The URL can be used to link to this page

Home My WebLink About2016-01047 - addn/remodel/repair � � CITY OF ORONO * z 0 1 6 - 0 1 0� 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1820 LAKEVIEW TER PIN : 27-118-23-42-0012 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 45,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) MAIN LEVEL REMODEL APPLICANT PERMIT FEE SCHEDULE 659.47 STATE SURCHARGE(VALUATION) 22.50 D B RASKOB CONSTRUCTION LLC TOTAL 681.97 2864 ARDMORE AVE MAPLE PLAIN,MN 55359- Payment(s) (763)479-1393 CHECK 17842 681.97 Minnesota State License#: BUIL-3481 OWNER KOKESH,DAN&JAMMIE 1820 LAKEVIEW TER LONG LAKE,MN 55356- AGREEMENT A1vD 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 conshuction 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 afrer 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 � e for due cause. � <�� -�" l� � ;' ,.� � �,� �' � � � � � � A icant Permitee Signature Date Issued By ature Date , . 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: Q� / —d /� O PO Box 66 ,�� Crystal Bay, MN 55323-0066 � Date received: �Z�� q�o �.��Sfreet Address: q Received by: y � � 2750 Kelley Parkway �1� Plan review fee: , �tqkFSHo G ,� Orono, MN 55356 (' D/D �� 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: / l •Job Site Address: ��` % � ! ��'v �.�-� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No /f yes, a special event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shuttle bus servi e wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORA/IATION: 1 Name: �Av i D rZqS (<d� �� .,��<�� G��ivS�.ecy�7l en� �. L- �, State License# 3� � � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed rior to 1978 C� Phone: (cell) , j�-- �f (�j� "6d (office) � d,�-- `��5��,� /--� Mailing Address: � � ( c.� �,,�o(`y, � �r-� City:�� iy✓�C; ZIP: Contact Person: /� L'� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: d b�c,S C� ,� �.�, � Gd ly� PROPERTY OWNER INFORMATION• � Name: ��Q rv 1,[.� �C��I�-y,, �� Phone (day): jr�-� �/� ��.Js�.� Address: l��,�j Gc��, �j p�,�� ,Q,M,(f�1Z, City:�/'L��'lJ C� ZIP��..�.�6 Email and/or Fax: PROJECT INFORMATION: Overall project description: 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) ,�J Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www minnehahacreek.or Estimated Construction Valuation of Project(excluding land) $ j 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. If ou refuse to su I t ' formation,the a li 'on ma not be issued. Applicant's Signature: Date: �y-L� ! ( � Owner's Signature: Date: Last Updated:January 2016 �� c ' 4� C.y / �K iC/(/ (, . - PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ��JGJI'! �GL�e�l eGv !-Cr/�G�`Pi Permit No.:�`(O " d/�'T� Description of work: �Q'(/� /Ki!/'G� °�./�?dt�'�( Date Rec'd: Septic review by: YV� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: l l Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes � No Date of Survey: Revised date(?): Landscape plan submitted? � Yes 0 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? � Yes 0 No, Stories 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 W ITH floor(of the basement or crawl space)and measure from hiahest existinp 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. (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+ � M et? � Yes � No Permit Number: � Yes 0 No � N/A � Ye No � � 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 Charged YES NO Permit � Plan Review State Surcharge �' Investigation Fee v` SAC— Number of SAC Units (/ Other(specify) Square Foota e $ per Square Footage Basement X = $ 1 S' Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ ��'�'t/ ~ Orono Inspections Required Work Requiring Separate Permits Footing ❑ Site Plumbing 0 Grading/Filling ❑ Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire 0 Foundation Survey � Hardcover Removal � Septic 0 Water Connection 0 Foundation Waterproofing �Other(specify) Fireplace 0 Sewer Connection Framing ��' '',� J� Z,� �� ❑ Masonry � Lawn Irrigation Insulation �� Mfg. ❑ Landscaping � As-Built Survey 5C� (�� ❑ Other(specify) Final � Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � 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 �•lfnrmc\nlan rovio�ni rhor41ie4 1f1_9MF rinrv �i � � � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�CE SCHEDULED �[��' �> PERMIT NO.;�� '��1 COMPLETED ADDRESS � SC ZCJ C� I��LI ��.;�� Z-PlT OWNER TELEPHONE NO. �=' Z ��S ��' � CONTRACTOR �✓� Q�� DESCRIPTION �V�C�.i'1'\ %i'�C.l 1�,� �T"C�l" C�h ly ❑ FOOTING ❑ DEMO-FINAL `� ❑ SEPTIC FINAL 'yyI�'�,-.�� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FI�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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �/� ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL 1'/ ��,r� �� "�,�,�,� ��„ 2 OWNERICOMRACTOR TO MEET l^OU:�YES_NO �� I �� i�G-:�,5 �v c�., COMMENTS: '�^ � '� � vt�l �`-� ' o �„ �, n� r-C ss JrQ, _Sv �� / � ��,v� ' G e- ?�' , n� v aC C- Or I� Y Y! r . . Vv l� ' . � L.� � �M Z � "V /' W � ) ,. � Q � '" � �.�� ..� r�,N`1' c � LJ�rT i.iv � :✓� U�-✓ -� J t/.S ��'� ` ^ l � � j -� �- ,,.�,� �r�� /l� ��r�c.�v��ti� � , � �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 br the next inspection 2a hours in advance. (g52 j 249-4600 OwnerfContractor n site: Inspector: ��"� • White Copyllnspector's Flle Canary CopylSfta Notics �.1 DATE TIw1E � CITY OF ORONO CALLED IN � � INSPECTION N E /"� SCHEDULED PERMIT N � �'v�� COMPLETED nooREss '� ZU �� Vt�.�e fru C� OMINER TE PHONE NO �� `►�'� CONTRAc'toR �I� cC�S�� DESCRIPTION ��`� ,� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVKiRADING/FiLLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING F�NAL ❑ TREE REMOVAL Z ❑ RADON SLAB � MECHANICAL RI ❑ SITE INSPECTION Q � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �NSULATION ❑ WOOD BURNER/FIREPLACE �COMPLAINT INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z R TO MEET VDU:_YES_NO � COMMENT� r 4 -- 1�� 1 �.-� a- �/H. ��- ��i�.�r O �n , G � G�e +' ��v� ✓i /�v,�n. {S � S�GL Q G � 4.]i n, �`!9-�.� 3��1.4-C .. � W 0� � Q ` � v W W � � � � �� IOf�C SATISFACTORY`.PROCEED O PFIOJECT COMPLETE � O OORRECT WOFiK a PROCEED O ISSUE CEATIRGITE OF Ot�CUPtl1NC11 0 ❑OORRECT WOFMC.CALL FOR REINSPECTION TBAPORARY V BEFORE CCVERIN� PERMANBdT ❑OORFIECT UNSAFE CONDITION WITHIN HOUR3. p PHOTO TAKEN INSPEC7OR 1MLL RETl1RN ❑STOP ORDER P�8TED.CALL INSPECTOR ❑CITATION I&SUED ❑INSPECTION REQUIRED.C/►LL TO ARRAN(iE ACCESS. caa tor n�e next tnspectio�24 nours in sd�►anoe. (952) 249-4600 � p b�, nspector: wlaa CopfdMsnecto�'s Fu. G^��p Cov�fB�Noqa � � --_-- — _ CITY OF ORONO V CALLED IN l Z��;C� TIME INSPECTION TICE _ ,/ SCHEDULED I�� / /�' � PERMR NO. ` �<<�`t �CO PLEfED ADDRESS ��-�--- OWNER EL O E NO. �� CONTRACTOR � � �� DESCRIPTION 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCOKTAACTOR TO MEET YW:_YES_NO � COMMENT'� W � � " n. -� �1 �.. o - �w � c= �` C� �. � o � ��, W +- � Q � W W � � J a ❑WORKSATISFACTORY`.PROCEED V�ROJECT COMPLETE W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCV O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COWERIN(i PERMANENT ❑C:ORRECTUNSAFECONDITIONWITHIN H��• ❑ pHpTOTAKEN INSPECTOR WILL RETURN D STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED O INSPECTION REdU1RED.CALL TO ARRANGE ACCESS. Caq for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra��it� Inspector: "� Whib CcP1�Mapector's FlM Gnary CoprlSlb Notice