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Home My WebLink About2015-00166 -addn/remodel/repair , . CITY OF ORONO *�5 — 0 0 1 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2015 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 : $ 5,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,,EI.EC7RICAL(S'I'A"CE) SOME REMODELING.DOORS&WINDOWS APPLICANT PERM[T FEE SCHEDULE 123.91 PLAN REVIEW 80.54 DOERING, SAMUEL& STEPHANIE STATE SURCHARGE(VALUATION) 2.50 2325 LONGVIEW CIR LONG LAKE, MN 55356- TOTAL 206.95 Payment(s) CREDIT CARD 4735 206.95 OWNER DOERING, SAMUEL&STEPHANIE 2325 LONGVIEW CIR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT 'Che work for which this permit is issued shall be performed according to the approved plans and specitications,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 separa[e permits. All provisions of Iaws 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. - _ _.� �._-�- rL.� c� l/3 /!S �_--._-- - Ap� rtee Signature.�,..- ate � Issued y Signature Date i--- . . City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) J�� - ` Mailing Address: Permit number. �s'��l b,t� r,/� �.-01,T,.� PO Box 66 Q � Crystal Bay, MN 55323-0066 � Date received: �� / �J1^ Street Address: 1 Received by: �� 2750 Kelley Parkway - ��"" � Plan review fee: - d �q ��' Orono, MN 553 �� '�� kEs},�� .R� �...ti _, Total Fee: �y , Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �'v� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: �ii'C� � rcu-�0 � Will this be a Parade of Homes, Remodelers owcase 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO M TION: Name: �, r�0,r�' State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were co structe pri r to 1978 Phone: (cell) � - �- �Z (office) Mailing Address: �� , City: ZIP: Contact Person: Appticant is: Contractor / Homeowner (Circle One) Email and/or Fax: r� � �� PROPERTY OWNER INFORMATIO : Name: �ry,A.Yie ��01/� Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: 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.orq Estimated Construction Valuation of Project(excluding land) $ 0. �4 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. Confldential 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„�he a lication ma not be issued. ApplicanYs Signature: �,--.- --- -- -�_=_� Date: ls ' �_Y-- Owner's Signature: ' ��'I-Y��, Date: �,_�P_ Last Updated:03/06/2013 �� '�.�.�,�[�t� �E��(�E�.��`t ��C� c�� C�i�� f��.��EP��C�� ,c�dP�ss: Z J Z S �BB�f�II t G jN� ��2G�S I��r�rsi� �m.: � � � - o n r(,(Q C?�s�ripYia!� af�c�r�: � �� J�� a�� 'ck: �- �- o � 5e�,�Ec r��i��✓��r: N � � ��e�.ppr��d: Z�ning r��6e�+fsyr: � f� �at�e4ppPaveei: F��otc��e�g re�iew E�9�� 4�at��pa�ex�e�: Z - t� -�r.� Eiracfir�� vdeu� t�y: �/�- m ��l�pprov�a:� — � �.� __ �.�_ -�_ ; �r�i�g Dost�6c�: ��r��r�� File�: C�es� #: �esa� Dat�: - Zo 'r�g: Lot�Ee�: SF/AC �ic�tl�: ��t�overage: SF °/a ��e �ubr��Ett�d: � Yes � No �at��f�u!�r��: Revised date ? : l�ro�ose �et�acks: F�ant �� ` �� l�ear(3tire�t) f � � E E��f } ( 6+� � � l�if } �th�r�u61 n�s ��etBan� �id� �'s�� Defic�ed li��h4: P�aEc t�eight: t��E: Ft=E minu� - fe�g= (�r.�stir�g Con�QE �ecden�4er�8�r�ear��}- �U% � �.�. ia�6��€ra�e #��f�tori�s F=OR i4,BUILDIi�Cs lR►fTH A Ef��E�i(iEf� OR CR�.1lVL S�l�CE: �OR A Bt11LDl Oi�A SL� FOUNi7ATROE�: The di nce between the lowest proposed The distance between the top of START WITH floor(of basement or crawl space)and START WITH slab and the highest point of the the highest oint of the roof. roof. If you have a.. If you have a. . • GABLE OR PPED ROOF(no � GABLE OR HIPPED ROOF windows): Su ct haK the distance (no windows): Subtract half between the high t point of the roof the distance between the highest point of the roof to to the low point of th corresponding the low point of the SUBTRACTION gabie or hipped roof corresponding gable or (BASED ON . GABLE OR HIPPED ROO with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the ce (BASED ON . GABLE OR HIPPED ROOF between the top of the highes ROOF TYpE) (with windows): Subtract window and the highest poi of th half the distance behveen roof the top of the highest • ALL OTHER ROOF ES(flat, window and the highest mansard,etc):No s traction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance tween the (flat,mansard,etc):No (BASED ON basemenUcrawl sp floor and the subtraction. EXISTING highesi existing g de adjacent to the ADDITION Add the distance between the top GRADES) foundation OR feet(whichever is less). (BASED ON of slab and the highest existing EG?UALS Deflned bu ing height EXISTING grade adjacent to the foundation. GRADES UALS Defined building height �hore[and�isfrict �� p��et �verage Lsl:�shore Setta E: �l�� f��et? P� Yes C� No Permit Number: � Yes � fVo � N/A � Yes � No Q f�/A-see attached Setb �torm�irater G�u�P's A t�roposed t��rerla �istri • Fr.6�fing Narc�cQ��r � (%and sfl �ardcover Narianc��equ�red Cl1'R t�ec� 'recf Tier circle e %and s � Yes 0 No E� Yes � 1 2 4 5 Type(s): Type(s): Updated� January 2015 z:\formslpian review checklist 2015.docx t��G�AE�t�� (in-house)� F�e�ta �r�CI•t�r ��d Y�� J ��Cf �`�e��o� f��ar� �d�d€�� fafi� �carcG��r�� 8e��estEaati�e� �e� � f �.��--f�€.Et��er��S�'aC 43e�c�� CZ�E��r(s��c��Y) � v�Ee��my� � � er� uaa e �oot� e Basement � ' $ 15i Fioor � ' $ 2nd Floo� X - $ Garage X - $ �o Estir��ted Cons�r�cticsn�a@u�: .�'�/�� , Oroeoo !^�s�ecgc�e�� F�c�uires� �06E� ��C{EEtC�CB�' S��C�� E=�!'!4'2f�S R�c��ieed �ta�� rrnits � Site Plumbing � Grading/ Filling � Well GE Silt Fence 1 Erosion Control Niechanical � Fire Electrical f5 Hardcover Removal ' �' Septic E� Vl�ater Connection . � Footing � Fireplace � Sewer Connection � Poured Wall � [�iasonry � Lawn Irrigation C� �a�rsc�afiio�e Sunregp � (V�fg. � Landscaping � Founciation Waterproofing €� Other(specify) ��adon Rock Bed ��raming � lnsulation �n�,��'„�.S�e+ae� � Final � Other(specify) R�Ei��R,�t4� (in-house): �4her�e��e��: Re��ed (�y: �� t�a7��,p�ra�+�a: �'�cc�e�s: Existing: E� YES �? RO Nev��: a� YES �"� R�O OFI=EGfAI_ F��6��-'�� 'Et� C�R P�E��r"C la,i�� lf�EFt�L��E3 Updated: January 2015 z�lforms\plan review checklist 2015.docx �/ S DATE TIME � C OF ORONO CALLED IN � INSPECTION T E SCHEDULED � PERMIT NO COMPLET � L� ADDRESS OWNER � ELEP N0 7�'3— �S"�O� CONTRACTOR � DESCRIPTION � �-- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOU DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ MECHANICAL FINAL ❑ PROGRESS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � , � W � � � O W KSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE � CORRECT W'ORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WIILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advanoe. 52) 249-4600 OwnerlCoMractor on site: Inspe�tor: White Copyllnspector's File � Cenary CopylSlte Notiee �� C'�'�— DATE TIM CITY OF ORONO CALLED IN � INSPECTION I�LO�TI�E � �/, ` SCHEDULED —S I�� 7 PERMIT NO. oL -f�'CJ (�O COMPLETED ^ . ADDRESS OWNER � T EPHONE N07 "� o � CONTRACTOR � DESCRIPTION ��'�r�'�� W ❑ 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 Q/'�F�AMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVA� 2 OWNERlCONTRACTOR TO MEET ll�U:_YES_NO y COMMENTS: � . - a �/�wt.w t ,�o� W I Kboc.� r s/oc�c�.�, -E- � � /1 e cJ w� K,doe..�r Q o/l�s•�S O� � �"�/�vidt yJ�tu��•cs �o/ t,� li.e�'f�t..�s 5/��ctS — °�r��cL�-Ir b�C -� co dd� �- W � Q � 2 � W � j W/�R08K$ATISFACTORY:PROCEED ❑PROJECT COMPLEfE aC" O CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINCa 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. a��for the next inspection 2a hours in advance. (952) 249-4600 ctor on site• � , Inspe�tor: l...-� �— White Copyllnspector's File Canary CopylSMe Notke �' DATE _1 TIME � CITY OF ORONO CALLED IN 3� ^ ��'�'�' INSPECTION NOTICE SCHEDULED � �� '� PERMIT NO. �O l5-Qb�b �o COMPLEfED ADDRESS � 3 � � l-�G �►' `.��--a.= �.-2 �� OWN �^ ��-`� TELEPHONE NO.7�� ' ��"CO`�� CONTRACTOR =�'�� - ��''^�`�"-�-��' � DESCRIPTION l� ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL ITE ❑ E TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICO RACTO MEETYOU:�1(ES_NO c., MMENTS: � '�-� � �� a S�e`�c- `L Oc�tL 'CZ�- ��_�� J O � � O � W � Q � - 2 W � W � � J a W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION 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 hou 'n advance. .49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copyl ite Notice