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Home My WebLink About2016-00046 - addn/remodel/repair CITY OF ORONO * z 0 1 6 - 0 0 0 � 6 * 2750 KELLEY PARKWAY DATE ISSUED: OU20/2016 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1790 SHADYWOOD RD PIN : 17-117-23-21-0025 LEGAL DESC : SHADY-WOOD : LOT 020 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RES[DENTIAL VALUATION : $ 10,000.00 NOTE: REPLACE(2)BASEMENT SLIDERS,REINSULATE MAIN ROOM CEILING AND REROOF. APPLICANT PERMIT FEE SCHEDULE 20132 REVISION LLC PLAN REVIEW 130.86 153 E LAKE STREET STATE SURCHARGE(VALUATION) 5.00 WAYZATA,MN 55391- TOTAL 337.18 (952)540-7150 Payment(s) Minnesota State License#: BU[L-BC639027 CREDIT CARD 6592 337.18 OWNER MATEFFY,JOSH&CAIT[ 1790 SHADYWOOD RD 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 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 construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible suring aIl required inspections are requested in conform e wit e State Building Code.This permit may be i , � revoked at for du ause. -- �� -; � � `� �; � ,�� (�, , _ ' __ �L.�'��`� � :��,� p cant tee Signature Date Issued By Signature Date City of Orono Builc�ing Permit Application for Maintenance/ Replacement/ Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O Mei1iP0 Boxr66 . � � , Permit number: _'� - f"� ��- + �- �� 15�,� ��'' _ Crystal Bay, MN 55323-0066 Date received: r - '' —/� � .� rYj .�� Street Address: Received by� �`. q y�, G�� 2750 Kelley Parkway Plan review fee: t Orono,MN 55356 �� u �� +�ESH�� Total Fee: � Main: 952-249�600 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 wlll be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: �j a o Will this be a Parade of Homes, Remode Showcase Home or other Dlsplay Home? Yes No It yss,a speclal event permlt Is requ/red with Polfce Deparbneni and Clty Councll epprova160 days prlor to the event Shuttle bus s rvice wil!be requlred uMess applicant demonstrates sufHclenf on-s/te parking(s avallable. Non permitted events wiN not be a!lowed, CONTRACTOR/APPLICANT INFORMATION: Name: ��tsion LLC. State License# a��o��pZ7 Expiration Date: 3�3(� (� Lead Certification Number: ��Z��Zc�_ { Expiration Date: c��fr�� (for work on homes that were constructed prtor to 1978 Phone: (celq ((o l 2� S9�l-'�I Z(�`t (office)�(Q(2� �-(Cv 2 -�(Oov Mailing Address: � C�y� w Z�P� 5S 3 Contact Person: Mike 51,,��4,ey„«•,� Applicant is: Contra / Homeowner �ci�a.or�� Email and/or Fax: �,,�;ke�9Z�.v;s�n�r.�►n_ eow. PROPERTY OWNER INFORMATION: Name: �sh a,,.a ��-; M�.� �� Phone(day): Address: I'�l�i[� S�kc�vu�xr�� Rr�. C�tY� anovu� Z1P: 553�1 Email andJor Fax: L� � Q�;�, Co YH PROJECT INFORMATION: Overall ro�ect descri tion: c�c 2 t�«l� S I� -'� � �. Pk„r. �o,�•, C��I,�y, Type of ProJect: . Any ea�th movement may alao require �.��. ❑ Door(s) �Remodel ❑ Fire Damage MCWD revlew&permlts: Re-roof,as halt ❑Re air Minnehaha Creek Watershed District MCWD � p p ❑Storm Damage 18202 Minnetonka Blvd C > ❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑R�roof,other{speclfy) ❑Siding ❑Other: (specify) Phone: 952�7'1-0590 Fax: 952-471-0682 �Wndow(s) www.minnehahacreek.org Estimated Construction Valuation of Project(exclud(ng land) $��DO APPLICANT ACKNOWLEDGEMENT: • Agrees to provide aIl information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of hislher 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 aftemative but to rejed it until it is complete; • Some or all of the infonnation that you are asked to provide on this application is dassified 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 rally cannot be given to either the public or the subject of the data. Our purpose and intended use of this inform io is ann ally update our records and records of other governmental agencies required by law. If ou refuse to su I the' af n,t a lication ma not be issued. Applicant's Signature: � _ _ Date: //� �� /Co Owne�'s Signature: Date: Last Updated:January 2015 ��G��"/ / /� �� .��' � / PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address'. � � V ✓�� t�Qa- Permit No.: Description of work: � -�nsli'G��e � �>`"/O �U/O'D?!/'f Date Rec'd: Septic review by: �(�� G(/K,�� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � �`� ` Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date(?): Landscape plan submitted? Yes 0 No Landscaper: Proposed Setbacks: ;'� Front(Lake) Rear(Street) ( N S E W ) ( N�� E W ) Other Buildings Wetland Side Side i Defined Height: Peak H ight: FFrF�.� FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = i L.F. below grade / Basement? O Yes 0 No, Stories /� � ;' FOR A BUILDING WITH A BASEMENT OR CRAWL S CE: ;/ FOR A BUILDING ON A SLAB FOUNDATION: The distance betwee i the lowest proposed Slab at or above grade— START WITH floor(of the basemen orcrawl space)and measure from hiqhest existina the highest point of th rbof. START WITH ro ade to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION • GABLE OR MiIPPE ROOF(no Slab below grade—measure (BASED ON windows):,Subtract alf the distance from highest existing grade to the ROOF TYPE) between jhe highest oint of the roof hi hest oint of the roof. to the low point of the orresponding If you have a... gable nt hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABL'E OR HIPPED RO F(with (BASED ON (no windows): Subtract half win�bws): Subtract half t distance ROOF TYPE) the distance between the bejwveen the top of the high st highest point of the roof to window and the highest poin of the the low point of the roof corresponding gable or hipped roof • L1LL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtrection. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) fo�ndation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS D�efined 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 g�uff Met? Permit Number: � Yes 0 No � N/A � Yes ,� � Yes � No No � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf °/o and sf � Yes � No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review � State Surcharge Investigation Fee l.� SAC— Number of SAC Units �� Other(specify) Square Foota e $ per Square Footage Basement X = $ '' 1 S� Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ / oi ��o Orono Inspections Required Work Requiring Separate Permits � Footing � Site ❑ Plumbing ❑ Grading/ Filling � Poured Wall O Silt Fence/Erosion Control 0 Mechanical � Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection ❑ Foundation Waterproofing ❑ Other(specify) � Fireplace � Sewer Connection Framing � Masonry ❑ Lawn Irrigation � Insulation 0 Mfg. � Landscaping 0 s-Built Survey ❑ Other(specify) inal 0 Lathe Required State Permits ❑ Other(specify) � Well 0 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: October 2015 �•\fnrmc\nlan rcvio�ni rharklict 1(1_9(11F rinrv , ✓ G� d DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED - PERMIT NO. 7��llfl-{b0�/(ri COMPLETED ADDRESS ! � � U -�' `�'� OWNER TELEPH NO� ��z ��7C�, CONTRACTOR /�-� S/ ��? 7 - � � DESCRIPTION�'�'�`'�^"'� �- l� ❑ FOOTING MO-FINAL ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU: YES_NO c�.� COMMEN : � E��. �� - a � � - i� � J � Ro� r�� v�o.�`,�%�s��a., - � � �✓E �rt �ii� 1'JG r �.�r�.i1 c��c W � Q � �� c�� r z �— W � W � j W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑CORRECTVYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 xt inspection 4 hours in advance. (952) 249-4600 Ownerl ontractor on si : Inspector. �^' White Copy ector's File Canary CopylSite Notice C g �� . DAT � TIME CITY OF ORONO cnLLED IN a INSPECTION NOTICE SCHEDULED � �� PERMIT NO. � COMPLETED ADDRESS ��n7� �� OWNER - TELEPHONE NO. �g 5 7�9 CONTRACTOR �(�L�(� t/ v�t�_ � DESCRIPTION v� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS . � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOMRACTOR TO MEET YiOU:_YES_NO ti COMMENTS: � _T, �i115r�G- .�v/ vhG�,�;clZ fA� r��'fe fs� oCie/��sc � � �' G/osc� cc<l so��.� �a...c ��o%�•o � ° 1� �ticQcr s r'.Pe b� rGl�� s�le��.� • W � Q � vc � � Crr-�'Y �� S�i��9��rcr��'.�is tars.s�,�.�4�� tiff� � /'Od�`��,j5 /S �'or�r7�%�+e 4,� /�eT�'/ r00�— J � IIORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECa1/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. t insPectron a twurs in advance. (952� 249-4600 ow o�,tra�tor on %k G . Inspector. WINte CopyAnspecto�'s Ffle Cenary CopylSite Notkx �� DATE TIME CITY OF ORONO CALLED IN '''�'��. ,j� INSPECTION�IOTI E fS�,CHEDULED ��'� -i/�� -�v PERMR NO:_��C%��" ��"e'OMPLETED � -E-- ADDRESS I r � ��: �11C�<��t,� x� f� OWNER TELEPHONE NO. �� CONTRACTOR ' ' �� ' DESCRIPTIQN ��n�-� �i� �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ FiATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICOPfTRACTOR TO MEEi YiOU:_YES_NO y COMMENTS: � W + � j — I � y ,� ' � �^� a Ls�?-.V �O � ! G rr c• r-- rw �s G Q . . 2 G � s ��rr •� � s '� � 'n 3 �o�G � W � j W ❑WOIiK SATISFACTOR�F.PROCEED OJECT COMPLEfE � ❑CORRECT W'ORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cae for the next inspection 2a hours in advance. 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