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Home My WebLink About2015-01584 - addn/remodel/repair ' �'• CITY OF ORONO �c 2 0 1 5 — 0 1 5 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: Ol/11/2016 ORONO,MN 55356— (952 249-4600 FAX: (952 249-4616 ADDRESS : 1890 SHADYWOOD RD PIN : 17-117-23-24-0019 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 90,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) PORCH REMODEL(REMOVE FLAT ROOF&REPLACE WITH PITCHED ROOF),DOORS,SIDING,WINDOWS&NEW ROOF NOTE: CALL FOR INSPECITION IF EXISTING FOOTINGS ARE INADEQUATE. INITIAL: �_ APPLICANT PERMIT FEE SCHEDULE 1,031.12 PLAN REVIEW 670.23 STEVE ATKINSON STATE SURCHARGE(VALUATION) 45.00 4350 CTY RD 50 TOTAL 1,746.35 DELANO,MN 55328- payment(s) (612)735-6292 CHECK 5295 1,746.35 Minnesota State License#:BUIL-20638420 OWNER LUNDBERG,MIKE&ANGELA 1890 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 1'he work for which this permit is issued shall be performed according to the approved plans and specificarions,applicable Ciry 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 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. 1'he applicant is responsible for assuring all required inspections are requested in conformance w�th the State Building Code.1'his permit may be revoked at any time for due cause. (��\�� , : � 1-ll�(� � /� i� Ap licant itee Signature Date Issued B ignature Date � Cit of Orono � �� 7�� Y Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �r Mailing Address: ��VO PO Box 66 Permit number: ZU �5'"�' j �S' Crystal Bay, MN 55323-00 6 Date received: � Z ZZ � Streef Address: cb' Received by: (�a e�L. tiF G� 2750 Kelley Parkway \' Plan review fee: ��'� "��e�� ,v� `�'�ESH04� Orono, MN 55356 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: I�QO ShA�I�V�DO� f�D(/IOI ��'a �MN 553�I Job Site Address: I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ,�2V2 �}iCln50�1 State License# OV3$4 a� Expiration Date: 3 ZQ�� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (pla• �135•(p292 (office) SaM�- Mailing Address: 530 50 c�ty: A�o ziP: 5�53a Contact Person: ��q}�j�pn Applicant is: rac / Homeowner (Circle One) Email and/or Fax: ��Q�u��,�p�L PROPERTY OWNER INFOR TION• Name: (��.� A�dbQ,Y Phone (day): q . . � Address: � NQ� City: {'� � ZIP: �3� ( Email and/or Fax: MQ Un �t�lY�.11e,t PROJECT INFORMATION: Overall roject description: 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) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 ❑ Re-roof,other(specify) � Siding � Other: (specify) Fax: 952-471-0682 �Window(s) �Or(�1 www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ • 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. Applicant's Signature: � �- � Date: /� vt/ / Owner's Signature: _� Date: �t��1 � Last Updated:January 2015�/� ,�� l��'�` l./l / � � � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS ' C� �� Address: Permit No.: Description of work: Date Rec'd: Septic review by: `� `�`' �iC/ Date Approved: �� Zoning review by: o �e��ewa �/l C��57"y' ��'d� w� �ja�e�A1 r�e �� t pP � Building review by: - Date Approved: � � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Covera . SF % Survey Submitted: � Yes 0 No Date of Survey: Revised date ? : Landscape plan submitted? � Yes � No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland Side Side Defined Height: Peak Heiglit; ,�FE: FFE minus 6 feet = (Existing Contour) r' Perimeter(linear feet) _ `�0% = L.F. below grade Basement? � Yes 0 No, Stories'., i' FOR A BUILDING WITH A BASEMENT OR CRAWL SPAG�: ,�\, FOR A BUILDING ON A SLAB FOUNDATION: The distance betweers the lowest propos@d Slab at or above grade— START W ITH floor(of the basem�nt or crawl space)and•, measure from hiqhest existin� the highest point pf the roof. START WITH rq ade to the highest point ai the \ roof even if fill was brought in to �, \ elevate home. If you have ar.. ` SUBTRACTION • GAB�:�OR HIPPED ROOF(no Slab below grade—measure (BASED ON windbws): Subtract half the distance from highest existing grade ta the ; ROOF TYPE) beiween the highest point of the roof � hi hest oint of the roof. tp�the low point of the corresponding If you have a... ,�able or hipped roof \ SUBTRACTION ' GABLE OR HIPPED ROOF ; GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half • windows): Subtract half the distance \` ROOF TYPE) the distance between the between the top of the highest � highest point of the roof to window and the highest point of the � the low point of the roof correspondi�g gable or PP �' • ALL OTHER ROOF TYPES(flat, . GABLErOR HIPPED ROOF g mansard,etc):No subtraction. (with windows): Subtract SUBTRACTIQN 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) : foundation 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 E UALS 4 Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff � Met? Permit Number: 0 Yes 0 No 0 N/A 0 Yes � � Yes 0 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 � � Yes 0 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 SAC— Number of SAC Units Other(specify) Square Footage $ per Square Foota e Basement X = $ 151 Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ �LJi� Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site � Plumbing 0 Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control � Mechanical � Fire � Foundation Survey � Hardcover Removal � Septic 0 Water Connection 0 Foundation Waterproofing 0 Other(specify) ❑ Fireplace 0 Sewer Connection Framing ❑ Masonry � Lawn Irrigation 0 Insulation 0 Mfg. ❑ Landscaping � As-Built Survey � Other(specify) �Final 0 Lathe Required State Permits 0 Other(specify) ❑ 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 surve,y and hardcover calculations must be submitted and approved. C�a !1 � vl s� �e i� r` �y! �'�;��;%� � �� - � ��1 �r � �' [�Gt�P� �_z Updated: October 2015 ��\fnrmc\nlan rovia�ni rharklic4 1 fl_'7f11 ri rinrv 1890 shadywood a,. 4:4+y��,Q' � 9r � �� `,';� .. � ~ F� r .. . ��,t ��£ �� .. ,.. ,�, r ,� i 1 t �a''�"f" � �iYYT�• .. . .. -�• '4. , •R# .:� J ..�� .. i �y�� ,� j. �.�;.'�' 1 ` .�p.i. . �;� }K� =I . . � ' �. _� �4 ,� .: , � . .,�..� ,�� - �A� r i�4 � , . 3 �� ,� .. � . ` '�,.. . � , .M. „ .� m. r�-�- . � :. � � �� ftl. �:F- � ��}� r„ �� ,. ,�;� °� r� . � r �.. � � �. �� :�' . 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M �.. .. . �.., . � � !., a # �... ...�'�=� 'a" �,. �.. �- :. � • . . . .. �� . . . .. ...... . _ . . . �. ... ... 04/17/2015 �� - � , �DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED � �1�2 PERMIT NO �c COMPLETED �— ADDRESS ' S !� (�-�-� LvC�C?�� OWNER TELEPHONE NO. `�� 'z`f� CONTRACTOR �J��-� 7�i/�S6Y1 r_ � � DESCRIPTION � e� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SE IC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q •'�ERAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �r 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 I TALL y ,p� p ' /� Z OWNERfCONTRACTOR TO MEEf YOU:_YES�NO �'�-�`-� �"��C �J�'"'' � COMMENTS: � �'�1!'/'!�� f%%� a � f�l��—�� t2 O -` �1/G�/!C /�rfJl •'C�o y �loa� �c��.r�.,. '� /�� /� � _��1 - �U �/�G�Y�C4G iill/G�� ° O�C' �!r �'o•��•2�i e — W � K� �e - �O�� /p!G�6i✓e�t ��t /C.B �[ aXtt�-- 2 � ,r�ro��,:. ,Oro��Qd o� �.�� - �1�� W _ . �yJ.05.C . r1e �/�.S�i.� - c'r�•c v�.-r.t,ls� v�• ` � �RKSATISFACTOR`Y PRO�CEED��/- /G� ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: < Inspector. �--�% ''`-� r , � White Copyllnspector's File Canary CopyfSite Notice C�-G�`�l----- _ 7E . , TIME CITY OF ORONO CALLED IN '�' INSPECTION NOTICE �CHEDULED �! 7�' !!-'G'� PERMIT NO. aD/S-'o`�� /c MPLETED ADDRESS � ��G � OWNER �TELEP NE NO��7-35-�"Z/�2 CONTRACTOR ��=��%�� K-�-t%1��'�- ` � DESCRIPTION • � L`""`��s ly ❑ 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 Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL WN NTRACTOR TO MEET YOU:�YES_NO c.� COMMENTS: � W a � O � � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 49-4600 OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSfte Notice