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Home My WebLink About2016-00207 - addn/remodel/repair CITY OF ORONO * z 0 1 6 - 0 0 z 0 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2016 ' ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 AD�RESS : 559 PARK LA P1N : 06-117-23-41-0044 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 006 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 23,100.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) BASEMENT FINISH APPLICANT PERMIT FEE SCHEDULE 418.18 PLAN REVIEW 271.82 O'DONNELL,TIMOTHY&JOAN STATE SURCHARGE(VALUATION) 11.55 559 PARK LA LONG LAKE,MN 55356- TOTAL 701.55 Payment(s) CHECK 1704 701.55 OWNER O'DONNELL,TIMOTHY&JOAN 559 PARK LA LONG LAKE, MN 55356- 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 rein.This permit will expire and become null and void if constru �io uthorized is not commenced within 180 s of the date o �S nce,or if construction is susp�de�for a period of 1 d9ys at an after work has commenced. Tlfe applic�nt isf��p8nsible o ssurin a r uired inspections are requested ih cor�fcfrmartce th th Sta ui ing Code.This permit may be revoked atany time for due cause. I� � �.�'( � � v ✓' � � / Applica t Pe ure Date [ssued By Signature Date . City of Orono � Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY =.v, v�+inc�c�ws, dr��, s��i�c,�, ��-r�r�f, e�c;. � �� T�l�G�T�1F�A� �X�Ai��lC�fi�� O� Mailing Address: Permit number: � Z; - f"` , ��i I PO Box 66 � Crystal Bay, MN 55323-006 ��V Date received: ��-- — i Street Address: �� Received by: y� � 2750 Kelley Parkway Plan review fee: �l��c.c.�.d t `' Orono, MN 55356 � 9kesH�� D! �� Total Fee: 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. (P/ease,Print) Job SiRe Add eORMATION: ��) � Y C � / ,�,� �t' - � / N�� r /�l� ,° ,��-Z�7`�� 1 c�t,y l l, L,r, vr � �� Will this be a Parade of Homes, Remodelers Showcase Home or other Dis ay Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 6 days prior to the event. Shuttle bus se ic will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPL,L�ANT INFORMATI N: Name: �` w , �L ' �"f"�`',;' �;, /��,��.. State License# ' Expiration Date: Lead Certification Numb r: Expiration Date: (for work on homes that►Kere c nstructe ,prigr to 978 Phone: (cell) �� '� ��-� �� (o e)�,.�� —�� Mailing Address: � � pj� " 'Z City: � �t( Contact Person: � /� �( L�Applicant is: Contractor / /Ho�me'owne� �,(Circle One) Email and/or Fax: T, �,F-� � j �1� —� , PROPERTY OWNER#IN—FORMATION: y�r, '�� / Name: ` "J v� `- J�� U�'��,�`c.'"v� Phone (day): � �Z . ��? � ��, � �� Address: � City: � ZIP: ��' Email and/or Fax: � "� f �aJ � , � PROJECT INFORMATION: Overall project description: /�� / /�f� Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt epair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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) $ APPLICANTACKNOWLEDGEMENT: �filNr�I�iNC - l 75 s�` �t °� �lI.3Sy-t� G��SCi��n� . 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 enerally cannot be given to the public but can be given to the subject of the data. Confidential data is info whi ally ot be given to eit r.�he public or the subject of the data. Our purpose and intended use of this i ormatio is te o records an cords of other governmental agencies required by law. If ou refuse to su I the inform tion e a tio ma e i Applicant's Signat . �- • � • Owner's Signatu � �-- ...., D e: I(n Last Updated:January 2 6 O � //n � � � � � 1(./ � � �'�� ( ! `C � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS . Address: ��C �1;�� /L 1P� Permit No.: L-.W'��`"�� ,� � / Description of work: �Q��r Q��'�� (�l,� vf Date Rec'd: Septic review by: ,%'��C� v"Q°'�e� Date Approved: � � Zoning review by: Date Approved: Building review by: �� Date Approved: � x �� Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC ``Width: Lot Covera�e: SF % 1 Survey Submitted: 0 Yes ❑ No ' Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes No Landscaper: �� i Proposed Setbacks: � Front (Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland Si Side Defined Height: Peak Height: FFE: FFE minus 6 feet = (Existing Contour) Perimeter(linear feet) = 50% L.F. below grade Basement? � Yes � No, Stori s a FOR A BUILDING WITH A BASEMENT OR CRAWL SP CE: FOR A BUILDING ON A SLAB FOUNDATION: The distance be en the lowest pr osed Slab at or above grade— START WITH floor(of the bas ent or crawl space and measure from hiqhest existinq the highest poi of the roof. START W ITH rade to the highest point of the roof even if fill was brought in to elevate home. If you hav a... SUBTRACTION • G LE OR HIPPED ROOF(no Slab below grade—measure (BASED ON indows): Subtract half the distan e from highest existing grade to the ROOF TYPE) etween the highest point of the ro hi hest oint of the roof. to the low point of the correspondin If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF (no windows): Subtract half GABLE OR HIPPED ROOF(with (BASED ON the distance between the windows): Subtract half the distance ROOF TYPE) 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 between the # half the distance between (BASED ON basemenUcrawl space floor and the �l the top of the highest EXISTING highest existing grade adjacent to the ? window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES �� (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS \ Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback glur` Met? Permit Number: � Yes � No � N/A � Yes � 0 Yes � No No � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Perm it Plan Review State Surcharge (� Investigation Fee �` SAC—Number of SAC Units �� " (f Other(specify) Square Foota e $ er Square Foota e Basement �'�(1 X J(,�, y = $ 1 St Floor X = $ 2nd FI0o1' X = $ Garage X = $ Estimated Construction Value: $ � �, �t,Y� Orono Inspections Required Work Requiring Separate Permits � Footing � Site Plumbing ❑ Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire � Foundation Survey � Hardcover Removal � Septic � Water Connection � Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection raming � Masonry 0 Lawn Irrigation Insulation � Mfg. � Landscaping � As-Built Survey 0 Other(specify) �Final � Lathe Required State Permits 0 Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. 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U {� �J I �� 3'p'6'��=`y. �z e=1 �€:_&:� 7 � �) �'!d s`.+�� g� c�4■v° � � 5 � � � �', �g _eYe6 a��YE�d��S�}I � Q- Ih r-) �, 6gg'�-6$;gd�a�„C�Y-s'3 a]t„ � W � � •�/�y� �I � b�'6��Ed� ,�Yf�M�6�b�\yi � O YM � �9¢�3�a�}�v��3;g#R��\ _ �Y� N �N b 4�-•�-� �� . _ U �1 cC s _ _---- _ _ _ _ . __ - �� `(�+ 'iV D -/� TIME CITY OF ORONO cnLLED IN - � INSPECTION I�TJ�iEr ,�y� EDULED — � PERMIT NO. �'`EJ��w PLETED ADDRESS R �'� OWNER M I n�� TELEPHONE NO.�Z��7�� CONTRACTOR � DESCRIPTION 's, /� �� ry � W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBtNG FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: � �r�EW►�.u, — v� � - /��C. -al�C 0 � ° � �� /I o0/�s- �F �e.�lc 6-�� W � �r'� � —F 1�� '4.✓� a 4.� Q 2 1,c�Q � ,S — W � � `� �r�I�� -kS Cl/�-'c�5��'_"_ � a W� ❑WORKSATISFACTORY`.PROCEED ❑PROJECT COMPLEfE �ECT W'ORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O �(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdYERING PERMANENT O(�RRECTUNSAFECONDITIONWITHIN H��• ❑pf{pTOTAKEN INSPECTOR YVFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (g52 j 249-4600 OwnedContractor on site: __�l rw Inspector: �/ � Whits CopyMnspector's Ffle Canary CopyfSite Notk:e '1 /" � ., � DATE TIME CITY OF ORONO CALLED IN INSPECTION I+�OTICE _ scHeou�e� � � PERMIT NO.- �,�, (�, `C' 1' COMPLEfED ADDRESS '�+ '> t j f��rlc. �-c� 1�1E: OWNER ��_�s_- `��-^�'� � TELEPHONE NO. �� I�' �(Y�� L 1 C'I CONTRACTOR � DESCRIPTION � (f�Cc; ' -��C�C(�fio'� ��1 Y�� l< <{c � t� ❑ FOOTING ❑ DEMO-FINAL ` ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: E/�-c- �� ' �'` �a •>6 � C�nQ wf � I�•� /L�c��G .�� ^ � � O _ � �'i� �I- m�'� �a n e cJ/ yr►�,.� ,b l�s• ° aoe� w�� W � � Q ��ass-O� 2 �Sb. �F�- C�6. �eLCt�.�s �Ds•ov�� ., � �� 'rC G� �Q-�+c ' � ,r.�,�.� - c� � � O WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: � ��'^ � � Whits Copyllnapector's File C�nary CopylSite Notics