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Home My WebLink About2013-00231 - addn/remodel/repair ' CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 3 - 0 0 Z 3 1 * DATE ISSUED: 04/12/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1350 NORTH ARM DR PIN : 07-117-23-41-0084 LEGAL DESC : VOLK JOHNSTON ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) BASEMENT FINISH APPLICANT pERMIT FEE SCHEDULE 191.75 TODD MIKKELSON,HEIDI MARTY& PLAN REVIEW 124.64 1350 NORTH ARM DR STATE SURCHARGE(VALUATION) 5.00 MOLJND,MN 55364- TOTAL 32139 OWNER TODD MIKKELSON,HEIDI MARTY& 1350 NORTH ARM DR MOiJND,MN 55364- AGREEMENT AND SWORN STATEMENT �--�`— —� T'he 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 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 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 ca e. � y ,/ ,a�� ;� ; ��2� � pp icant Perm'ee gnature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ` PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �350 �J02'�1 ►4`Z'W� I�iZ � Description of work: U 1�S L��^�� k=��t l S t'� Septic review by: � �� Date Approved: Zoning review by: N I/`� Date Approved: Buiiding review by: Date Approved: `�-I C)� Zml3 Grading review by: /��A Date Approved: oning District: Zoning File#: Reso#: Reso Date: Zon : Lot Area: SF/AC Width: Lot Coverage: _% Survey bmitted: �Yes � No Date of Survey: Revised te ? : Pro osed S acks: Front(Lake) Rear(Street) � N S E W ) ( N S E W ) O er Buildiogs Wetland Side Side Defined Height: Peak Height: FFE: F minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%_ # Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance betwee the loweat FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the ement or crawl space)and the highest po 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 ROO . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the high t po between the highest point of the roof of the roof to the low poi of the to the low poiM of the corresponding SUBTRACTION corresponding gable ipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPP ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with T�'PE) windows): Subt ct half the ROOF TYPE) windows): SubVact half the distance distance be n the top of the between the top of the highest highest win w and the highest window and the highest point of the point of th roof �f . ALL OTHER ROOF TYPES(flat, • ALL O ER ROOF TYPES(flat, mansarcl,etc:No subtraction. man rd,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtra e distance between the SED ON and the highest existing grade adjacent to (BASED ON EXISTING �ge nUcrawl space floor and the TING the foundation. GRADES) hig st existing grade adjacent to the G ES ndation OR 10 feet(whichever is less). EQU Defined building height EQUALS ned buflding hefght Shoreland Di rict MCWD Permit Received Avera e Lakeshore Setback t? Bluff 0 Yes � No � N/A � Yes G No 0 Yes 0 No � Yes � No 0 N/A Permit Number: tback: Sto ater Quality Existing Proposed Variance Required CUP Require Ov a District Tier Hardcover Hardcover � Yes 0 No 0 Yes o Type(s): Type(s): Updated: January 2013 v:\forms�plan review checklist 2013.docx REMARKS (in-house): Fees to be Cha ed � �YE�. � , .�_Y .:� ,� • � �,��-. , � _ �� .. ... : � - � �. _.. _. _. Plan Review _�_. , .E._.: �� . � . _. Investigation Fee _..._ ,. .� � , _ . ,.. � . __,. . . _- v_ _,. . Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1�`Floor X = $ 2'�Floor X = $ Garage X = $ Estimated Construction Value: $ t �,n(�0 °� Orono Inspections Required Work Requiring Separate Permits Required �tate Permits 0 Site � Plumbing G Grading/Filling O Well 0 Hardcover Removaf � Mechanical 0 Fire �Electrical 0 Footing � Septic 0 Water Connection � Poured Wall � Fireplace � Sewer Connection 0 Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. ' - Framing � Other(specify) �Insulation 0 As-Built Survey ,�Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: 0 YES � NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx • ' ,� 3�. �� City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) '`�`'\ Mailing Address: Permit number: DI�J—�Da� J �"� ��, PO Box 66 _ Crystal Bay,MN 55323-0066 Date received: — �� Street Address: Received by: �� 5.�, ` 2750 Kelley Parkway Plan review fee: � -rw �- � � Orono,MN 55356 �.�/ ��1HC� t' 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: `,n � `� Job Site Address: �c.�� NU1r�lJl.► 1� �• Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No lf yes,a specia/event permit is required with Police Department and City Council approval 60 days prior fo the event. Shutt/e bus service will be required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLIC T INFO TION: Name: � 1 , State License# Expiration Date: ;��inc� �p� �p�rmG�o�1 Lead Certification Number: _ - Expiration Date: 3 (for work on homes that were nstrur�e prior to 1978 Phone: (cell) � _ �(Q51J 7Z��N3 (office) (pSl��7y—v?6b ! MailingAddress: 'W� t,� '� City: IP: ��\�-- Contact Person: `g Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER II�F,Q R TIO n - Name: 1 ��Q�✓.�U1�\ Phone (day): Address: � ^ �(' ^ City: ZIP: �J��Q4 Email and/or Fax: �� ' � � ��m PROJECT INFORMATION: Overall ro'ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) �emodel ❑ 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) $ 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 nnot be given to the public but can be given to the subject of the data. Confidential data is information whic ally cann e given to either the public or the subject of the data. Our purpose and intended use of this infor 'o ' t annu y upd ur records and records of other governmental agencies required by law. If ou refuse to su I th mf ,the lic o ma not be issued. Applicant's Signature: Date: l l3 Owner's Signature: Date: Last Updated:03/06/2013 , �RU�1��,� C�;oi.tl�t�-� ��r.:�� 8 Y�j1� � ��'�L��4C�( J��d�r�ide Gfi �f��r� Ar�d 1�(aifs 5 �a�� W�� S��bio ��_ _,..�i�:�l� i�it. �1 / �Q' O �Rs ( � � U�1F��1�111E-b i r� N2v�t�,,a�e � S , ° � � � � � N�W A00 R � �I (�� }�------ �f '�'L'q►► � 1 \ ` �,Q ii � � C,�c.tSt'i/�� t - - - �� "� � �-s�'°E y - - -- _ _ ___ __. __ -- -- � __ �x�s�.�,) BkN�i�e�.�c aCc R.apM \ �PP�� \ � � — — — — .-- --___ O � �X15�1 NC-� L.I�j1+°T�t�C-� ��c-r�c� o�w��`rs ,--a cc�;�� ' c��-s� , ' a� !�o Ce��no� ��ar� �: ,' � �,,»r� ,' 1"�,�(��T�?'�i'�I3�Z��'�`:�'S�E�.,.,,�i � I,A'Y��ON C�3i�{�'c2�� _ ..�...._.___�.�. �' _ ____ . -S��T�C�' �,N�g�E� PeiME� � � SEE ATTACHED SHEET _ W A1LS Tb 4E FOR G�+srvtd�u's QL=T�GT O(i CODE REQU1 -�'cEMENTS - s�P P��S C3'` ��a� w�' �� ..0 . �- FR.�A�I� Z�y w�Ll. rr f �V�►1�� E�/t��/�� '��' �� :��.�� PLAN CHECKED B DATE y-/U -7-c��3 � DATE TIME� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. ��3-D�a3/ COMPLETED ADDRESS �c�- �/��C � D�- � f /y - OWNER �� '�TELEPHONE NO. CONTRACTOR � DESCRIPTION L•L. F�1�5� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FIWNG Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. �.FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �r�.a�� lssl�.•• �4•/CD ?� G't�� F�sr �C a �'i•�t.4/ i�s��c L`/d%�. j � G�eG• �r�/ — J `l ls ` �,..3 O � Q � leaa� v�r 7 L.[. ' /1� D/G. /�o ZiKeGli • ' i.�ar�C �'o w�.d/,e�L W � � .f�rwc•�L� y 'rJ ! � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advaru:e. (952) 249-4600 �Mractor on site: �Q �/ �i�Gl� � Inspecto � '� White Copyllnapector's File Canary CopylSite Notiee �'� � `� DATE `�IM/E CITY OF ORONO CALLED IN � � �"U V INSPECTION �T� SCHEDULED SC�i�� J��=�� PERMIT NO. U COMPLETED ADDRESS � OWNER CONTR. TELEPHONE NO. �la�(1 )- g�3a � DESCRIPTION ` vl/v t� 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C o � • !/lC, ��'P/t....Q/t�_ a � o � `NA � W J� f�� Q z �� ;�S� / �S �� S')�} << �� . � � � a W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL 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� OwnerlContractor on site: Inspector. �1�� White Copyllnspector's File Canary CopylSite Notice �ITY OF ORONO CALLED IN /�AT � /,�� TIME �' v INSPECTION NOT E SCHEDULED ' L ��J PERMIT NO. COMPLETED ADDRESS �� O✓��"\ /'�'i�✓V( �J✓z. OWNER ��G /�✓l S CONTR. �l.��VL-��''' TELEPHONE NO. �,P � �D � ��.3�a � DESCRIPTION //�� `G t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINA 14 SEWER HOOK-UP 06 PROGRESS � 0 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES � NO c� CO NT a i n v�� S � J O � � O � W � � � � Q . � Z W � W � � d W . ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V ' BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL REfURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the n t inspection 2a hours in advance. (g52) 249-4600 OwnerlContr o ite: Inspector. White Copyllnspector's Fil Canary CopylSite Notice