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HomeMy WebLinkAbout2017-01620 - addn/remodel/repair � III I I I III I CITY OF ORONO * I I I20 1 I 7 - 0 1 6 20 * 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1505 NORTH ARM DR PIN : 07-117-23-44-0067 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 080 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 43,560.00 NOTE: REPLACING 2 EXT.DOORS REPLACING 10 WINDOWS-EXISTING OPENING ADDING 1 EGRESS WINDOW APPLICANT PERMIT FEE SCHEDULE 226.86 CHIEF CONCEPTS LLC STATE SURCHARGE(VALUATION) 21.78 41 MALLARD ROAD TOTAL 248.64 NORTH OAKS,MN 55127- Payment(s) Minnesota State License#: BUIL-BC700723 CREDIT CARD 6059 248.64 OWNER CUMMINGS,JOHN&MARIE 1505 NORTH ARM DR MOUND,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 after 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. L'. 1// ( App ' ant Permitee Signature Date I e d/ Tgnature Date CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS /�, 7� O Mailing Address: Permit number: / 7 —a 14� PO Box 66 O Crystal Bay, MN 55323-0066 Date received: `� ��—/7 Street ono, MN Received by: -- ti� L�illIlL 2750 Kelley Parkway Plan review fee: t-1'FESNO0- Orono, MN 55356 0/fp/ 9 Main: 952-249-4600 Total Fee: 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: I cOrPCR.- bri V t Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 1No 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: (k.e_-- C.o>~c.it.li LL (- State State License# Q c_ -to 0 X23 Expiration Date: Phone: (cell) 6 i 2 11 q 5 3 ii-( (office) Mailing Address: y / I i Cit : 44.-0 a ZIP: -z, Contact Person: Br�‘,,,,, r, ,#-'-.. kevk ,77\-,w kr---- Applicant is: on r-c or / Homeowner (Circle One) Email and/or Fax: 'Lent ivv(d a "c 4- I.,Lc , 4..,--"-•-- PROPERTY ,.y„LPROPERTY OWNER INFORMATION: Name: 'P,•e,.,ti'ww. fr-dr 61,-0- Phone(day): qi-Z." 210— wK2- Address: City: ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: tj N Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal& Water Supply E l New Construction Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck 0 Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial Relocation detached garage ❑ Residence 0 Private Sewer Other: (specify) (aj+i"4-'t 4- 144"""M 0 Multiple Family/Condo ❑ Retaining Wall(s) 0 Public 4-feet or greater ❑ Public Water **Any earth movement may also require 0 Commercial ❑Storage MCWD review&permits. 0 Industrial ❑Warehouse 0 Private Well Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 0 Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq ---_., Estimated Construction Valuation (excluding land) $ L'/ / 5' ' RECEIVED DEC 12 2011 Last Updated: January 2016 CITY OF ORONO STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) a. Length(ft.)= ") Number of bedrooms= 2. Occupancy: b.Width(ft.)= t , Number of garage stalls: 3. Occupant Load: Areas in square feet Attached= L c. Basement= 0 v Detached= 4. Type of Construction: d. 1st Story = I 1-7A e.2nd Story= 5. Code Edition: 201.5-- f. '/z Story = g. Total Area= titi5 REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Building Permit Escrow Agreement and Fees ❑ 0 Plan Review Fee ❑ 0 Completed Application Form ❑ ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements O ❑ Survey—2 full size,to scale(meeting ALL survey requirements) O 0 Hardcover Calculations ❑ ❑ Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD stating no permit is required ❑ ❑ Landscape Walls and/or Retaining Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan(SWPPP) ❑ 0 Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: Ili L Owner's Signature: Date: Last Updated: January 2016 • PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: /c&5 Ake-14 kr he. ,Iii^f ' Permit No.: i7" 0/(Q 17 Description of work: AAl j, . . .0 I e i re/, (Q ' Date Rec'd: 62-("" e r wi A $27 t1,5 an d- (Y/cQor Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: ('/ �P,( Date Approved: iZ/ /17 /y Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF Survey Submitted: 0 Yes D No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = '00/0 = L.F. below grade Basement? 0 Yes 0 No, Stori FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the)ow..t proposed Slab at or above grade— START WITH floor(of the basement or crawl pace)and measure from highest existing the highest point of the roof. START WITH grade to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION • GABLE OR HIPPED ROOF( • Slab below grade—measure (BASED ON windows): Subtract half the di-ance from highest existing grade to the ROOF TYPE) between the highest point of the roof highest point of the roof. to the loW point of the corresponding If you have a... gable of hipped roof • GABLE OR HIPPED ROOF SUBTRACTION (no windows): Subtract half • GABI., OR HIPPED ROOF(with (BASED ON windpws): Subtract half the distance\ ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the r f corresponding gable or hipped roof • LL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF /mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtiact the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height I EQUALS I Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? ❑ Yes ❑ No Permit Number: 0 Yes 0 No 0 N/A 0 Yes No ❑ 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required (circle one) (% and sf) (% and sf) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): *PP /ai r e view -"c e -to ol(M F�o be Charged YES NO Permit Plan Review State Surcharge Lam' Investigation Fee t/ SAC— Number of SAC Units t/ Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ GarageX = $ oo Estimated Construction Value: $ //'' Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site 0 Plumbing 0 Grading/ Filling ❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation 0 Mfg. 0 Landscaping ❑ As-Built Survey 0 Other(specify) Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 7.\fnrmc\nlnn favi PUS rharklict 1(L901 ri rinry CITY OF ORONO 121111111 IIII I1 � III • 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1505 NORTH ARM DR PIN : 07-117-23-44-0067 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 080 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 43,560.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 43,560.00 TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01620 APPLICANT ADVANCED PLAN REVIEW 421.32 CHIEF CONCEPTS LLC TOTAL 421.32 Payment(s) 41 MALLARD ROAD CHECK 5010 421.32 NORTH OAKS,MN 55127- OWNER CUMMINGS,JOHN&MARIE 1505 NORTH ARM DR MOUND,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 after 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. Applicant Permitee Signature Date Issued By Signature Date . ... 144,0Viv Rit,a . Copy I ,- — „ . , . 4. e. b , , 1 : , 1 1 Y ..._„, 4.r ,7, I ' ! 1 1 c---) 11101111 I II 1 "'''''/) • ILL"1----‘' “') ' i . 1 i i. Lec)•J--.'./ ,'"1 • . 1 t. '4* , -..—. I .. 1 1 , 29 g' Rov!ewed for Code - / , • . — r-tx,,.,,-,-,) Compliance City of Orono Date /1/- i Rc.,vielt,,,er Ae,~r-leArr-,g i u.' fy i jc),A.,) giiiiiir IIV / ., RECEIVED DEC 1 2011 CITY OF ORONO C kag, O�JeK c 15ocl e wI�4 . -.1pY 1.21 1 L `a ,'3. 6 7. ..' R 1 J to TI if- f! N., t 4 fk ' i i - 'i 1. 'r } l r� 8 ,( VW 40) f F-w 29 9'K • J RECEIVED DEC 1 2 2017 CITY OF ORONO ... (\ca.$4—%\-^•( r------ . , .,. ...!,t :-: -- ,.. •-,„, .7.. LI , ...... . L.- .-,.. - \V -- \I ..,.,_ t- .. -- . . --- - r - i 1 t:• 4 - 1 .-- 9 II1 il,...,, fI -t•N, ,., - i ..."--' - I ...-. i .• - : f •. ;, , _....._..,.. ,...- , to , RECEWED , DEC 1 2 2017 arf OF 9kkONQ Pro oys A\4A + '1"1/ ze4,0 Oa.0 I/9 2 erg-cher c ige,�(,�Z 1 i.5 td) '4- w $ G.. i(W - ,G• A\j g,/.14d,.vuS 11 1-,,,, 13a�^"G"' t, . Lw1 Eytss. : )11 W y K i — � - i SSS ''"/ I _ ~gym', C""'.yam �_ - , ) '_:' . 1 ;;;::,.'11:-....'. �,} i.^.' :1 N 1f i i :, 7F . , ). ..i..ii 1 i Lr• �r ` w j lrr ( � 1 i . 1 I P 1 479?t-111_,C (Veil s c. L (.,--) RECEIVED DEC 12 Z017 O OF ORONO PI •./TY OF ORONO S-J2±— C•LLED IN DATE TIME INSPECTION N• CE • HEDULED ! t7 ✓•01) PERMIT NO. Jr * — " CCMPLETED • i l ADDRESS / 05 / r- OWNER TELEPH o NE NO7-'3 5'g":;/S CONTRACTOR r %.0_ to 3.-. DESCRIPTION Fra.frPn- 1..W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL c ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING H ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q RAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP I ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL .t ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_ YES NO csi COMMENTS: Tt P. ,..I_. — !1"a4- 17 cc / JO S. ✓ ,p� CAI or(of, — CO rv�N/ �O - 1 U5 e W CC L.LI".. cA.t •f;c lei1f.67, faco" - — Dx W (irM• r'ai 4 •K rl•,fess J tc),tvdo -LSK cc ®im r29v1 •G y0�te C h nes LA-1‘ Cc very 4s Cl Cl t, ,. ow7y rao as( - c IQ 0 WORK SATISFACTORY:PROC ED er O✓t<f2i 0 PROJECT COMPLETE CC OCORRECT WORK&PROCEEDh���5_(� ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION 7 TEMPORARY O� BEFORE COVERING CSN� PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (p I s--' — White Copy/Inspector's File Canary Copy/Site Notice ,--(12 DATE TIME CITY OF ORONO CALLED IN �% INSPECTION NOT SCHEDULED :3" �V 3'r013 PERMIT NO. *. 0' 101�«2© COMPETED ADDRESS l 57 S /6 rtft he 01.7T7-7- 1. r OWNER �1 TELEP ONE NO. 7 5--a'o21S? ^ 5 / p 4� CONTRACTOR 1.'11�- ��� DESCRIPTION F/'`-A-1 W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11.. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL • 0 LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS . ❑ F+ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2COMMENTS: E/eG- �¢� Q '/6. /1 cc Lu - DK. %• 0 Pr ; a .i.el• i", 4 // 41144s • eiLiS•44e cc tangs • + C. G• • P ee d✓s GJoL4.:.. o /6 • df' 6.Prots, Q .' 1y�17ct�) ,a,,' / , a . (e-- —Geese- e-r &vrk Chciiiett Lu Lx 856- i je-or/'ec.t. .II" Ca // c le i-fs'ece7a.5, d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN El ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. / /^' White Copyllnspector's File Canary CopylSlte Notice B ..__,(,,,, sd-- DAT, , TIME CITY OF ORONO CALLED IN jilizixLy// INSPECTION N TIE SCHEDULED PERMIT NO. /r,�/h COMPLETER ADDRESS /Sb5 "rvi cl l/`Q-, OWNER a . !h 2 LEPHON7J O ' ° -t p?2 CONTRACTOR / / C- DESCRIPTION 121// es#0971'ae.b• a a & W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL g ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP LIT ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL ' OWNER/CONTRACTOR TO MEET YOU:_YES_NO co COMMENTS: _ I /I 7l7 a • oS , 0. C# C ..p. .1".4S-6cc 3s oarvv/ ''cc " //ooJ' ,ye.�..-s % r tio/ - us W 4 frau i,oe p d '1 ii ,t, � Q "eat- -f- li r is �4).— W f ra vl(t—14G,r�•v-•- Geo r,S i /NSa�ro� W l s`/jo)' _4 S/L`� / cc a Wm 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE )4411RRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: 91,4-- White Copyllnspector's File Canary CopylSite Notice