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Home My WebLink About2015-00847 - addn/remodel/repair .- CITY OF ORONO * Z 0 1 5 - 0 0 8 4 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2015 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2325 LONGVIEW CIR PIN : 03-117-23-22-0024 LEGAL DESC : LONGVIEW 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 500.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) LOWER LEVEL,ADD WALLS&DOOR APPLICANT PERMIT FEE SCHEDULE 26.25 PLAN REVIEW 17.06 DOERING, SAMUEL&STEPHANIE STATE SURCHARGE(VALUATION) 0.25 2325 LONGVIEW CIR LONG LAKE, MN 55356- TOTAL 43.56 Payment(s) CREDIT CARD 4735 43.56 OWNER DOERING, SAMUEL&STEPHANIE 2325 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[he 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 pettnit 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 a[any time.€eFllue cause. � '� � " �� , /� ,� � � � � � Applicant Per ee S' ature at Issu y Signature Date , City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-raof, etc. — NO STRUCTURAL EXPANSIONj ��'' �`� Mailing Address: Permit number: p� �"��d � ��1 .', PO Box 66 .�I � '� Crystal Bay, MN 55323-0066 Date received: 7 d �� Street Address: Received by: `�,\� �� 2750 Kelley Parkway Plan review fee: �, tqk�� Orono, MN 55356 � � _�_�. 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.�msq'�/ �} l/`� Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � r`� Will this be a Parade of Homes, Remodelers Show se Home or other Display Home? ❑ Yes No If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORM TIO : , Name: S� Q, State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constr cted�ior to 1978 Phone: (cell) 2 (office) Mailing Address: City: ZIP: Contact Person: _-- - - Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �QwY�� ".� (j��Q, Phone (day): ----_..._.._.____.._.____.�. . . Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: 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) 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.orc7 Estimated Construction Valuation of Project (excluding land) $ .SDO, 00 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 1 the information, th ication ma not be issued. - ....._y � :A_..,:...__. Applicant's Signature: Date: �-'".` Owner's Signature: Date: Last Updated:January 2015 �• PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� d'��i ✓��w ��''��`A Permit No.: Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: 1fJ'� Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF AC Width: Lot Cover e: SF % Survey Submitted: � Yes � No Date of Survey: Revised date ? : Pro osed Setbacks: Front(Lake) Rear(Stre ) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Sid Defined Height: Pea Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CR WL SPACE: OR A BUILDING ON A SLAB FOUNDATION: The distance etween the lowest proposed The distance between the top of START WITH floor(of the b ement or crawl space)and START WITH slab and the highest point of the the highest poi t of the roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE O HIPPED ROOF(no (no windows): Subtract half windows): Subtract half the dis nce the distance between the between th highest point of t roof highest point of the roof to to the low p int of the corres nding the low point of the SUBTRACTION gable or hip ed roof corresponding gable or (BASED ON . GABLE OR IPPED ROO (with SUBTRACTION hipped roof ROOF TYPE) windows): S tract half t e distance (BASED ON • GABLE OR HIPPED ROOF between the t of the h' hest ROOF TYPE) (with windows): Subtract window and th highes point of the haH the distance between roof the top of the highest • ALL OTHER R F PES(flat, window and the highest mansard,etc):N btraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance b een the (flat,mansard,etc):No (BASED ON basemenUcrawl space or and the subtraction. EXISTING highest existing grad cent to the ADDITION Add the distance between the top GRADES) foundation OR 10 fe (w ichever is less). (BASED ON of slab and the highest existing EQUALS Deflned bullding ight EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District CWD Permi Average Lakeshore Setback g�uff Met? 0 Yes 0 No Permit N mber: � Yes � No � N/A � Yes � No � N/A see attached Setback: Stormwater Quality Existing Har over Proposed Overlay District o Hardcover Variance Required CUP Required Tier circle one (/o and %and s � Yes � No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 c:\users\rpeitso\documents\plan review checklist 2015.docx REMARKS (in-house): - Fees to be Char ed 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 = $ 15t Floor X = $ 2nd FIOOr X = $ Garage X = $ n�% Estimated Construction Value: $ ' `: ��-� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing � Grading / Filling ❑ Well � Silt Fence/ Erosion Control 0 Mechanical 0 Fire Electrical 0 Hardcover Removal ❑ Septic 0 Water Connection 0 Footing � Fireplace 0 Sewer Connection 0 Poured Wall � Masonry 0 Lawn Irrigation � Foundation Survey 0 Mfg. 0 Landscaping � Foundation Waterproofing 0 Other(specify) 0 Radon Rock Bed Framing � Insulation � As-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: ,�1 Access: Existing: 0 YES 0 NO New: 0 YES ❑ NO � J �; OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED � � n � �� _. .� � Updated: January 2015 -� c:\users\rpeitso\documents\plan review checklist 2015.docx J �LV�� +�� '�� .�AN�E pLAN CHECKED BY(��-�.�rDATE 7 � � 0��D C�� f��c c �n c��2�s �-� 2-X �/ w�I I ��a, SM01�DETECTORH RNDETECTOR RUD BLE N �r - ING DEVICE OR� � � ��'p C� ±SL�EPit�IG A�EAS. �ro�.f� G K�L ba�`'"r m� -�j �W� J�Q W �0�1'S ��f y� 1/`�Or�! ,___..;, �<—�- [ ,/ � �42v' ,�an v.v� 7��rj�, � ; � � � .. ; �o'� ow , � �G . za a� �w `" a Z '1'� ' q a y � o�ti�y�d's � w ��"�y S,�' j �fi��a �Qy -- .;,.,�., . ,, .' ' G��,'Oa,y y,y2 : ' � �.� �' , } � �ti � � � ;��., .� ��,,`,(�"l Lr. cU �{ �. �Lfi Low � � � t- o � � � o�� .� ��vl C'GU �J� � �� DATE TIME �i/ CITY OF ORONO CALLED IN INSPECTION��T C� SCHEDULED —I-t� '3� PERMIT NO.**"'� � COMPLETED ADDRESS �3Z� C1}�`Gv�eu��. OWNER TELEPHONE NO. 7`a Y`�� 2� CONTRACTOR �� DESCRIPTION � W ❑ FOOTING ❑ D O-FI L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMB I ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q (�ERAMING ❑ MECHANICALFINAL ❑ RATEDWALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_��c. �Z �K � fd'aw� � a„S {or t✓46( �,;•• L .G. � � DK gJ CaUei� 0 �. � 0 � W � Q � 2 W � W � � J W �IORKSATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE � W �❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� Owner ntractor on site: nspector. � White CopyAnspector's File Canary CopylSite Notice