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Home My WebLink About2013-00277 - addn/remodel/repair ' � CITY OF ORONO 2750 KELLEY PARKWAY * Z � 1 3 - 0 0 2 7 7 * DATE ISSUED: 04/26/2013 ORONO, MN 55356- (952)249-4600 FAX: 952) 249-4616 ADDRESS : 145 MANOR CIR PIN : 04-117-23-11-0024 LEGAL DESC : COUNTRYSIDE MANOR 3RD ADDITION : LOT 1 BLOCK 1 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,000.00 NOTE: REPLACE EXISTING DECK IN-KIND. APPLICANT pERMIT FEE SCHEDULE 88.50 NAFSTAD,ADAM&KRISTIN STATE SURCHARGE(VALUATION) 1.50 145 MANOR CIR TOTAL 90.00 LONG LAKE,MN 55356- OWNER NAFSTAD,ADAM&KRISTIN 145 MANOR 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,applicabie 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 sepazate 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 aRer work has commenced. The applicant is responsible for assuring alt required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �.�t�Q a� � �� ZCQ � � �Z l Applicant Permi ' nature Date Iss d By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� City of Orono ��,�-'�� Io� �� Building Permit Application for Maintenance / Replacement / Renovation � �` (No structural expansion. Only windows, doors, siding, re-roof, etc.) �: :� �O�O Mailing Address: Permit number: / � D�D 7� PO Box 66 ,/ Crystal Bay, MN 55323-0066 Date received: �! /,j � Street Address: Received by: g ��, G� 2750 Kelley Parkway Plan review fee: ��.��a'� �,; Orono, MN 55356 �� '�KESHo��` 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. �'�' Incomplete applications will be returned. (Please print) � GENERAL INFORMATION: , ;� Job Site Address: �� /l�czr�v f C-�rG��- �� ,.� Will this be a Parade of Homes, Remodelers Showcase Home or other Dis pla y 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 serv� will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ' �'•� CONTRACTOR/APPLICANT INFORMATI N: �, 1Q � Name: ��a r� /V G�ST�..� ;�3 State License# ---- Expiration Date: — � Lead Certification Number: '— Expiration Date: — ': �.< (for work on homes that were constructed prior to 1978 ' Phone: cell � ( ) �l� - 3�.8 --o S 78 (office) ��3- �97-3�Sy �x-� l c>d _� Mailing Address: r �;rc/� City: ��a,� ZIP: S"5"'3j6 Contact Person: � Applicant is: Contractor / omeowne (Cirde One) � Email and/or Fax: �� PROPERTY OWNER INFORMATION: Name: � �� Phone (day): �� :�, Address: ' — City: ZIP: �Y" �: Email and/or Fax: ;�; $� PROJECT INFORMATION: Overall pro�ect description: �f Type of Project: Any earth movement may also require MCWD review&permits: � ❑ Door(s) ❑ Remodel ❑ Fire Damage �;,. ❑ 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 s eci Phone: 952-471-0590 ' ( p fy) ❑ Siding �'Other: (specify) �, Fax: 952-471-0682 � ❑Window(s) ��'� www.minnehahacreek.orq � Estimated Construction Valuation of Project(excluding land) $ _ ��d � ';� � 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 altemative but to ;� reject it until it is complete; ti�; ��S • 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 I the information, e a ic tion ma not be issued. � _� ApplicanYs Signature: — Date: '�:�G/' /� � �� "u Owner's Signature: Date: o-� Last Updated:03/06/2013 `}`� �'a f _ . . . , ,.. ..: ��z � W d��. � �� .r � � � �� . �� ; . ° �x ,. . ,-� �. ' L , .�...�... . � ^.n►�er�vt� -- � - ^--,-� � �+ � � � � . � � � �- � --,s� --i� � .- � o �. �t � � � '�`�,4 � _- __.---..__ , _ . -�. �. � � , ° � � � -�--��. � �� ;� =�- � � a i.�;.- �4 ,t � ��``i�i � . � � ;� .r _..�.. � �� s � � �'- �:r'�Cj'1r:a � � � � �� , � � � � � � , . . � � � � � � � 9 4 � , �� ,� . '� � � 3 � � , � �� Q , � .1 ~1 ,� i.`� �. Y� �— � � � ► � --. ...�....___ _ .__ n_ ��.�' .. ' ( �, � r � ,�. ar.�+'-.�! . � - � � � � `�' � . . ,t+�fi 7. f . - . ..� � ' � zrY �"*�•`-� y��,��. , °F ,��ia�p,�,�a�e•..� ,. � � � , +y #� y} ��.. M : � ... . . _ Ai "�� a �' �" � � h'�}�M :s:.l...s�.. r F�:'�,w.,��+.� - (11 � ..,��r..a 4 ♦�/ � � £ �_ ��;�A.�.,«�»..;. J _�..: . . . . . . � f� � . 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( � . �� \ i; , � �i `f------ t•--�--^-- -----_...... .. .: - j� �`'~�T'' ' ' ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: `y� �'19AN�R Gr�-C-C Descriptionofwork: SN K�n�� ,p�t�K- �.E1p(�►C.C,/Vttr�,-r Septic review by: N//� Date Approved: Zoning review by: N� Date Approved: Building review by: Date Approved: '`�'LS '��3 Grading review by: /9 Date Approved: oning District: Zoning File#: Reso#: Reso Date: Zo "ng: Lot Area: SF/AC Width: Lot Coverage: SF _% 3urve ubmitted: � Yes � No Date of Survey: Revised dat . Pro osed tbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B dings Wetland Side Side Defined Height: Peak Height: FFE: FFE minu #eet= (Existing Contour) Perimeter(linear feet)= 5t�°lo = #of Storie Ok? D YES FOR A BUILDING WITH A BASEMENT OR C SPACE: The distance betw n the lowest FOR A ILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the asement or crawl space)and the highest int of the roof, START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED RO (no . GABLE OR HIPPED ROOF(no windows): Subtract haif the windows): Subtract half the distance distance between the hi�hest 'nt bstween the highest point of the roof of the roof to the low point of the to�lre low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gabla or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows):. Subtract hatf the distance distance between the top of e between the top of the highest highest window and the ' est window and the highest point of the point of the roof �f . ALL OTHER ROOF TYPES(flat, • ALL OTHER ROO PES(flat, mansard,etc:No subtraction. mansard,etc): subtraction. ADDITION Add the distance between the top of slab SUBTRACTION SubVact the dista between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcra pac�floor and the EXISTING ttie foundation. GRADES) highest exis� g grade adjacent to the DES foundatio R 10 feet(whichever is less). E S Defined building height EQUALS Defln building hefght Shoreland Distri MCWD Permit Received Avera e Lakeshore Setb k Met? Bluff G Yes � No 0 N/A � Yes 0 No 0 Yes No � Yes 0 No 0 N/ Permit Number: Setback: Stormw r Quality Existing Proposed Variance Required CUP Req ' ed Overla istrict Tier Hardcover Hardcover � Yes 0 No � Yes 0 No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx + • , REMARKS (in-house): Fees to be Char ed �YES. < , >. $- . �0 �. °':� � . .. .w. _ . ,, .. � �. _. , � a �. � e � , � ,� �� -_,. � � _ �_. �x�.�_.. . . �� . ...:.��. �, a � ��, . _ Pian Review t/ � . �_ Investigation Fee __. .. . ti.:: ., : : �. . . r _... �. . . � . � 3 ._ Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1�`Floor X = $ Znd Floo� X = $ Garage X = $ Estimated Construction Value: $ 3,�(X�� Orono Inspections Required Work Requiring Separate Permits Required State Pertnits � Site � Plumbing � Grading/Filling � Well 0 Hardcover Removal � Mechanical � Fire � Electrical 0 Footing G Septic � Water Connection � Poured Wall 0 Fireptace 0 Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. ' - Framing � Other(specify) 0 Insulation � As-Built Survey Final � Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: G YES 0 NO New: � YES G NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\formslplan review checklist 2013.docx � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��C3-GLb?Z7 COMPLETED e�--��Cf— ADDRESS ��lS /�4itar G°.� . OWNER q'�� @�.��•�'TELEPHONE NO. CONTRACTOR 1 � <<<� �, DESCRIPTION �� x.sZ-`s�r<� s�ec k ,K tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �.EJNAL ❑ WATER HOOK-UP „�FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OYYNERICOPfTRACTOR TO MEET Y'OU:_YES_NO � COMMENTS: F/��e— .��/T-/3 ' wG•�.l . � �'rv� �� i/'.Ot � �./�� s'�" 4 �l 1Ce� �i . 0 ��.�te L /�s5 e��.:-� '' � a�•ws� /�,.�,�,..�, � e.�••,.� . { s��.:� �' � 0 M ��s o �.. �,f � Q �'�I'✓�r� ��✓S ��K.O��li�c �i � � 2 � L6 r�l�G L` f— �t�-� �i9v��Q '_ � j � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W�6FRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONOITION WRHIN HOURS. ❑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 in advance. (952) 249-460� OwneHContractor on site: Inspector'�, r`^ � w�,�ee copyno�eo�ors Fne Canary CopylSits Notiee � DATE TIME ✓, CITY OF ORONO CALLED IN �_ INSPECTION NOTICE /�J SCHEDULED !7-/3 PERMIT NO.�/%'l3f ✓�d �� COMPLETED ADDRESS I�� -�. 11�"y'� ��(� OWNER /�,l'�'�t � -��TELEPHONE NO. �� 3�� 7� CONTRACTOR � DESCRIPTION i��c.l� �rarn �n� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � d W �4fG�RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECT►ON REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary Copy/Site Notice