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HomeMy WebLinkAbout2018-00138 - addn/remodel/repair CITY OF ORONO I*I 2018 - 00138 * I I I I I I I II II 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2018 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4105 HIGHWOOD RD PIN : 07-117-23-44-0014 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 016 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,SEWER,WELL(STATE),ELECTRICAL(STATE) MAINTAIN RE-PRINTED ORIGINAL PERMIT CARD FOR PERMIT 2017-00771 ON SITE WITH CURRENT CARD. APPLICANT PERMIT FEE SCHEDULE 232.30 STATE SURCHARGE(VALUATION) 6.00 PETERSON,JASON TOTAL 238.30 4105 HIGHWOOD RD Payment(s) MOUND,MN 55364- CREDIT CARD 4704 238.30 OWNER PETERSON,JASON 4105 HIGHWOOD RD 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 r=.ponsible for assuring all required inspections are requested in co 9rmance with the State Building Code.This permit may be rev, e• : any e for due cause. kt4 A,plicant '`-rmitee Signa i'�" Date Issue/Signature Date City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) S� �( �OAt Mailing Address: Permit number: p7�I v !2 17 O PO Box 66 Crystal Bay, MN 55323-00. Date received: A a Street Address: (���� Received by: ti� G� 2750 Kelley Parkway 9' Plan review fee: t Orono, MN 55356 �kESHO a3 g•30 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: 4105 Highwood Rd. Mound MN 55364 Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑x 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: Jason from Pro Storm Exteriors Will provide License number for siding Name: Jason Berg (For Siding Only)Jason Peterson for the Trim work State License# BC#634454 exp 3/31/19 Expiration Date: 3/31/19 Lead Certification Number: Lead# NAT-117141-2 exp 10/10/21 Expiration Date: 10/10/21 (for work on homes that were constructed prior to 1978 Phone: (cell) 612-269-6506 (office) Mailing Address: 4105 Highwood Rd Cit : Mound ZIP: 55364 Contact Person: Jason Peterson Applicant is: Contractor Homeowner (Circle One) Email and/or Fax: jasgooday@gmail.com For Siding Siding- Jason Berg -jason@stormproexteriors.com, 612-810-9781 PROPERTY OWNER INFORMATION: Name: Jason&Anelise Peterson Phone(day): 612-269-6506 Address: 4105 Highwood Rd City: Mound ZIP: 55364 Email and/or Fax: jasgooday@gmail.com PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require MCWD review&permits: ® Door(s) Interior ElRemodel CIFire Damage El Re-roof,asphalt 11 Repair El Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345 Phone: 952-471-0590 ❑ Re-roof,other specify) ❑x Siding ❑ Other:(specify) Fax: 952-471-0682 Trim Work Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ $12,000 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 you refuse to supply the information,therenapplication may not be issued. Applicant's Signature: "�/" 42,9)t- Date: 2-8-2018 Owner's Signature: /I "�� �� Date: 2/8/2018 Last Updated:January 2016 :,.�� Code -r of grotto. / .-./g 2/8/2018 -liOct citliIN''rit?V‘tj ..,, 41. , City of Orono Building: This is Jason Peterson writing a letter to confirm that as of 2/8/2018 Betz builders is no longer finishing the project at 4105 Highwood Rd. Orono MN 55364. Per the pictures that Roger is going to take today Betz builders has completed all of the project upto the stage that we are at today which is only finishing interior doors and trim. Betz Builders has completed and responsible for the permit (2017-00771)for all framing of the build of the home including demo, excavation and grading,well connection and mechanical Rough ins, foundation,framing of home and deck and material install, install of patio doors and windows/skylights, hanging sheet rock, Flooring installed and ceiling painted and walls were primed. The only work that will be completed under the newly pulled permit is install cabinets, interior doors, Trim and railings,Treads and risers and siding will be conducted by Storm Pro Exteriors and Jason Berg. The structure and all work upto this date is the responsibility and fall under the 10 year building warranty required by state law for Betz Builders for permit 2017-00771 issued on 8/4/2017 Thank you for the continued support on the project. 41111 Jason and Anelise Peterson ll/ nmv� S.e PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �"�(% / �2 6J Permit No.:70/gg ,01.5R Description of work: 4134 �, '� s' i Date Rec'd: 7/9"/W Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: 4Date Approved: .77/v/ Grading review by: Date Approved: Zoning District: Zoning File#: Resolution? Yes Reso#: Reso Date: Sign : Yes No Resolution I NA Zoning: Lot Area: S AC Width: S uctural Coverage: SF Survey Submitted: 0 Yes 0 No Date of Survey. Revised date(?): Landscape plan submitted? 0 Ye Landscaper: 0 No/ None proposed Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Height Analysis: Distance Between First Floor and defined t op of -oof* (See "building height" (a) definition): First Floor Elevation (from building plans): (b) Highest Existing ground level (per survey) or 0' above lowest ground level, (c) whichever is lower: Difference between (b) and (c)*: (d) DEFINED HEIGHT *If highest existing adjacent grade is abov FFE-Height's(a)-(d): (e) *If highest existing adjacent grade is bel• FFE-Height I (a) +(d) Shoreland District MC D Permit Average Lakeshore Setback Bluff Met? D Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No 0 N/A—se: attached \ Setback: Stormwater Quality Existing Propos-d Overlay District Tier ardcover Hardco -r Variance Required CUP Required (circle one) (% and sf0 (% and s I D Yes D No D Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit Plan Review State Surcharge r "` ,„ ": ar yv; Investigation Fee ff � f SAC'4 Other(specify) (�— Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X �c� $ Estimated Construction Value: $ / - �2(; 7c Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site Plumbing 0 Grading/Filling ❑ Poured Wall 0 Silt Fence/Erosion Control D Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal Fireplace Water Connection ❑ Framing 0 Other(specify) 0 Masonry Sewer Connection ❑ Waterproofing/Drain tile ri Mfg. 0 Lawn Irrigation ❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping ❑ Framing 0 Septic ❑ Insulation ❑ As-Built Survey Final ❑ Lathe Required State Permits ❑ Other(specify) Well XElectrical REMARKS (in-house): Eoticleel re S P ,-01',1114" (l " 7 OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-builts rvey a hardcover calculations must be submit ed and approved. /6— /'m i Card ferw� 'ZCC 7— mG 77 l �K � � w , ��U7'ed p2'trci Updated: June 2017 z:\forms\plan review checklist 06-2017.docx H - -.4 ----' 7 *ATE / r TIME CITY OF ORONO CALLED IN Z 4 .� INSPECTION N TIC / Q�HEDULED =-_i-- ' �) PERMIT NO./�` � � 9 COP E4 iii1.1r ADDRESS V►�/O-S .'• GW,/ ��i� OWNER t)4,&M- l / . HONE NO./2M — b9 19 56A CONTRACTOR �j� i DESCRIPTION N M L� ``�jj"`- " " W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v▪ ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNERICONf R TO MEET YOU: YES NO y COMMEN 4J4574' 2r ,— Mow per d ry c•'-' cc V gn F.!/Pe/"u.-1b÷.'a n 3 r windows m;$1:4 ) S-c/1 pro-itork o.. bilArci by X ,► kc./f. © _oppok.c cls14c 4 4or^ 14- JL4. , ral ri,7 4 c,rt re.'! ovG�` crrr4)( are 4 utp G tti e)/a ate'"�tflo..% d.,j v rte./ of a 4Y—4 h�aLs To 1•t 71A-2'07 -isceti 14661 i 0'- /'L-'0 sin 0 d - - 71 . r 0 IQ 0 WORK SATISFACTORY`.PROCEED 0 PROJECT COMPLETE CC W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C3 0 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 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: --Zdefes't- White Copyllnspector's File Canary CopylSite Notice Q.,31./ V DATE TIME CITY OF ORONO CALLED IN INSPECTION XOTJU SCHEDULED Y/(7l/r 3•'" oD PERMIT NO. Ol 75 001OMPLETE ADDRESS el/O44 i .)04c1 OWNER TELEPHONE NO. 1d2 o (07"6- gro CONTRACTOR oyt- i DESCRIPTION /4;4.4 j tar ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL 2 ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO i ptieG�• 2 . Foi ) COMMENTS: See' 4-41i c PEW—CC ,dc46Ke 0A ,S IQ a L)e iad- Teu�p hhps", J1 e t Ec e., AOC e• 6..„9 7. 4A e fos 1,4 e. c5) fr cc hl e,ter - Pf1*t 1 '!e. m c A • / ya chef e--e14.c 14. / ,� wt._ L i' . C. . /Oa 4/ I -fed, L Q0 Prattle - 45- Ara.I- Oaf e/OW,/ e0- desc✓o(3 2 2 �rree t L G -G( /&bDc 6-s.; cc W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED a:INSEECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspecto White Copyllnspactor's File Canary CopylSite Notice ,(- '\ DATE TIM CITY OF ORONO CALLED IN / GG INSPECTION NOTICE SCHEDULED �02.57 7 7 ` O PERMIT NO. '-QO 3 0 COMPLETED ADDRESS z/ D5 77htc2�C� //-- C� OWNER<\, l IO4LEPHONE NO.Z'a-2(O/-4'. o CONTRACTOR _ _ �- DESCRIPTION � � L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL LL. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q0 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 • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v 7r,krINAL 0 WATER HOOK-UP 0 FOLLOW-UP 1.14 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL IL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: Q. 11/ nor r6ce-io 4s ®r,r/t✓ae cc 0cc — GJd f k re,d►�,t!f!p ti e O / u_ W cc oollod J e- a_S►X24-Ze tSu/e'er or czSc ?O c.. Q 10 Ce-¢ d 6 a - W Z W cc /.vtS;sel7er 0 ▪ ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY IAJO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN 0 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: ( 9/fit AP' White Copylinspector's File Canary Copy/Site Notice