HomeMy WebLinkAbout2014-00053 - addn/remodel/repair CITY OF ORONO * Z 0 1 4 - 0 0 0 5 3 *
� . 2750 KELLEY PARKWAY DATE ISSUED: O1/23/2014
ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 3090 NORTH SHORE DR
PIN : 09-117-23-32-0006
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION ; $ 102,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
REMODEL
APPLICANT PERMIT FEE SCHEDULE 1,068.75
STATE SURCHARGE(VALUATION) 51.00
AMALIA G. CONSTRUCTION INC. TOTAL 1,119.75
639 INTERLAKEN
VICTORIA,MN 55386- Payment(s)
Minnesota State License#: BUIL-BC396470 CREDIT CARD 0478 1,119.75
OWNER
MCGLYNN,DAN
3090 NORTH SHORE DR
WAYZATA, MN 55391-
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 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 I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
IJ�. � Z �- � ������ / � 3 � /
Applicant Permitee Signature Date IssueC-?�ature Date
Y �
- �'�r� 9 �.�-
��ty of Orono
• B��ding Permit Application for Maintenance / Replacement / Renovation
{No structural expansion. Only windows, doors, siding, re-roof, etc.)
���A���• Permit number: o?O/ -
�D�O PO Box 66 ,/
Crystai Bay, MN 55323-0066 Date received: �"�rO'/7
Str+eet Address: �� Received by: � �
s G� 2750 Kelley Parkway �- � Plan review fee: 9�
`� Orono,MN 55356
��kFSHO�� �o /S/- DaDS�
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 retumed. (Please print)
GENERAL INFORMATION:
Job Site Address: 3 oq a I�I or�N�. S1�eve 1'�r i vt
�II this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
!f yes,a special ewent peimit is requi►ed with Aolioe Deparbnent and City Couna/approval 60 days prior to the event ShutNe 6us servioe wiN be
required unless appt�anf demonstrates suffcient on-site parking is availaWe. Mo�ermithed ev�ents will not be a/bwed
CONTRACTOR/APPLICANT INFORMATION:
Name: �w�b,lia (z- Cc1HS�rk��i��rlc..
State License# �,G .3 9��t�o Expiration Date: 3,a�, �,a �
Lead Certiflcation Number: F�cpiration Date:
(for work on homes that were constructed prior t�n 1978
Phone: (cell) q 52,. 2,q Z..3-t �-� (office) 9 SZ�t O�O. I 3 5 2-
Mailing Address: 3q Tv�ctte���,k�..� Ci : ��-���a, ZIP: $ S;$
Contact Person: -roa,d (��e�w2►Stci Applicant is: ntracto / Homeowner �ci.aea,e�
Email and/or Fax: -},e��Q�,,,�p�\;a q,c��,,� ' 95 2-9�l�•l 3'1 J
�'�ROPERTY OWNER INFORMATION:
��ame: ���i�l �' Wl c 1 V K h
Phone(day):
Address: �O�t� N��1�n Skore tJr. ���v� INa�2a-I�, Z�P� 5535 I
Email and/or Fax: paK�dc,�N��q�yNH .t�1�/1
PROJECT INFORMATION: Overall ro'ect descri tion:
Type of Project: My earth movement may also require
❑ Door(s) L�7 Remodel ❑Fir�e Damage MCWD review 8 permits:
❑R�roof,asphalt ❑Repair ❑Storm Damage ��nnehaha Creek Watershed Distrid(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391
❑Re-roof,other(specity) ❑Siding ❑pther:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ l 0 2. 0 o D •o v
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all infortnation required or requested by the Building Department;
. Certifies that the infoRnation supplied is true and correct to the best of his/her knovuledge. The applicant recognizes that they are
solely responsib�e for submittirg a complete application being aware that upon failure to do so,the staff has no aftemative but to
reject ft until it is complete;
• Some or all of the information that you are asked to provide on this application is Gassifi�d 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.
Confidentlal data is information which generally qnnot 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 reoords and records of other govemmental agencies required by law. If
ou refuse to su I the info th a ication ma not be issued.
ApplicanYs Signature: .� Date: �• �� • 1'1
Owner's signature: �` Date: I — �6' ��
l.ast Updated:03I06/2013
�'���,� �������' �E����E�[��' ���: ���� ��`�C���C��.�� �' �,�'���°��t��
Adc�ressiPer�tt PEum�er: 3Oy� �►�rH �'t-to�.�, �(J fL
Description of�ack: l�A���,U �1�
Septic reviewr by: �t11+� aate Approv�d:
: Zoning review by: Nt� Date Appcovecf,
Buildin� review by_ � Dafie Approved• ��2 Z'-�y
Gracfing review by: i`'//a- Date Approvecl:
Zaning District: Zonir�g File#:' F�eso#: Reso�ate:
�o ng: Lot Area: SF/AC 1+�+idth: �.ot Coverage: SF /o
Surve S�ebmitted: L� Yes Q No Date of�urvey: Rekised dat ? :
Pra os Setbscks:
Front(La Rear(��reet} E � �ide w 1 t � Side � ) �ther��fltli : t��tfand
Defilaed Height: Pea4s Height: �FE: �FE minus 6 �et= (Ex€�ti�rg Con#our
Perim�ter(linear feet)= 5Q%_ �of Stoeies Ok? Q YES
F�R k BUIL•DlNG WITH A BASEIiflE OR CRAIA�C SPACE;
Ttie di ce between tl�e towest FOR A BUI ING ON A SLAB FOWND/iTiOlat: -
START WITH pro oor(of the basement or crawl
space)an highest poin#oi the roof. 3TART WITH �distance between the top o1 slab and
If you haye a.. the hi�hest polnt of the roof. .
� • GABLE OR IRP@D ROO.F(no H you hava a...
windaw$); Su : haH the • GABLE OR WIPPED Et00F•(no
distance be e highest{�oiM `winduws): SubtracE MaH the:distana
of the roof to the' int of the ' between the highest poiM of the roo
po g gable hipped roof to the low pant ofihe Co�espondin�
SU87RACTION corres ndin SUBTRACTION gable or hipped roof
{TM EED.ON ROOF . GABLE OR MIP,PEb RO (with ' (BAS�D ON • GABtE OR HIPP�D RpDF(with
windows),$ubhact half the ROOF TYPE) windows): Subtract half the distana
dist9nee between the top of th : behNeeh the top ot th8 highest
, highest window and the highest window and the.highest point of the
point of the roof rool _
� • ALL OTHER ROOF TYPE$( • ALL OTHER ROOF TYPES(flat,
' mansard,etcj�Nosubtracti . rt�an rd etc:i�o suhtra ' .
ADDI�'ION Adii the dfata�ce befiroee�the tep.of sla5
SubYract the distance between e 9 e�dstin9 9rede adlacent fa
SUBTRACTION (BASED ON end thehl hest
{BASED ON EXISTING baserhenticr8wl spaCe floor d the EXISTING tAe�oundation.
GRADES) higheat ebsting grade ad' nf to the GRAUES
foundation OR 10 feet( ichever is less). E UALS Defined building hel�ht
EQUAL5 D n�d butlding fiei
�hore(anc� Distcict �iAC [� Pere�it lR�ceived Avee� e Lakesho Setts�ck AAet? �luff
C7 es 0 No � N!A t� Yes t� �!o
CI Yes � No C� Yes 6� No N/A
rmit Number: . Setback:
Stormv�ater Qv�tity Ezi�ti�g Pro�Qsed �ariance Requisec� CU equiret€
O�reria Dist�icf Tie �Eardcaver Nardc�ver
� Yes � No � Ye 0 R�o
Type(s): TYPe�s)_
Updated: J ary 2013 �� ��v�
v:lforms n review checkiist 2013.docx
RENf�.E�KS (in-house):
Fees to be Char ed YES �O :
Permit ✓�
Plan Revie�rv
State St�rcharg� :
-----Tve g�fio`n Fee------------
_ _ ----�- --- __—_ _ �
S�1C-PEumber of SRC Un�ts _ .
Other(specify)
$ uare Foota e $ er S uare Foota e
Basement , X = $
�sc fioor X
$
2ndFloor X $
Garage X $
Estimated Constructfon Va{ue: � t� �,v�a �
Oron.o Mspecfians Requ6red VUork R�quiring Separate Pern��ts Requlreci State Permits
C1 Site �Plumbing G Grading/Filling � Wen '
�i Hardcover Remavai Mechanical t7 Fir� Etectricai
Q footing i7 Septic Ci Water Connection .
� Poured Wali �'�ireplace � Sewer Connection
0 Fourtidation Survey � Ni onry � Lawn Irrigation
Q Radon Rack Bed f9•
,�Fratning Q `Other.(specify)
�d'''Insulation
C� As-Buil#Sunrey
Final
C1 Wetland Buffer .
Q Other(specify)
REf�iARK� (in-hou�e):
Other Review: Reviewed by: Da�te Appr�vedc:
/4cce�s: Existing: � YES t7 NO New: ❑ YES [� IVO
OFF{C:fAl.REMARK�-TO BE NOTED Qf� RER[�ri�ANQ INtTiaLLEa
Updated: January 2013
v:\forms�plan review cheeklist 2013.docx
5� DA TIME V
CITY OF ORONO CALLED IN -
INSPECTION�1`T ��D 53 SCHEDULED - - �
PERMIT NO o�d COMPLEfED
ADDRESS ��� ��Tyf 5,�,11�P ��C�/
OWNER TE PHONE NO.�z Z�'Z �7��
CONTRACTOR
� DESCRIPTION ��� ` ��.
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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 HEMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OYYNERICONTRACTOR TO MEEi Y�U:_YES_NO
� COMMENTS:
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❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours i dvan� g52
OwnerlContractor on site:
Inspector:
WhiM Copyllnspector's File Canary CopylSite Notke
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CITY OF ORONO �D IN ,3 �/---��`t'
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PERMR NO. -�u�COMPLETED�
ADDRESS ���� w . �/�ll�_[�`L 1/'��
OWNER TJ EPH E N0.3��������
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� DESCRIPTION �' ' ���
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PIUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl70N/REMOVAL
� OWNERICONTiiACTOR TO MEET YOU:_YES_NQ
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
r • spection 2a haurs in advance. (952) 249-4600
ctor on ite: �l Q
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White Copyll ecto�'s File Canary CopylSke Notke
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CITY OF ORONO CALLED IN ��a '��
INSPECTION N TI E SCHEDULED � — •' �
PERMIT NO. ' � c P EfED
ADDRESS � � ` ` ��
OWNER T LEPHO E NO. �'2 ����7��
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� DESCRIPTION
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y �FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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2 OWNERlCONTRACTOR TO MEET ll�U:_YES_NO ,
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C u�orthei� ection 24 hcWrs in advance. (952) 249-4600
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�nspector: -- �
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ADDRESS �D !D /v• J� /1/�
OWNER TEL PHONE NO. �� ��
CONTRACTOR
� DESCRIPTION
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� �`FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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r ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET ll�U:_YES_NO
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Cail for the next inspection 24 hours in advance. (95Z) 249-4600
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a DESCRIPTION �
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� ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT
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2 OWNERlCONTRACTOR TO MEET YiOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector: /
White Copyllnapecto�'s File Cenary CopylSite Notfcs
� DAT� TIME ✓
CITY OF ORONO CALLED IN 1��
INSPECTION NOTI E SCHEDULED �D.,3 t�
PERMIT NO "" ��S COMPLETED
ADDRESS ��RD �_ V�'W 1l�
OWNER LEPHONE NO.g52 2�Z � 71 a
CONTRACTOR ��'�-K. � Civ YUJ T
� DESCRIPTION r r1
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
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Cal1 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContraator on site:
Inspector: � ..� �7'�
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� � � ATE TIME v
CITY OF ORONO CALLED IN ��� �
INSPECTION NOTIC � SCHEDULED S—/ �.� �/
PERMIT NO. � — 5 COMPLETED
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OWNER LEPHQNE NO.��0� ��37��
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�: DESCRIPTION ��-"'�-
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W ❑ FOOTING O PLUMBING FINA� ❑ EXCAV/GRADING/FILLING
� 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Q OWNERICONTHACTOR TO MEET YOU:_YES_NO � .
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W ❑WORKSATISFACTORY:PROCEED O PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� �FORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: �� ��
Inspector. '
White Copylinspector's File Canary CopyfSite Notice