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Home My WebLink About2015-00298 - addn/remodel/repair CITY OF ORONO *� - 0 0 2 9 8 * 2750 KELLEY PARKWAY DATE [SSUED: 03/13/2015 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 r ADDRESS : 860 NORTH ARM DR PIN : 07-117-23-12-0029 LEGAL DESC : PIRATES COVE : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 35,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 546.55 PLAN REVIEW 35526 JMN BUILDERS STATE SURCHARGE(VALUATION) 17.50 6550 WOODEDGE ROAD TOTAL 919.31 MOUND,MN 55364 (952)472-5170 Payment(s) Minnesota State License#: BUIL-1310 CREDIT CARD 7210 919.31 OWNER DAVIDSON, RONALD&JUDITH 860 NORTH ARM DR MOiJND, MN 55364- 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. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her 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 Sta[e Building Code.This permit may be revoked at any time for due cause. � � ? J L'��--.Z: C`�� 3 ; � � A ic t ermitee Signature Date Issued By Signature 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 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Z� � 2750 Kelley Parkway Plan review fee: `�t �' 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. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: , Job Site Address: - � � �� , 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 rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMqTI N: ,—, Name: `� c' � f .1.�C'. State License# �L��,�„ Expiration Date:s Z�/ '� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) Z S' (office) ��',S�Z- ��- -:S�l�G Mailing Address Gpa . City: ZIP: , -f'�� Contact Person: �J2�,��.f yt�,��j,�� Applicant is: Contr� ac�/ Homeowner (Circle One) Email and/or Fax: �q s,�t��.,�`�b`��,, �� f�- ��yJ PROPERTY OWNER INFORMATION: Name: � J G'dr/ Phone (day): Address: � City: ZIP: �;S�� Email and/or Fax: PROJECT INFORMATION: Overall project description: / ) / 7'':�'-�J"-�''r~�"' �"�'�� "` � 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) 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) $ J 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 I th ' formation,the a lication a not be issued. Applicant's Signature: �� Date: 3 1 � J � � Owner's Signature: Date: Last Updated:January 2015 �� 'E��t,� ��[�� F�f� �� Z�.��°�� ,��t�E�f�S AcicEress: �G U Nd�-T7i �2..� ✓�� Permit i�o.: • Qescription of vir�rk: �G� r�c��d�. 12t: rwcJ✓> � � D�te Rec'd: Septic reviev�r by: __�1/�� Da#e Approveci: Zoning review by: N�� Date Approved: Buiic�ing review hy: Date A,pproved:_�i":� 3� ?�+d 1 "� Grading review by: ` �� Date ApProved: Zoning Dis#rict: Zoning File#: Reso#: Reso Date: , Zoni : Lot Area: SF/AC tAlicf#h: LQt Coverage: SF % Survey bmitted: �Yes C[ No Date of Survey: Revised date(�)• � Pro osed S acks: � ; Fron#(Lake) ktear{Street) ( � �ide � � f � Side � ; Other Bu' ings Wetland' D�fined Heighf: Peak Hefght:� fFE: FFE minu feet= (Existing Contai Perimeter(iinear feet)= 50%0= L.F. I�elow grad� .#of$torees , FOR A BUILDlPtG WITH A BASEBAENT OR CRl� SPACE: FOR A BU!!. NG ON A SLAB FOUAlDATION: The distance be the lowest proposed 'Fhe distar�ce bet�nreen the.top of : START WiTH : floor(ofthe basemen r crawl space)and START WITH siab and itie highest`point of the t Uae highest point 4f the r root.= . ;` ` If you have a._ ` If you haVe a... ` • GABLE OR HIPPED RO no • GABLE OR HIPPED ROOF ° windows): SubVact haH the ce {no wfndouvs)::,Subtract Malf the distartcg betweert�he. between the highest pqint of t highest pofnt of2he roof ta to the loW point of the`corcespond �UBTRACTION 9able or hipped roof the low pdiht of the cortesponding gable or , {BAS€D ON ' . GqBLE OR HIPPED ROOF(wit SUBTRACTION . hipped roof R{)OF.TYPE} windows); Subtract half the di nce (BASED ON, • Gp�tE OR YIIPPED ROQF between the top of the tiigh RdOF 7YPE) (with vvihdovks):'Subt�act window and the highesi po' t of the � hstf the dtstance bebween roof thQ top af th�tifghest • ALL OTHER ROOF T ES(flat, windoW and the hfghest � mansard,etc):No s traction. � point of the roof - • ALL OT�}1ER RdOF TYPES -SU�TRACtION Subtract the distance tween the (flat,�mansarti,ete):No (BAS�D ON basemenUcrawl sp floor and the " ' � subt; 'on - �CISTING highest exfsting g e adjacent to fhe' AD ItION Ad�the distance between the fop ' (3RADES) : foundation OR feet.(whisheveris f�ss). ASED ON of slab ana tfie higl�e$t exisUng , EQUALS ' befined bui g height + � . TI�G : grade.adjacernio the foundation. ` ° • Ei2UA Defined buiMing height Shoreland=District MCKrD Permit ��erage Lakeshoi�e-Setbac B�uff � . . Met?, _ ; 0 Yes � {�o Permit Nwmber C! Yes � No 0 NIA - 0 Yes O No , � N/A—seeattact�ed Set Gk: Stormwater Qua! , Proposed Qverla Qist Exi�ting Kardco�er y (%and s� Hardcorrer Variance Required CE! . equirec! Tier cir�cl. ne %and s . 0 Yes E� No a Yss Q No 1 2 3 4 5 TYPe�s)� Type(s): Updated: January 2015 z:\forms�plan review chedclist 2015.docx REFr�RFtK� (in-house): Fees fo be Char ed YES fitO ��rrnit Plan 12eview State_Surcharge ; tnvestigatian Fee SAC—Nufnber af SAC Units Other(sRecify) S uare Foota e $ er$ uare Foota Basement X - $ 1 Sc Floor X ' $ 2"°Floor X = $ : Garage X _ $ Estimated Construction Vaiue: S _��. �v ��a Qrono�nspections Required 1Nork Requiring 5eparate Permits Required StatePermRts t] Site � Rlumbing Cj 'Gradingl Fitling � Well 0 Si1t Fence/Erosion Contcol � Mechanicai C] fire Electrical t� Hardcover Removal 0 Septic Ci Water Connection Ci Footing 0 Fireplace t� Sewer Connection ` 0 Poured Vl/all Q Masonry L3 Lawn irrigation Q Founcfa#ion Survey � Mfg. 1� Landscaping Q Fvundation vllaterproofing � Qtfier(specify) 6 Radon Rock�ed . : .� Fr�iming ' � Insulation - : : t7 �►s-Built Survey ; , fin.al , : Q OfFier(specify) REtif{ARK� (in-house): � �ther R�vie�nr: Rrevie�red by:, Date A.pproved: : Access: �xisting: � YES F'� 1�0 New: 1'1 YES C1 NO OFFICI�4L REMARKS-TO BE HOTED Ot� �Ef�lU6iT�4htD tt�iTlALLED Updated: January 2015 z:\fortnslplan review checklist 2015.docx r. � / ��:� �� 1f-�� ,.�- ��y�t� ��- �� -s �c L=,�./-� , C.� , � � .� �--C;��G.�/ /�•�!�%��( ��k�� _____ _ ._ __,..___ _��-•---- ------ _.._�_..�_.�._�.. ,_._.._._....._,.._..._. � _. ._._,__.___w.._._ _._._ _ __„__...___ _�___.._._....._ �._ _..__ �._ _. . _. _ . �- ` i - -- ..._..�__, .___._� .__. .r.__� ...._� ___�___�._. _..___. r � / �' O G U U I ��t / \ f• ' `t `I � �� y�� iSV��` � �.�1 I VJ�� b i1�L ��, j , � � I r t� `�'J��'`�4� ��s� °r �`�" ��y d i�f G� . , , 1 �`�,� ��' 1k�i�a:=� � ��``: ��" (n a z_ �� >��=E� ti �� 1 G 4� 1��1��j�.qfi( ( _a J � � � — .�. '�� .: , ��'¢.�:�``�� o 0 0 0 � 4-[7rC��'�'`';, � -��-`�a��- y._: � � ...r ._ �. _ _ �l�t�i iC7F—�1 ;�";�. . � ,�" �� a�� i;' ( <:�G �T�''..��-� �� p�V!fl�-fZ5 � �t�'�� , � � ` t �� ,� ` ��.t_��.��b � � - -� ,;��,,1- �.? �`��" ,�t,r � � -t,�, � �r��,� � �d s�..�``. , ��`�� . ,�gr.��4,,� \ `�;,,:_�.l."-' 1 � ..�. � � � __� \ ` ( ,� �t�. 0 ?�'� c� i ( � �i,'-.� �C./ i;F � {�� { �� s � /�,�(� 1 � ,�� . � [��j��S� �k�� '� .C_a� t- l ��i•� � � }6— V�"' �� , � ! .� � �� .��t,1.lL� . ,r� v �� : �� f� � � ��"� � _ 1 _ �.�� __� _ ,� g �� (� ;_��' � � ._ S��l�� 1�1��L�.� �r �._._. ��E ATTA�:l9-','��► S��ET � �<<� EF. ��.' ,.,° �_�-c�2 r ,. �,t� �'�td �- .�.� , � ��.�Gf F4R �a- �►�.� .�h �1�ie.i','; ,»,��,��°��: �� ,_"�.�-; �-,�, � t�C3� ��' ° ,-�`:°Y:�T'1TS � �u � C •- �� R �� a ��-r i-' � — � � � � � :t ��1�{�� s�-� tf' I ;��^d�4. � � _ � ��t„(�" ��-` E c�a`.�l i<�....r.. �..�,.:�..' Z��%�0 �a,�4Et.Jll�((;� �� . R�l��E��_C�� ^�'."�'��:� .. . pLAN CHECKED B DATE 3�t3__?-°� . /�/ � DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTI E sCHEDULED PERMIT NO. C � COMPLETED ADDRESS �O� / v • �rm �` OWNER TELEPHONE .�� CONTRACTOR � DESCRIPTION t �/ 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 ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY WER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YES_NO � COMMENTS: � W � � � O �. � O � � W � Q 2 _ , ,+ �' � � � W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ` ❑1 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance. �9 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notiee