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Home My WebLink About2015-00294 - addn/remodel/repair CITY OF ORONO * 2 0 1 5 - 0 0 2 9 4 * , . 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3120 NORTH SHORE DR PIN : 09-117-23-32-0007 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 : $ 65,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, OTHER INSPECTION REQUIRED: FLOOR REINFORCEMENT APPLICANT PERMIT FEE SCHEDULE 834.04 STATE SURCHARGE(VALUATION) 32.50 TONKA HOUSE TOTAL 866.54 3210 SHORES BLVD Payment(s) MINNETONKA,MN 55391- CHECK 1230 866.54 (612)418-8953 Minnesota State License#: BUIL-668839 OWNER CREE,MARK&NANCY 3120 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shalf be performed according to the approved plans and specifications,app(icable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype 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. 1'he applicant is responsible for assuring all required inspections aze requested in conf ce with the State Building Code.This permit may be revoked at any me f r due cause. � : � � � , ��, �s Applicant rmite Signature Date Issued Signature Date City of Orono Bui�ding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �O . ` Mailing Address: Permit number: �� ,j.. �d9 lYO PO Box 66 Crystal Bay, MN 55323-0066 Date received: � �� Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee:� `� Orono, MN 55356 lqkesxo�`� �la�v• S� 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) �� GENERAL INFORMATION: Job Site Address: ?j12a N. �c�t.E �-. 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: — ,�r,�sE State License# L 4 g g Expiration Date: �-j Lead Certification Number: v.� U, Expiration Date: (for work on homes fhat were construcfed pr' r to 1978 Phone: (cell) �1z • y�g. gg 5� (office) M�,,��-��.a Mailing Address: 2 p �oQ ��,v b City: � ZIP: �'j5 3 Contact Person: �Q� ��SM �� Applicant is: � ract / Homeowner (Circle One) Email and/or Fax: �ar\ � -�ti�2�,,��SR_ • G.c�v.�, PROPERTY OWNER INFORMATION: Name: ��K �jz� Phone (day): Cp�2 g 12. CjOt,/S- Address: ��7 � �(, 5�� D�_ c�ty: a,�,�/p ZIP: Email and/or Fax: �jZ, bc,,•-h � r�'ba Go►� 5�. ! -f-� �►a - �o ,rti PROJECT INFORMATION: Overall project description: 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) $ l05� Obb 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 infor i n,the a lication ma not be issued. Applicant's Signature: �`�" Date: �� 12 � I�' Owner's Signature: Date: Last Updated:January 2015 �� '� �� Address: �l 2O tv'O/L-Yl`4 �+lL+-c� lLcd �DlZ Perm6t F�o.. Description of wrQrk: /`/ 1/ or� �oa I en�fL��dll �- A� i�o� Date Rec'd• Seplic review b�r: N/A Date Approvecl:' Zoning r�eiew b�: /l�- Date l�pproved: Building review by: Date Approved: �/ �- 20�S' Crading review lsy: N /l� Date Approv�d• Zoning District: Zor�ing File#: Reso#: f2eso Date: �o 'ng: Lot�,rea; SF/AC Width: Lot CoveraSe: SF % Surve utamifted: � Yes � No Dat�of Survey: __ Revised date{��,;, Pro osed tbacks: ` Front(Lake� Rear(Street) ( N � E VV ) ( h� S E tN � ) Ofher Bui n"gs lN�tiand Side Sic4e De#ined lieight: E��ak I�efght: FFE: FFE min 6 feet=�(Existtng Contou , Perimeter(iinear feetj= 50%0= �� ' ; �.E. belovv grade #of Stories - FOR A BUILDING WITH I!BASEMENT OR CRA SPAGE: FOR A BUJL'b1kG Otd A SLAB�OUNDATIOhE: Tfie distance betw tNe lowest proposetl s�a' The dfstance bett�yeen.the top of START tM1IITH floor(of the baseme crawl space)and START WITH slab and the 6ighest point of the: the highest point of the roof. ; If you have a... �; If you have a... • GABLH OR HIPPED ROO no • . GABLE OR HIPPEp ROOF - windows): Subtract haff the nce (no windows): SubYra�t h8ff bet�nreen tfae hfghe�t pofnt of the t#�e dfstanoe beM�een the. � to Ehe loW polnt of the dorres `" • ' highe&t poiiiCof the rooFto SIiBTRACTION gabie or hfpped roof .s the low polnt of ttie EBASED ON . � cotrespontling gable or • GA$LE pR HIPPEA ROO,F(with SUBTRACTION hipped tpof � ' ROOF TYPE) windows}: Subtract haH,ifie disfance (BASED qN . GABL�-0R HIPPED}�OOF befweer�the top of th 1i(ghest ROOP TYPE) (with windowsj". Subti�ct �f ow and the hi��st'point of the lialf the distance 6elw'sen � the top of the hfghest " • ALt OTHER R6QF TYPES(flat, windd�nra�d the,highesl. mansard,eyr)<>No subtracUon, � pofnC bf tlie rtlbi" SUBTRAC7'ION ' Subtract the d' nae between the • ALL OTli��t ROOF TYPES . ,. (BASfD ON ` baser�enU wl space floor and the ' {flat,madsard,ete):No = �XISTING highest e 'ng prade adJacent to the su tracllora. GRADES) ' founda n OR 10 feet DITION Add tFre diatanee between the top • (whicheuer is less). ( ED ON of stab and!he high�stexisting EQWILS Defl building hetgM EXiS G gratle adJeCent to the foundatfo�. 'CyW#dE �QUALS Deflned buliding heigfit + Shoreland Dtstrict ' MCEND Permit `average i.akeshore Sefback' 8{uff Met? � � Yes No Permit Number. Q Yes � No E3 N/A ;G 's � No i7 WA-see attached Setback: , Stormwater uaiity Exfsting liardcover Proposed O�eria istrict ��o and s� ��rdco�rer Variance Required CUP Rec�uire Tter ircle one %and s � Yes 0 No � Yes 0 No 1 2 3 4 5 TYP�(S)= TYPe(S). Updated: January 2045 z:\formslplan review checklist 2015.docx �f� C(-(� � � � f�EMARKS(in-house): Fe�s to I�e Char �d YES NO Psmtlt l�6an Review State Surci�arge " inves#igation Fee SAC-Number of SA�Urti�s - _ ' Other(specify) S uare�oota e $ r S uare'Foota e 6asement X = $ 1gc Floor X - � 2"�Floor X ^ � Garage X = � Estimated Corrstruction Valuec �,l�SG9�'� M Orono inspections Required Work Requiring Separate Permits .`, ; Required State Permits t3 Site _ ,�Plumbing � Gradingl Filling � We11 . 13 Silt�ence/Erosion Control �e�t c nical � �ter Connection O Electrical C� Hardcover Removal p CI Footing 0 Fireplace fl Sewer Connection 0 Pvured Wal) fl Masonry � Lawr�irrigation Q Foundation Survey Q Mfg. . a Landscaping ; t! Fvundation W�terproofing �_ Other(specify) : � � 0 Radon Rock Bed �1'Framing : Q Insulation , LI ,As�Sti�t{SUN@j/ , F�nal : ' �'Dth�r(specify)�� : tl,cr.vs�r�=�fr..�.�' ' . _ REMARKS{in-house): Other R�view: t�eviewed by: • Date�4pprav�d: �4ccess: E�cis#ing: t� YES C! NO N�w: C! YES � NO �fFIGIAL REMI�RKS-TO BE NOT�D ON PERMIT/AMD CNiTIALLED , ' Updated: January 2015 z:iforms�plan review checkiist 2015.docx ; { — ---- G o�' ��a - � __ c�� p��. � �/� �� a� ---_ ___1 . ' 3�2 o iu• �I�are �h.� • - --, � w� �� — ---_�— /�(1 ordeh — --- �' ��N^� a. C� �of �l�M..d i�+g e��.ti,2�� . — rer�o�e �,�/ �/e �o,� /� l �'��r •- l�v� �� / /�I — �a�/2 AG 'aotl..,J/!�► Gv�" ��/ �� a� o� �� 7�v � — �f1 ��/ w,�� .�1 �e,��i S -�' �� Pob� �vi�Yi C��f��a L COh C�G'� Gv�77�� h �,/ �� 1 - c�r i // �`i� c�7� /� d� f��/ — - /r,Se�yL `'c �a► � lh �b /�P � Tic 6'e� �avv !h �b �k�S�%hy �l�` ./ � -- ihs��. !/ u��rs 60 �� '/�v �- �� rh,�a �/�or -- o c.Y Cov� cr�y�e Y /{v�� P � — GovG� �•� Ccc�� /Gt57�,ef !'►Q.cJ Ld��GY a- Cor►'rOff �r �l00%� ��c�V -- /ti��. �l �! �'r-eh�� al�� ar� ---------- --_ : c�<��i�, /iv� rvo�r 6h � �ew � � ----- ---- : �V�� l�. dl�' ��/ df�J y _-------_ ' �;�� l��s.k ,�,.1 ___----------- ' . dwn�� " ��'�� /ivG �I Z � �� g� �3 ------- --- !`-�-r � �bL�� !�a�i�� • �� . --------- -- ,, — -- ----- �i ' DATE TI E CITY OF ORONO CALLED IN INSPECTION OTIC€ SCHEDULED PERMIT NO. D:S � COMPLETED — ADDRESS 3io�d � S/�or a �I' - OWNER TELEPHONE NO. CONTRACTOR �D iZ�C.��/��G S e_ � DESCRIPTION �✓�� •��-�- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ,�BAAAING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �b G`�i/�Gtl� �hr/Gi�vc'8 a �i/�aQet w �GY�(/(�J 4�s - � � a - a� ��x s� � - syo��- - 0 � - ��d1 / more. ��,� /�� s. �.�� ¢. .�:�� 0 � /%1 Q.�i�c ft.olt,��►' 4s �c��ssGcp– W � Q z Gpr�'� � � d�- �F� Gd�/G��/ W � W � � d W ❑WORKSAT FACTORY:PROCEED ❑ PROJECT COMPLETE � CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call brthe next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspect . � White Copyllnspecto�'s Ffle Cenary CopyfSite Notke