HomeMy WebLinkAbout2017-00304 - addn/remodel/repair ► S CITY OF ORONO * Z 0 1 7 - PJ 0 3 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: 04/04/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 465 LINDEN AVE
PIN : 06-117-23-41-0109
LEGAL DESC : LINDEN WOODS
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTNITY : 434-RESIDENTIAL
VALUATION : $ 26,605.00
NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
NEW LOWER LEVEL BEDROOM AND BATH
APPLICANT PERMIT FEE SCHEDULE 456.25
STATE SURCHARGE(VALUATION) 1330
NEIGHBORHOOD BLDG& REMODELING TOTAL 469.55
10024 M[NNETONKA BLVD
MINNETONKA, MN 55305- Payment(s)
(952)933-7673 CREDIT CARD 8876 469.55
Minnesota State License#: BUIL-BC003096
OWNER
KADUE, BRADLEY&EMILY
465 LINDEN AVE
LONG LAKE, MN 55356-
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 l80 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 ca
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Applicant Permitee Signature ate Issued B Signature Date T
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' City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�ci O Mailing Address: ��� �?�
r��' PO Box 66 Permit number:
r �� Crystal Bay, MN 55323-0066 Date received: �'�J�—
1 Received by:
1 Street Address:
y�, G� � � 2750 Kelley Parkway Plan review fee: ��/�`�
!�'�fSHO�� � Orono, MN 55356 ,�p�9��sfj
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: �j f �/ , /�j�� l ��
Job Site Address: �t� ,� ��� G e
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. Shutt/e bus rvice wi/l be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: � // _ � /
Name: /�l��C�/�����1'�?�.�/� �U/L�/�CC CJ � `'c��J�� Cl�(C� �c�o
State License# �� Expiration Date: �-i,�'— !�
Lead Certification Number: �/�7�; L�l� � . Expiration Date: � - ,�1 1 �
(for work on homes that were constructed prior to 1978
Phone: (cell) �/a - (�� - d(� �� (office) v�.—�j33 — G a73
Mailing Address: Q ,v,,/ T��//�,¢ � `�j . City: �/ �� ZIP:
Contact Person: ���jC p�� ,�,�� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �62C� (c� ��J�� Gij�jC/G� .�,t�
PROPERTY OWNER INFORMATION: '/
Name: ��1�.. 1�iQJ.�U1�
Phone (day): • ::� � •-- �?-- � �
Address: � L/�/j���,/ /,�Y�. City: a�L��� ZIP: �J �c��
Email and/or Fax: �� �t, ��,�_ �� ���,y1
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PROJECT INFORMATION: Overall pro ect description: ��C� �•�• ��QM• £ �A-1/� �RD/ti( �,�/r1• �M•
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) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ �"-'
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 a ually update our records and records of other governmental agencies required by law. If
ou refuse to su I e infor tion, e a lication ma not be issued.
Applicant's Signature: `�`—-" Date: .3 - Z 3 - ��
Owner's Signature: ��� Date:
I ac4 1 Inrl�4cr1� lan�mni 7(11R v
' � ' ����� ��� Revievv�d for Code
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1/2" °�pi�a��e Cif�r o��rono
13'
8'-0 1/4"
2'��s6YiMIA�L TO LL G E)
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� - - 2"Xb"ENERGY WALL ON FOUN ION(ABO G - RENTLY SOLARIUM
INSULATED ROOF OVER WINDOWS(GURRENTLY SOLARIVM)
PELLA EGRE55 WINDOI^i5 2"X4"INtERIOR PARTITION lNALL
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�` NEIGHBORHOOD BLDG.& REMOD.GO. I =;` I
� :'�- LIG.#3096 I ��;,� I
I •': GONTAGT:JEFF DONEGAN
GELL:(612)26"i-O680 � `•.� �
� KADUE RESIDENGE
EXISTING WALLS 465 LINDIN AVE.
NEW NU+LLS JOB:NEW L.L. BPD RM.&BATF+
� FROM FAMILY RM.
• � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
, ,
Address: �/ �'� �� i�11��<l. �C� Permit No.:
Description of work: Date Rec'd:
� „
Septic review by: ��r,7�C;U� �-t,���i�� Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: � y, 1 �
�
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Co rage: SF %
Survey Submitted: � Yes � No Date of Survey: Revised date ? :
Landscape plan submitted? � Yes � No Landscaper:
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FF : FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade
Basement? 0 Yes � No, Stor es
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lo e t proposed Slab at or above grade—
START W ITH floor(of the basement or cra pace)and measure from highest existinq
the highest point of the roof. rg ade 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 00 (no Slab below grade—measure
(BASED ON windows): Subtract alf the istance from highest existing grade to the
ROOF TYPE) between the highes point of he roof hi hest oint of the roof.
to the low point of t e corres nding If you have a...
gable or hipped ro f SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPP D ROOF( th (BASED ON (no windows): Subtract half
windows): Subtr ct half the dis ance ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and th highest point of he the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER OOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc:No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distan e between the half the distance between
(BASED ON basemenUcrawl sp ce floor and the the top of the highest
EXISTING highest existing gr ,e 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 •
Met?
0 Yes 0 No Permit Number: � Yes 0 No 0 N/A � Ye No �
� N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one °/o and sf % and sf
0 Yes 0 No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Perm it �'
Plan Review a
State Surcharge �-
Investigation Fee �/
SAC— Number of SAC Units ,/'
Other(specify) �-
Square Foota e $ per Square Footage
Basement X = $
1 S� Floor X = $
2nd FI00� X = $
Garage X = $
Estimated Construction Value: $ ��-f', �p�V .'/
Orono Inspections Required Work Requiring Separate Permits
� Footing � Site Plumbing 0 Grading/Filling
0 Poured Wall � Silt Fence/Erosion Control Mechanical 0 Fire
0 Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection
0 Foundation Waterproofing � Other(specify) 0 Fireplace � Sewer Connection
Framing � Masonry O Lawn Irrigation
� nsulation � Mfg. � Landscaping
0 As-Built Survey 0 Other(specify)
Final
'0 Lathe Required State Permits
� Other(specify)
� Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
� See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
�•\fnrmc\nlan rovio�ni rharklict 1(1_7(11F rinrv
� �
T /� TIME /
CITY OF ORONO CALLED IN 7 ��
INSPECTION N TIC��-7� SCHEDULED �- �7-/ ;7 -���
PERMIT NO. � ��J�C MPLETED'
ADDRESS �
OWNER _ TELE���I�E .z� � "��
CONTRACTO �!
� DESCRIPTION J " �-"`-'�
l~1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
��\FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 [� A�BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERK:OI�ITRACTOR TO MEET Y�OU:_YES._NO
� COMMENTS: � L i� � ' ,A
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W ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISS�E CERTIFICATE OF OCCUP/1NCY
W
0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advanoe. (g52) 249-4600
OwnerfContractor on site:
Inspector:
White Copyllnspector's Flla Gnary CopylSfts Notks