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Home My WebLink About2013-00944 - addn/remodel/repair � � CITY OF ORONO * 2 0 1 3 - P1 0 9 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 880 PARTENWOOD RD PIN : OS-117-23-43-0001 LEGAL DESC : PARTENWOOD : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) APPLICANT pERMIT FEE SCHEDULE 756.75 ANDY OSTREIM PLAN REVIEW 491.89 275 MARKET STREET# 109 MINNEAPOLIS, MN 55405- STATE SURCHARGE(VALUATION) 30.00 (612)845-0499 TOTAL 1,278.64 Minnesota State License#: BC637776 OWNER GRAY,JERRY&CYNTHIA 880 PARTENWOOD RD 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 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 consuuction 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. !/' �'L--- �� / � /�� Applicant Permitee Signature Date Issue y igna ure Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. � �� - 8 z� � , g l3 � 2� City of Orono Q � J Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) '"� Mailing Address: Permit number: �O` � PO Box 66 ��'��O � Crystal Bay, MN 55323-0066 Date received: —�,3 —�3 Street Address: Received by: ,Q. y � 2750 Kelley Parkway Plan review fee: F Orono, MN 55356 G rqkfSNn�� U�7 d • �D T 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: ��' �� i�'� ,� i� e�, �,�,�� :c� c� . � �� ``�'`�% S � 3 5 �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: r�� ,,� C:-�,ts c;,. State License# �L,�3 �-��, Expiration Date: 3 3 �� Lead Certification Number: �,� �T - I C�`i�j� - � Expiration Date: � � �� ( ��, (for work on homes that were constructed prior to 1978 Phone: (cell) � 1 _ g�i� -��{�7 c� (office) � ��- - `�Z� -�-t �+ u �i Mailing Address: ,�-r� �ti�.��z�r St r t��t �t e. 1 i�`� �'.Ity: (�\;�.,.�z�j m �,1 Z�P: S S �;S" Contact Person: q,��L,s�6 c;-.., Applicant is: _ntract� / Homeowner �c�roia o�e� Email and/or Fax: ��;,.t �� ,,;,�,N�: r��D�-�s��. �2;��- PROPERTY OWNER INFORMATION: Name: -�r�� s L<r,.�'�� L ; ��( Phone (day): �S 1_- �i'�1 - ��-�) w Address: �`�v i%..� �rec, w�� _.<_� City: C:�-��..,� ZIP: 5i�3;"C_. Email and/or Fax: PROJECTINFORMATION: Overall ro�ectdescri tion: ��^r ��-� �r -�� r `r <<�a `��> ��``�°`" '�� Type of Project: Any earth movement may also require ❑ Door(s) (�Remodel ❑ Fire Damage MCWD review 8 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) $ :�C�,C:E-�c'. 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 ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: �� Date: �(13�1� " �.1 ; , Owner's Signature: ��' �'ut c.c- � �-• Date: ��; � Last Updated:03/06/2013 � . PLAN REVIEW CHEC�(LIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �� PA 2"r'CN t,vao c9 �� Description of work: 2�� -�1L R�n�-o�J e�— Septic review by: N ] y4 Date Approved: Zoning review by: N 11� Date Approved: Building review by: cs Date Approved: �-- � `� - � � � Grading review by: /u��- Date Approved: Zc�ing District: Zoning File#: Reso #: Reso Date: Zonin Lot Area: SF/AC Width: Lot Coverage: F _% Survey S mitted: � Yes � No Date of Survey: Revise ate ? : - Pro osed Se acks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Oth Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE inus 6 feet= (Existing Contour) , Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR C WL SPACE: " The distance be en the lowest FbR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of th basement or crawl space)and the highes oint of the roof. � START WITH The distance between the top of slab and If you have a... i the highest point of the roof. % If you have a... • GABLE OR HIPPED RO F(no . GABLE OR HIPPED ROOF(no windows): Subtract half th windows): Subtract half the distance distance between the highest int between the highest point of khe roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hippe roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROO (with (BASED ON • GABLE OR HIPPED ROOF(with "a NPE) windows): Subtract hal e ROOF TYPE) windows): Subtract half the distance distance between the op of the between the top of the highest � hiyhest window an the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER OOF TYPES(flat, mansard,etc:No subtraction. mansard, ):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the tance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenU awl space Floor and the EXISTING the foundation. GRADES) highest isting grade adjacent to the GRADES found on OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Def ed building height � Shoreland Distri t MCWD Permit Received Avera e Lakeshore Setback Met? Bluff 0 Yes � No 0 N/A 0 Yes � No � Yes No O Yes � No � N/A Permit Number: Setback: Stormwa r Quality Existing Proposed Variance Required CUP Required Overla istrict Tier Hardcover Hardcover � Yes � No � Yes 0 No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx � ` � REMARKS (in-house): Fees to be Char ed YES NO Permit �/ Plan Review •�" State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Foota e $ er Square Foota e Basement X = $ 15t Floor X = $ 2nd FIOOf X = � Garage X = $ Estimated Construction Value: $ (� l�, 0 0(7"� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing � Grading / Filling 0 Well 0 Hardcover Removal � Mechanical 0 Fire Electrical � Footing � Septic 0 Water Connection � Poured Wall � Fireplace 0 Sewer Connection 0 Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed ❑ Mfg. ,�Framing � Other(specify) Insulation � As-Built Survey J�Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx C� � DAT TIME ' / CITY OF ORONO � V CALLEDIN `��l� INSPECTION NO IC DULED �D-S�/3 �'30 PERMIT NO. `�� nn LETED ADDRESS OWNER TELEPHONE NO —�`�'✓ v�i CONTRACTO G � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPT�C MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:.�fES_NO v�, COMMENTS: / � W a � J O � � O ' � W � Q � 2 W � W � � � �CdRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � � DATE TIME . / CITY OF ORONO CALLED IN I � INSPECTION OTICE SCHEDULED a - -/ � PERMIT N0��3 Da9S� OMPLEfED ADDRESS �� `1 L�G�- �OQ�� OWNER TELEPHONE NO��-�� CONTRACTOR -S !�1 >'; DESCRIPTION -��y� 4 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ I �LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT y � EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a O � �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE a ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. A Ca�l for the next inspection 24 hou in adva '495�� 249-46�� .�� ; OwnerlContractor on site: --�'� : �_ , , . inspector. � , + � . White Copyllnspector's File Canary CopyfSite Notice