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Home My WebLink About2018-00127 - addn/remodel/repair IHi11 11 � �� IIIII II II II II CITY OF ORONO * 20 1 8 - 00 1 27 * 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2018 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1580 BOHNS POINT RD PIN : 09-117-23-33-0008 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 150,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 1,424.92 STATE SURCHARGE(VALUATION) 75.00 WEST ERA CONSTRUCTION TOTAL 1,499.92 1211 WINDRUSH ROAD Payment(s) BUFFALO,MN 55313- (763)286-1380 CHECK 7202 1,499.92 Minnesota State License#:BUIL-BC668680 OWNER LARSON,WILLIAM 1580 BOHNS PT RD 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 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. A t a( lY Applicant Permitee Signature Date Issued By ature Date • City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��f V Mailing Address: Permit number: p(O/74.10/ Z 7 PO Box 66 Crystal Bay, MN 55323-0066 Date received: g/7/17 Street Address: Received by: L' 2750 Kelley Parkway Plan review fee: a6.. ,20 4kFsri00" Orono, MN 55356 X1-90p1 3' Total Fee: it ` ` 9" 9 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 1. 1 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: S �j(' �r�\r' S �d kA l�G.SL 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: N.Q70- Er c,‘ C(vS 1.) (0r1 State License# ‘ ,C(‘)(02) In Expiration Date: Lead Certification Number: lk)r)•1., I y - I 114 -a Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: a,ti jt4rui h �� Ci d ZIP: S533 Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: nA PROPERTY OWNER INFORMATION: �J Name: h,\\1� 1( ICO\� Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) 'emodel 0 Fire Damage MCWD review&permits: yr ❑ Re-roof,asphalt ❑ Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar 0 Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) 0 Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 1 5 61 00(.) 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 w generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this infor• Pon '. nnually update our records and records of other governmental agencies required by law. If you refuse to supply the io the application may not be issued. Applicant's Signature: I Date: ___02.7i iCS Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS /J Address: �0 ig® f'(rl I s / Cy(4 4c'q Permit No.: 26949 9/z. 7 Description of work: /(Ja, iL y. r'H?O d / Date Rec'd: 7/7 fie Septic review by: Date Approved: Zoning review by: Date Approved: / Building review by: �� Date Approved: �/LZ 4g Grading review by: Date Approved: //! Zoning District: Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: es No Resolution/ NA Zoning: Lot Area: S /AC Width: Structur I Coverage: SF Survey Submitted: D Yes D No Date of Survey: Revised date(?): Landscape plan submitted? D Y=s Landscaper: D No/None proposed Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N - E W ) Other Buildings Wetland Side Side Building Height Analysis: Distance Between First Floor and define. Top of Roof* ee"building height" (a) definition): First Floor Elevation (from building plans): (b) Highest Existing ground level (per survey) or 10' wove lowest ground level, (C) whichever is lower: Difference between (b) and (c)*: (d) DEFINED HEIGHT *If highest existing adjacent grade is above FF' -Heig,t is(a)-(d): (e) *If highest existing adjacent grade is below F'E-Heig is(a) +(d) Shoreland District MCWD •ermit 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-see - ached Setback: Stormwater Quality xisting Pry'posed Overlay District Tier ardcover Har•cover Variance Required CUP Required (circle one)_ (% and sf) (% •:nd sf) D Yes D No D Yes D 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 w yf Plan Review Investigation Fee w.a4✓/{.' Y�' sa+a �.C.euc"F➢"�C".'L^T.£" � ?-,�,A...,--�,, ... F., Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ a n O Estimated Construction Value: $ 2 (90&1 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 Fireplace 0 Water Connection O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation ❑ Foundation Waterproofing ❑ Other(specify) 0 Landscaping Framing 0 Septic • Insulation ❑ As-Built Survey Final ❑ Lathe Required State Permits ❑ Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: O See Builder Acknowledgement Form O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: June 2017 z:\forms\plan review checklist 06-2017.docx QAj��`8 TIME V ..E...„-7 CITY OF ORONO CALLED IN 3/ VV INSPECTION NQ �7 SCHEDULED 5/A/fi r /:5t) PERMIT NO. or O1 ��U/�l co PLET D /� ADDRESS /5 t ��'� �a J p f &(- OWNERTELEP, "NEN . 7' 2 S --)36-0 , CONTRACTOR / i DESCRIPTION 4./141,1 ' ' `-1 r4 dd( W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL s ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL • ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q ,„Er.k,RAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO co COMMENTS: E/P_G- �2. —_3- ( ` ii W Q. CC 0 ILL- Mem- +- X1114& item(0 — AO ''it 5 rc 4c rcL - u. — )1f4 .:t, 36 N ac 3 l4rQ.,,s 6) 4d, o c Q 62 q,,rs z — w,kvc .3 rdfot - sa-sfe S 12.,aeter-Serie — 'P/Y.�Jit►je. of ec= e.>«G pear.,.:.-4 Ks� ., cc /?cSe- c› f Cr•4 • 4z — CI Lu 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W 17 JRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑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 OwnerlContracto on site: Inspector. 41 4 White Copy/inspector's File Canary Copy/Site Notice