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HomeMy WebLinkAbout2016-01166 - addn/remodel/repair CITY OF ORONO 11 I I I In 1 III 11' a 2750 KELLEY PARKWAY * DATE ISSUED: 09/28/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1530 ORCHARD BEACH PL PIN : 07-117-23-43-0003 LEGAL DESC : ORCHARD BEACH : LOT 001 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 52,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) (BATHROOM REMODEL) OTHER INSPECTION REQUIRED: INSPECTION OF FIRESTOP REQUIRED BEFORE COVERING FIREPLACE. APPLICANT PERMIT FEE SCHEDULE 731.68 LEE-LYN CONSTRUCTION STATE SURCHARGE(VALUATION) 26.00 729 NEWTON AVENUE SE TOTAL 757.68 WATERTOWN,MN Payment(s) (612)955-3219 CREDIT CARD 4591 757.68 OWNER MCDERMOTT,SEAN&GINA 1530 ORCHARD BEACH PLACE 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 C..- This permit may be revoked at any time for du c •se 9 /29//,46 icant Permitee Signature Date Issued By gnature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) / W O Mailing Address: Permit number: o?0/4 -0` ` b POBox66 �I, Crystal Bay, MN 55323-0066 Date received: /'-3 StreAddress: 1� �� C i� 0Parkes �' Planrevwfee: '17✓. 5.,,,,, -- Orono, MN 55356 d /6, .,/7 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 .ci.orono.mn.us This application form must be completed in full and all required information must b_a submitted. Incomplete applications will be returned. (Please print) ' GENERAL INFORMATION: Job Site Address: /5 3 (�o rc c t mac.eJ pia t-c_ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes o 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 INF RMATION: Name: X L e State License# 3c3 Li Expiration Date: 1NGL No( ,/ z a (S' Lead Certification Number: iel-T_ // 7y.0 —/ Expiration Date: 3-4.4ve- ,2 /4-- (for L(for work on homes that were constructed prior to 1978 Phone: (cell) /) 36,.& ?a / p (office)9 ?,53--, ? Mailing Address: 17i, J3o-f. Y t Cii y . ,K ZIP;;,---9-3 -r— Contact Person: evi it 1`t'9 �t... Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: 41..c._ 9._,./.., 2x 1 (� Vic,/ „&'f 41 PROPERTY OWNER INFORMATION: Name: 5 e-c,,,•_ \/1,(e-- l�e-v-,tiwlr 1- Phone(day): 11.-- 33 . 7q 3'1 Address: /53v 4rL.e..,—� y es, INtee--L. City:prc ZIP: Email and/or Fax: ,;(4,,A,- i(. !✓ ` C . T) PROJECT INFORMATION: Overall project description: r ii-A&J.l• Le--,S--u- . ;vti 1 IA r+-.G i,e-r Type of Project: Any earth movement may also require MCWD review&permits: ❑ Door(s) Remodel ❑ Fire Damage ❑ Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration 0 Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 5p?/ o-7:70 "— 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 suppl r`information,t ap lication may not be issued. Applicant's Signatur :' _� Datea/ /Z Owner's Signature: Date: Last Updated:January 2016 PLAN REV IEW CHECKLIST FOR NEWSTRUCTURES / ADDITIONS / Address: --; 0 l /Cald ',each rIceCe Permit No.:00 (Y`©/I 4 Description of work: r0OPI / it5li/( p"..X Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF 0/0 Survey Submitted: D Yes D No Date of Survey: Revised date(?): Landscape plan submitted? • Yes D No Landscaper: ;/ / Proposed Setbacks: ,°°� Front(Lake) Rear(Street) ( N S E W ) r_SIV S E W ) Other Buildings Wetland Side /Y Side f/ Defined Height: Peak Hei,ht: / FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50°A= L.F. below grade Basement? D Yes D No, S •r;6s FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC=' FOR A BUILDING ON A SLAB FOUNDATION: The distance betw en the •west proposed Slab at or above grade— START WITH floor(of the baseyient or cr I space)and measure from highest existing the highest poin of the roof. ST94RT WITH grade to the highest point of the roof even if fill was brought in to elevate home. If you have a.. SUBTRACTION • GAB OR HIPPED ROOF o Slab below grade—measure (BASED ON wind ws): Subtract half the• tance from highest existing grade to the ROOF TYPE) bet een the highest point of th-roof highest point of the roof. to a low point of the correspo 'ing If you have a... g le or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • ABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half indows): Subtract half the distant- 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 roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance,petween the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING f highest existing grade adjacent to the window and the highest GRADES) 7 foundation OR 10 feet(whichever is less). point of the roof J/ • ALL OTHER ROOF TYPES _ _ (flat,mansard,etc):No EQUALS ,/ Defined building height subtraction. / Defined building height r EQUALS / Updated: October 2015 z:\forms\plan review checklist 1 2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff ' Met? 0 Yes 0 No Permit Number: 0 Yes 0 No D 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) D Yes O No D Yes D No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES I NO Permit e/� Plan Review V' State Surcharge IZI Investigation Fee 1/ SAC—Number of SAC Units { - Other(specify) C/f Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X / = $ Estimated Construction Value: $ ` LYl/O t0 Orono Inspections Required Work Requiring Separate Permits O Footing 0 Site Plumbing 0 Grading/Filling O Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire O Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection O Foundation Waterproofing 0 Other(specify) X Fireplace 0 Sewer Connection Framing 1"PI 0 Masonry 0 Lawn Irrigation 0 Insulation �/ Mfg. D Landscaping O As-Built Survey L1 0 Other(specify) Final O Lathe Required State Permits O Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND IN TIALLED: Xj� 5 fr-en = n O See Builder Acknowledgement Form 't5 lo /'&Fv !r'GQt before Co v erin O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.r n,,,r Updated: October 2015 7•\fnrmc\plan raviawei rharklict 1n_9nic rinry Reviewed for of Orono Compliance City On"mnMau,".m0.dmdl.m d wrdarm.dan Date ,. to all local nods,en ta bo mind by mow and contador Oct bn the sum do:ft:Wk.%NITIPI Nonni%bit Al Nom no rogaistatiReviewer ; --' for sane ma . .alp amoament d=Mulct=Mud — Carbon monoxide detector I required within 10 ft. of O all sleeping rooms. tcI %%‘\11% N N SMOKE DETECTOR CONNECTED TO A SOUND- ING DEVICE OR OTHER DETECTOR AUDIBLE IN 24'CLEARANCE FROM TOA SPBOI TOPTELEVISION I PEnAIFnSPECS N SLEEPING AREAS. - In�'� 0) 1 I isrBP TElEV610N DPEN SHELVES • DPEN BHELVEB i TAM — -- • —_..__1 T.B.D. 0Z j 'GLET8 r - � T9.D. 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OPENiN ,,y, Imo; I ' "..` 5 � . ., , ) r _. ---- x s;+rum3 ra • um i . -. r lI ! ft00R of ,,,?, � ; J V 1 1 - • 1 1 1 r`w :IL IL • �. i ' i I , i i /� DATE TIME CITY OF ORONO CALLED IN INSPECTION(LS i E 1f"1,, SCHEDULED /1Xca =-; PERMIT NO._ Q L '` w COMPLETED ADDRESS - - a A d i/ `'J OWNER TELEPHONE/NO. R -- ♦D CONTRACTOR L-P___,e--- 41 _ y t DESCRIPTION Ta1IA . 4 # IPL -.a/I» is IQ ❑ FOOTING 0 DEMO-FINAL • SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE EPTIC INSTALL si 2 OWNERICONTRACTOR TOMEET YOU: YES_NO la COMMENTS: Cl: 27-- //--c1._3-1 IQ Q. 0 Fo f— ) -Z . lja* reit-14449:4D _/ 0 Q 'a/l / r' `rt 5,ci& r w2tc/E• -,F rr..2 W W C4 J O WIX 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: /1w 7ek- White Copyllnspector's File Canary Copy/Site Notice DATE TIME \/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. h!(s" COMPLETED J/ ad'/6 ,2 oe) ADDRESS /8--ac O ec-hg...142 6e.4c" OWNER TELEPHONE NO. CONTRACTOR L e - - L rt ar A.440 - DESCRIPTION e"11 4 /PLS. tar 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION AMING 0 MECHANICAL FINAL 0 RATED WALLS $. 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . 0 DEMO-SITE 0 SEPTIC INSTALL // Q OWNERICONTRACTOR TO MEET YOU:_YES_NO EC Ei COMMENTS: 1/�. ' T //- 011— /6 4. CC O Q W W CC L �f#ORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE ✓❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI ❑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 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: -- White CopylInepector'I FII Canary CopylSMe Nola TE TIME CITY OF ORONO CALLED IN 7-40.-17 INSPECTION N��CEj Ol/�� SCHEDULED 7-7`1 7 g'A0 PERMIT NO. �f- COMPLETED ADDRESS /53 -1 d (6uPl2 co OWNER TE PHON NO. 0/h.3k* -z/d CONTRACTOR `ems - (gzk14 C-hIvt - C DESCRIPTIONa-&114iirriVVIc"" IA, 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING vi 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL C Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION 'IC 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 • OWNERICONTRACTOR TO MEET YOU:_YES_NO fi COMMENTS:cc l Q. .0 /Il -n h 01'1/ i'�'/jll1IVO 0`i�� 7' 63 Cc 0 o ..- /0e,por--7"/CC Q W W CC W• WORK SATISFACTORY`.PROCEED PROJECT COMPLETE WCORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CJ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ...--07.....'.7„...a_ L- White CopyAnapactoes FIN Canary Copy/SRe Nola