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Home My WebLink About2017-01595 - addn/remodel/repair � ' CITY OF ORONO * Z p 1 7 - 0 1 5 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 12/13/2017 � 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 : $ 20,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 356.22 PLAN REVIEW 231.54 RNERVIEW REMODELING&CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00 9048 SYCAMORE LANE N MAPLE GROVE,MN 55311- TOTAL 597.76 (612)701-5111 Payment(s) Minnesota State License#: BUIL-BC630476 CREDIT CARD 2654 597.76 OWNER KIEFFER,JOHN&BENJAMIN 2024 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT A1vD 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 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 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. �' ` ,� - � . , ��' �•�,,.- , : - •�� zY�..,�� c �C'�'� ��z �L-��` -- �o� � / � / Applicant Permitee Signature Date Iss d By Signature Date .. City �f C�rono Buiiding P�mtt Applicat�on ior Maint�ance/Re�p[acementl Remodel- Resldential QNL.Y {i.e. �rindows, clo�rs, siding, re-rac�f, etc. — NO S7RUCTURAL EXPANSION} A, Maidng Adtlresss ��YO PO Box 66 Permit number: �/ ..�/ Crystal B&ry,MN 55323-0068 Dete r�eiYed: — :/7 Stre�e#Adahess: Rec�red by: � s�; � 2750 Keiley Parkway p#an review#ee: �'�E'st�0��`� Ororto,MN 55356 � Totat Fae: �7- '�/ M�irt: 352-249-460Q F�: 952 249-4616 :ci. r mR Thts application form must be completed in fuli and a!i required infarmation must be submitted. lncomplate�Pltcetlons will b�e r+aturnad. (Please printj GENERAL IMFt}RMATIQN: Job�ite Add�s: - t�'�--� .� c� Wiit thts ba a Per�dc of o�ems,R�amodeler+s Showutse Homa or other Dlsplay Home? Y+ss o t/Yrs.a spectal event pertttit�ss n.quireti witlir Po�ce D�a�tt»errt and Aty Couna!approva/80 days ptsrx�the everd ShutXe�s�ervk:e wr7!be requirad�less appHcant demorrsGates st�f�ent on-sfAs park'u►g is available. Norr pem�itted ev�►ts►w�l t�ot be altcxved. CCINTRACTORlAPRUGANT INFORMATit?N: Mame: �'y-v�✓'�'+CW ��N+a-+r�r.�f�,� � �dr►s�r+r�.�i�» State License# ,/p F�rpiration aate: � ��-4f� Lead Certificabart Nuraber: lY`�y`� I �.C�+�( -� F.�tpir�tlan Date: '�j/�/'�,-J {fo�w�rk arr homa�#►at w�rns da pr�a°b i97B Phone: {celi} �`��'�` 7�3I` - .51"/l_ (office) Malling Address: f c,� L�. ,�,/ Citl+. �,,.� Z1P: 55 3b Contact Person: M,'k� �� Applicant is: on c / Homeowner �cira�►o�� Email andior Fax: W�,"�{'e. ;� t''t'v�'t.r'vr'ttv 1'£n�e��/►' rsti� �+� �G'�� RRQPERTY OWNER INFQRMAT10Ns Name: �i�n �f� e f�`t,.,F- Phone(day): � -. .. Address: e�' ��Y� f7f'v� ZIP: �.�,�'`�O Emaii and/or Fax: PROJEGT INFORMATtQNt Ove�all �r' ct deacri ti�an: Type ot Praject: Aay eerth Mnoven�t mey s�o reyuir� ❑Daor(sj ❑Remodel ❑�ire Damage ��`��' [�Re-�aof,a�phalt ❑Repair ❑Stqrm Damage Minnehaha Gresk WsMcshed Districf(MC1ND) 15320 Minnatonka Bfvd ❑Re-roof,ced�r ❑Restorafion ❑Wa#er Damage Minnetartka,MN 55345 Phone: 952-�t71-0590 ❑Re-roof,ather(apeclfYl ❑Siding �other:(sp�afY� �,t"++�iG�e Fax: 952-471-0682 ❑Window(sj �ld��wte.P"",�`�i '� www:minneriahacreek.or9 �atin�cea coostn,ct�an valuattat ot Pro�ect Eexduatng�ar�j S �.r.��r�.�-�. �► APPLlCANT ACKNOWLEDGEMENT: . �4grees to provide all irr�ormation required or roc�tes#et!by ths Suiiding Depertmer� . Gertfies that the intormatian supplied is true and correct to the best of hislher knovvladgs. The aPpticant recognizes that they�e solely responsible far subr►�tting a complete appiicati�bsin�aware that upon failure to do sa,the smff ha5 no a3tematiU've but to reject it until it is complete; • Some or all of the 'rntarrnetion that you are asked ta provitle on this appNaation is el�fied by Statie taw as either private or coM'tderttlai. Private data is information which generally cannot be given tc the pubiic but;ca�n be given to the subject af the data. Confitle�a! data is ir�formation wh�h gen+sralty cannot be given ta either the public or the subject of the data. Our purpose-and intended uss of this ir�fo�rnation�s to annu�ly update our reccrds and re�rd�of othar govemmenbl agenass�equired by law. If ou refuse to su I the informatian the a icatiam m �ot be issued. � � ��-�� p+PPticant's Si�tature: �'' �� + • Date: ,� Qwner's Signature: [7ate: Last Updated:.ten�ry 20f B ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �m�� c S�2��G�/4l?�r, ��/_ Permit No.: ��/� � �/�q�-t' Description of work: �e�1� �h�sh ,/�'l/ f�G��{j Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: /�.. l � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/A � Width: Lot Coverage: SF % Survey Submitted: 0 Yes No Date of Survey: Revised date(?): Landscape plan submitted? � Yes � No Landscaper• i Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: /FFE: FFE minus 6 feet= (Existing Contour) � � Perimeter(linear feet) = 5Q' = L.F. below grade // Basement? 0 Yes � No, St r'r'es FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION: . The distance een the lowest p posed Slab at or above grade— START WITH floor(of the ement or crawl spac )and measure from hiahest existinq the highest int of the roof. START WITH rp ade to the highest point of the roof even if fill was brought in to elevate home. If you h� a... i SUBTRACTION • � BLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON i"v�indows): Subtract half the distanc from highest existing grade to the ROOF TYPE) � etween the highest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... i gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF � (no windows): Subtract half �• GABLE OR HIPPED ROOF(with (BASED ON the distance between the windows): Subtract half the distance ROOF TYPE) � 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 `� corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. \ (with windows): Subtract SUBTRA I N Subtract the distance between the half the distance between (BASED basemenUcrawl space floor and the the top of the highest EXISTING� highest existing grade adjacent to the window and the highest GRADF�S foundation OR 10 feet(whichever is less). � point of the roof • ALL OTHER ROOF TYPES � (flat mansard,etc):No EQUA Defined building height � subtraction. � Defined building height ' EQUALS I I Updated: October 2015 1 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes � No Permit Number: � Yes 0 No � N/A � Ye 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 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 Foota e $ per Square Foota e Basement X = $ 15t Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ �� O� Orono Inspections Required Work Requiring Separate Permits � Footing � Site Plumbing 0 Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control �Mechanical � Fire 0 Foundation Survey 0 Hardcover Removal Septic ❑ Water Connection 0 Foundation Waterproofing 0 Other(specify) � Fireplace O Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation O Mfg. � Landscaping � As-Built Survey � Other(specify) Final � Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � 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 �•\fnrmc\nlan ravio�ni rhArklict 1f1_9(1'Iri rinrv o�b�� c�� a�� tR��:�, ��• Cc=�3 �- / �c�rtpt�a�� bt�o �u�t��:�.�� fi t t7a't� /� ��3 �7 �� c t �.t�e� . , fL a r�u r�C� �e�'� � �-�e�' �t Z'� 7 _ �rI`�` Re�,-iew2r � .0/Q�1+�f"�'t��t�' �-�+�� c�s��Ny' e9/'�5S 1✓ i n dv W ' S�A,OKE L�ETECTOR COlJ�JECTE�TO A SpUND- . ' --�-- , I�Ja CEV!Ct OR OTH�R DETtCTd��AtJDIBLE fN _. . . . . . , , 4 , _ SLEEPiiv^ARE,-1S.fJ1UST QE Vt'if?ED. ,Nt-�c,�urt I.Cc� � B�DRC�Q�.�� ,�e�ai'�QG�'�J'• '' S �arbon monoxid� ��tector j �r V�''l5 �d��' FI�'FZ+� EXIT F:'�w=��_€� `• required within l0 f�. of � 2� . '�l±f�. C � . : �",'� i , aIl sle�Pinq rco��s. y ��„ ��l�`�7�'�' "' � ;��:-� � � �.7 ::�C� � �. �F 3?°? �`�-��:;�i�� 4,�" ?,.',�`�,� .�� ; ` �?�'--i T �� S �� i �� z ; i �� ' � ` , c.r.t'i�a�e. a � { � � t �'� � �— ' � '` � � _ � �:; i�'�a-�-,� � � , Gtt�c . � � �� t , �� ' - � � A `��° � � m 0 ExHa�s�r-�N� '" � —� � VENT D1REt;T(Y nt.1TSIDE �1 N � �'�,f� Z � r�r � 1� �{ _ � r_ �- o � V �� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �7 PERMIT NO. � 1 SG� COMPLET ADDRESS a OWNER ELEP O E N0.�1�-7DI- CONTRACTOR � � >; DESCRIPTION ��! � � � W ❑ FOOTING ❑ DEMO INAL ❑ 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 �AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: . �X/�/��'- <G !G %� �� r�� l�(t o — Lo�''� / SO�i!" G�;� �� %�r�� v � � ,� ,-�1.3 � G�9YaTo-,�.- �G � G�iG (�i`r��iaKS A�1N�� s.� Goi4ftG%rs�/1l�/� � L��/�G �� /��i.y.o7 $'Tt�AS (� �G � G�l Q � S ��G Qsa S:�� W � - T / ./!�1? �/'T/�GS � � ��S, � � �1 l ou. p,L J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � `�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOPORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor o . Inspector. t White Copyllnspector's File Csnary CopyfSite Notice �� E DATE TIM CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED ��.�9-/R� � PERMR NO. ��UIS'�1S COMP ED ADDRESS ��y /��Gcj � OWNER TELEPHONE NO �� CONTRACTOR , �� DESCRIPTION � t~y ❑ FOOTING ❑ DEMO-FINAL ❑ 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 �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OMINERICONTRACTOR T MEET Y�OU:_YES_NO c� COMMENTS:_�� O�6�� /, — �.`' ' �, � � j -- a — � - . � � . b. s�� —� Q ° ' St4�'rs - ��,s��.ts- — W R Q l /` 2 �� ✓�� d IKI'1�ts Gs /1�fMk��'fV!/�lCL7 W � W � j W ❑WORKSATISFACTORY:PROCEED �j�CT COMPLETE � ❑CORRECT W'ORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W = 0 ❑CORRECT V1�RK��R REINSPECTION TEMPORARY V BEFORECONERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED_CALL INSPECTOR ��TATION ISSUED �INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952) 249-4600 OwnedCorrtractor on site: .� Inspector:_ /� - - WhiM CopyMnspecta's Ffle Canary CopyfSife Notice