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Home My WebLink About2016-00998 - addn/remodel/repair + � CITY OF ORONO * 2 0 1 6 - 0 0 9 9 8 * 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2024 SHADYWOOD RD PIN : 17-117-23-31-0011 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 004 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 794.72 PLAN REVIEW 516.57 DANBERRY BLDG CORP. STATE SURCHARGE(VALUATION) 30.00 5413 MANITOU RD TONKA BAY,MN TOTAL 1,341.29 (952)4745990 Payment(s) Minnesota State License#:BUIL-BC6389415 CHECK 5007 1,341.29 OWNER KIEFFER,JOHN&BENJAMIN 2024 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 conskvction 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 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. �' � d �� ' Applicant Permitee Signature Date Issued Signature Date . City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O • O Mailing Address: Permit number. �--�� , `C�C) 1�T PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: . y G� 2750 Kelley Parkway Plan review fee: L'��- (� ;z `� Orono, MN 55356 lqKESHO�� 3�i - a9 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. Cn,�- � g Incomplete applications will be returned. -+Qlease print) � �� 1� GENERAL INFORMATION: j Job Site Address: � v �� `� �G�LC� � �= Will this be a Parade of Homes, Remodelers Showcas ome or other Display Home? Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICAN�`{jVFOR�MATION: �l� �� , Name: (-Jl�w�aE ,� +^ J� ` ✓ State License# '��j Expiration Date: Z d�� Lead Certification Number: �'/ 'r_ 'Z v( (� -- � Expiration Date: �� Z � (for work on homes that were constructed rior to 1978 Phone: (cell) ( Z �-S?� '7C�� (office) '�7 ��C7 Mailing Address: j ,1 City: �t :,,i� ZIP: a Contact Person: � ,� Applicant is: Contractor / omeowner �c�«ie o�e� Email and/or Fax: '"}�-, P�y, ��r't�u�� +� � c-�-, PROPERTY OWNER INFQRM�4TION: � Name: J�c,�, ��,��,,� Phone (day): (p?2 S �!S Address: 2 �� 2 � ` ,� City:� y�� ZIP: �� Email and/or Fax: PROJECT INFORMATION: Overall project description: ' �'! Type of Project: Any earth movement may also require ❑ Door(s) �model ❑ 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 ❑ 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) $ 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. ApplicanYs Signature: Date: � Owner's Signature: Date: --' ^ Last Updated:January 2016 ;�� <�� i 1 p//� G��%" � �JC 6 ��G! - PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� L_� c7�A'��C 1/w40 (i Permit No.: Description of work: ��Ti�1 Q�L /^�LI!'L�(�+�� Date Rec'd: Septic review by: t7 �f/UC� 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 idth: Lot Coverage� SF % Survey Submitted: 0 Yes � Date of Survey: Revised date ? : Landscape plan submitted? 0 Yes � No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S W ) Other Buildings Wetland Side Si Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) _ %= L.F. below grade Basement? � Yes � No, Storie FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the low t propose Slab at or above grade— START WITH floor(of the basement or crawl pace)an measure from hiqhest existinp the highest point of the roof. START WITH rp ade to the highest point of the roof even if fill was brought}n to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF Slab below grade—measure (BASED ON windows): Subtract half the stance from highest existing grade to the ROOF TYPE) between the highest point o t e roof hi hest oint of the roof. to the low point of the corr sp nding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF . • GABLE OR HIPPED R OF(wi (BASED ON (no windows): Subtract half . windows): Subtract h If the dist nce ROOF TYPE) the distance between the between the top of t e highest highest point of the roof to window and the hi est point of t e the low point of the roof corresponding gable or hipped roof • ALL OTHER R F TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc): o subtraction. (with windows): Subtract SUBTRACTION Subtract the dista e between the half the distance between (BASED ON basementicrawl ace floor and the the top of the highest EXISTING highest existing rade adjacent to the window and the highest GRADES) foundation OR 0 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined bui ing height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Average Lakeshore Setback Shoreland District MCWD Permit Met? � Bluff . 0 Yes 0 No Permit Number: 0 Yes � No ��N/A � Ye 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 0 Yes � No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Perm it Plan Review State Surcharge �� Investigation Fee SAC—Number of SAC Units (� Other(specify) Square Footage $ per Square Foota e Basement X = $ 1 S' Floor X = $ 2nd FloOr X = $ Garage X = $ Estimated Construction Value: � � p Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site �plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control �Mechanical ❑ Fire 0 Foundation Survey � Hardcover Removal � Septic � Water Connection ❑ Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection Framing � Masonry 0 Lawn Irrigation Insulation 0 Mfg. � Landscaping 0 As-Built Survey � Other(specify) Final 0 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. 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'� `° � a � � � ) ^6V . �; 'a ': 1 .� i� w � � � � =.5 <' « .... �� .. � T— .� � T1 LY. t�. � "� T- �� 3 � � � � �... 1 � � '� �' � � k rp t'y� '� ' � � �."i �/� i13 R�+,r �� n .-. 4!•, ( �: � lN. � � c _r 3 � � �'7"tJ�:� ��., � : :; �� . �'i �� _ _ � � �' Fr� � �� -� �:.. � � r �' �' � ;� r� ,� t� � �' � �� ,�cK/' I� C p TIME V CITY OF ORONO cnLLED IN � �T'�� INSPECTION NO�CE HEDULED � — _L�1s_ PERMIT NO. � �.O PLETED ADDRESS �a ��/� OWNER TEL N��7`'"�^ � CONTRACTOR �� DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ XCAV/GRADING/FILLING vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL REE 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 W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? dWNERICO1�fTRACTOR TO MEET YOU:_YE8_NO y COMMENT� � �- r' :,n � L ..��` i'► � j � ,, /I.r?�G� �.'1 , -t�� . c�/� �i �n c.��Q ° GJ��s�,` W � Q � � W � j � �`W--O-RK SATISFACTOFiIf:PROCEED O PROJECT COMPLETE W��RRECT WOF�C 8 PROCEED ❑ISSUE CERTIFIC/1TE OF OCaIPI�NCY 0 ❑OORRECT YIfORK,CALL FOR REINSPECTION TE�APORARY V BEFORE CdNERINO PERMANENT ❑(X�iRECTUNSAFE00NDIT10N WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECT�i ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCoMractor on site: Inspe�tor: �� J �-• White CoPYAnapecta's Flb C�nary Cop�rlSlb NoNw � � `� ,/ DATE TIME cmr oF oaoNo �o�N / - o - INSPECTION N � �� HEDULED �n-,L,�—/ �O� PERMIT NO. �MP ADDRESS a O� O'WNER TELEP .�P��a�^ 5 CONTRACTOR � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��ULATION ❑ WOOD BURNER/FIHEPLACE ❑COMPLAINT Q � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMINERlCOI�TMCTOR TO MEET YOU:_YES_NO � COMMENT'� • 4 �'H5 aG• - i�•�- - .so�t-.c c�,4<� - ,F,a� i�s4�. o �� v•� . _ �. � ° �j S�� <� ��y, ,► e�<<. � r�tcG�• .�e-r�•� � / � Q � i�- 7�a� -^� CJa�a.••� v�/4.L�23 i ,� D ia�'�5�aa �a v�I .��o•� o�r��- `1 � G�¢s� - W j Cprrcc�d d —� �!/�✓ W ❑WORK SATISFACTORY:PROGEED ❑PROJECT COMPLETE ��WOf�C a PROCEED ❑ISSUE CER7IFlCATE OF OCaJPp1NCY O� ❑(�CT WOf�C,CAII FOR REINSPECTION TEMPOfiARY V BEFORECdVERIN� PERMANENT ❑(�RRECT UNSAFE CONWT1pN WITHIN HOURS. p p�.�pTO TAKEN INSPECTOR 1MLL RETURN ❑STOP ORDER P08TED.CALL INSPECTOR ❑qTATION ISSUED O INSPEC710N RC-0UIRED.CALL TO ARRAN(3E ACCESS. CsM br the next inspection 24 hours in edvanoe. (952) 249-4600 �oMractor on site: �n�: �'�- �� WMN CuPY��+FlI� Can�ry Cop�rlSil�NoUo� � ' � �� DATE TIME � cmr oF oRONo z a� ;S-i� / INSPECTION NQTICE �-jp scHeou�eo �� t-�/.� /�' ' G'z:� PERMIT NO� ��` ! COMPLETED � ADDRESS � � OWNER TEL P E O.�-S�`/�"7 'sf�� CONTRACTOR r v � � DESCRIPTION —/1/ � �� '��'�-" �� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL Ri ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEAICOI�fTRACTOR TO MEET YWJ:_YE$_NO y COMMENTS: E/�c. ��//� � ;� - f 6 "" ��j � � o ��/e.� rN��RC - �r/c �`v,�l��`� - �' �t �,p,��;y � a� 0 � Q �rz��L p .�` Ll[., ,5�. �l �r ,� rv�r�Ss � � �� Ju.�"e ��( � � �,. -� � . �. �.r-Z��e�•� j 4f�� /.'� f;1lQG� /l� ��.�24G- %�,�� ,�Cl�ifi�� '9 � �VORK SATiSFACTOHY:PROCEED ❑PROJECT COMPLETE W ��O CORRECT VMORK d PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN� PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pf{OTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ,.�INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952) 249-4600 aMrt�IContractor on site: . Inspector: � White CopYAnspeetor's Fils C�nary CopYfSib Notics � �PR�LIMINARY DRAWING, NOT FOR CON T ION* �� i Reviewed for Code � Co�npliance City of Orono L8 ��ON SN��R� �ate I' � PR�� NG�� -c�=� Q�� FP�LPGGpROP J��2.2. R�v�eiwer RECEIVED w�Qo��oEo�N�2 2� Pc�o ��,r �,� � II(� pC� ��`O��`� �� VV � � F?nt/e s� .��✓` � [� � CIN OF ORONO � Carbon monoxide detector required within , l0 ft. of all sleeping ro ��s. B�Q�� WS FIR� EXIT R��UlR�D 20" �il�l. C!._�:�`� '+1�tlDT9-i 24" M I�`�1. G�Y:.."��,,�: �--��i tJ i-iT 5.7 SQ. �_��. ��":`,�, ��;� 44" I�a',�� :}?L �"��-�� SMOt�DETECTOR CONNEC'fED TO A SOUND- 1NG DEVICE OR OTHER DET�CTOR AUDIBLF!N SLEcPING AREAS.MUST BE Y'VIRED. i =-- - _. I I � 0 0 0� � � 0 0 0 0 EXISTING', MAIN FLOOR LAYOUT www.rfa�derryduild'irgco�y.com Buiiders License#20638945 , 952-474-5990 �PRELIMINARY DRAWING, NOT FOR CONSTRUCTION* �� BY REVISION DATE sg I SHEET # (+��^�-��:'.R4-�.°fy�°C��`,�� qq /J(� �y�,r- BEN & JOHN KIEFFER /'/) �`��✓.i(�IJCJ i, T�T JOB#:15063 8/IS/2016 ` � �R�1V Q, MN 55391 DRAWN QY:B.KGMP �j ,,,J (^ 1a� �,� �....: i 'i� y:; � ,1�,� '�� 3 17��Il.il��l..�}��« �� _ `/ / // � / APPROVCD: , �, Gr Z / "� /��J/� , � SCALE:AS NOTCD �� PRINTCDON:IIXI7 � ��-- " ,':��7 �� . -- �=�� r�r,�� ']�� I� , ��^� � t,d'J � u..Qy:L� w° h� ��l t'�`5 �--- � �/L) yC- Z.- � � )_°;.�.� � , � �� ` S °�°N�wa° ' <G' � �' ��,�`� `� � =rN�wx �l � � � ' - � _� H � W w � � � .� ti W � �/"Y!7' i l/�� 3 � i � N o Z � I � I U � ° ' DININ � � � a � LIVING �- � � o � 146 sq ft 201 sq ft � M � � w � � � I, rn i 4 1'-6" \��✓�— — �...��..._ —� — — — - ----- — — � � COLUMN&B�AM T.B D� �� ' D.W. ) I � --�' ° -=---