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Home My WebLink About2013-00727 - addn/remodel/repair � CITY OF ORONO * z 0 1 3 - 0 0 7 z 7 * 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3645 NORTH SHORE DR PIN : 08-117-23-34-0007 LEGAL DESC : AUDITOR'S SUBD. NO. 273 : LOT 007 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 79,000.00 NO�fE: SF.PARA"I'E PERMI"1'S R1;QUIRED: PLUM[3ING, MGCHANICAL,GLEC"CR[CAL(STA"I'E) REMODEI, APPLICANT PERM[T FEE SCHEDULE 899.25 BERTRAM BUILDING& REMODELING PLAN REVIEW 584.51 7002 FERNBROOK LANE N MAPLE GROVE, MN 5531 1- STATE SURCHARGE(VALUATION) 39.50 (612)750-5016 TOTAL 1,523.26 Minnesota State License#: BC126599 OWNER OLSON, BRAD 3645 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 no[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 oY issuance,or if construction is suspended for a period of 1 SO days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are req ested in conf mance with the State Building Code.This permit may be rev e at a t e for due cause. . / ,� _ � / SCJ /Z��t� ��/ C r� > l'Z�� <`( l /�'��'� / �' '> pp 'c Permitee Signature Date Iss�y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .. . � k,.< �* ,SK ,-:�'�'ts-`� �",�'�'s ;�k < .,. S �,. � - ' City of Orono �� Building Permit Application for Maintenance / Replacement / Renovation �� (No structural expansion. Only windows, doors, siding, re-roof, etc.) �� '�� Mailin Address: . ,g�� ] � � �� PO Box 66 Permit number. ��JU�7v�/ .;:� � Crystal Bay, MN 55323-0066 Date received: ,—Z� �3 � �� ,�� Received by: ;� � � Street Address: q ti � 2750 Kelle Parkwa 'R �, G� Y Y �-M Ptan review fee: , t �, Orono, MN 55356 ` �kESH�� / �p��, �) t� Total Fee: o� 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: 3�,�(�� l,��l,-�c �z �r . C?r�;� c�, � 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/APPLICANT INFORMATION: � Name: � ��('-�(10,-C�/\ �.)1` \:�q —��iv�C�C'd��\�Qe_ ��C . � State License# ��Z(oS��j � Expiration D t : _ _Z�;, Lead Certification Number: �� , �5 �� R._�.�g3/5-10-D��xpiration Date: �(�- -��i,� �, (for work on homes th wer constructed prior to 1978 � Phone: (cel �– Q (office) (o ��20 -- �� Mailing Address: � � it : (�rc ZIP: � Contact Person: �� Applicant is: Contract / Homeowner (Circle One) �=,� Email and/or Fax: �j � �,> �,:; � �` PROPERTY OWNER INFORMATION: � Name: � '�`�� he Phone (day): (p�Z _ (G� � Address: �i(� �(Q�-��,,�� `��- City: Q(�;,�G ZIP: � � Email and/or Fax: F� �� PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require � MCWD review&permits: � " ' ❑ Door(s) �Remodel ❑ Fire Damage � } Minnehaha Creek Watershed District(MCWD) +� ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage � �- 18202 Minnetonka Blvd �e� ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � s ❑ 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) $ � ,GC�', ' `="�_ �: � i: 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 hisJher 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 � rejec t i t un ti l i t is comp le te; >. _ �, • 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 ';'i 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 t e informa� n,the li not be issued. � ; ApplicanYs Signature: Date: f - Z�7– (.� Owner's Signature: Date: Last Updated: 03/06/2013 '�` s �-S , • PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �� /v��l�"�l��C pR-��(� Description of work: �V�'��qpCsZ_ Septic review by: /Il //� Date Approved: Zoning review by: f� Date Approved: Building review by: Date Approved: ?�2-5 ' 7�0�3 Grading review by: /�j1� Date Approved: oning District: Zoning File#: Reso#: Reso Date: Zom : Lot Area: SF/AC Width: Lot Coverage: >SF _°!o Survey mitted: � Yes C No Date of Survey: ReVised date ? : Pro osed Se acks: Front(Lake) Rear(Street) ( N S E W ) { N S f W ) Other Buildings Wetland Side Sitle Defined Height: Peak Height: FFE: FFE minus 6 feet (Existing Contour) Perimeter(linear feet)= 50%a= #nf Stories k? 0 YES FOR A BUILDING WITH A BASEMENT OR CRA PACE: The distance between lovvest FOR A BUI NG ON A SLAB FOUNDATION: START WffH proposed floor(of the ba ent or crawi space)and the highest point the roof. START WITH The distance between the Yop of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(n . GABIE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest poiM beNveen the hiphest poiM of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with NPE) windows): SubVact half the ROOF TYPE) windows): Subtract half the distance dis�nce between the top of th between the top of the hiphest highest window and the hig t window and the highest poiM of the point of the roof roof � ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF ES(flat, mansard;etc:No subtracdon. mansard,etc):No btraction. ADDRION Add the distanee beNueen the top of slab SUBTRACTION SubUad fhe distan tween the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING �semenUcrawl s ce floor and the XISTING the foundation. GRADES) highest existin rade adjacent to the DES foundation 10 feet(whiChever is less). EQ Defirred building height EQUALS Defined ilding height Shoreland District MCWD Permit Received Avera e Lakeshore Setb ck Met? Biuff � Yes G No G N/A 0 Yes � No G Yes No 0 Yes G No � Permit Number: Setback: Stormw er Quality Existing Proposed Variance Required CUP Re ired Overl District Tier Hacdcover Hardcover � Yes � No 0 Yes � No Type(s): Type(s): Updated: January 2013 �/v G �1� v:\fortns�plan review checklist 2013.dopc REMARKS (in-house): ' � ' , Fees to be Cha ed � '� � f�,��• �� Plan Review Investigation fee � � Other(specify) S uare Foota e $ r S uare Foota e 8asement X = $ 18t floor X = $ 2"d Floor X = $ Garage X = $ Estimated Constructian Value: a 1�'t �D O °� Orono inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/Filiing � Well 0 Hardcover Removal Mechanical C Fire Electrical � Footing � Septic � Water Connection � Poured Wall O Fireplace � Sewer Connection � Foundation Survey O Masonry � Lawn Imgation 0 Radon Rock Bed � Mfg. Framing 0 Other(speciiy) �nsulation � AS-BUiIt SUN@y ,�Final :� We#land Buffer O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: � YES � NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:�formslplan review chedclist 2013.docx � � E �/ TIME � CITY OF ORONO LLED IN —/3 j�v INSPECTION �IQZIC�� SCHEDULED $^ " • GJ PERMIT NOo'�� COMPLETED ADDRESS ��oS�'J /�/ � �1flY�- QY��/Y OWNER TE NE NO.��7�'�� CONTRACTOR �� Q�� DESCRIPTION � ' � � ❑ FOOTtNG ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/4VETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVA� 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W�IC�IkSATiSFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor o site: Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.or�/�3 -DG?e27 COMPLETED r� -� ADDRESS �yS /✓Dr# v��a�'Q �/�-� OWNER TELEPHONE NO. CONTRACTOR �er�'�� k� � ��-�•Mr- � DESCRIPTION �Q�'✓l�e-� � � � FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOflEMIETLANDS y ❑ 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. ��LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OYYNERICONTiUCTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � a ��/rrt� /��,. �4-/QD �' C4!l �v 4 o ,�!n�G ir�so�� . � ° ,�c?�� 1�o�ce - W � Q k' ��C{S � !l �/25,KD G/}�'�. /�l� tc�c�•�, 2 • � l5` � � �'.t'�.P.�l� -� ��a�L. 1:2�a-t. � j pr �v�� G�a ��.�� -- W O WORKSATISFACTOR�F.PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in adva . (952) 249-46 � OwnerlContractor on site: Inspector: �-- White Copyllnspecto�'s Ffle Canary CopylSite Notke �� — — TIME � CITY OF ORONO CALLED IN I�" � �-- INSPECTION N IC SCHEDULED /�_�� /•� PERMIT NO. � COMPLETED ADDRESS �� -� � OWNER TELEPHONE NO.��77�� CONTRACTOR , � � � DESCRIPTION � ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP � O DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: F�� L �r3 � �Gt� � .Z�f a!_ � � !� -�3 4%`��+6s � , � I�js �e-G�r�r-t G k�ar�C ��t vo/ve� ` � 0 W °C _�!/ k/o�� Gbw�� Q � W � /�Qrw�c,� �os�t��.e�� W � j � �WORKSATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑I E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WFLL REfURN ,. ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOH ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 1 brthe next inspecti 24 hours in advance. (952) 249-4600 ctor on site: �l Inspector: ` White opyllnspector's File Canary CopylSite Notke