�� Shorelanci District WiC1ND Permit Met? Permit Number: � Yes 0 No Ct N/A � Yes C7 � Yes E� No No C� N/A-see attached S e t b a c k: Stormwater Quality Existing Proposed Overlay Distrfct Tier Hardcover Hardcover Vartance Required CUP Required circle one %and s %and s L7 Yes L7 No � Yes 0 No 1 2 3 4 5 TYP�S): Type(s): Fees to be Char ed � . N� ��k Pian Review t/� . St�te St�rs�, investigation Fee ,._ , SA�-Nt�i�b�'o�f SAC liri3�s . ' . -: y., �. , .., Other(sPecffY) S uare Foo e $ er S ua�e Foot e Base►nent X = $ 9�Eloor � - $ 2^� Floor X - � Garage X = $ Estimated Construction Value: . � � � Orono inspections Required VNork Requiring Separate Permfts 0 Footing D Site Plumbing O Grading/Fitling Q Poured Wali � Silt�encs/Erosion'Conttoi Mechanical � 'Fire 0 Faundation Sur�re y G Hardcover Removal C7 Sep�c O Water Connection C� foundation Waterproofing G Other(specify) !7 firepiace C! Sewer Conn e c f ion Framing � Masonry � Lawn lmgation insulation O Mfg, � Landscaping O As-Buiit Survey q Other{specify) Finai , , � Lathe Required State Permits Q 0ther(specify)' � Well Electrical REMARKS(in-house): - ` OFFfC1AL REMARKS-TO BE NOTED ON PERMIT AND INtTtALLED: Ci See Builc�er Acknowiedgem�nt Form � Prior to release of escrow money an as-built survey and hardcover calculations must,be submifted and approved. Updated: October 2015 rlfnrmclnlan roviow nhaeklicf 1f1_9(11.F rinrr \.� / DATE TIME �CITY OF ORONO CALL IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2�/(��" COMPLETED 1�m ADDRESS 2' �a � ( < OWNER _��1"� �'1 TELEPHONE O. � � ��`"`�D`? CONTRACTOR ��'S� gl� I`�--mm� � DESCRIPTION r , ly ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL I��/Jy�, Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FIL� -'�/ Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL � ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTIO��` �RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��T❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ PTIC INSTALL Q OVYNERICONTRACTOR TO MEET YOU: YES_NO 2 v�i COMMENTS: �� - � �J� /� � W a j �/4.rc.:...f ' ,pQ/ �l�irt � OG� �i,n.s . . O •r� —��/�-+a��a�za-�- � ' o%� ' � ��u✓�OtJG O/ /d ° w a. G( cc��,A�o�� l�� , ,1 - � a�e U�f?� • � �s:r�. W � �� Q 2 /'d < `` �'�G�i�4•ctC �/o� ,� `� G�tZ � � �'G/t'��t�eio/ 6�c 5 i�� `—. � Go r r�� z�,� Z� Cov� r � a W� O WO�ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f ion hours in advance. (g52) 249-4600 Owner ontractor �� u Inspector. White Copyllnspector's File Canary CopylSite Notice !� �J� `"�-�" DATE TIME CITY OF ORONO ` LLED IN INSPECTION NO ��t�, HEDULED �ERMIT NO. COMPLEfED ADDRESS '=�� OWNER TELEPH N�� CONTRACTOR � DESCRIPTION w �`�S t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YiOU: YES_NO y COMMENTS: W ^ � /tr'�� Di� l�n W�N�s Ltrt ��l/u- j - o �� a ac / � //��ldd�/Jd �i�l�:r.j uM�e/ I.�iNt.e..� �� Q ��r ��v�/ ,m/la/ �7`6 �.si /�./G✓ ♦ �4�1�E — � � G4�� i r�� ,s«��a � � w _.__ � � � W ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COM PLETE � ❑—/CO-RRECT YYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �G{�7RRECTVYORK CALI FOR REINSPECTION TEMPORARY \ V� B�RORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneNG�ontractor on site: Inspector: �-' Wh CcPYllnspector's File Canary CoPYlSite Notke .fi:.r -;.p�,T�... . r .•:,�.,�.�...s,.�f --••+s�-=„ _.. . :t. .,-.:��r"-�!�'r�'•�'----�- ��y �� , / ��(Q�l'� , ' �— � �y9 �d�c,F I��• �� s. Ji t�r`C h �� } I��` �� .�,P�•�,� �� U C�'-�1 - � � TIME CITY OF ORONO CALLED IN INSPECTION N �E sc DULED /O� PERMIT NO. � � ere / ADDRESS OWNER TELEPHO E NO. �—��7 CONTRACTOR ��I� � DESCRIPTION ��y�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: o� W C � � � O � a 0 � W � Q � 2 W � W � j d W ❑ SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑COR ECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in adva 249-46�0 _ � � OwnerlConVactor on site: � � � Inspector. White Copyllnspector's File Canary CopylSite Notice .�� 'I� TE TIME CITY OF ORONO CALLED IN —�' z�— INSPECTION OTICE SCHEDULED �� PERMR NO. � �� coM ��e ADDRESS � OWNE � TELEPHONE NO.fI�" �"� CONTRACTOR + r �� DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SIT ❑ S TIC INSTALL Z O'WN NT EET Y�OU:�ES_NO ! � COMMENTS: a j O � 0 � W � Q � � W aC � W ❑WORK SATISFACTORY:PROCEED ° ECT COMPLETE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑f�RRECT YYORK�LL FOR REINSPECTION TEMPORARY V BEFORECONERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. � 5 � -460� OwneHContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notics