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HomeMy WebLinkAbout2016-00053 - addn/remodel/repair , � CITY OF ORONO * Z 0 1 6 - 0 0 PJ 5 3 * 2750 KELLEY PARKWAY DATE ISSUED: OU25/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2320 LONGVIEW CIR PI1V : 03-117-23-23-0017 LEGAL DESC : LONGVIEW 3RD ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,FIREPLACE,ELECTRICAL(STATE) FACELIFT FOR BASEMENT APPLICANT PERMIT FEE SCHEDULE 278.77 PLAN REVIEW 181.20 FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 7.50 5600 EXCELSIOR BLVD MINNEAPOLIS,MN 55416- TOTAL 467.47 (651)224-7000 Payment(s) Minnesota State License#: BUIL-20460771 CHECK 4867 467.47 OWNER JONES,CHRISTOPHER&SHIELA 2320 LONGVIEW CIR 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. AII 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 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 i+r�+e f eea[��—�) ,-- ._ i./ � r'1 ') _ : - � _ _ l -- - - j2 � � � �,��.1 ���.�,� ��(� �� , ��`�� l, ; Applica e ignature Date Issued By Sign�Ure Date - City of Orono � Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: l(�l�r '-�L� _�,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: --- 1 S--I l-� � ._, � Street Address: Received by: I�--I_� ti�, G� 2750 Kelley Parkway Plan review fee: C` ��-��� + �,: I�c'� L� ; Orono, MN 55356 `�kESH��� • 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., ,� v��,y '%���/',� Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �'�2v (�qvr� C�,,rc(�e Will this be a Parade of Homes, Remo elers Showcase Home or other Display Home? ❑ Yes ,�No If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates suffcient on-site parking is availab/e. Non Permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �' i si-.e� �sew�Q-� State License# 3c: �-1 (ao`l'I t Expiration Date: 3 •� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �Z c�q � L-i Z� � (office) �5 t ��� '7 c�c, p Mailing Address: 5' aa � �St� i„ City: ;N�,,�� �4S ZIP: ,`S�{ ((p Contact Person: ,��� �4,a,�,��s Applicant is '� / Homeowner (CfrcleOne) Email and/or Fax: �Lt,,,.p���,��5 '�,,�,��sl.,.� �Sa �� _ co � PROPERTY OWNER INFORMATION: Name: C I�,Y' �5�-o o�.a.-r- � ��,e.'��� �-,0-�.1� 5 Phone (day): (o�Z �c{S o(1-1,S'3 Address: _ 'a-3;Zc (�t,,-�� 1i; 2�, Cr City: L.c� C.a.�.e_ ZIP: '�53,5"(� Email and/or Fax: " '' PROJECT INFORMATION: Overall pro'ect description: ^" ,`F� � ', � � !_C� E,'�- �-� �'��--�'�� Type of Project: Any earth movement may also require ❑ Door(s) emodel ❑ 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) $ � ^� ,c�t�� 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 annuall cords and records of other governmental agencies required by law. If ou refuse to su I the i a cation ma not b issued. ApplicanYs Signature: -- Date: �� I 5�r (,o Owner's Signature: Date: Last Updated:January 2015 ��`G/ —, �� / �� / /„ 'C� �i�l��€� �:.E��F����� ���������E���= ��c��� E���,��f ��,�:.��`t����� � �����`��C�f��� �` � � � � Z���e ✓�a��'..c AcEc�ress: �� �� C.. �'f�c� l�"G G P�renEf F�o.: ,� , L���crip��ia� c���or�: '(7�d�Q�� ����C�e�r� ������ aatie��c'c€: Se�s�ic eev�ee.�r�y:�-- 1��� �ase�.��rd�s�d:� � Z� � �fZ�iPi� {'@V[�lSi �2�:i � €�a4�6��{�rav�cf:--- �uilGin eeviQ� Fs � 9 1�� Dat�A�a�aro�r�d: �� / �r°aefing ree�6�� tSY�� s � �..�a. Q�4��pprc�er�e�:�-- � �or�or�g �Bgfi�ic�: ��r�or�� i�6��: �e��#: �e�c� �at�: �Q����q: [�c�f k�rea: SF/A,C �i�ia€tt�: E����avet�ae��: SF °� �urv��sut�snE4Yec�: � Yes � No �?a#�cf��rve�: Revised date(?): �ae�d�cap� �tan ��E�e���4�d? � Yes �-�R�o �.�ncfr���cc: %/ � � F�ra o�ed Se��ac�:s: t=6or�g(L�ke� [��ar�atreet� � 4 t� !�' } � R! 4 � E�� ��h��f3ue��is��s �c"et��nef :id� ���f� �ef€n� �i�Egliti: P��alc H�egt�t: �F�: FFE mir�u� G fe�f= (��:isti�g Cor�fic�c [�erirrset�c(€inear fi��t�-� ��°/a � L.�=. E��EQvu genade B�seenec�Y i � Yes � f�o, ��o ��� FOR A BUILDi�'Cs IKITH k�ASEhfiEftT OR Cfd/��4�L 3PAC : �QR k BUILDIfi!G QW k�LAB FOUit°D�TIOEd: The distance between th .lowest propos Slsb at or above grade— floor{of the basement or rawl space) d measure from hi hest existin START WITH the hi hesi oint of the ro f. � 9 9 p START WITH rade to the highest point of the roof even if fill was brought in to If you have a .. elevate home. SUBTRACTION � GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract alf th distance from highest existing grade to the ROOF TYPE) between the highest oin of tfie roof hi hest int of the roof. to the low point of th co esponding If you have a.. gabie or hipped roof SUBTRACTION ° GABLE OR HIPPED ROOF • GABLE OR HIPPED OF(with (BASED ON (no windows): Subtract half windows). Subtract h If the distance ROOF TYPE) the distance between the between the top of t highest highesi pofnt of the roof to window and the hig �t point of the the low point of the roof corresponding gable or hipped roof � ALL OTHER RO PES(flat, e GABLE OR HIPPED ROOF mansard,etc):t� sub raction (wfth windows): Subtract SUBTRACTION Subtract the distance etwe n the half the distance between (BASED ON basemenUcrawl spac floor nd the the top of the highest EXISTING highest existing grad adjac nt to lhe window and the highest GRADES) foundation OR 10 fe t(whicqever is less). point of the roof I e ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building eight subtraction. � DefineQ building height , EQU�iL3 i , 1 Updated: October 2015 �J z:\forms\plan review checklist 10-2015 docx �t��;e�at�d E�i��e€r�. f.r��ra�c; �.������r� �r��EzacP; � ' E��@{�i� ���►��E� Ea4��: i���t�f � Yes �s f�o Permit f�umber. l� Yes � !�o i;;� R!/,4 `� Y��o �� �E �/A--see a�tached Setback: ���ad���a4�r�€�a�fty� ��E�ttr�g �'r���s�c# �v�eP��� k�is�rec:f`��t�F� i�aed����r t��rc�c:€z���r ���r:a�re� L��r��6��� �P�C� t��e�c�or��� circle ane %and sf %and s �� Yes � �o !`m`� 1�es � Na � 2 3 4 5 Type(s): Type(s): __.. ����4����Ft�f���� �`�� _ �� ��b°,��L ��..✓° � E�E�� E���rB�e� � m � � � � ������c��;���� � ��. [c�v���g����r� ��� �t�;����rt:��e c���L��t��c�� � �,l.�Q_ �Q��r(�p�c�fig�� ss�. �._.�� � uar� �'es��� e � ��S �ea�� E��k� � t3asement X = $ 1�' Floor X = $ 2na FIooP X = $ Garage X — $ � ��� �_ ��i:EtCiB��f� C�PS�S�C4A�CYt0�1 �BaE6.6�: ���_.ya. _ � �roe�o €c���s�c�ia�� ���c�@��c� !fic`c�e�:�e�c�iv'sn��e�a:r��e Pe�rrs�its t� Footing � Sife I'� Plumbing C`F Grading/Filling � Poured Ih�ali � Silt�ence/Erosian Control ��i�Aechanical � Fire �' r.'� �a�e�r���4€�r��€�cbey � �;ardcover Removal � Septic � �1lafer Connection � Foundation Waterproofing � Other (specify) � Fireplace � Sevver Connection �Framing � A�asonry � Lawn Irrigation �lnsulation Mfg. � Landscaping � ��-�r��€(����ey � Other(specify) �ina! � Lat�e ��Qsa€rec� �4Q�@ E�'c.'CE�'l6Z3 L� Other(specify) C� VVeI! � Electrical ��ftf�f�;.l2f�� (in-house): C?�FE�Et�� ��l�F��,:�t�S-�E� G�i: t�C�`�`�� C�f�`, F'�r E�t�"�,��'€� t�<�'"t���n6:.►�f;?: �� �e� ��i�d�r��[-�c�e�t�cfc���r��r��E-erE����. '�-� Prio�to release of escrow money an as-built s�rvey 2nd hardcover calculations must be submitted and approved. ,�. {�_ ;�� ,. ; ,� S.� Updated: October 2015 ��\fnrmc\nlan rnviow rhorlrlict 9(1_9(1'f Fi`Inr�� � / , ��! / =r"� � � DATE TIME CITY OF ORONO CALLED IN --- �!� INSPECTION NOTICE C SCHEDULED PERMIT NO. � � COMPLETED �� ADDRESS ��� �� �� %�`��� L-� • OWNER TELEPH � O. C�'�� �/ ' ��� CONTRACTOR �� ��C��'�-QC1' ��S�P�'� � DESCRIPTION ���%�. �`2'l_Lf';������ � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��� .j � � ��`— Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLI� y ❑ FOU ATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL,,�,. j�_ Z ❑ DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION }���,).:� Q RAMING ❑ 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 _ v ❑ DEMO-SITE S PTIC INSTALL Z OWNEAICONTRACTOR TO MEET YOU: YES_NO v�i COMMENTS: � W a � J O � � O � W � Q � � •� W� � � � b�J � J O W O SATISFACTORY:PROCEED O PROJECT COMPLETE � RRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hou in �9�2) 249-4600 OwnerfContractor on site: Inspector: -t White Copyllnspect Ils Gnary CopyfSfte Notice �� `� � ✓ TIME CITY OF ORONO caLLED IN � '/� INSPECTION NOTICE SCHEDULED � ��— PERMIT NO.��� b-�5-3 OMPLETED ADDRESS � G I �- �NNER - T EP E NO. - �" CONTRACTOR � � DESCRIPTION 4~j ❑ FOOTING ❑ DEM - NAL ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICONTRACTOR 7�MEET YiOU:_YES_NO � COMMENTS: ����: /��/J .G ^ a'"/G` �C� � W 4 j / � . 0 G.. L • �/!?�5/�, � �. • � _r1� /O r0 v <<O e. G� s�@,f CcFr'o'� l�''f�'"• �a ` ° D � L � ,(7�.� • � Q aP� � r�K cn�� � a- ��o,��.,�� � ''(°d���-.��a•� 73+ -- p�ovrrl,¢ Gv ��L- � Ga �✓'��6- ' j �- Ba.��C �i.�trLiea�p � ❑WOFiKSATISFACTORY:PROCEED , �ROJECT COMPLEfE W �ECT VYORK 8 PROCEED ��❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERINCa PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours Q� OMmeNContractor on site: � Ins w�- iM Copyllnspecto�'s Ffle Censry CopyfSiM Nodes