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Home My WebLink About2012-00001 - addn/remodel/repair . , CITY OF ORONO PERMIT NO.: 20��0000� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OU05/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 1415 PARK DR PIN : 07-117-23-42-0017 LEGAL DESC : SAGA HILL REVISED : LOT 002 BLOCK O15 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 55,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT pERMIT FEE SCHEDULE 719.25 STRUCTION CONTRACTING LLC PLAN REVIEW 467.51 1315 PARKVIEW DRIVE CHASKA,MN 55318- STATE SURCHARGE(VALUATION) 27.50 (612)309-4653 TOTAL 1,214.26 Minnesota State License#: BC637053 OWNER FETTERS,JEFF&MARCIA 1185 RIDGE ROAD NE OWATONNA,MN 55060- 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 sepazate permits. All provisions of Iaws and ordinances goveming 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 re ons�ble for assuring all required inspections aze re uested in conformance Sta Building Code.This permit may be revoked �e e for��`__i� �. __ -�-;_ . � Zo � �, �, � .L Applic rmitee Signature Date Is ed y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . . . . . � . � . . � _3-1y � . Ci�y of Orono � Building Permit Applicafion for Maintenance / Renova ion g� � � (windows, doors, siding, re-roof, etc.) �_� MailingAddress: Permitnumber. ��`�� I �v 0,� PO Box 66 � /0 � 0 Crystal Bay, MN 55323-0066 Date received: � 3 �02> ,; I v a a �� , Sfreet Address: Received by: ; �'� ,�'�'�,��titi 2750 Kelley Parkway Plan review fee: �� L�'kESH�� Orono, MN 55356 ,/ Total Fee: �� /7 . �.�o 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: r��s 1/�Kk �,�-rV'� ��,� � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�No � If yes,a specral 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 nof be allowed. A�'i,' CONTRACTOR/APPLICANT INFORMATION: � Name: � � �� , - L �L � State License# �" � �� Expiration Date: � 3/ /.S Lead Certification Number: �{� ��3-� Expiration Date: � ��4,� �(�; � (for work on homes that were constructed prior to 1978 ��; Phone: ��Z -3�j`%� �(;�5� (office) (cell) � Mailing Address: �3 �S ��,��Q� 'a�� City: C�,�S y� ZIP: ,� � Contact Person: ��,�� o(�,��,,� � Appficant is: Contractor / Homeowner (Circle One) � Email and/or Fax: (��bo (��,,,«,,�n � Q�j�L . [��,,� � � ,, "t.�; PROPERTY OWNEF�INFORMATION: � Name: ��.�,., ��nr.,e z �� Phone (day): /�t�L,/_ (�(v S l �� Address: l /� ��.��G ��=v� City: V+Z c�1 c� ZIP: S.S �S � � Email and/or Fax ; PROJECT INFORMATION: �:: Type of Project: Any earth movement may require , ❑ Door(s) � Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) `: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � fi. ❑Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 '� ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq "�� Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ s � Cj(j� '� ;�tl:' APPLICANT ACKNOWLEDGEMENT: ��' • Agrees to provide all informafion 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 submitfing a complete appfication 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. _ ____...� . ApplicanYs Signature: ' � � ' ` - Date: / .j ZU� Z- � Last Updated: 08-09-2011 • � - Plan Review Checklist for New S#ructures / Addi#i�ns Address/PID/Legal: 1`'I/� OAlt K Q/t , Description of work: �-�'`►'�'�-,C� P �- Septic review by: iv f./� Date Approved: Zoning review by: / Date Approved: Building review by: Date Appraved: ! -3� Zo�2 Grading reviewby: /v' / /� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire`De artmerrt Post Dffice Scho istrict Zonin � Lot Area SF/AC Width: epth: Survey S itted: 0 Yes � No Date of Survey: Pro osed Set cks: front(Lake) Rean(Street) ( 'N S E W ) ( N S E W ) Other Buildings Wettand Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: � YES FDR A BUILDING`WITH A;BASEMENT O RAWL SPACE: F R A BUILDING ON A 5LI16 fOUNDATiON: $TART WITH the distance between the asement flooN crawl START ` the distance between#he slab and the'highest' space floor and#he highest of peak,the top of WITH ' roof peak,the top of the carnice of a'flat roof, ' <the cornice of a'flat roof,the k line of a the deck'line of a mansacd-coof,orthe mansard roof,or the uppermost int Qn a rou uppermost point on a round or other arch-type or other arch=t e roof roof SUBTRACT half the distance between the highes i w and SUBTRACT half the distance between#he highest window hi hest roof eak of a itched roof' and hi hest roof eak of a itched roof SUBTRACT the distance between the basement od wl ADD the distance betuveen the slab and#he highest space floor and the highest existi grade wi 'n existin rade within#he foundation the foundation or 10 feet,whic ver is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District CWD;Permit'Received Ave e Lakesfiore Setback Bluff Yes � No 0 N/A � Yes � No � Yes � No � Yes No °� N/A Permit Number_ Setback: Hardcover Zon Existin Pro os$d Variance Re u ed CUP Requiretl 0-75' O Yes 0 � Yes � NQ 75-25 TYPe(S)= TYPe(S)� 25 500' 0-1000' RE ARKS (in-house): � Updated: 09/11/2009 z:�formslplan review checkiist.dorac Fees to be Char ed YES :NO ' ' ' ��y�y Pr '�,v;x F �a t�,�'.�.ai y, 'rr�; z,-�jY� f�z�1`` `.�:r�. ��#w.�s.11��:�.r�F,'{i,��t:^a5�,—it ��r�Av��rt�^4+��;��!�x� �3'"��. Plan Review � ,�.� �- � � � ,�� _, �: ».,a �.,�,.. .k. . «r� . ,_ . . , .,; z. , . , . ��. �.��, _;. _��a"` ��_� �. ,_-_ . . ,.. x„ . �. . Investigation Fee _ . _. _ �;.;;; ... ,. , .. , ., . _ _ �.� . , �� „ .. � , . , _ .��M-S„n..r�� ::.,. . ,°, s -�. . - -- - . . �,�.u.., " ...„. .. .. .. . 4 .�.. - Sewer Connection ... ... r;.. _ .� ...: �.. Y. ,�- -.: ._ __ { �. _ . , ._. . ._ . .. � Park'Fee _..._ F _ .�. .� Other(specify) __ �.,.� - _. _ y _. _. � . .. w - - Calculated By: S uare Foota e $ r S uare Foota e Basement X - $ 1�Floor X = $ 2nd Floor � X = $ Garage X = $ Estimated Construction Value: $ SS C�O O �--" �rono Inspections Required 1Nork Requiring Separate Perm�ts Requiced State P�rmits � Site ,0'�Plumbing � Grading!Filling G Well G Hardcciver Remo�al �Mechanical 'O Fire Electrical G Footing D Septic � Water Connection � 'Poured Wall �' Fireplace � Sewer Connection O Foundati�n Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed ,O�Mfg. `Framing C Other(specify) ,lYlnsulation � As=Built'Survey ,�inal � Other(specify) REMARKS (in-house): Other Review: Rewewed by: Date Approved: Access:Existing: � YES � NO New: � YES � NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED 8Y PERSON PULLING PERMIT) Updated: 09/11/2009 z:lformslplan review checklist.doac �� V DA ��'� TIME CITY O ORONO CALLED IN INSPECTION NOTICE SCHEDULED p� � PERMIT NO. , MPLETED ADDRESS � - OWNER ELEPHO O � CONTRACTOR �� >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W • � � '� � fi�s � Q o � � o - � /� �tn �.. C�' � � W � Q � Z W � W � � GW µ�IQ`RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on te: Inspector. � � �o � White Copylinspector's File Canary CopylSite Notice 5� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOT/ICE pv0 p / SCHEDULED ��/S /� I � 3O PERMIT NO. aD/� � COMPLETED ADDRESS / y� S ��- �1� OWNER TELEPHONE NO.(o!Z -3�� - `�6�� CONTRACTOR S�UG�l07't� �°�"1Cc� �: DESCRIPTION �� V � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o � Q/l. Q �- / A�7'�(f�,nJ.l � S � � ��S c� �sS�e � 0 � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �RRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUiRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52) 249-460� OwnerlContractor on sit : • Inspector. U� White Copyllnspector's File Canary CopylSite Notice � '� . . :� � � \ / �� DATE TIME CITY OF ORONO ` CALLED IN 1�"�� -�? INSPECTION NOTICE p �^ SCHEDULED �Z"� ' �Z � PERMIT NO. ��i� I:� �1.��C'l, ,' COMPLETED ADDRESS I y � [� t�_� ��. (�- �:-> K'- OWNER TELEPHONE NO. CONTRACTOR �.� � ��lC�'t�cGV'��il`►'t-� (C•�r, L( ` - �-� �; DESCRIPTION �" ( �'1C�\ I �"�1 l -� C'� l�' i1 fiF� 1�)� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �R ,�ECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOA �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: � Inspector. �(� � White Copyllnspector's File Canary CopylSite Notice