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Home My WebLink About2017-01139 - addn/remodel/repair f 1 CITY OF ORONO * z 0 1 7 - 0 1 1 3 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 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 : $ 25,000.00 NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,FIREPLACE,ELECTRICAL(STATE) MASTER BEDROOM-NEW FIREPLACE LIVING ROOM-NEW FIREPLACE AND STONE WALL CLAPPING APPLICANT PERMIT FEE SCHEDULE 433.67 �RTNERS 4 DESIGN PLAN REVIEW 281.89 5 MARKET STREET#109 STATE SURCHARGE(VALUATION) 12.50 NNEAPOLIS,MN 55402- TOTAL 728.06 2)927-4444 Payment(s) Znesota State License#: BUIL-BCE37776 CHECK 31316 728.06 OWNER ,Y,JERRY&CYNTHIA 'ARTENWOOD RD G LAKE,MN 55356- AGREEMENT AND SWORr�STATEMENT �rk for which this permit is issued shall be performed according to roved plans and specifications,applicable City approvals,and the iilding Code. This permit is for only the work described and does t permission for additional or related work which requires separate All provisions of laws and ordinances governing this type of work compied with whether or not specified herein.This permit will �d become null and void if construction authorized is not �ed within l80 days of the date of issuance,or if construction is d for a period of 180 days at any time afrer work has commenced. cant is responsible for assuring all rec�uired inspections are in conformance with the State Building Code.This permit may be t any time for due cause. - �-- 6i It�1 i� � `� ,�S � 17 Permitee Signature Date Issued By ature Date City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPA�: O Mailing Address: permit number: 6I�'��,,q � �O Po Box s6 �` —I Crystal Bay, MN 55323-0066 ,� / Date received: �l" `x./ Street Address: "� � Received by: ti�, � 2750 Kelley Parkway ✓� �� Plan review fee� t Orono, MN 55356 � �kfSH�� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in futl and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �� '�c� }-t,� ,_.,��c, � �2 a� �1 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 approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Pa��-r��s �I . YJ�s��n L1,C. ��u C�s�('��w- State License# ��L��-7-1� (� Expiration Date: m 3��l�w��? Lead Certification Number: N�T- �t`�S�l� � - 2 Expiration Date: y�Z�,� Zo Z� (for work on homes that were constructed prior to 1978 Phone: (cell) (p�Z-g�t� -o�t�i� (office) ��L_ c.�2� _ y y y c t Mailing Address: ?S �r\�e-�- rz �- 5�.:,�-� 1 n`�1 CitY: ,�v� I S, ZIP: ry $-S'yns- Contact Person: ��r�� Applicant is:C ontra�tor._�/ Homeowner �a��ia o�e� _.._ Emait and/or Fax: ��tJ� (� r�'�42iN�Rs'-i �l:S�U�.� . �'='Y'"` PROPERTY OWNER INFORMATION: Name: L y�, t�.'.o �- 5 t:s y t�t'�y Phone (day): C��- t�'7 I-f�V\ln Address: U c,�� r}e,r.�...��U � rz�� City: J��, � ZIP: �S 3 S�� Email and/or Fax: `�,,��y __��-��-�,y � ,�.�yn ,��r� /VI►�St�Yt �3Er�n-:x:�,•, �. N`w t=.t��P►..�� PROJECT INFORMATION: Overall pro�ectdescription: i=.��iN� 2cr,7 �. Nt� �z�-i=p�q�� ,� sTc,�� W!�� ►�.�►•�t� I'ype of Project: Any earth movement may also require �Remodel MCWD review&permits: ] Door(s) ❑ Fire Damage ] Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ] Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 I Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.og timated Construction Valuation of Project(excluding land) $ Ls,pov •��G PLICANT 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. iYs Signature: G�� `�— Date: `��I Z)17 signature: S�P 1 51n17 ��/ Date: _ _.9��I 7 ed:�anuary 2o�s CITY OF ORONO � 1 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ��C� .!-��"T eUl C1�(�C>Y� ��lG'� Permit No.:�l C `' �ll S� Description of work: � �P �(Y.�( Date Rec'd: �/��/� Septic review by: Date Approved: Zoning review by: Date Approved: J Building review by: Date Approved: Grading review by: Date Approved: Zoning District: Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes Landscaper: � No/None proposed Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildin Hei ht Anal sis: Distance Between First Floor and defined Top of Roof" (See"building heighY' �a� � definition : First Floor Elevation from buildin lans : (b) Highest Existing ground level (per survey) or 10' above lowest ground level, �� whichever is lower: Difference between b and c *: (d) DEFINED HEIGHT 'If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) "If hi hest existin ad'acent rade is be/ow FFE-Hei ht is a + d Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? � Yes 0 No Permit Number: � Yes 0 No 0 N/A � Yes 0 No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and sf 0 Yes � No � Yes � No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Char ed YES NO Permit Plan Review � State Surcharge j/` Investigation Fee 1/' SAC—ldumber of SAC Units Other(specify) f S uare Foota e $ er S uare Foota e Basement X = $ 1� Floor X = $ 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: $ �.S,�Q� � Orono Inspections Required Work Requiring Separate Permits � Footing � Site �� Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control Mechanical � Fire � Foundation Survey � Hardcover Removal Fireplace � Water Connection 0 Framing 0 Other(specify) � Masonry 0 Sewer Connection � Waterproofing/Drain tile �Mfg. 0 Lawn Irrigation 0 Foundation Waterproofing 0 Other(specify) � Landscaping Framing 0 Septic Insulation � As-Built Survey Final O Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: June 2017 z:\forms�plan review checklist 06-2017.docx . . � �.�,,......,.,,,,_v.�...�,...,_.....�--_-�.�,..�...,�...�..,.,�....�..>.,,�.,�.,�.� � r .� ..,. � � , �-�,.. _ � �3 A . � � �. �_...,_�.r � �. �_..,�.�t��.��,..�.., .._....��..�_----� � � , � �� .�._......A..�..�...,..�.._.....�,.��...�..�.._�,..�.�._...�..� � � r- ; i � � � �'`'\,. �1 { d � � s �, . � s �j� A. ..'� , — .......1r �.a.�r.�w �q 6 ` , \ � 3 � rL i � � � � ! � �' � iy{ � i � y � � y�1 � 7 ^; � ! . � .�_._._ �.� � t � ; __... _._....___ _ _ � �� .�:.:::�_� � � � -� � � � � � � � � � � ; � � � � . � �" °, � f � � � � � � � � � �� x � � w � � � � 2 9 ` � � � � � � I b � a� � � � � : ! � --.__�... ..._. �..�....y..... �..� ,�; � � �..M _ .. � .___.��.�.��....�.�.�,,.. ��, � � � � � � � g �' � � � , � ` r R .......,.. ..... ..,_._,........._ . �. . � 4 �;- -��._.._ ...._�__ �,,, _, � � `� ;� � � � � � � � �.�_, .V........�..r,... ._...._ . ,_�..,�.-.<. �,,:,...a:a� �. � � .��. „�.,r_.._�..�,"_«,,�,_ ,_.�...�....�..,�,,.,....,�.,W..�..�,,...��...��, � , c. �. � :y ---+�.....,..--_...._-.�...._-..._e..,o�,._-...,..._..,.�_.,......,,,..... .�.,,,....�.._.�.,..+, --.^.....�...M i � � k T_,..��...�.� _ .. , , ..�_.Y.w.��.� ..__.._.__. --��w��__�...,._�.:� , �; � RECEIVED � ti � S Ep 1 5 2011 ; � ' � CITY OF ORONO � _ __ T_ _�__ �.�---_�__.._...__.,_.�-�..,._,.�..�..�.. .,�„� . .., _.�_ .,.,.,..,.,......_._.,._........s. .. \ `Qt�� V �j ipAT�— /� TIME CITY OF RONO CALLED IN _�� ___� INSPECTION �TICE, � scHenULED PERMIT NO.� � — J/ COMPLETED ADDRESS �� d� 01NNER TELE NE N � -� � CONTRACTOA - � DESCRIPTION ��-�'LL � ty ❑ FOOTING ❑ DEMO-FIN ❑ 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 Q ❑ FfNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL i O'WNERICOKTRACTOR TO MEET Y�W:_YES_NO � COMMENTS: �'4 „^� �^ � � ��/'-c� w/_�S o,t � �d�', h'�c�►��c vYt,s S�ac j 0 � 0 W � Q � W W 0C � W �WORK SATISFACTORY:PROCEED ❑PROJECT COMPIETE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W O O CORRECT WORK CALL FOR REtNSPECTION TEMPORARY V BEFORE CdVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caq forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: YVhib CoPYMspector's Fila C�nary CopylSfb Notice /� V DATE TIME CITY OF ORONO CALLED IN � =-�1". INSPECTION NOTICE Q SCHEDULED PERMIT NO. � '� ` COMPLETE ADDRESS OWNER ELEPHONE NO.��" 'Dy1�9 CONTRACTOR � v� � � � DESCRIPTION � / 2� ' ��I 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONlREMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �r'O J 2 G�T r�� r� � L�'� � �'. �° D .c Lc5 � Lr trv ��r� c�s t� 0 /�Q-��t Lo�•�-,Q�1�� . � 0 W � Q � 2 � � w � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE W O CORRECT VI�RK d�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwneNContractor on site: Inspector:�a�5o�iv (Z White CopyllnspectoPs File Canary CopyfSke Noties