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Home My WebLink About2015-00992 - addn/remodel/repair •• CITY OF ORONO * 2 0 1 5 — 0 0 9 9 2 * , 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3422 LIVINGSTON AVE PIN : 17-117-23-43-0022 LEGAL DESC : NAVARRE HEIGHTS : LOT 021 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 112,064.97 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,ELECTRICAL(STATE) (REPAIR FIRE DAMAGE TO ROOF STRUCTURE&INTERIOR FINISHES) APPLICANT PERMIT FEE SCHEDULE 1,191.49 PLAN REVIEW 83.81 SYNERGY BUILDERS STATE SURCHARGE(VALUATION) 56.03 900 NORTH 3RD STREET MINNEAPOLIS,MN 55402- TOTAL 1,331.33 (612)305-7090 Payment(s) Minnesota State License#: BUIL-BC689368 CHECK 13254 1,331.33 OWNER ANDERSON&MATT LABODA,LUKE 3422 LIVINGSTON AVE WAYZATA,MN 55391 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 dces not grant permission for additional or related work which requires separate permits. All provisions of Iaws 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 conswction 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 revoked at any time for due cause. � ��`� ( � (� f'��...e�-F 5 V c1 � cj � l� pplicant P itee ' nature Dat Issued By Signature Date • City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, daors, siding, re-roof, etc. — NC3 STRUCTURAL EXPANSiON� �0�� MailingAddress: Permit number: � C`�—� c � PO Box 66 Crystal Bay, MN 55323-0066 Date received: C�— �7 /s Street Address: --- Received by: �� ..._._ - �� 2750 Kelley Parkway w� Plan review fee: ��0• t,yk�S�o,��G Orono, MN 55356 __ s'_ ` � Total Fee: / 3/ 3� --.— Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ! � � � �/8j� This application form must be completed in full and all required information must be mitted��wv�`�/ Incomplete applications will be returned. (Please print)� GENERAL INFORMATION: i + r Job Site Address: LI 1�-- l�1 V� �'1 St�V{\ � �- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S.�ne,�'��,,, (�,,,; Ic��'S L�C State License# �L ba �(�� Expiration Date: 3 �f � Lead Certification Number: NA�- � (pb �p�-� � I Expiration Date: 3�Z� ��, (for work on homes thaf were constructed prior to l978 Phone: (cell) �o�Z-�� — y �� (office) (�(Z �'� � — _ '�-� p Mailing Address: p� �, "�`�` City: (�p� S- ZIP: S�v\ Contact Person: � � Applicant is: Contrac r / Homeowner (Circle One) Email and/or Fax: c�L�.�C��y�QJ�1��n��c�t:�5 , ,�L;f� �Z- -��`ZD � �' PROPERTY OWNER INFORMATION: Name: (��-� �.i��c�N Phone(day): �Z_ 2 � '��' Address: �'�Z�L Li�nh n City: w�, ,� ZIP: � �� Emailand/orFax: m�-�-}-j.�,,,,�, , c�boc�c� _^Cf��`o6�\nS��n , Lor-h PROJECT INFORMATION: Overall ro�ect description:� �� Ce. (�i��n-.�°� � �+ t � ��!' �j��'�j�,e� Type of Project: Any earth movement may also require � ❑ Door(s) ❑ Remodel 1�4,Fire Damage MCWD review&permits: � Minnehaha Creek Watershed District(MCWD) e-roof,asphalt �Repair ❑Storm Damage J � 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 ❑ 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) $ l S�'G C�r►�✓�LC 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 govemmental agencies required by law. If ' ou refuse to su I the infor tion the a li ation ma not be issued. � Applicant's Signature: Dafe: �� .� ,/� L Owner's Signature: �" = -�� Date: �� I J Last Updated:January 2015 j , - ��.�,� t�� -� ��t ��vv ��-��-��s / �Q�E�-to�s Acldress: J? � Y'! ��? �' Perrnit No.:�1�f��_O(�,�f-�-- Description of work: _ �/�� a��',P /� ��`, Dafe Rec'd: � � � �eptic review by: � �l�s�'�,�' Date Approved: Zoning review by: .,;� Date Approved: '""--"" � � Building review bY: � �V Date Approved: ; Grading review bY: � Date Approved: ` �--- ---= Zoning District: Zoning file#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coveragec o�, Sarvey Submitted: 0 Y 's Q No : Date of Survey: Revis d te ? : ' Pro osed 3etbacks: Front(Lak$) �2ear(Street) { �! S f W ) { N S E W ) pt ` B�xildings I�Vetland :8ide Sicle Definsd Heigh�:. � Pe�k H�i �FE: Ff.E �nus,6 feet=__ '(Existkag'Contoi ,� � �� , Perimeter(linear feet;).� 50 = � :L.f,betow�tade #af$tor'�es : FOR A BUILDING WITH A BASENiENT OR CRAWL SP E: F�R UILDIi�iC3 ON A$L�k6�pUNDAT�QN: The dis nee belaveen lOwest ptpposed , , , . � ; tl � T}ie sfa�ce,!#efia�ee�t�e top M- . �i�AR�'WITH floor(of•the baserl�nt or r�wl�space)a!x! . STA137 WIFH`. �s(ab�nc�ihe.�nghes[p6Cnt of tlie�= . ; , '. - tAe hig' ;t Aotnt flf:the r� .-_� .- " . 'roof E - '•'� � . . : If yoe h�Ve a... If you haW�'a: . . • G746LE OR HIFPED QF(nq, . • GAB1,E OR NIPPED ROOF w�ndows): Subtract ha the di�tsnce `. f�p 1��IdoN+s�i��6tra�t half t�tweenihehtpf�est�po of'�erisof xFte�lstehcebetweer�Xhe. to�the low polnt of the ca spo�di M9hest;�oint of 1fi�roeE to SU�TRACTtON gable or hipped roof, the Ic�riv'poiRt oF fh� � F$AS€D�6N ��, , � cori�spondln8 9�ble Af ' G,�BLE OR HIPPED RtJO 311�7R�1CTfON hipp@d=�oof ° ( 1dOO�TYREj wihdows): Subtractfial��tt�� 'n�Ce (BAS�DOId .- • .' �ABL�OR1'�FP�tIFEObF "� . be�ween the top of the,higM �C?F 7Yi?�): {W�t!Wtndbws}'subE�act ; , wibdow antl�e h�phestp the_, ` haff�dtstan�e�etuKeer�,. , , � • � , robf ., , .. >. th�fop�f�hehtgM�f ; � • � ALL�OTHE#`t RQO�. �E�(fl�ft,'�� _ vmpdo�ni�ad tis��ii�hes� .� i ` � �n�nsard�e�c�:No�s}� ` �pR • P�1hib�`ltae rc�[� �. •, �. ALL 0`kti�R F{��'TX;P�$. � 3U6_Ri4C71bN : ubtr�Ct;_ �.dista[+� r�the (fl�t,.miansard,�tc� N0' (BASt'D 4N b�sBm�ifUGravYl 3OeCe O[8%1d t11�, � � . �r � Su�airae` r . �- �� . �xisTir�o �n�n�st �sdr�g grade d)a�,ent to u�e. . ' � t�ru� �zda e�ai,��e n��een��t� • Gf�AD�S) foundati�n OR 1D f (rMii�Fiever s�Jess). QUAL3` �lefiped uif iri (SA��D OM : of slab�r+d 11�e di�hestexisUag - 3: !� � �M' -� ` ;, . ��wG . "� ��dead��en�t43herour��wn: . , E�',' , QCl�►L�. befired,{►�IIdtllgtt�ight "., .� , .-; �� ,� �= ; . , ; , , .. , .. � �, � `�, ; Slioreland D'rstrict: . ,' IVICWD Pet�mai# � verage l:�l�estrere,�etb�ag#c .;BI�ff` ' . � , , IIAe#� . i3 Yes � No- `P it�Vumber � es t7 NQ ' ;=1� N%A t1 Yes'. - � No . N1A�see attachec! Se�ack; �; . . . . . _ . _ . . , . . , .. ; Storrnwafer Quality : ` Proposed E sting Harcic ver Overlay District , � . Hardcover Vari ce��equiced ° CUP Required Tier circte one (/o and sf� � a/o�and . O Yes � C7 No � Y8s C No � 2 3 4 5 Typ�ts)� �YPe�s)- Updated:`January 2015 ' , z:\fortnslplan review checkiist 2015.docx REt�ARKS(in-house): Fees to be Char ed Y�� NO Fer�rtit Pian Review State Surcharge . . tnvestigatfon fee �t�C-Nur»be"r of SAC Unixs. Otfier(specify) : � S uare Foota e $ r S uare Foota e Basement X = $ �St Floor X _ $ 2na Floor X - $ Garage x - $ Estimated Construction Valt�e: � �� Orono Inspections Required Work RBguiring Separate Permits Required State�er�its D Si�e� Plumbing . � Grading-/�illing � Well � Si1t Fence/Erosion Control Mechanical � fire E1ec�rical � � Hardcover Removal 0 Septic CJ Water;Connection G Fflof'rng � Firepi�ce �7 Sewer Connection � Poured Wall 0 Masonry C7 Lavu�.�arrigation _ , . _ � Foundation Survey G Mfg. C L.andscaping , ; t7 Foundation Waterproofng � Other(specify) �..R�don Rock Bed Framing , lns�iatibn . ., ' � As�u�it�wrvey. inal Li Other(specify) 'RLMARKS(i�-house): . Other R��rtBw: Reviewed`by: . Date.�pproved: - Access: Existing:.� YES 0 NO New: t3 YES Gi NO OFF1CiAL�f2EMARKS-TO BE NOTED ON PERMIT AND INITIALLED � V � � Updated: January 2015 z:lfortnslpian review checklist 2015.docx /f � DATE TIME�,/ CITY OF ORONO CALLED IN INSPECTIO NOTIC SCHEDULED �� t' �'� PERMIT N . � � �C COMPLETED ADDRESS ��a- C._t VC'ty�a\ �✓� OWNER TELEPHONE NO L=�2 �� CONTRACTOR ��_��"t'�(.+ ��-°--5 � � DESCRIPTION W ❑ FOOTING ❑ DEMO�- L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z�DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q AMING ❑ 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 ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � i � � / O �. � � O W � Q � 2 W � W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in �. (g 2) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notke �� DATE TIME CITY OF ORONO CALLED IN e � INSPECTIOf�NOTI�C_E� �.�`� SCHEDULED PERMIT NQ�� `-'�� r`'� COMPLETED ( � D ADDRESS �`��=� �`�=�-�'ti'^ � `� OWNER �~ TELEPHONE NO.�� ' ��'y��' CONTRACTOR "-�� DESCRIPTION -+'`��`� 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 ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ,��,.T�:SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: °� a — a � � J O f� � O � W � Q � 2 W � W � j • d W ❑ RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ORRECT WORK fl PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 52 4 - QQ OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice �'� �,Q� � <01 v DATE TIME yCITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �j�� PERMR NO. ,�� OMPLETED ADDRESS ��Z2 L /�!l�1C/c�',��}yj �, OWNER TELEPHONE NO. lz� g— �8' CONTRACTOR � u��'y l�� DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAI Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ 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 _ � ❑ DEMO-SITE ❑ EPTIC INSTALL Z OMINERlCONTRACTOR TO MEET YiDU:�YES_NO � COMMENTS: ��.�_ �-�- � j � (�Odfb �G 2 LGc�if/'�GGG /e� �-��r O � �� ✓DU I a t J��C. �� t��/?6��i bv�. - O W , , Q D /'yl Q�`t a dltG.�G wdd !c �I�, `,� 2 ` G r� � � W � - � � Ge r �e� -� � s< �.r ��.�,��. 0 � ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT W'ORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT VYORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR 1MLL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �iN9r ON RE�UIRED.CALL TO ARRANGE ACCESS. Ca ion 2a hours in advanoe. (952) 249-4600 ctor on site: Inspector: /w � WMte CopyMnap�cMrs Flk Canary Copy/Site Nodcs � DATE TIME CITY OF ORONO caLLED IN INSPECTION (�j SCHEDULED 23<< . 3 d PERMIT NaK�-� '"�OMPLETED ADDRESS 3�2 2- l�f V�r� �i�tL� `' OVIINER TELEPHONE NO Cf��2- ��- ��'� � .-=__.-_�—�-.._. CONTRACTOR r � DESCRIPTION �y ❑ FOOTING ❑ DEMO-FINA ❑ 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 Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL v ❑ OEMO-SITE ❑ SEPTIC INSTALL Z GWNERICONTMCTOR TO MEET Y�1l:_YES_NO � COMMENT'� ��QC• v`� - ��'L L�o� � � .now. �✓ �r �Se d•Ll .�- 0 � I��out�� Cr�L 6�%•c �o r� /Q'oZ ' t�kssees '" ro�ia� �� Gl.G s � , L � !/ar't� �/�.� f��sS � ' � c+�� ' Q s�io,pa i� r��s e .6�.�. — + bro��t�e. .�..�••r Z � �w�a,��n,�., ��`- /�.t�o4�l.e d� r.�sG � �_ W � � J d W� O WORK SATISFACTORM PROCEED ❑PROJECT COMPIETE W O OOF�ECT WOF�C 3 PROCEED ❑ISSIIE CERTIFlCATE OF OCCUPANCY 0 ❑(�ORRECT WORK,CALL FOR REINSPECTION TEMPOftARY C� 8��Nd PERMANQdT ❑CaRRECT UNSAFE OONDITION NRTHIN HOURS. ❑PHOTO TAKEN INSPECTOR YVILL RETIJfiN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �J�ECTION REQUIRED.CALL TO ARRANGE ACCESS. caM ro�a��e��pecta�2a no�,��,�►�ce. (952) 249-4600 on sne- Inspector. /r-- WMb CoP1►M�ct�"s FIM Gmry Copyl8it�Notic� -��%1 . /7`��TE TIME CIN OF ORONO CALLED IN �� INSPECTION NOTICE �,�,��yEDULED (� PERMIT NO. 7 L'�� COMPLETED ADDRESS L� z��— � � � OWNER TELEPHONE NO. a � �'/�° CONTRACTOR �Y��'% � DESCRIPTION ��`� �� ' t~ii ❑ FOOTWG DEMO�INAL �D�/ ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI l ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE PTIC INSTALL � OWNERICONTRACTOR Tp MEET YO�YES_NO � COMMENTS: —� W — - a � � � O ). � O � W � Q � 2 W � w � j d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . g 2) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice