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Home My WebLink About2014-00147 - interior lower level/main floor remodel y • CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 1 4 7 * DATE ISSUED: 02/28/2014 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 1065 FERNDALE RD W PIN : 02-117-23-43-0021 LEGAL DESC : REG. LAND SURVEY NO. 1372 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 200,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) INTERIOR LOWER LEVEL AND MAIN FLOOR REMODEL APPLICANT PERMIT FEE SCHEDULE 1,656.75 REVISION LLC STATE SURCHARGE(VALUATION) 100.00 10985 OAK SHORE TRAIL TOTAL 1,756.75 DELANO,MN 55328- Payment(s) (952)540-7150 CHECK 9811 1,756.75 Minnesota State License#: BUIL-BC639027 OWNER DETOR, ELIZABETH & LUCAS 1065 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be perfortned 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 pertnits. 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 c nformance with the State Building Code.This permit may be revoked at time for due cause. � _ � i� R"i / S` Ap c,Qnt Permitee Signature Date Issu By Signature Date � . ► � 5 �.75 � City of Orono �' ��' 1 Building Permit Application for Maintenance / Rep acement / Renovation �No structural expansion. Only windows, doors, siding, re-roof, etc.) �1 O Mailing Address: Permit number: o1D/y—D�l 7 r �0 C�rysBtal Bay, MN 55323-0066 • Date received: a'�9`�`"� Street Address: Received by: �'os S. � 2750 Kelley Parkwa `�t � Orono, MN 55356 �`F Plan review fee: � �kfSH�Q`�' �'�� o70/�j�— �� CO 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. (Please print) GENERAL INFORMATION: Job Site Address: �c�G 5 t'crN�.1� L,l /G�tiZs�}_ � �� Will this be a Parade of Homes, Remodelers Showca Home or other Display Home? ❑ Yes 0'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 su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: tZsz;,,,s io.,� L�G State License# -L Expiration Date: 3�1� Lead Certification Number: N�,+_ �pg�Zc� Expiration Date: y(�s(�G (for work on homes that were constructed prior to 1978 Phone: (cell) �jS L-S`i0-�f Sa (office) Mailing Address: �5 City:�,/ �� ZIP: SS3� I Contact Person: J�l,,,� �j`i,,' Applicant is: ontra tor / Homeowner (Circle One) Email and/or Fax: �oy,�� ;s�on nn,n, . Gb.n PROPERTY OWNER INFORMATION: Name: �..a r�..:, � ��i��.:ix.El. �c�� Phone(day): Address: �n6t �r�,Ud��. �,l City: �„l�„a�L�'� ZIP: SS3R� Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: �ntv- � �- wn l�an. od-t- 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.orq Estimated Construction Valuation of Project(excluding land) $ Z00�,Ool� 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 infor ation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this i orm on is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I he infor ation,the a lication ma not be issued. ApplicanYs Signature: Date: Z �� 1� Owner's Signature: Date: Last Updated:03/06/2013 � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: � Q�v� ��='R�L �� - �= W V�j �� Description of work: " .'v�r> '�<:'-<<-- Septic review by: N f � Date Approved: Zoning review by: `� Date Approved: � .Z._ Z;-) _ �,t;� Building review by: Date Approved: '�'� Grading review by: /v /�� Date Approved: Zoning District: Zoning File#: Reso #: Reso Date:_�.:� ' g: Lot Area: SF/AC Width: Lot Coverage: S _% Survey mitted: � Yes � No Date of Survey: Revised d e ? : Pro osed Set cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other uildings Wetland Side Side Defined Height: ak Height: FFE: FFE mi s 6 feet= (Existing Contour) s Perimeter(linear feet) = 50% _ #of Stor' s Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL S CE: The distance between the lo est FO A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the baseme or crawl space)and the highest point of th oof. 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(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest poin between the highest point of the roof of the roof to the low point of th to the low point of the corresponding SUBTRACTION corresponding gable or hippe roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED RO (with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract h the ROOF TYPE) windows): Subtract half the distance distance between t top of the between the top of the highest highest window the highest window and the highest point of the point of the ro roof . ALL OTH ROOF TYPES(Flat, • ALL OTHER ROOF TYPES(flat, mansar ,etc):No subtraction. mansard,etc:No subtraction. DITION Add the distance between the top of slab SUBTRACTION Subtract t distance between the (B ED ON and the highest existing grade adjacent to (BASED ON EXISTING basem crawl space floor and the EXIS G the foundation. GRADES) high existing grade adjacent to the GRADE fo dation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS efined building height Shoreland Di ict MCWD Permit Received Avera e Lakeshore Setback et? Bluff � Yes � No ❑ N/A 0 Yes � No � Yes � No 0 Yes 0 No ❑ N/A Permit Number: tback: Stor ater Quality Existing Proposed Variance Required CUP Required Ove a District Tier Hardcover Hardcover � Yes 0 No 0 Yes 0 No � Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx { r REMARKS (in-house): Fees to be Charged YES NO Perm it �/ Plan Review ✓ State Surcharge � Investigation Fee ' SAC— Number of SAC Units Other(specify) Square Foota e $ er Square Foota e Basement X = $ 151 Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ �d�, �O�� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing 0 Grading / Filling ell � Hardcover Removal �Mechanical 0 Fire � Electrical Footing 0 Septic 0 Water Connection � Poured Wall Fireplace � Sewer Connection ❑ Foundation Survey � Lawn Irrigation ; � Radon Rock Bed Mfg. ' �Framing 0 Other(specify) '� �Insulation 0 As-Built Survey + �Final � Wetland Buffer ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES ❑ NO New: ❑ YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx �� DAj TIME � CITY OF ORONO CALLED IN 3'/� INSPECTION T E SCHEDULED �� PERMIT NO. l ' Q� � COMPLEfED ADDRESS �� 5 �P-+^n c�� (.c� OWNER TELEPHONE NO.��lZ✓�� 7� 7�, CONTRACTOR � DESCRIPTION �� n � �� • � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHOFENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � � ` O �. o� � C n i y � � W � � 7 Q � 2 W � W � � � d W� ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACGESS_ Call for the next inspection 24 hours in advance. �95 , 6QQ OwnerfContractor on site: '� i Inspector. White Copyllnspector's Ffle � nary CopyfSite Notice �� D T � / TIME v CITY OF ORONO CALLED IN - I�f �'T�� INSPECTIO � SCHEDULED — �'` � " �/" PERMIT N C MPLETED ADDRESS OWNER T EPHONE NO._`Z�5'� -7 CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS V3 ❑ FRAMING ❑ MECHANICAL FINAL � ❑ 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 ❑ FOUNbATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO . � COMMENTS: I� � '0 �� a � Provtn a�YS �l'+�r Z .� �'Sf �'14�t�'f �i, .�.Lf.G�P.r 4r�� oQ Prov;o�. Q.P ��M�L iasi4.7lr ID�'wf-r�J7'�.tt•f �r ��. �. o� - --��s�.•�� ta ��.,oe.- ��. G.�.�t R,.,, . o � . W � P�ov�b c Q��oc v►4.Ys �'a r �t<< S �o►st ii,.•�se�5 Q r SePGS � � W ,� � �e�ec. �2-� 1� - S ` /� j _ 2�st DiC� - �a�r rct�E-- d� �'�c�r.Q, a W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractoron site:�p�'�'42� Inspector: �.�•. Whits Copyllnspecto�'s File Canary CopylSite Notice 5v� D E TIME " CITY OF ORONO CALLEO IN �� —��– INSPECTION�O E SCHEDULED �' � � •�v PERMIT NO. — �� COMPLETED ' ADDRESS /��d�-� /�� OWNER TELEPHONE NO.,G S 2 S�D 7��'� CONTRACTOR GL-�! � DESCRIPTION Fr�,�n q �i°i�r�� t l K sj.c,�Q�'j� � ❑ FOOT ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q O P RED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ RAMING ❑ MECHANICAL FINAL Q TREE REMOVAL Z INSULATION O WOOD BURNER/FIREPLACE O SITE INSPECTION Q O ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPWNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: W � j ' ._ � �O � O � W � Q � W � W � � d � W� ❑ K SATISFACTORY:PROCEED ❑PROJECT COMPLETE � CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑ RRECT W�RK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. ) 249-4600 OwnerlContractor on site: Inspector: White CopyAnspector's FI� Canary CopylSlfe Notke DA E TIME CITY OF ORONO CALLED IN INSPECTIONTIC D� SCHEDULED PERMIT NO. f COMPLETED ADDRESS io 4Ps OWNER TELEPHONE NO. CONTRACTOR ff�07 k /7-1r, L .e—'— / DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RAD N SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ F AMING ❑ MECHANICAL FINAL ❑ RATED WALLS NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO / COMMENTS: !/ W a cc J ' O O W QC Q 2 W W j O W ❑WORK SATISFACTORY:PROCEED �ROJECTCOMPLETE LU W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN EI CITATION ISSUED 11STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (9 2) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice