The URL can be used to link to this page

Home My WebLink About2014-00110 - addn/remodel/repair ,�_ CITY OF ORONO * 2 0 1 4 - 0 0 1 1 0 * . 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2014 ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS : 1453 PARK DR PIN : 07-117-23-42-0022 LEGAL DESC : SAGA HILL REVISED : LOT 009 BLOCK O15 PERM�T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 125,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) LOWER LEVEL REMODEL APPLICANT PERMIT FEE SCHEDULE 1,206.75 LAKE COUNTRY BUILDERS, LTD PLAN REVIEW 784.39 339 2ND STREET STATE SURCHARGE(VALUATION) 62.50 EXCELSIOR,MN 55331 TOTAL 2,053.64 (952)474-7121 Payment(s) Minnesota State License#: BUIL-20349679 CHECK 7146 2,053.64 OWNER O'KEEFE,JUSTIN&NICOLE 1453 PARK DRIVE MOIJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 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 suthorized 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � �'��~ � / / pp cant Permitee Signature Date Issued B ignature Date City of Orono Bu�lding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: ' (� Permit number: �� - d��/ PO Box 66 „VL Crystal Bay, MN 55323-0066 ��" Date received: p� -� Street Address: ,�{ �� Received by: y� G` 2750 Kelley Parkway� �� Plan review fee: Orono, MN 55356 � ��' � `�kFSH�� Total Fee: 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: ,$- Uc� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a special event permit is required with Police Department and City Council approva/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: � 2 Q �� s,a,.� State License# �C ��..f q �, 7� Expiration Date: .3 3 a�,� ' Lead Certification Number: �,�;}.T-�-5 77S-� Expiration Date: ��a��}�,s-- (for work on homes that were constructed prior to 1978 Phone: (cell) (��_L��] -S��y�U (office) C �1 S�� y 7�/-7/�1 � Mailing Address: -� � n o , ��,� City: �� ,�� t��,,t ZIP: S-S- 3 � / _��=� �—.T—fi� f S Contact Person: �i T r. --5-��5`�,�, Applicant is: on rac o / Homeowner (Cirde One) Email and/or Fax: -�- ,� � '��,�L .�l S� , C�c4�►�l ��As—� t,N � I_A Lj E C�7u,�- PROPERTY OWNER INFORMATION: Name: � LvL �' � ��-=<j ��, �'��-P Phone (day): ��, ,3 `-y 7�'r- s �v Address: � ��'3 ,�K (J � City:��,�,, v ZIP: S S 3 c. cJ Email and/or Fax: N iGoLC� �;��j��aC(� , b c•v� PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require �Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt Repair ❑ Sto�m 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.orq Estimated Construction Valuation of Project(excluding land) $ � �� •o 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 inf a ' to nually pdate our records and records of other governmental agencies required by law. If ou refuse to su I �e info "at' n, e a I� ation ma not be issued. Applicant's Signature: � f � �� Date: v� .S✓ �c� Owner's Signature: Date: a\��`� Last Updated: 03/06/2013 �LAN REVIEW CHECF(LIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: C YS-� P�n� ��VL Description of work: �,oi.�l:� C-�='��`=Z— �=-`�"��s2�- - - Septic review by: �/� Date Approved: Zoning review by: /��.�' Date Approved: Building review by: Date Approved: Z"�3` �t Y Grading review by: �/ %/a Date Approved: Z ning District: Zoning File#: Reso#: Reso Date: Zonin . ot Area: SF/AC Width: Lot Coverage: SF o Survey Sub 'tted: 0 Yes � No Date of Survey: Revised date ? : Proposed Setba s: Front (Lake) ear(Street) ( N S E W ) ( N S E W ) Other Buil ' gs Wetland Side Side Defined Height: eak Height: FFE: FFE min 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stor' s Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: The distance between th lowest FO A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the bas ent or crawl space)and the highest point the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest poi 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 of SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF ith (BASED ON • GABLE OR HIPPED ROOF(with NPE) windows): Subtract half t ROOF 1"YPE) windows): Subtract half the distance distance between the t of the between the top of the highest highest window and e highest window and the highest point of the point of the roof roof • ALL OTHER R F TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc.No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the dis nce between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcr I space floor and the XISTING the foundation. GRADES) highest exi ing grade adjacent to the G DES foundati OR 10 feet(whichever is less). EQU S Defined building height EQUALS Defin d building height Va, Shoreland Distric MCWD Permit Received Avera e Lakeshore Setback Nlet? Bluff ❑ Yes 0 No ❑ N/A 0 Yes 0 No ❑ Yes No � Yes 0 No ❑ N/A Permit Number: tback: Stormwat Quality Existing Proposed Variance Required CUP Required Overla istrict Tier Hardcover Hardcover ❑ Yes ❑ No ❑ Yes � Type(s): Type(s): Updated: January 2013 NU C�.(�1�.,�� v:\forms\plan review checklist 2013.docx � REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee � 9" SAC— Number of SAC Units �'�' Other(specify) �"' Square Foota e $ er S uare Foota e Basement X = $ � 15f Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ / 2 S,dt7o �� Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site lumbing � Grading / Filling 0 Well � Hardcover Removal Mechanical � Fire Electrical 0 Footing � Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection ; � Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed ❑ Mfg. �' Framing � Other(specify) �'Insulation � As-Built Survey � �Final � � 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES ❑ NO New: ❑ YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx �� T� G��TIME ✓ CITY OF ORONO CALLED IN �' INSPECT�I�O ��/ I t SCHEDULED � PERMIT 1�R'�J�(�� 1� COMPLEfED ADDRESS � �S 3 �i��. OWNER �� - TELEPHONE NO. ��2- �`�� 3�-Ic( CONTRACTOR L- l��-R�G �� DESCRIPTION �CL-r�-�`�t � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG e� ��RE WALI ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS �� FRAMIN ❑ MECHANICAL FINAL � TREE REMOVAL Z�❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB p WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTMCTOR TO MEET 1POU:_YES_NO � COMMENTS: � Fra�+�w� - o�C �'r�.�e.:,c � ��ie�► ��ao�w � 1 J — $G�l lr�l G�CG.'�rrGtG`�- If�s d et�-C P�r4L�se�i S / �. �O � �/ rl�a7�S � ° � �rc v ih � e !e�-�.-� u.G r2"� i-s s'�re,., W � �r[o►' -�r CQve•�� Q ' � 2 W __ C'btrcc.�'�t5� � CGt�2s� � � J d W� ❑WORK SATISFACTORIF.PROCEED O PROJECT COMPLEfE �CORRECT WORK 8 PROCEED ❑ ISSUE CERTiFICATE OF OCCUPANCV � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETIJRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O I NSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon or on site:_��- Inspector: � White Copyllnspector's Flle Canary CopylSite Notke � � ATE TIME " �'� � � � � CIN OF ORONO CALLED IN I INSPECTION NOTICE SCHEDULED �C3 � �� PERMIT NO.�� ' �I II'1 COMPLETED ADDRESS /'l�'J`3 �� CkJ1 .� D� . OWNER TELEPHONE NO. ��3 �`�� - Z3�3 CONTRACTOR �,K-=e �Ul�� DESCRIPTION � c� � ❑ FOOTING I�� PLUMBING FINAL ��_,,.,,.,_� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WA� ❑ MECHANICAL RI � r r-� 1 ❑ LqKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 ❑ TREE REMOVAL Z �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPrI�FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:y��.res_No v�i COMMENTS: c�". 4-��.� Sn��Frf I�t, ,('J2�i��ac wr � O ' SG�i��—�`GL, 1�t rt rif�'I.��c w �� Nl�i- �'� • — � � � - �-l�ice- /,��t,lCS . Clat�1� Cc�l" s',o•ts- �k..�– W � Q 2 �r�2�t -,r �6C �—��2/_ W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE i,�,/�AFiRECTWORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlCorttractoron site:_ /✓G� �� _ ^ Inspector. �� / .� White Copyllnspector's File Canary CopylSfte Notice � � \�� ATE TIME ✓ CITY OF ORONO CALLED IN ��,�� INSPECTION N TIC SCHEDULED � PERMIT NO. -� U COMPLETED ADDRESS �7`�� /^//�� OWNER TELEP ,,�E NO��°��S�73d� CONTRACTOR �� O ��'� �.-- � DESCRIPTION �//�`L -�� E� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R� ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO b ' ��., COMMENTS: ��ee%[ce eti»�•L �' o�4'�y �rrel�,a,�, � a �10�/!l9P� '�or FI/��Lc V�H.firtc Lh. 4J�n(�aJ 4J��- 0 � l�r Ms� '�-�/S! -�'a�tl "I�L�l1� � � I'v r! „2 " G l�i r�h�-G ?� �e�fc rr� a� o - W F.0 V�1� �%� w iA��.btJ w�!/ — � Q Zri N'��ke} � G c� - d!G � � !�!� G•/or IC C'o w�D�aZ`P — W j P� �„�.t � aa�4- oo��o �'��1� � ❑WORK SATISFACTORY:PROCEED �E@QJECT COMPLETE W�ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f t inspection 24 hours in advance. (952) 249-46�� Own Contractor on site: a�� Inspector. i White Copyllnspector's File Canary CopylSite Notice