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Home My WebLink About2012-01274 - addn/remodel/repair CITY OF ORONO * z 0 1 Z — fd 1 2 7 4 * 2750 KELLEY PARKWAY DATE ISSUED: OU07/2013 ' ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1245 LAKEVIEW AVE PIN : 10-117-23-24-0024 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R ACTIVITY : 434-RESIDENTIAL VALUATION : $ 39,750.00 NO"1'E: SEPERATE PERMITS REQUIRED: PLUMBING,MECHnNICAL,ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 574.25 CRAWFORD BROTHERS CONSTRUCTION PLAN REVIEW 373.26 1204 E 132ND STREET BURNSVILLE, MN 55337- STATE SURCHARGE(VALUATION) 19.88 (612)790-0963 TOTAL 967.39 Minnesota State License#: BC589293 OWNER NORD, KEITH S 1245 LAKEV[EW AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned 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 pennits. All provisions of laws and ordinances governing this rype 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 iCconstruction is suspended for a period of I 80 days at any time after work has commenced. The applicant is�esponsible for assuring all required inspections are requested in conformance with the State Buildin� ode.This permit may be revoked at any�ie for due cau� ,,�,� / � � > .� , l l�%�i��`� l l A li n �P mitee nature Date Issued By ' nature e � ARATE PERMITS REQU(RED FOR WORK OTHER HAN DESCRIBED ABO �� -a�Q B��Ic�ir�g Pe�c�6t Q,��a��Qr� �ar I�Eair��er�a€�ce l F�er�ava�iara � (winafov��s, doors, siding, �e-roof, e�c.) � �� M,ailing Aadress: ' Permit number: 020<a-0/�7� � �' � PO Box 6r3 ' �(� �\ (� �� Crystal Bay, MN 55323-0066 �Date received: ��-��'/.� , � L �,a I��„'' �, Street Address: Received by �-� �� '�`'f F,` a �� 2750 Kelley Parkway �y Plan reviewf e: �`LA.g� Yo�'� Orono, MN 55356 i1��` SH 0 _ _ . � �U/ /. .'. .�. .� . Total Fee: � 3 Main. .,52 249 4000 Fax: 952-249-4016 wwv,�.ci.orono.mn.us This appiication form must be completed in full and all required information must be submitted. incompfete appfica�ions will be returned. (Please prrnt) G�NcRAL INFORMATIOAf: „ Job Site Address '�%' (', - `�.%c.' Will this be a Parade or Fiomes, Remodefers Showcase F1ome or other Display Home? ❑ Yes � "�No lfyes, a specfal event permit is required with Po(ice Deparimenf and City Council approval 60 days prior to the event. Shuttle bus servic�e wil!be required un/ess applicanf demonstrates sufr"icient on-site parking rs available. Non-permitted events wi!l not be allowed. CONTRACTOR/APPLICANT INFORMATIOI�: Name: ;�i � .. � , � �. •T !;( - ay,.�;�, �,..w ,.,(�, 'r':`��J `,,� = ,�;,r` S,ate License # j sy(� ,_ c,,,r� .,`�� Expiration Date: z,' � !��j�� Lead Certificafion Number. �.��_ _ � �t ��, ; :: 1 -- I Expiration Qate �;''?��`;;`�.-� (for work on homes that were constructecf prior to 1978 ' Phone: _ -->ti�� --; ci C.._� (ofiice) -' < ��7 <-' (c�ll} Maifing Address: ��,�� , ,, �n� �, -, , � r �-t-. City. � ��`� ��y,;�1<i ZIP� �L' 7 ,'' Contact Person: ��..�{�� Applicant is: Contractor T� Homeowner (Gircle One) Email and/or Fax: / C_- PROPERTY OWN�R INFORMATION: A• �, • , _ _ r , am... K.- � �' �� c'o1�'l� �*'' �, �,<�� Phone(day): <<S�. - `�7C) � i ' � . Address: ry!r J�:. �' � �-,yt' , , ;.�� . City: ;� � ZIP� Cl - � y.� �.. Email and/or Fax PRaJECT INFORMl�TIOl�: Type of Projecfi � I �ny earth movement rriay require , ❑ Door(s) �yRemodel I ❑ Fire Qamage I MCWD review&permits: Minnehana Creek Watershe� �istrict(MCWD) ❑ Re-roof, asphalt � Repair ❑ Storm Qamage � 1 E202 Ninnetonka Blvo ❑ Re-roof, cectar I ❑ Restoration ❑V�,'ater Damage � Deephaven, MN 55391 � Phone: 952-471-Q59� ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (sqecify) I Far.: 952-471-0682 � ❑Window(s) �; www.minnehahacreek.orq Overall Froject DescriptioR; �� ,� � �� ,�� t � � �sfirriated Construcfion Vaivafion of Froaect (excfuciing fand) $ �� C �:.---'--- APPLI��►t�T ACKfVOWL�DE��M�I�T: • Agrees to provide all informaiion required or requested by the Buifding Department; • Certifies tnat the informaiion supplied is true and correct to the besf of his/her knowledge. The applicant recognizes tha: they are solely responsible for submitting a compiete appfi�aiion being aware that upon failure to do so, tne staff has no alternaiive but to reject it until if is complete; • Some or all of the informafion tha: you are asked to provide on this app(ication is classified by S;ate iaw as eitner private or confideniiaL Private data is informafion which generally cannot be given to the pub(ic but can be given to the subject or the da,a. Confidenfial data is information which generalfy �annot be given to eitner the pubiic or the subjecf of tne data. Our purpose and intended use of this information is to annually update our records and records of other governmen.al aqencies i � reQuired bv faw If you reruse to supofy the inTormafior tne apaiication mav not bP issu�d ApplicanYs Signature: �_ .� Qat�: � ' �, �= /� �i.7%-�-- Lzst Updated: 0�,-a9-2D11 �� ' �.: Plan R�uiew Checkfist for New Structures l Additions Address✓PID/:LegaL l�-�'iS C..�A�C u�C.� �Av�. ' Description of work: 1C ►�rGHc-� 12-1": n��o✓��c L Septic c{e�iew by: pU� I� Date Approved: zoning re�iew by: 1'�1�ff� Date Approv�cl: Buiiding review by: Date Ap,pravetl: t - 3 -2p �3 �racling review by: /U�� Date i4pproved,• ning File#: Resolution#: Resolufiion Date: Zonin District Fire:De artment PostAifice SchoolDistrict ° .Zoning: Lot Area: 5F/AC UUidth: Depth: ` Survey 5ubmi : > 0'Yes ;� No ' Date�fi"Sucvey; Pro osed Setback , Front(Lak�) ear�5treet) � � � E '� ) ( 'N S E W ') pther ildmgs We�land Side Side Building Defiined Height:- Buil�ing Pealc Height: " #of Stories Ok?: � 1''ES 'FDR�'BUlLD1NG WITH J1�ASENIENT OR WL 5P/#CE: FOR A B DING DN A SL�AB FOUND�ITID�t: ' START WITH the°distance between the sement�looN�raw1 ST' T °the distance beiween the slab�nd the highest space floor and the highest of peak,the top of H ' roof peak,the;top of#he cornice nf a'flat roof, the cornice of a flat roof,:ttae d k line flf a #he deek7ine:of a mansard roof,.or the " mansard;r�of,or the upperrnost. `=int on a.round uppermost point on a round or other arch-type or pther:arch- e roof roof ;. SUBTRACT half the tiis#ance between:the highes . indavv a SUBTF�CT half:ths tlistance betuveen#hB:highest:wintlow hi hest roof eak of-a itched roof antl hi hest roof, eak of a itcheti roofi SUBTRACT the distance befinreen the basement flooN wl ADD the distanc,�between:the.�lab and the:highest ' space floor and the'highest existing gra °wi in �xistin ratle witMinthe foundation the foundation or 10 feet, whichever' zless. EQUALS Defined buil�iin hei ht EQUALS Defined buildin `Mei ht � Lat Cnverage: S� % `Shareland Distr�ct �M.0 D fermit Received A a. e�Lakeshore:��tback :Bfufif 0 es � No 0 NIA � Yes :� No � Yes 0 N� `� Yes � No � N/A ; ermit Numbec: Setback: `Hardcover Zones Existin Pro osetl l/ariance Re uired CUP:Re uired D-75+ � Yes No C Yes � No 75-25 ' TYPe�S)� .TYpe(S)= 25 00' ,:0-10D0' , I�EM,�RKS (fn=house); /V a C HAN(,� :Updated: 09/1:112009 :z:lfurms�plan review checklisk�doac Fees to be Char ed 'YES ��IO -. . ._ . .a,...., e. . ... ._. � .�.,,..,..N .:tii..r. . . .i:. �. . �.t � Rlan Review � , _ .,. . ��„n� ,�" . _. . , < „ . . . . ,.. _ :Investigation'Fee , !-,, : .- :�. �..�. . � .. . . .. Sewer�onnection Park Fee _ . _. O€her(specifi�i) _ , �alculaterl By: . _ 5 t�are foota e $ er uare Foata e : Basement X .: _ . � 1�Floor X = � 2"d FIooT '; X = � _ Garage �C - $ � Estimated�Construction value: � 3�1,1 SC'O°�' C�rono lnspe�tions Rre�uired �Uork i2equir�ng Separate Permits Required State Permits - � Site " �Piumbing � ,Grading i Filiing � Well : 0 Hardcover Removai �1Vlechanical a ;Fire " �'�lectrical fl FoDting � Septic � UVater Connecti�n ' , � Poured Wall � :Fireplace � Sewer-�onnectic�n -� Fountlation Survey >� Masnnry � Lawn Icrigation ° �I F�adon Rock$ed � l�lfg. ;}3'Framing � 'Dther'(specify) ,y0�lns�lation . � �1s-Built'Survey ,;,;��inal 0 Qfher��pecifyr) REN1ARKS:�in-�ic�use): !�#her R�evieyr: Fteviewed by: �ate�4ppr�vetl: ' Access:Existing: "� 'YE5 L3 �O New: �� YES � �ID REMAR1Cv(TO BE:NOTED CEN PEi�MIT�►�1�;J1�11TlALLE�BY PEitSflM'PULLING PERMIT) `Updated: 09/1112QU9 z:�fnmistptan review checklist.doac DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 i ❑ D£MO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ 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 ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952) 249-46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice