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HomeMy WebLinkAbout2004-P07265 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kell,y Parkway- PO Box 66 Permit Number: Po�26s Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: 4�2�2004 SITE ADDRESS: 1680 Shadywood Rd Wayzata,MN 55391 PID: 17-117-23-21-0016 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Census Code 434 Permit Class: Building Pernvt Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: riumbing Eiecmcai�siaiej NOTICES/REMARKS: •1_1___�""__�7__ T�'a_1__"_ ��v.vvu�uib u��ivwuv�� FEE SUMMARY: Pernut Fee: $ 542.75 Valuation• $ 40,000.00 Plan Review Fee: $ 352.83 State Surcharge Fee: $ 20.50 TOTAL FEE: $ 916.08 APPLICANT: Owner/Self OWNER: John Doleman n'IN 1680 Shadywood Rd Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,�...P ���2 � �'1 2� PPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant. 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 r e � C� C��� �� ��� � Total Fee: $ //Ca ;, Date Received: +l l- " � " Fntered By: Permit #: � , ��� �� CITY OF ORONO�UILDING �ERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- ,-----_ THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: 1 �SD 5��l��wa��c �.1' ZIP: ���q � NAME OF OWNER: So1���`"1�e,R ��.. �Ie.r�aN PHONE: (home) qS 2-4'T�-q�3� i (work) MAILING ADDRESS: � �a v `����'"�'°�� �c> CITY: lT)�y 2�+-�A ZIP: M CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ( Land Alteration PROPOSED WORK(describe in detai�: �E�oc R-c�. -r H� K�Tc.+��W STORIES: 2 SQ.FEET OF EACH FLOOR: �s� f�0�2= �3�2 i�2; 2^`� ��„o k= 8.8 v�f'�� NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET.�_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a�,���:�� � :; I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. t. . APPLICANT'S SIGNATURE: ,� ��1•.1,���`��, ° DATE: ��.� �9 2004 NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. 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ADDRESS OR LEGAL: ��Q�Cj 5 N.r4dJt,r c,�,oo c� PID: . DESCRIPTION OF WORK: ���,p�r� (< <Tc�..,,., ZONING REVIEW BY.• DATE APPROVED: ,�.Z .o y � BUILDING REVIEW BY: DATE APPROVED: . -��Y FEES TO BE CHARGED: Misc. Fees Calculated B�: PERMIT Yes c�` No PLANREVIEW Yes� No SEWER C0IVNECTION STATE SURCHARGE Yes �/ No WATER CONIVEC770N INVEST7GATION FEE Yes No PARK FEE SAC Yes No SITE INSPEG'170N Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: U Fire Deparnnent: Post Ofjice: School District: Lot Area: Sq;ft. Acres h Depth Survey Submitted: Yes No� ate of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wet . Building Height: Def. Hgt. Peak gt. Lot Coverage: Grading: Staff Approval Date: By Council Apprm�al Date: Septic: Staff Approval Date: By Zoning File: # Resolution: # Resolution Dase: Shoreland District: Avg.Setback: Bluff Setback. Lot Coverage: Fxisting Proposed Hardcover: 0-75' 75-250' asasoo� 500-1000' Hardcover Variance Required: Yes No Date of Cowacil Approval: � REMARKS(in house): 32 BUILDING REVIEW CHECK LIST � ' � UBC: (2•3 CbNSTRUCTlON TYPE: �� Sq Footage $Per Sq Ftg . Basetnent x = lst Floor x = 2nd Floor x — � Garage x = x = TOTAL Estimated Construction Value: $ `{d,00o°= Inspections Required: Work Requiring Separate Permits: Site �/ Plumbing Fire Hardcover Removal 11�echanical Water Connection Footing Septic Sewer Connection _g_Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Pernzit) �Final Grading/Filling o�Electrical (State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 33 . , �������� � HARDCOVER CALCULATI WORKSHEET >�ri��� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000' EXISTING HARDCOVER IN ZONE . A. xause 33 x 2q = qS 7 s.F. Length Width Zb. (c x �.. _ � �• 2- S.F. x = S.F. x = S.F. B. Garage 32..� X 2 C�.� – ��.�a-� t S.F. 7 C. Driveway ��'-a x 27 = qS � S.F. 3 1 x ► 1 = �—s.F. D. Sidewalk 8� z 3 = 2�3 S.F. , �o x 4 :75 = 22.5 s.F. s-r�Poslc� ��,c S.S _�.'IS E. Patio/Deck x = � S.F. P.€'1+�•r��wAe.� .� x • S = `1'��5 S.F. F. Landscape 3 C3 x � = 2�� S.F. Underlain x 2�( _ ��2- S.F. By Plastic 4 x q = �12 S.F. Or Fabric G. Other x = S.F. TOTAL HARDCOVER IN ZONE - 3� �-�CI S.F. A TOTAL PROPERTY AREA IN ZONE - . -1 -�o S.F. B A 39 a�.�q = a 93��.�o x loo = 2p o % PROPOSED HARDCOVER IN ZONE A. House 33 x 2q = �� S.F. g Len th t 2 O,(p x 2- = Q � •2- S.F. x = S.F. z = S.F. B. Garage 3 2. � x 2 U � _ �S S , roq S.F. C. Driveway 3 �3 x 2� = qS3, � S.F. 3 1 x 1 = 3 � S.F. D. Sidewalk � � x 3 = 2 q 3 S.F. 2�— x 3 = � s.F. E. Patio/Deck � x 1 s� = Z 8 S.F. 3 x q = � Z. S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. Or Fabric G. Other x = S.F. TOTAL HARDCOVER INZONE - 3 3C>Z ,� I S.F. 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' �� . ✓ DATE � TIME CITY OF ORONO ca� o iN �'�� T INSPECTIOP� I SCHEDULED � � •� PERMIT NO. ���Z�P� co PLETED ADDRESS_ � �C1 G��q ul�� �� OWNER .-�C�n �IPr�►�C.� CONTR. TELEPHONENO. ��S�- -�� ( GS3S � DESCRIPTION rv�c:� ll� 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING y�RAMING_) �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION � � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COM ENTS: a V �S " � " 1��� C� � J 0 a � � 0 � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY �y BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-460� OwnerlCont�a�dr s�: Inspector. ..� White Copy/lnspector's FI Canary Copy/Site Notice � ATE TIME � CITY OF ORONO c"n��E�w �� Z� INSPECTION NO ICE SCHEDULED ^ �v %� PERMIT NO. O COMPLETED ADDRESS ��0�� �U°l�"D� � OWNER �D�iri� .� ONTR. TELEPHONE NO. .5 � ��a ^ � � DESCRIPTION �''�`��`��'"� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O�NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO E YOU:_YES_NO � COMMENTS:-5��� W C j �.. , O � � � �--�J L�V Y W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE �'"O CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ihspection 24 hours in advance. �952� 249-4600 OwnerlContr�o n it�: Inspector. ' White Copyllnspector's File ' Canary Copy/Site Notice