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Home My WebLink About2014-00457 - interior model CITY OF ORONO '�2014-00457* � 2750 KELLEY PARKWAY DATE ISSUED: 05/23/2014 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 345 NORTH ARM LA PIN : 06-117-23-24-0015 LEGAL DESC : NORTH ARM OVERLOOK : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 55,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 719.25 STATE SURCHARGE(VALUATION) 27.50 LECY BROS HOMES TOTAL 746.75 15012 HWY 7 MINNETONKA,MN 55345- Payment(s) (952)944-9499 CHECK 38544 746.75 Minnesota State License#: BUIL-20325555 OWNER SIPPRELL, DAVID&CARLA 345 NORTH ARM I.A 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 pertnit is foronly 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 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 appiicant 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. /(.f�� ,. s— �3 : �c 5,�� pplicant Permitee ig re ate Issued By Signat e Date J City of Orono Building Permit Application for Maintenance J Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: � �ON��,, Po soX ss Pe►mft number: B I D D 5 Crystal Bay, MN 55323-006 Date received: � - �-� i �� Streef Address: ` Received by: , �. 2750 Kelley Parkway �{I Plan review fee: ` � J . �.�A.��ii�� . " Orono,MN 55356 p"�01�� d� 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) c� � GENERAL INFORMATION: 'I D � Job Site Address: 3 y� � �� WIII this be a Parade of Homes,Remodelers Showcase Home or other Dlsplay Home? Yes No lf yes,a special event permit is required with Police Deparlment and City Councll approvaf 60 days prta to the event. ShuKle bus s wil!be required unless applicant demonsirates s�cient on-site parlcing is available. Non�ermitted events will nof be allowed. CONTRACTOR!APPLtCANT INFORMATION: Name: Lt��1 Cfl3"tt..a2S �it33 � ��7'L1030E2/if.l� State License# f��'i 3 2 S-S-SS Expiration Date: -3 � � Lead Certification Number: ��,�. Expiration Date: (fur work on homes that were constructed pNor to i978 Phone: (ceN) 9j'2."'7 `3�7$"�J (p,�e�ar (office) 9'�2—��it —�'""!! Mailing Address: O�Z G, Cit :�r I��P: S3� Contact Person: � �- ��1 Applicant is: ontracto / Homeowner �ci�ie o�� Email and/or Fax: �� ,N Lr� PROPERTY OWNER INFORMATION: Name: _��'t� 'r'G�!'/L!�- $� Pfi��TLL.. Phone(day): Z,.- t;.- r� �`� Address: �( ri., G�.y�- City 8,,,��p ZIP rj�36 [�l Email and/or Fax: ��Q�1�s�� a�tTll2hl�'T' NET' PROJECT INFORMATION: OveraN ro'ect escri tion:/Il07iI-a7�uGTtJ?JSZ- C:B��T G. !/Lt/ol��r,t3+4�l�Tj' Type of Project: �-�,p My earth movement may also require ❑Door(s) Remodel V, MCWD review&permits: � ❑Fire Damage ❑Re-roof,asphalt ❑Repair /� ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof,cedar 18202 Minnetonka Blvd ❑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.or4 Estimated Construction Valuation of Project(excluding land) $ APPLtCANT 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 knawledge. 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 w al{ of the informaUon that you are asked to provide on this appflcation 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�se of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su the i orma' a iption ma not be issued. Applicant's Signature: Date: r Owner's Signature: _ ' �i_ Date: �J 7i ��:c� E�..��c��► �� ,� ��r�� F� �cidress/F�err�tst 6�utnb�r: ��,:� ,�f(J�'� �� a��cr�ption�f��rk: �°�ta31�@(_._ SeptBc r�v6ev�by: �� f J� Date f�pproveif: Zaning eevi�w by: r c� Date hpprovecf: B611ICjti1� P@YI�W LI�I: Date Approvec�:_ S- Z'� � i i{ GcadEng revievv E�y: /�r A� Date I'�ppro�ec�: Zoni District: �oning Fife#: Reso#: Re�o Date: Zoning: L �cea: SF/AC lHlidth: Lct Co�erage' SF _% �urvey Subm �c�: � Yes E� No Date of Survey: Revised date?: Fro ased Sefibac : Front(Lake) �ar(Streef) t � �icfe � � t � &ide � � Other�uildings t�iEefiland Qefin�ci l�eight: ��sk Fteight: fE�: FFE�inu� 6 f�et= (Exi�tfng Ccntoe� F�erirr�efer{linea��eef}= 5�%= #of$�ori�� O 1� YES FOR A BUILDIPlG IMTH A BASEEREFIT OR CRA SPACE: The distance betw the lowest FOR A BUILDIN N A S4.AB FOUNDATION: START WITH proposed floor(of the sement or cra�rl , space)and th.e highest `nt of the roof. The distance between the top of s�ab anc START WITH }he highest poir+t of the roof. If you have a... IF you have a... • GABLE OR HiPPED RO � GABLE OR HIPPED ROOF(no (no , wintfows): Subtract half the wi�dows): Subtract half the distanc distance beiween the highest iM between the highest point of the ro� of the roof to the low point of the SUBTRACTION cortesponding gabie or hipped roo to the low point of the correSpondin (BASED ON ROOF � SUBTRACTION gable or hipped roof �P�� GABLE OR HIPPED RQOF(with (BASED ON ' . GABLE OR HIPPED ROOF(wifh windows): Subfract half the ROOF TYPE) wiAdows)� Subtract Malf the distani disNance beM�een!he tup of the between the top oi th�.higt�est highest window and the highesf- window and the highest point oi thc point of the roof roof . ALL OTHER ROOF TYP (flat, • ALG OTHER ROQF TYPE�(flat, • mansaM,etc):No sub ction. mansard,etc:No subt�action. ` ADDITION ` Adtl the distance between tfie tOp of slat Subtraet the distance e�n the SUBTRACTION i (BASED ON and the highest e�dsting grade adjacent t (BASED ON EXISTIN6 basemenUcrawl spa� oor and the EXIST�NG the foundation. GRADES) highest existing g adjacent to the GRADES foundation OR 1 eet(whicheveris iess). EQWttS Deflned building height EQUALS Defined bu ng height , Sharefa�c�Qistricfi [�ECVR�'D Permit Receivec� R�v�ra e Lakeghcr �etback Niet? BIu4`f' � Yes � No 0 N/A � Yes a Nc � Yes o � Yes � No 0 N/A Permit Number: Setback: �tordr��m r E�ual� E�i��ir�g �roposec9 ��riance Required UP Regufcec€ Oveel� istrict Tier tCarc6cov�r Ha�acaver • � Yes � I�o Q Yes L� No Type(s): Type ). Updated: Jaouary 2013 v:\forms�plan review checklist 2013.docx REI�G/�RKS (in-house): Fees tio lse Cha ed YES NO F�e�'m� Plan Rediew �� t�e St,t�t��,#e lnvest�gation Fee 'SA —i�1�sr�f S�►�t�n�s Ot�ef(specify) S uare�oota e $ r 5 uare Foota e Basement X $ _ $ 15'Floor X - 2`�Floor X = � Garage X - � E�ticnated Construction val�e�: S �� ` _!"' O�rono Inspsctions Rec�uire� Work ftequiring Separate Pertnits Requirec�State Permits G Site �Plumbing Q Grading/Fiiling � WeD 0 Hardcover Removal � Mechanical � Fire ��Electrical 0 Footing G Septic � Water Connection t7 Poured Wall - G Fireplace C� Sewer Connection C7 Foundation fiurvey � Masonry � tawn lmgation �3 Radon Rock Bed C7 Mfg. t] Framing � Other(specify) G Insulation . G As-Built Survey Final � Wetland BufiFer G Other(specify) RE(t�aRKS (in-house): Other Revfew: Rev�ewed by: Date Approved: _ �cce�s: Existing: EI YES t7 �!O New: E� YES Q NO OFF{CfAL REII�ARK� -'�O �E hEOTED Ohi PERf�lT�t[�ED iNlTEAl.LED Updated: January 2013 v:\forms�plan review checklist 2013.docx � � D TE TIME CITY OF ORONO �5� cnLLED IN INSPECTION NOTIC HEDULED ��_ PERMIT NO. - DD COMPLETED ADDRESS �� h^ � OWNER / TELEPHONE NO.fIJ ��- 7O3 ZZ7Z CONTRACTOA �-• � DESCRIPTION �� `'L� ��'�"`�`'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP � COMPLAINT `� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HAHD COVER REMOVAL � ❑ PLUMBING RI O SEPTIC FINAL � FOUNDATION/REMOVAL Q OYVNERICONTMCTOR TO MEET Y�OU:_YES._NO � COMMENTS: E��• �'�n'�G � S � �� W � - ` o ^ /��I G��'l �"c�G! - /'10 �►�s.,rr � �t f C�.a.ris S a � � ,�I4• C �c 9�5 � � " /'le�J /«�eK 5�H� - Sa�Q �ac�� - dK W � Q ►1�R-S�Q/ G�►��r � $4h�t t- ldG4'��0�, "� 2 - �'lew G4�6.�tttS- Sa.�.Ro !'c�c.F,Lre..S � _ � - yl�cJ ! 5la.�,� - yla��s. - 5a.�.c� �oc��.•L ' � j -t�Jo r K C'o.�,o!`�� -y��•�.� �'�`t�el� � ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or the nex i ion 2a hours in advance. (952) 249-46�� Ow rlContractor on site: � Inspector: r'-' White Copyllnspector's File Canary CopylSfte Notke