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Home My WebLink About2017-00104 - addn/remodel/repair _ CITY OF ORONO * z 0 1 7 - 0 0 1 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3414 LIV[NGSTON AVE PIN : 17-117-23-43-0023 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 002 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 170.34 BORG,CARL&CAREN PLAN REVIEW 110.72 3414 LIVINGSTON AVE STATE SURCHARGE(VALUATION) 4.00 WAYZATA, MN 55391- TOTAL 285.06 Payment(s) CEIECK 13148 285.06 OWNER BORG,CARL&CAREN 3414 LIVINGSTON AVE WAYZATA, MN 55391- 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 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 l80 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 I � � ,- revoked at any time for due cause. 1 � �� ) / � `j'�� J� � rk ' �C�t/ � i\ C:(,(�,L � � �-�C �-�� %/ j-� 1�-�-' Applicant Permitee Signature Date Issued By 5ignature Date . City of Orono Building Permit Application for Maintenance / Replacement / Remodel — R+��i�entialBN�Y � (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O MailingAddress: permitnumber: oZD�''�lb �► �� PO Box 66 Crystal Bay, MN 55323-0066 � Date received: �—� ��7 � � Street Address: �� Received by: � � G 2750 Kelle Parkwa d,'��, ��, � Y Y Plan review fee: � � Orono, MN 55356 �XFSMO�'�' �+ __ Total Fee: p� O 5�� 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: � V I I') � � ��P� Will this be a Parade of Homes, Remodelers Showcase ome or other isplay Home? Yes No If yes,a special event pem►it is�equired with Police Department and City Council approval 60 days prior to the event Shuttle bus senrice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted e+rents will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �ci�ie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Carl Borg Phone (day): 952-529-0531 (cell) Address: 3414 Livingston Avenue City: Orono ZIP: 55391 Email and/or Fax: cborq[a�iuno.com PROJECT INFORMATION: Overall pro�ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) � Remodel ❑ Fire Damage MCWD review 8�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(speciry) ❑Siding ❑ Other. (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ 8000 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 the information the a lication ma not be issued. Applicant's Signature: Ca�l Bor Date: 2/03/2017 Owner's Signature: Carl Bor Date: 2/03/2017 Last Updated:January 2016 , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS f►ddress: ��! � �!I/'1�'l��j�mh �j/Q Permit No.: ,��f �� "" Description of work: Date Rec'd: Septic review by: J��' � ��Q% Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � 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 � o Date of Survey: Revised date ? : Landscape plan submitted? � Yes � No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S W ) ( N 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? � Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the owest proposed Slab at or above grade— START WITH floor(of the basement or rawl space)and measure from hiqhest existinq the highest point of the oof. rp 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 IPPED ROOF(no Slab below grade—measure (BASED ON windows): ubtract half the distance from highest existing grade to the ROOF TYPE) between t e highest point of the roof hi hest oint of the roof. to the lo point of the corresponding If you have a... gable or ipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABL OR HIPPED ROOF(with (BASED ON (no windows): Subtract half wind s): Subtract half the distance ROOF TYPE) the distance between the � bet en the top of the highest highest point of the roof to wi ow and the highest point of the the low point of the ro f corresponding gable or hipped roof • L OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF ansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subt ct the distance between the half the distance between (BASED ON bas enUcrawl space floor and the the top of the highest EXISTING hig st existing grade adjacent to the window and the highest GRADES) fou dation 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 Average Lakeshore Setback • Shoreland District MCWD Permit Met? Bluff � Yes 0 No Permit Number: 0 Yes 0 No � N/A � Ye No � 0 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 SAC—Number of SAC Units Other(specify) (/` Square Foota e $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ (y��t/ Orono Inspections Required Work Requiring Separate Permits 0 Footing 0 Site Plumbing � Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire 0 Foundation Survey 0 Hardcover Removal � Septic � Water Connection � oundation Waterproofing � Other(specify) � Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation � Mfg. � Landscaping � As-Built Survey � Other(specify) Final � Lathe Required State Permits 0 Other(specify) 0 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 raviow nc�r4licT 1(1_9MF rinrv � � r = �� i`.�• ��. � �'" u , �._ � 3 ��S Y ♦ � _......�`�.C"w+ �a"' t � .�-- ' w.__..._.,.._,��..��..__ v .�d�.. .�._,.,. w... _�� . ._�...�� d.n_.., ,. �u _�.._ . � �� _. ��.. , . � � ,�_..�. . �..�__. t.� �..�.�,��.b.._..�__,..� , � �CN (S �i"LLT�tl. `'"'` � � 1 � c Q�. � 6a �� E � I � ShSGt��cl'�C;0:?CO^:^:EC i�D T��A�C�t�:G�- ` �i`" i _rTr� � ; i�;G o�uic�c��r�=�;��-rr�„�,�,;�u�;ie�ir� , i �LEEPIi�IG P.Rc�'.S.�e �� .._ �� a�_ �y �. �. i...� .. . . �,- ,�t_� ��,�� " R � 3�'�"`�L.��.7 �� B��' �� tl a 5 0�� Y � � � ,:�-. � � F��: �f:� , � �=� �� ,�-; 3 N t� �` '�� 2�" �.�=:'�s. �� ` : U��",� i��—I g�� EXHAUS� FP s�oE _ � � ,„, �� , �.:�:C��y—i� = NT D�R��T�Y�uT �'� �v � i 2�" t��:�. � � ; � � ..�� ..� T r ` � 5.� �`:�. � t � ,� ��a :.�s�1�1 , G � �� t � 'c.��-s��T �� ;.,�» ��;�;�; ,_�.�� - �- ; �. .�� ; �� e ��a. _...-��. _ � �.: �� ,-��;�� . ; I e � �� t y : ��c..�-►� �� .� �� ..�� .� � �, �, _ � ..� ��.�...r..�. ��. ,�� _ � �w� �.��_.��.�_� _� , � �.� ._ � __ _ _ . � �__ _ � . I�,e, - � '► s v�Q�'�e u�R l�s r� 5 %f d v �e��G' S I,� ��Bm U 5 �`'.� ,V S /�r�1 ��°� fl t� �w�.�1 c v' / � R�view��c! for Co�s Co�;��ia�ce C��y Qf()rono Carbon monoxid� d��ector required within 10 ft. of p�� l all sleeping rooms. R�viEv�<�r ;� �� DATE TIME � CITY OF ORONO �D IN �� INSPECTION TICE V � I/ SCHEDULED �- � �l ��f'j�� ERMR NO. i -�-CL", C, r COMPLETED ADDRESS =3 � � `I I i t' i ]'1<i ��`�- � /�"�:`e. ��7 �s�/-� OWNER TELEPHONE NO.--, .�f/� CONTRACTOR �� =� '' � - �-J � 1 DESCRIPTION /- //�C� / � c�c_✓ � �-f i C-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 � �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SUHVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ E IC INSTALL v i OWNERICOKTRACTOR TO MEET YiOU:_ _NO � COMMENT'� E��G- �t�<iG " �"3� "�LI � O �/'I?iGrioi rC.yv�6CQ�� '� ��l ��y�G�-��+'�.S a L'�D��- '� � � ' L r�s5 - d � - �, �. d C . �_ .G�CGLOrS � �� 2 _��o�i� / G - d - �c ��ec�or � -�. L. L, � /�o NC COc.�J �G� LJ r�G� �Q '. � C�fr�� b � � f�IC/M.0 ��E�� WORK SATISFACTORY:PROCEED FtOJECT COMPLETE � �GQeRECT VMORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY �: ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINO PERMANENT ❑CORRECT UNSAFE CONDITiON WRHIN H��• ❑p►�pTO TAKEN iNSPECTOR WILL RETURN O 3TOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cefl tor the next inspection 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector: YVhite CopyAnspector's Flh Cenary CoprlSlb Hotk� ,-��1 ,� �,_ � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE r r�l��j SCHEDULED L `- "1 PERMIT NO.��( -1 � t.� � COMPLEfED ADDRESS `� � . (<. OWNER TELEPHONE NO. � G" �� j 3�Y� CONTRACTOR 1�-�"`�� --'�x'�-��' � DESCRIPTION � � �� J u ( �t7 G� ��{ ly ❑ 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 _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEP IC INSTALL 2 OWNERlCONTRACTOR TO MEET � YES_NO v�i COMMENTS: e � Po��-� W C��J'� �� r4y �oar�- i KS�-px � � f�!/s -� -f'/a�� - 0 �. � ° - G�a l,K f -c�K�S�IrlS W � � � /'a S�o �c�A � � 2 � � � 5 ��s ��c�oae�2 � c�e /�•�5 �r.`, �las�- �,a�s Q.o�,� � I./J. C. -� /�� rs 6� a G,a r/'�G � 7fs Gc��. W� ❑ RK SATISFACTOFiY:PROCEED ❑ PROJECT COMPLETE C��RRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on gite: Inspector. White Copyllnapector's File Canary CopylSite Hotics �� DATE TIMEL� CITY OF ORONO CALLED IN � INSPECTIO OTI. ' rscH�uLED �� PERMR NO �`f'CDMPLETED ADDRESS �C� [L.�I �V(.,R�'��/� �� OWNER TELEPHO E NO. ��C"�� `�"� ► � CONTRACTOR � DESCRIPTION � � Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC AL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNQVCONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: � �� o �� — O � ��✓G_ ��, ��.. , �h �' — � n � � l' �--J � S a w l,/ � O � � � Q � � 2 � W 0� � � � ��K SATISFACTORY`.PROCEED �PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REdUIRED.CALL TO ARRANGE ACCESS. can ro��eXt insPect�«,za no�,�s in aa�►ence. (952) 249-4600 ownerlConvaceor on ite: Inspector: �b � � YVhiM CoPYnnspecto�'s Flle C�n�ry CoPY1Slt�Hotics