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Home My WebLink About2013-00910 - addn/remodel/repair liiiiiiiiiiiiiiiiiiiiillillillillillillilliililliffm CITY OF ORONO * 2013 - 00910 * 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 2535 OLD BEACH RD PIN : 21-117-23-22-0019 LEGAL DESC THE MARSH AT LAFAYETTE LOT 006 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 24,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 165.22 SAWHORSE INC. STATE SURCHARGE(VALUATION) 12.00 4740 42ND AVE N. TOTAL 177.22 ROBBINSDALE,MN 55422 (763)533-0352 Minnesota State License#:2382 OWNER CODUTE,TOM&ALICIA 2535 OLD BEACH 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 Z;yt* / /3 / 2-o/3 AjjpY t Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHERTHAN DESCRIBED ABO City of Orono a 3 7 Building Permit Application for Maintenance / Replacement enovation pub (No structural expansion. Only windows, doors, siding, re-roof, etc.) 8 OAT Mailing Address: Permit number: C&/ O Cr Box 66 Cry � stal Bay, MN 55323-0066 Date received: Street Address: Received by: _ S 2750 Kelley Parkway Plan review fee: L 61 2750 G Orono, MN 55356 Total Fee: Z�/ 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: a 1r3 ti 01a Deo-h 94 . vJa r zu N hA u sfS 59 1 Will this be a Parade of Homes, Remodellers Showcase Home or other Display Home? ❑Yes 7 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: 59%)hor S t iris . State License# a3$01 Expiration Date: 3/511/9 Lead Certification Number: N t7' -a y ff6R _ Expiration Date: May 3, a of f (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 763-5-53 —o3SoZ Mailing Address: 471to ya vt City: o ins o t ZIP: -5-4 Contact Person: Ro 6 Dom yn e Y Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Ter% Alicia c,d4e Phone (day): q5a—471 — 75r9 Address: 'RY35! A stock RD City: woxx to ZIP: a3R Email and/or Fax: PROJECT INFORMATION: Overall project description: 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) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ 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 pnnually update our records and records of other governmental agencies required by law. If you refuse to supply the inf rmation he application may not be issued. q Applicant's Signature: Date: 11� Owner's Signature: Date: Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 7s-3-5 OLa0 ae—ACAA RAA6 Description of work: ,R.A. t4Z00 Z_ CZLvL--XL LOC-- ' L Septic review by: A-1/i4 Date Approved: Zoning review by: At IA Date Approved: Building review by: Date Approved: Grading review by: dpi Date Approved: Zoning District: Zoning File M Reso#: Reso Date: Zoning: of Area: SF/AC Width: Lot Coverage: SF /C Survey Su Itted: 0 Yes 0 No Date of Survey: Revised date Proposed Set ks: Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Other B dings Wetland Side Side Defined Height: k Height: FFE: FFE min 6 feet= (Existing Contour) Perimeter(linear feet)_ %= #of Stora Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA The distance between the loaves FOR UILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or 1 space)and the highest point of the MV-11 START WITH The distance between the top of slab and If you have a... the highest point of the roof. 01 zIf you have a... • GABLE OR HIPPED ROOF(no GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point 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 TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top.of th between the top of the highest highest window and the hig window and the highest point of the point of the roof roof • ALL OTHER ROOF ES(flat ALL OTHER ROOF TYPES(flat, mansard,etc):Nos traction. mansard,etc No subtraction. ADDITIAdd the distance between the top of slab SUBTRACTION Subtract the distances een the (BASED 0 and the highest existing grade adjacent to (BASED ON EXISTING basement(cawl s floor and the EXISTING the foundation. GRADES) highest exisbng de adjacent to the GRADES foundation O feet(whichever is less). EQUALS Defined building height EQUALS Defined b ding height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes D No 0 N/A O ' s 0 No 0 YesXNO 0 Yes Cl No 0 N/A Permit Number. Setback: Storrpivater Quality Existing Proposed Variance Required CUP Required ` Overlay District Tier Hardcover Hardcover 0 Yes 0 No 0 Yes 0 No Type(s): Type(s): Updated: January 2013 v:Vor nslplan review checklist 2013.docx REMARKS (in-house): Fees to be Charged ;`.. Plan Review p Invy{ewstigation Fee � Other(specify) Square Foota e $per Square Footage Basement X = $ 16'Floor X = $ Od Floor X = $ Garage X = Is Estimated Construction Value: $ ��, �,Dod•aD &L L.O. l� OronoInspections Required Work Requiring Separate;Permlts Required State Permits 0 Site Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire WElectrical 0 Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. Framing 0 Other(specify) Insulation 0 As-Built Survey Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed:by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 irWorms)plan review checklist 2013.doc x CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICE SCHEDULED 10-/1-13a2:&Q PERMIT NO. COMPLETED ADDRESS X535 old h?0-C-4C K�_ OWNER TELEPHONE NO. &fZ, 3Z 33'77 CONTRACTOR DESCRIPTION �n S U�iZf/cam ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y0 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL ❑ SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a j O O W W QC Q 2 W Z W cc N1 Rx SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑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 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONOALLE� �-3 INSPECTION NOTICE SCHEDULED PERMIT NO. ` _&)� /'�)COMPLETED ADDRESS OWNER TELEPHONE NO, 02 CONTRACTOR " >' DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES H OR E/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL Q Ll TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a J ll�f G J O 0 e- n W Q 17 Q 4-� w ile-f-e QC j d ❑WORK SATISFACTORY:PROCEED _ CT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 1-i PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR L;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 Copy/Inspector's File Canary Copy/Site Notice