HomeMy WebLinkAbout2015-00537 - addn/remodel/repair CITY OF ORONO * Z 0 1 S - 0 0 5 3 7 *
2750 KELLEY PARKWAY DATE ISSUED: 05/07/2015
. ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2850 LITTLE ORCHARD WAY
PIN : 09-117-23-21-0007
LEGAL DESC : LITTLE ORCHARD
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL '
VALUATION : $ 30,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL,ELECTRICAL(STATE)
(REMODEL GUEST HOUSE KITCHEN&BATH)
APPLICANT PERMIT FEE SCHEDULE 490.10
STATE SURCHARGE(VALUATION) 15.00
SWENSON,JAY TOTAL 505.10
2850 LITTLE ORCHARD WAY
WAYZATA,MN 55391- Payment(s)
CREDIT CARD 4300 505.10
OWNER
SWENSON,JAY
2850 LITTLE ORCHARD WAY
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
5tate 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 any time for due cause.
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,.;� ;�, � �--� �---y-t c-e-P/�- �j, l, ��S
App icant Permitee Signa re �- ate Issued By Signature Date
05/07/2015 TxU 1a: 20 Fax 555 5555 Equua Computer Syetem� f�001/003
, City of arano
� Building Permit Application f�r Malntenance / Replacement I Remodel
(i.e. windows, doors, siding� re-roof, etc. — NO STRU�TURAL EXPANSIQN)
Mefl/ngAddress: Permlt number: �Z � �S�—G'G J� �-�
Pa Box fi6
�Q Crystel Bey, MN 55323-OOBB Dete recelved: 'r'..� —' � "'�S
StreetAddress: Recelved by: L._�
�F L�' 2750 Kelley Parkway Plan revlew fee; � �O��
�, Orono, MN 55356
��f�HO� Total Fee: 5Q � < < b
Maln; 952-249-4600 Fax: 952-249-4�16 ,y�w,cl,orano.mn,ufi
This appllcatlon form must be completed in full and all requlred lnformakion must be submltted.
Incomplete appllcativng wlll be raturned. (Please print)
GENERAL iNFORMATION•
JobSlteAddress: ��� L_i"��lf ��'L.�ndv���Q �+
WIII thla be a Parade of Hom�s, Remodelers Showcase Home or other Dlsplay m�? Yea o
n yaa,a speclel event parmlf Is rroqufrod wlth Po!!ee DepaMment end City Counep approva/60 days prbr to the event. Shuftle bus servlce wlll be
required unless applJoant damonatrates suAYclent an-slte parklna!a avallable. Non-permitted eventa wll!nat be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name� �;1 f� CiV-�l�S O "�—
State Llcense# Expiratlon Date:
Lead Certification Number: Expiration Date:
(�or work orr homss that were constructed pr/or to 1878
Phone: (cell) � d . (office)
Malling Address: � � , City: ZIP:
Contact Person: Applicant is: Contracto / omeowne �c�rca on•�
Emall and/or Fax� c�. ' � C'Ca�
PROP�l�TY OWNER INFORMATION:
Name: � vl '��,�Jt?�n.��1n
Phone (day): � SZ��d-p '� Q�'3 c�
Address: ���'j L���f�{ (�jv'�(•�P�� (i(�CC ti Clty: w(j Vj 2 ZIP: ,�'��f'
Emall andlor Fax� � ,� . � ��.h �o��•��� l�C�
PROJECT INFORMATION: Overall ro ect descrl tlon: v
Type aF ProjeCt: Any ea�Ch movement may also req r�
❑Door(s) �Remodel ❑Flra Demage MCWD revlew�permlts:
❑Re-rqof,e9phalt [J RePafr ❑Starm Demege Mlnnehaha Creek Wetershed Dlelrfct{MCWD)
18202 Mlnnefonka�Ivd
❑Re-roof,Cedar ❑Restoratlon ❑Water Damage � Deephaven,MN 55361
❑Re-roof,other(apeclfy) ❑9iding ❑Other:(specify) Phone: 852-471-0590
�ax� 652-471-0882
, ❑Window(s) www.minnehahecreek.ora
Estlmated Cvnatruction Valuatlon vf ProJect(excluding land) � r�c�� U �1'� __
i APPLICANT ACKNOWLEDC3�MENT:
. Agrees ta pravide all inform9tlon requlred or requested by the Building Depertment;
• Certlfles that the Inform8tlorl sUpplied Is true and correct to the 49si of his/her knowledge. The appllCant recognlzes that they are
solely responslble for submltting a completA appllCation being aware lhat upon failut0 io do so,ihe staff has no altemative bUt l0
reJect it until it is com�lete;
. 5ome or a!I of the informatlon that you are asked io provide On thls appllcatfon Is classified by Stete law es �Ither prlvete or
� ConfidenHel. Prlvete data Is Information which generelly cennol be glven to the publlc but can be glven to the suhject of tha data.
Confldentl�l det& IS Irlformatlan whlch generally cannot be given to either the publlc or the subJeCt ai the data. Our purpoae and
� Intended use of thls Informatlon Ig to annually updete our records and records oP other governmental ag8nCl98 requlred by lew. If
� ou refuse to au Informetlan the Ilcatlon ma not ba Issued.
� Applicant's Signat�ire: Date: J� � �2�l
Qwner's Signature: Rate: �" / r ���
L�sl Updaled:January 2015
�
E�L�� �E�l�� ��E��:�.6�� ��� ���V ��'��GT��E� � �.t�[��TtQt��
Addrsss: _ ����� C.t�'7'L tr i��2�i f� W� Permit Ho.:
• Descriptian of work: '�1r��1�c� Date Rec'd:
Septic rsview by: _�V t ✓� Date Approved;
Zoning review by: 1$ Date Approved:
Buitciing review by: '� Date Approved: S'�- �_�
Grading review by: N/P� Date Approved;
Zoning Dfstrict: Zoning File#: Reso#: . Reso Date: :t��'
Zon ,g; Lot Area: SF/AC Wiclth: Lot Coverage: `� o�o
Survey ubmitted: �Yes C1 No Date of Survey: Revised � :
: Pro osed backs: �
• �
Front{Lake)� Rear(Street) { N S E 1N ) ( N S E W .) Other uitdings Wetland
Side Side
; ..
, Def�ned Height: �'`4 Peak Weight: FfE: FFE �s 6 feet= (E�cisting Gorrto�
� ;
Perirneter(linear feet)� '�``�-,� f 50%= L.F. pelow grade #of'Stbries
FOR A SUILDING WIT�t A BASEMENT OR C � L SPACE: FOR A B LDIhlG ON ASLAB FOUNDATION:
distance th9 Ibwast proposed
� .� The distanoe,betweeo iMe top of
START W ITH :floor(of fhe ba er�e or arawl space)antl S7ART WITH: � .slab and the hi�hest poitit tif ftte
' the highe5t pol�t o#tl�e . roof. ` , .
' �` - If you have a..; . If you have a.... .
• GABLE qR NIPpED R0 (no ' • GABIE QR HIPPED ROOF
wintlaws): SubSact half the sfance (no wil�tlowsl: Subttact#�slf
between�he hip(�est Point of the dlsfance between q1e
to the lovVpoiM ot,the rArre highesf Pblrstof,3he�ioof f�
• 'SUBTRACTION 9able nr I�fpped roof 'the lowrpwtif�f fMe`
correspondi�g gable or
(B/�9ED ON . GABLE(�R 1-11pPED ROOF 511�TT�A�TION1 � hipPed(c�of
^ I�E30F TYPE) windows�: SuMract hai#tti distance (Si4SED ON . GABLE QR�FIIP.P.�O'ROEQF,
, � between�he top of th�Y3 est �� � ROOF IYPE� . � {wi�h�!titindow�);:Su6tract .
windOw a�d tlie hiqhe ,ppi[M of the "4. �h8l�the'di�ah+De;`betinrean
roof � : the,t¢p�f�e,Htgh�s#: .
• ALL OTH�R RO TYPES(flat, �nnndovi�at�d.#�e,firghest ' . '
: mansard.�. ): subtractfon; , . .pWtt{of the foof�; -
� . SUB1'F.2ACTIOM; S�btract the di 'be{ween tlae • -{A t m�nsa d t�c NT�!P��
.(BASED ON basemenUcra pace floor an�the.
.�n ,8
. EXISTING highesi ezisU �ade S�dJ�cent to!he AD[�171� ddthe distance�etweeh the t�,p
' GRi4�ES) f�wndatl�n �fe�t{wh�chever is le,ss). SED ON :" ot"slab.�ind tlae hi hest zAe sti '
� 9 �
EQl1AL3 Defl ildl helght. � .T!��a gy8tle adjACeht to Y�i@�ftiundatioi�:
� �. .� '� � � .� � ' � � � � � :� � � � �UAL ° � `Ctefin�rd buf� in �
W �ltsi�ht ;
� "s
9hoteland Dlstr�ct .M�W[)Permi# Average Lakeshirre S�tbaCk
_ _ Il��t?. �� `�uif ���;
� Yes � : G o Permit Number: � Yes C7 No G N/A -: Yes, :ti iVo
�l WA-se� attached Se�ba .
� Stormwater ual�ty Existing Hardcover Proposed . : -
Overlay j�strict Q Hardcover Variance Re uireci
Tier circle orte. .� (/o and s� 0 4 ; CU�Req ' ed
/o and s-
� � Yes tE No 0 Yes O
1 2 3 4 5 TYPe(S). Type(s):
,
` Updated: January 2015 �`,
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REMARKS (in-house):
Fees to be Char ed YES NO _
Permit
Pian Review
State�urcharge
Investigation Fee
�AC-Nuranber of SAC Uriits ,
Other(specify)
S uare Foota S r S uare Foota e
Basement � _ $
�8t Floor X = $
2"�Floor X - $
Garage
X = $
Es�imated Cvnstruction Value: � �� ���
Orono Inspe�tions Required Work Requiring Separate Permits Requ�red State Perrnits
O Site 1umt�ing L7 Gradingl Filling � WeU
0 Silt Fence/Erosion Confroi � echanical � Fire Eiectrical
t7 Hardcover Removai � Ssptic O V1later Connection
f7 Footing , �I Fireplace p Sewer Connection
;� Pour$d Wall C] Masonry � tawn icrigation :
� Founda#ibn Survey O :Mfg. C! Landscaping �
� Founda#ion Waterproofing C Other(specify) :
0 Radbn Rock Bed
,�Frarriing `
�Insulation
p As-Built Survey, :
fd�Fihal
'CI Otfier(speciF�r) ' -
REMARKS(in-house):
Other Rerriew:Revtewed by: Date Ap.proved:: �_ .
Acces�: � Existing: 0 YES � NO New: 17 YES � N0
OFFICIAL.-R�MARKS-TO BE NOTED ON PERMIT AND fNITtA�I.ED
j . :
�
Updated: January 2015
z;\formslplan review checklist 2015.docx
45/07/2415 THU iG: 21 FAx 555 5555 Equue Computer 6y�temd f�003/003
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�� W� t hereby certify that thia plan.apecNiaetion
�� Or repart wAs prepared by me or undar my �8 sd (_1 T'l'(,�O�LI�O�Qb�f��t
L L�rsan direct supenrlsion and ihat I am a duly
Uceresad Prolesslonal @nglnoe�u�da�tne
i.arYo�SpQcialty St�uctures,lno �O
taws of t State of Minnesota. � O
5931 Hobe i.ane `G�7�� � �i �t y
White Bear Lake.Min�sota SS110 WAy �
651 419 5143 Fax; 651 207 8148
intem�te�tginAe►irlg�Co�rlcaSil�et Date �s'20�� License�►7881 Camm.tVo. (� p �
+�j� � DATE TIME �
Gl�lf OF ORONO ((/ CALLED IN
� INSPECTION N TICE SCHEDULED 0 '
PERMIT NO. cOMPLETED •
ADDRESS � 8� L�ff/� �/CGtCchc�i �(,�c�
OWNER TELEPHONE NO. � � � l�
CONTRACTOR .S
� DESCRIPTION �!''1 Sl(.-��a-7��i7�1 l�"�� .
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
? ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� �fNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEW R HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ S IC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU: YES_NO
� COMMENTS:
� . .
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� ,�S'7PCRKSATISFACTORY:PROCEED R�� � ❑ PROJECTCOMPLEfE
.
W ❑CORRECT WORK 8 PROCEED ��� j� ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION , O^ TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerfConVactor on site: ���
Inspector. `
White Copyllnspector's File Canary CopylSite Notiee
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2n/.5"'- IhaS37 COMPLETED b '.5=!L
ADDRESS o��SJ�� Gr�/�e D�G/�s..�- !�t-�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION X�t, ����� F���L�
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
Q �tAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAI
Z OWNERICONTMCTOR TO MEET YOU:_YES_NO
� COMMENTS:
W /� � ..
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0 � Prnv;p� .'Z - $ ` L vL �i,¢..P,�f �ar
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W O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ,�90RRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
W
0 v�(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�IIERING
PEHMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�ldSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for th � ins ection 24 hours in advaru:e. (952) 249-46��
OwnedC ctor on •_�m
Inspector: �►�--
White CopyAnapector's File Cenary CopyfSfte Notke
� . �Q
Q� D TEy� TIME
CITY OF ORONO CALLED IN Og � �
INSPECTION TIC SCHEDULED p' f � �'�
PERMIT N / D oM� ED
ADDRESS SO
OWNE TELEPHONE N0� "
CONTRACT R
l
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUND N WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RAD SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ F MING ❑ MECHANICAL FINAL ❑ RATED WALLS
� NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
Q
S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET 11�U:_YES_NO
� COMMENTS•
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W ❑WORKSATISFACTORY:PROCEED PHOJECT COMPLETE
� ❑CORRECT W'ORK 3 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
W
0 O(�RRECTYYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdYERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. ) 249-46��
OwnerlContractor on site:
Inspector.
White Copyflnspector's Fik Canary CopYISMe Notia