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Home My WebLink About2016-00056 - addn/remodel/repair ' � CITY OF ORONO * Z 0 1 6 - 0 0 0 5 6 * 2750 KELLEY PARKWAY DATE ISSUED: OU29/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3825 NORTH SHORE DR PIN : 17-117-23-22-0046 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATiON : $ 50,000.00 NOTE: BASEMENT FINISH APPLICANT PERMIT FEE SCHEDULE 715.92 PLAN REVIEW 465.35 FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 25.00 5600 EXCELSIOR BLVD MINNEAPOLIS,MN 55416- TOTAL 1,206.27 (651)224-7000 Payment(s) Minnesota State License#: BUIL-20460771 CHECK 4690 1,206.27 OWNER SUTTON,GREGG 3825 NORTH SHORE DR MOLJND, 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 permit is for only the work described and does not 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 of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 cause. -��..1 /�— --;��'. � � �.��` p ' 'G Yu � l 2- �j �;� Applicant Permitee Signa, e Date Issue By g ature Date . City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: � ; ^� • �` .- PO Box66 �� Crystal Bay, MN 55323-0066 Date received: � —'�`�—d --. StreetAddress: _Received by: ��'� � t,� ��,�� Orono, MN 55356 � .an review fee: C(�-(.�_�� r„z �� t� ti�, � 2750 Kelle Parkwa . ,� � 'CESH� Total Fee: / � . n ; 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. K. Incomplete applications will be returned. (Please print) �``{`�' ` ' '" � ° �' , GENERAL INFORMATION; „ I r. Job Site Address: �� r'� , Sl,�� `' ,' ! , Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home? ❑ Yes No ff yes,a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus rvi wil/be required unless applicant demonstrates s�cient on-site parking is available. Non permitted events wil/not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: , C ,� �.-c<"�- � ,�, � �, State License# - j Expiration Date: �+ �p Lead Certification Number: ��Cy�� - 5� 2c,� _. ( Expiration Date: �, �Zz � Z�� l� (for work on homes that were construcfed prior to 1978 Phone: (cell) �j�. _ �� (office) Mailing Address: � ,�p �' ' � •�� (�c City: a-t Lo,��s b'�v k- ZIP: �; fl� Contact Person: � r',ti� ��r s r�sc�„ Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: _C:�t'-�.�,�•� 5�ti {�orti _ Phone (day): � �� , Address: �iL�"7 rJ�r't�S L�o r-�_ �r , ,;�.. City: �� c;�:� r ZIP: Email and/or Fax: . PROJECT INFORMATION: Overall project description: t� :�� 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) ��M-T-��- '�'n.�'��n www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 4 �U� 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 so�ely 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 ' ormation tha a lication ma not be issued. ApplicanYs Signature: j` � �_� Date: ' '� '�`'��' Owner's Signature: Date: Last Updated:January 2015 ��r/�(/( �� / cL� �'��'�� C�[:�� \Ab\a��6✓ li �@�°�� t��v � CIF�FSISY� C'k�L`�� (I ��iG� I:�ti\�� d�C�C�i'�SS: G- �t/� � �P� � .(/�/ P�Ytl�'0!$ �0.: Description o�`v�oeE�: Q�l C�►�' !- /GP`�� Date�ec'd: S@FDtEC P�b6�1h/�1P: �� a. � Da��Approvec�: �oning reviewr b�: Qate e�pprov�c�: ��eiic€in�reviewr by: �ate Appeovec�: Grad�ng r�v@e�O�y: _ �ate Apprc�ved: Zor�ing Dis�rEct: Yoning� Fiie#: Reso#: E�eso Date: Zoneng: Lot Area: SF/AC �idfh: �ot Cav�ra�e: gF oj, SurNey Subn�i�e�: � Yes C� No Dat�o�Surv��°: Revised datef�)• ��ncf�c��ae plan submii�e�? �Yes � Ro �a��sc�R�r: Pro dsed S�thacks: Feont{L�ke� ttear(Staeet) ( R � � E�` ) � R" S E � ) ��h�r uifd6r�gs �►e�tand �6de Sf�e D�€�ned 4�eight: Peak lieigh FFE: �FE nus 6 feet= (Exi�ting Conto� �erimefer(lineae fee�) = Q°/a= �.F.b�fo�grad� Sasement? �Yes �6 No, Stari FOR A BUILDIPlG WI7H�4 BASER�ENT OR CRAVI�L SPACE:. R A BUtLD11�G 01�E!StA$FOUNDATIOAB: The distance between the lowest posed 81ab at or above grade— START WITH �<<°f�e basemeM or crawl sp j and measure from hiahest existina ttie highest point of ffie roof. START WITH �a e to the hlghest point of the roof even tf fill was brought In to If you have a... elevate home. SUBTRACTION • GABLE OR HIPPED ROO (no $lab bslowgrade—measvre (BASED ON wfndows): Subtract half e dista from highest exlsUng gred�to the ROOF TYPE) between the highest t of tMe hi hest lnY of the roof. to the low point of th rrespondin If you have a... gable or hipped ro SUBTRACTION ` �LE OR HIPPED ROOF • GABLE OR HIP D ROOF(with (BASED QN (na windows): Subtraet half windows): Su act half the distance ROOF TYPE) the distance between the between the p of the highest highest point of the roof to window a e highest point of the the iow peint of the roof correspondfng gable or � ALL OT ER ROOF TYPES(flat, h�PPed roof � GABLE OR HIPPED ROOF man ,etc):No-subtraction. (with windows): Subtract SUBTRACTIOW Subtract e distance between the half the distance between (BASED ON baseme crawl space floor and the the top of the highest EXISTING high existing grade adjacent to the window and the highest GRADES) found tfon OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (fla�,mansard>etc)�No EQUALS De neci building height subiractio�. Deflned building height EQUALS Updated: October 2015 z:\formsipian review checklist 10-2015.docx l�vera��[.akeshcre Sethack BIuf4' a6�orefa�d �istc6e� �� Q�i� �6e$? Permit Number: � Yes � No p �/q � Yes C� � Yes � No �O � N/A-see attached Setback: Storm��te�C�uafity F 4stin� Propased OverEay�6strEct�'�er I�ardccver liae�c�ver �arianae Required C�il�Rec�uired circle one %and sf %and s Q Yes � No Q Yes 0 No 1 2 3 4 5 Type(s): Type(s): fees to be Char ed Y�S �Q �'�� Pian Review '�' St�da�ure�a�r�e t�' Investigation �ee S�-i+tum�er.of S�4��n�s � '�' Other(specif�) � S uare Foota e E r S uare Foo e Basement X ' � 1�Floor X ' $ 2"� Floor X - $ Garage X - $ Estimatec! Construction Value: � �!'-/�� Orono la�spections Rec�uired Work Reqwiring 5eparate Pern�oits � ��ng 47 Site Plumbing � Grading/Fill'rng C! Poured Wall 1] Silt Fence/Erosion Contral echanical � fire � founclation Survey i� Hardcover Removal d Septic � Water Connection O �oundation Waterproofing 0 Other(specifyj fl Fireplace fl Sewer Connection �raming O Masonry O Lawn irrigatlon Insulation 0 Mfg. i] Landscaping � As-Built Survey � Ott�er(specify) final Q Lathe Rsqufrsd State Permits � Other(specify} i3 Well ' Electrical REMARKS(in-house): OFFlCiAL RE�JiJ4RRKS-Tt3 BE NOTED 0t� PERFe��EE'At�D lt�ITEA�LED: � See�uildec�cknc�iedgement For� E� Prior to rele�e of escrow money an as-built survey and hacdcover calculations must be submitted and approved. �-�� e � �� Updated: October 2015 �•lfnrmc\nlan rraviow rthorklict't(1_9(11.ri rinrtv �� \ /,�--- <-��C./`� DATE TIM CITY OF ORONO CALLED IN � INSPECTION NOTICE ��y.��S�CHEDULED PERMIT NO. �(Z.I�n^-L(�OMPLETED ADDRESS ,�,� �� ` �'1 C�I'�� ,C�2. OWNER TELEPHONE NO. CONTRACTOR -�--T%vl f C��,�� C�TYti� � DESCRIPTION - '� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAI RI ❑ SITE INSPECTION Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL � OWNERlCONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: �/�c-. �/e,� '"' 02- c� `�� ^ W a o � ra FE s�-oo /�� o,O rs� 4 Ll �4 r✓e-2 � O u� �si<s � �i � �a�'��`�' � 0 � W � - f� e�tLi ��,�Bt�l OK - Q � z W � W � J W ❑VYORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WFLI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspectar�� -- � White Copyllnspector's File Canary CopylSfte Notiee �w� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / :�C� PERMIT NO. � D/ "� ��avJ��OCOMPLETED ADDRESS �Q� � � • �S/�blz.[=- ,��. OWNER TELEPHONE NO. 10�� C��73� CONTRACTOR f" / �,�y��- -Q1L./N�'1?f- � DESCRIPTION `��'�-l�� %� �o��,�y l� ❑ FOOTING ❑ DEMO-FINAL ❑ SE TIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNER/CONTRACTOR T ME� ET YOU: YES_NO c�.� COMMENTS: � W C � ' , O �. � O � W � Q � 2 W � W � j W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins 'on 24 t�ours in ce. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Fi Canary CopylSite Notice �� C��,,� DATE TIME CITY OF ORONO CALLED IN =_-�� INSPECTION NOTICE SCHEDULED ' PERMIT NO. � �I(��0 COMPLETED ADDRESS ��S ZJ N • � �'i O Y� �� , OWNER TELEPHONE NO. � �� " � " �l � CONTRACTOR � r � J � _ � � DESCRIPTION Cr � ty ❑ FOOTING ❑ DEMO- L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YES_NO � COMMENTS: � W a 2 J O ). � O � W � Q �' 1 2 W � W � � � d W� ❑ RK SATISFACTORY:PROCEED JECT C PLETE W ❑COFiRECT WORK 8 PROCEED ❑ISSUE CERTIFICA OCCUPANCV � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance. 49-46QQ OwnerlCorttractor on site: Inspector. White CopyAnspector's File Canary CopylSite Notice