HomeMy WebLinkAbout2018-00275 - addn/remodel/repair ' CITY OF ORONO * 2 0 1 8 - 0 0 2 7 5 *
2750 KELLEY PARKWAY DATE ISSUED: 03/19/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 565 SANDHILL DR
PIN : 33-118-23-24-0012
LEGAL DESC : ORONO PRESERVE
: LOT 5 BLOCK 1
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL .
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
VALUATION : $ 40,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE)
BASEMENT FINISH
APPLICANT PERMIT FEE SCHEDULE 603.02
DAVID WEEKLEY HOMES STATE SURCHARGE(VALUATION) 20.00
12800 WHITEWATERDRIVE#20 TOTAL 623.02
MINNETONKA,MN 55343- Payment(s)
Minnesota State License#:BUIL-BC697545 CREDIT CARD 8646 623.02
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,MN 55391-
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 dces
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 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 I80 days at any time after work has commenced.
1'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� ���! 0 • � f ` l�a
pp cant itee Signature Date Issued B ignature Date
. Cit of Orono � �3 0�
y �
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O� Mailing Address: Permit number: ow� - U�,2 —
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: —
a a
Street Address: Received by:
ti�, G� 2750 Kelley Parkway Plan review fee: /.��p
lqk�SHo�t�, Orono, MN 55356 a���j��d�7
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: �j(,Q S ��`,(-1 t-L D-�'�J-e /
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
lf 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: �y C� V,J,�,f�-�e�i �n.•�Q S'
State License# ���Sc f� Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) � 2-7� _� � (office)
Mailing Address: _�2.�p V ��,�h,:.�.P�.�{j..�-y-� �� City:fy�,�n��j�,� ZIP: ,�[(
Contact Person: ���� (�y y,����� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: /ccu mhl�,�S�r� ��c.a n-�S C.G"Yn
PROPERTY OWNER INFORMATION:
Name: -jA-y�E ,� �(�Y-�
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description: � Vl l S� G'S.,Q �—
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)
❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ 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.orq
Estimated Construction Valuation of Project (excluding land) $ �, Ofi7�
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' he a lication ma not be issued.
ApplicanYs Signature: �- � Date: 3��2�g
Owner's Signature: Date:
Last Updated:January 2016
' � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: �C.L� � SG►� ,c�l( ,�r Permit No.:_ ��( ` ��Z.�`�
Description of work: Date Rec'd: J � I
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: l 1
Grading review by: Date Approved:
Zoning District: Zoning File#: Res #: Reso Date:
Zoning: Lot Area: SF/AC Width: �ot Covera e: SF °
9 /o
Survey Submitted: � Yes � No Date of Surv y: Revised date(?):
Landscape plan submitted? Yes O No Landsca �
Pro osed Setbacks:
�
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak eight: FFE: FFE minus 6 feet= Existin Contour I
( 9 )
Perimeter(linear feet) = 50%= L.F. below grade
Basement? � Yes 0 No, Stories `'
i
FOR A BUILDING WITH A BASEMENT OR CRAWL SP CE: �, FOR A BUILDING ON A SLAB FOUNDATION:
The distance between ie lowest proposed Slab at or above grade—
START WITH floor(of the basement o c{awl space)and measure from hiqhest existinq
the highest point of the rq f. START W ITH rg ade to the highest point of the
� roof even if fill was brought in to
If you have a... elevate home.
SUBTRACTION • GABLE OR HIPPED RO F(no Slab below grade—measure
(BASED ON windows): Subtract half th distance , from highest existing grade to the
ROOF TYPE) between the highest point o the roof hi hest oint of the roof.
to the low p�int of the corres nding If you have a...
gable or hi�Sped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(wit (BASED ON (no windows): Subtract half
windows): Subtract half the dista ce ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
windoyv 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
m�nsard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtrac,t the distance between the half the distance between
(BASED ON basem�nUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) founctation 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 Bluff
Met?
t Permit Number: 0 Yes � No � N/A � Yes 0
0 Yes � No No
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
O Yes 0 No � Yes � No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit l/'
Plan Review �/'
State Surcharge ti
Investigation Fee �
SAC—Number of SAC Units
Other(specify)
Square Foota e $ per S uare Foota e
Basement X = $
15�Floor X = $
2nd Floo� X = $
Garage X = $
o�
Estimated Construction Value: $ �, �Q
Orono Inspections Required Work Requiring Separate Permits
� Footing 0 Site �Plumbing 0 Grading/Filling
� Poured Wall 0 Silt Fence/Erosion Control �Mechanical � Fire
� Foundation Survey � Hardcover Removal � Septic � Water Connection
� Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection
Framing O Masonry � Lawn Irrigation
Insulation � Mfg. � Landscaping
� As-Built Survey 0 Other(specify)
Final
� Lathe Required State Permits
0 Other(specify)
0 Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
0 See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
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�'� ' DATE TIME
CITY OF ORONO CALLED IN �,
INSPECTION OTICE SCHEDULED �
PERMIT NO. COMPL E
ADDRESS � '
OWNER T LEPHONE NO.���71�"��•�,/
CONTRACTOR � *�' >
� DESCRIPTION r E �
t~N ❑ FOOTING ❑ DEMO-FINAL f ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN
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) 249-4600
OwnedContractor on site:
Inspector: ��,�
Vvhite CopyRnspector's Ffle Cenary CopylSito Notics
i� DATE TIM
CITY OF ORONO CALLED IN �
INSPECTION NOTI E SCHEDULED
PERMIT NO.�� "���275 COMPL e
ADDRESS ��� I `��—
OWNER — T LEPHONE NO���-7l�-�
CONTRACTOR �
� DESCRIPTION ��I� v �����'�y�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FIILING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL Rt ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �.SsMGrf'7� �.�N/I s� [�s� fll��
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� ❑CORRECT NfORK 6 PROCEED ❑ISSUE CERT�FICATE OF OCCUPANCY
W
0 ❑CORRECT WORK�►LL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwneNContractor on site:
Inspector: ����_�
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BASE�IENT �l/ OPT. GAIrIERI�� BEDR�I 5 �C BATH 4 S' (F8GB584)
BASEIyIENT IN/ OPT. GA�IER�I, BEDR�I 5 & BATH 4 9� (F9GB5B4) NORTH
FULL BASEI�EkT(FlN�ED) ����E� BAS�f.
NOTE: ALL BSI�T FLR. CEILING HEIGHTS M�R 12 201g � MARKWOOD
8'-0 UNLESS NOTED OTHERWISE MINNEAPOLIS
CL11Y`0�ORONO �