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Home My WebLink About2013-00566 - addn/remodel/repair . � CITY OF ORONO * 2 0 1 3 - 0 0 5 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1121 NORTH ARM DR PIN : 07-117-23-14-0063 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,500.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) BATH REMODEL APPLICANT PERMIT FEE SCHEDULE 162.25 THE CHUBA CO. PLAN REVIEW 105.46 19276 VERNON ST. NW ELK RIVER,MN 55330 STATE SURCHARGE(VALUATION) 3.75 (763)238-1510 TOTAL 271.46 Minnesota State License#: BC628158 OWNER SOLIE,GLENN 1121 NORTH ARM DR MOUND,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 approvais,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 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 time for due cause. C ��v��. 13xe�u,�L.,� � � 9 i r 3 Z i � i ` Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . � rZ -i3 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O O Mailing Address: Permit number: o ��3—a I�S�� PO Box 66 , Crystal Bay, MN 55323-0066 Date received: �o /3 Street Address: Received by: % � 2750 Kelley Parkway Plan review fee: tq �,L Orono, MN 55356 KESHn� Total Fee: � 7/ /..,�/ 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: JobSiteAddress: f��21 �Q� �(-{ �� p� (��-Q/�� , f�/l IJ �Cj.�j(o� Will this be a Parade of Ho em s Remodelers Showcase Home or other Display Home? Yes No /f yes,a specia/event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service wi/l be rgquired unle a licant demo tra e ufficient on-site p r �n is va�lable. No -permilted events will not be allowed. �iK�7N�� w�w �� u�� r� �,�-r�� c�� CONTRACTOR/APPLICANT INFORMATION: Name: �� (j� Qc (�. j/t�c/�� Z I 1 State �icense# ��. ( Expiration Date: � " (� Lead Certification Number: _ - Expiration Date: � (for work on homes that were constructed rior to 1978 Phone: (cell) �- � (o�ce) �✓ �' - �� Mailing Address: `� , N� f-�-(' ( City: �v� P: Gj�` Contact Person: (�J � Applicant is: n ractor Homeowner �c�r�ie o�e� Email and/or Fax: ��, PROPERTY OWNER I FORMA�T)ION: nI \/ c Name: /V I V�I (,'7 J�(.,,� Phone (day): 2- U �- �3 7� Address: I�Z D�TI'� ��N I� c�cy: F�N (� ziP: . �(�,�f 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.orq Estimated Construction Valuation of Project(excluding land) $ `�' `7 - � �x rZ��lL f I-r�w �, nr��r �M�c v•7 ir"rJ 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 the information,the a lication ma not be issued. ApplicanYs Signature: Q��-�- � Date: � � � Owner's Signature: Y� � Date: � �Y �3 Last Updated:03/06/2013 . . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 11Z1 N nR'T �-t /�'2M VJ R\�t� Description of work: t3�� 2�=v�9�� Septic review by: N/A� Date Approved: Zoning review by: N Date Approved: � Building review by: Date Approvedc ?^ �. -?�13 Grading review by: N'l/� Date Approved: oning District: Zoning File#: Reso#: Reso Date: Zonin •1ot Area: SF/AC Width: Lot Coverage: SF _% Survey S mitted: O Yes � No Date of Survey: Revised date ? : Pro osed Set cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) pther Buildin Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 fee = (Existing Contour) Perimeter(linear feet)= 50%_ #af Stories k? �YES FOR A BUILDING 1MTH A BASEMENT OR CRA SRACE: The distance betwee the lowest FOR A BUILD G ON A SLAB FOUNDATION: START WITH proposed floor(of the ment or crawl space)and ihe highest t of the roof. START WITH Ttie distance between the 1op of slab and If you have a... the highest poiM of the roof. If you have a... • GABLE OR HIPPED RO (no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): SubtracYhalf the distance distance'between the highest p 'nt between the highest,point ofithe roof of the roof to the low point of the to the low poiM of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACT�ON gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GqBLE OR HIPPED ROOF{with TYPE) windows): Subhact hatf the ROOF TYPE) windows): Subtract haif the distance distance between the�p of the between the top of the highest highest window and the highest wintlow and the highest point of the pointof the roof �f ' • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPE at, mansard etc:No subtraction. mansard,etc):No subt on. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance betw n the (BASED ON and the highest existing grade adjacent W (BASED ON EXISTING basemenUcrawl space fl r and the EXISTING the foundaUon. GRADES) highest existing grade jacent to the GRADES foundation OR 10 (whichever is iess). QUALS Defined bullding heigM EQUALS Deflned building efght Shoreland District CWD Permit Received Aveca e Lakeshore Set ck M�t? Bluff Yes G No G N/A G Yes � No � Yes � No � Yes G No � N/ Permit Number: Setback: Stormwater Qu Existing Rroposed Variance Required CUP Req ' OveMa Distri Tier Hardcover Hardcover � Yes � No G Yes � No Type(s): Type(s): Updated• January 2013 ' v:\fo ian review chedclist 2013.doc�c �� .�f�/�/�(i , . REMARKS (in-house): Fees to be Char ed � ::� .:. Plan Review ✓ Investigation fee Other(specify) S uare Foota e � er S uare Foota e Basement X = S ,��c Floor X = $ 2nd FI00� X = $ Garage X = $ Estimated Construction Value: S '�7��U C� `�'� Orono Inspections Required Work Requiring Separate Permits Required State Penr�fts G Site Piumbing � Grading/Fiiling G Well 0 Hardcover Removal echanical G Fire � Electrical � Footing � Septic G Water Connection G Poured Wall � fireplace � Sewer Connection � Foundation Survey � Masonry G Lawn Irrigation � Radon Rock Bed � Mfg. j�'�Framing G Other(specify) �'Insulation � As-Built Survey j�Final O Wetland Buffer O Other(specify) REMARKS{in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND 1NITIALLED Updated: January 2013 v:\foRns�plan review chedclist 2013.docx �� A TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ' - �� PERMIT NO.o?D�3�OD..S��O COMPLETED ADDRESS I� 2� IUDY`Tl�l 7q1'�l�vt YJ � OWNER TELEPHONE N0. � 7�3 C�`� ��°` CONTRACTOR a G� a DESCRIPTION ��a� �n�I � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTiON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O >. � O � W � Q � Z W � W � � GW /�U[dORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Wv�CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46�� OwnedContractor on site: Inspector. �' �1�'' � � White Copyllnspector's File Canary CopylSite Notice ��/ ''� DATE TIME � r J"` CITY OF ORONO CALLED IN �� INSrECTI�N N�TICE �/, SCHEDULED � � PERMIT NO. a-��3 ��''�P COMPLETED ADDRESS � � 2� / � ' �/YI d� ` OWNER TELEPHONE N0.7�O 3 �S�'Zg�lo CONTRACTOR ~��L��f�, �; DESCRIPTION / ,�� e � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ��❑ DEMO-SITE ❑ SEPTIC MAINT. ��OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �✓�f r•��•�.t ' rJ- �/- 13 - 1�/G•�f a �E� � �L — g -��- � � ` 5 n�a ��c�r �Ov�� S�ar�� ` - � �z � � e v2 r y ��-� O � � � � �..r /� �l�a.s. ot�� e a�O.-o a.�.s � W � "'l'- � �vl ev¢r y l�li¢ / „ Q � � �/.:7,) �/�tJ�T/tt�� Co ��7'�e cZ��rs w��C. •�. ��o ' a�' -�� s - W � �r�rc c-� -c Cl GC -�.� �e,K soe��ro,�,. , j GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ^� White Copyllnspector's File Canary CopylSite Notice