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Home My WebLink About2014-00157 - addn/remodel/repair ~ CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 4 - 0 0 1 5 7 * DATE ISSUED: 02/26/2014 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 - ADDRESS : 75 LEAF ST PIN : OS-117-23-11-0014 LEGAL DESC : GRAHAM HILL PRESERVE 3 : LOT 1 BLOCK 3 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 80,500.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) BASEMENT FINISH APPLICANT PERMIT FEE SCHEDULE 914.25 STATE SURCHARGE(VALUATION) 40.25 BOYER BUILDING CORPORATION TOTAL 954.50 3435 COUNTY ROAD 101 Payment(s) MINNETONKA,MN 55345 CHECK 47200 954.50 (612)475-2097 Minnesota State License#: BUIL-2988 OWNER KAPSNER,JASON&JULIE 75 LEAF ST LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 goveming 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 aze requested in conformance with the State Building Code.This permit may be revoked at ime for due cause. r .l �� _ �� C�/LQ--�'L� O� /al �j � ��'/ Applicant Permitee S' ature Date Issue y Signature Date (�o�'�� City of Orono �' y Building Permit Application � 5-'�.�� for New Structures or Additions Mailing Address: Permit number. 0��`-' B 4 js �,�T PO Box 66 � �v� Crystal Bay, MN 55323-0066 Date received: a�/R �—/� ' StreetAddress:' Received by: l�� 2750 Kelley Paricway Plan review fee: �p/,,�—�f�/,�fo y�`qkESHo�``G,� Main�.�952 2 9-4600 6 ' �y-Zb Total Fee: � '' Fax: 952-249-4616 www.ci.orono.mn.us T�tis�pp�ic�tum for�r��st be�r�tpieted in f�ll a�at��9[r�qttireci inforrnatian rnt�st}�e subrnitt�d.' �ncomplete aip�[�ca#ions wiJi 1�retumatl. (Please print) �� ` }�Z� GENERAL INFORMATION: r � � -;/ Job Site Address: �5 �eQ� S'� t, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No li yes,a special everrt permit is►equired with Police Department and City Council apprdval 60 days p�ar to the event. Shuttle bus service will be required unless applicarrt demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INE�RM T N: Name: V l5� :1� �. �� State License# D 9$ Expi ation Date: Phone: cell 2 fo$�- ao � office S2� y7S- ?.o� Mailing Address: 3 �c� Cit : i'h N N Klc.� ZIP: -�"-�53 V S Contact Person: ��HH Q,.�,,. Applicant is: rac� / Homeowner �c�.��o�e� Email and/or Fax: ;o�h �j�r �,� ,�C�w- �- • ✓ PROPERTY OWNER INFORMATION: Name: Sc�S oa � �Na-1� Phone(day): 5 z• y Address: '�S I.e S4r-t�" City: �✓�tD ZIP• �'�' Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: Cit : ZIP� Email and/or Fax PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal8� ❑ New Construction Water Supply ❑ Single Family with Residence ❑Addition attached garage Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation 1 � detached garage ❑ Office/Commercial ❑ Private Sewer j�'Other: (specify) p�SeN1�(�-�v) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '^"`Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�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 Estimated Construction Valuation (excluding land) � � �"`j� � i Packet Last Updated: 04/19/2013 Page 22 of 23 STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame b.Width(ft.)= Number of garage stalls: ❑ Masonry Areas in sauare feet Attached= ❑ Metal c. Basement= Detached= ❑ Pole Bldg. ❑ ICF d. 15S Story = e. 2nd Story= ❑ On-site Prefab ❑ Off-site Prefab f. %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 5500; • 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 altemative 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. • : Agaees�t in�e sverrt that a�eai��r or+ather ccrnc�itiot� �event the completic�n of an as-built s�rvey a##��ne the Certi#icate cf C}ccupancy is�quest+ed�a tsr►�porar�r�ert�'t�ate�#C1cc�rpancy may be iss�ued u�on recei�t of'a�i�l,�t� escr�vv#�a�nsur�coimpletia�of 'a�-#u�t survey and all s�te imprcr�remerrfs, _ ApplicanYs Signature: �_/ Date: Z f� � Owner's Signature: Date: Packet Last Updated: 04/19/2013 Page 23 of 23 6�'�,�,� '�� I��.� �� 6 ��.�� A�dress/Permit�EumE�er: `�s �.�'F ��• De�crBptior�df�+ork: �.b vJ t=�Z �...�d..V E t_ �!N�.5�-$ Septic �e�iew►by: � �� Date Approvec@: Zoning r�view by: Date Approved: — — Builcling revie�b�: _ _ . _ __Date�ipprovec9: Z- ZI � ZO t �{ Grac�ing �eview by: /1//I�- D�te Approv�d: -- --- r�ing District: Zoning Fi[e#: Reso#: Reso Date: �Qn g: Lot Area: SF/AC �A/id4h� Lot Coverage: _% Survey bmitted: L�Yes � No D�t�of Sur�ey: Revised e ? : �ro osed& back�: Frar�t(L�ke) �ear(Street) � � � E �fiJ j ( E� S E l� ) Othe uildin�� Wefiand Sic�� Side 63et'€nec! Height: Peatc t�eEght: FFE: FFE u� 6 feet= (Exlsting ContQur P��im�t�r([inear feet)= 50%_ #of S ries Ok? 0 YES FOR A BUILDIt�G 1l►�ITH/t BASENfENT OR CRA SPACE. The distance betwee he lowest R A BUILDlNG ON A SLAB FOU�lDATIO�t: START WITH proposed floor(of the ent or crawl space}and the highest pa of the roof. START WITH Tne distance between the top of slab and the highest point of the roof. If you have a... N you hade a... • GABLE OR HIPPED ROOF 0 e GqBLE OR HIPPED ROOF(IIO windows): Subtract half the windows): Subtract halFthe distanc� distance between the highest po' between the highest poir�t of the roo of the roof to the bw point of $UBTRACTION corresponding gable or hip d roof to the low point of the corresponding SUBTRACTION gable or hipped roof (BASfD ON ROOF • GABLE OR HIPPED R F(wilh (BASED ON e GABLE OR HIPPED ROOF(With TYPE� windows): Subtrad the ROOF TYPE) windows): Subtract hafl the dlstana distance between top of the between the top of the highest highest window the highest window and the highest point of the point of the r roof • ALL OTHE ROOF TYPHS(flat, • ALL OTHER ROOF TYPES(Bat, mansa tc):No subtraction. mansard etc:No subtracdon. Subtract th distance between the ADDITION Add the dfatance between the top of slab SUBTRACTION (BASED ON and the highest e�dsting grade adjacent to (BASED ON EXiSTING basem crawl space floor and the XISTING the foundation. GRADES) h�9� xistlng grade adjacent to the DES fou tion OR 10 feet(whichever is less). EG S Defined building helgfit EQUALS ned bullding heighY Shoreland Dist ct MCWD Permit Received Avera e Lakeshore Setba Met? Bluff 0 Yes D No � N/A 0 Yes 0 No � Yes � No � Yes � No Q N/A Permit Number: etback: St�rm ter C2u�lity Existing Proposed �/ariance Requieed CUP Require Qverl Distrect 7ier Hardcover Harcfcover � Yes � No C7 Yes o Type(s): Type(s)� Updated: January 2013 �� c y�� v\forms\plan review checklist 2013.docx REI��it�KS (in-house): Fee�ta E�e Chac ed �� 'O �ermit E Fiar� Rev�ew �tate Surcharg� - —-- - �— --- --- -- ---- ----- ------ --- -Tnves�i�ation-F�e-.---�- ----- -- --- SAC-Numlaer of S�C tlnits Other(specify) S uare Foota e $ er S uare Foota e Basement X - $ 1�Floor X = $ 2`�Floor X - $ Garage X - $ ,o a� �sfiimated Construction Value: � p�a� �� Orano Inspection� Required 11Vork Rec�uirong Separate Permits ReQu�rec� State Permits t� Site . Plumbing � Grading! Fiiling � ell C! Hardcover Removai �Mechanical 0 Fire Electrical C! Footing � eptic � Water Connection � Poured Wall �irepiace C1 Sewer Connection 0 Foundation Survey � Masonry �i Lawn Irr�gation � Radon Rock Bed �Mfg. �Framing � Other(specify) Insulation C7 Qs-Buiit Survey �Final Q Wetland Buffer CI Other(specify) REAfA�RKS (in-house): Otf�er Revie�nr: Reviewed by: Date�pproved: �4ccess: Existing: Ei YES [] NO New: Q YES C� NO OFFfC1AL REI4�{ARKS-TO BE NOTED Ot�t PERhRlT AND IMITiALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO..�C��LS 7 COMPLETED �y ADDRESS ,ZS Lc�.e�� c�t - OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Q �RAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z O INSULATION ❑ WOOD BURNERIFIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: W oK � L�� . FrlrH ��rc ' � � o � C�^l/.9`'/�h, — �X'!�'/�iS �. � ° - �o � � • !�- 2� ' � • dv ' le r c c ' .�s d.,. Q � 2 � d l� '�d �a(JC✓ .11��Q� �l�c., /�_ .�- j �`� �� 0 W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectic�24 hours in advance. (952) 249-46�� OvmedContractor on site: �J�� Inspector: ` White Copyllnspector's File Canary CopylSite Notke �C' _"' 1 DATE TIME ✓ CITY OF ORONO CALLED IN — O INSPECTION OTJCE SCHEDULED — ` //_• rJZ7 PERMIT NO. � COMPLETED ADDRESS /5 �Q-il OWNER E HONE N�s�"y��'�'�Ol� CONTRACTOR � �, DESCRIPTION ��'L��C - ��'�i`e/� �(�� ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG y ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL � ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL /�L�F`��FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO L V) �+�MMENTS: , � � r � � � W � r� - b � o � e � � �. o� ° Lr/�f,� C�s�.�,m��c W �C Q z _ �e''w►�rt �ivc�� W � j O W� ❑WORKSATISFACTORY:PROCEED `�ROJECT COMPLETE W O CORRECT V1fORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINC, PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call brthe next inspection 24 hours in advance. (952) 249-4600 OwnerlCartractor on site: Inspector: ` ite Copyllnspecto�'s FHe Canary CopylSfte Notics