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Home My WebLink About2014-01176 - addn/remodel/repair CITY OF ORONO * z 0 1 4 - 0 1 1 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2014 r � ORONO, MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 2032 SHADYWOOD RD PIN : 17-117-23-31-0012 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 005 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 72,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN REMODEL AND NEW WINDOWS AND DOOR APPLICANT PERMIT FEE SCHEDULE 846.75 STATE SURCHARGE(VALUATION) 36.00 GEROLD BROTHERS CONSTRUCTION INC. PO BOX 128 TOTAL 882.75 NEW PRAGUE,MN 56071- Payment(s) (952)758-2842 CHECK 32845 882.75 Minnesota State License#: BUIL-BC001 ll 5 OWNER STRONG, STEVE 2032 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 sepazate 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 for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ��1�J2��/� o � a �/ Applicant Permitee Signature Date Issued y Signature Date �� . . , ■ ��, • C�ty of Orono � Bui�ding Perrnit Applica��on for Maint�nanc� / Replacement/ Renova#ion (No_structural exp�nsion. Only windows, doors, �iding, re-roof, etc,) �r d/ -�lJ%/7 Maiffig Aci�►r�ss` � ' �-Oj VQ PO Box 86 (�mit nUt�►ber _ Cryst�l BeY,MN 55323-0066 �1`� pate rec�iv�ci:, /O - —! � �reetAddresS: p\� �teceivec!by. : . 5��, , G`'�' 27$0 Keltey Parkwey � PI�i�reView fee. ._� t�tk�,�xb4�' Orono,MN 5535f3 l'/�f-- �!/. Totall F�e: _M�in: 952-248=46Qp Fax; 952�249-4816 www:d:orono.rttn.us '. '�his applic��pn f4Fm musf be cofnpieted in full and ali rAquired informapon must bs submitted. Incample�e appllcations wlli be return�d. {P/ease prirrt) GENERAL INFOROfIATION; . Jep�ite Address: �O�� S V �� e a : 1Nilt this be a Parade o.f Homes,Rernodele�s ShowC e H�me ot oti}er,W$play Mome? Y'es ;�No r rres,a s p e c r a►e v e r�ner►,►�rs re�i►a a w�u►i�oo n eaarm,ern er,d crry cormdr epp,ova�eo aars n,lorm rhe ewer�t. strut�iee bus se„r�e w�i�e Ieyulred uNeSs aPPNCenf alamoRsNates sul�cient on slte paKdnq la avaUabl9. Nan-petin�event's Wlll AOt tie 8doweal � Name; � ��T�NFQRMATION: ONTRACTOR 1 APPLI �!� , _ �: :, . - WC-.. . . , . . _ State License# ,��121 I�� Expiration Date: `3 ZD S l.ead Gertificatio�l Number. .�.SR`t' 1 c��9'�--�. _ ExPiration Date` p , ? ZCrs r - - (for work tu►homes th�t wet�e construct�ed prlor fo 19T8 � Phone: (cel� 9'.5��9+D�36 .�6_ (dfflce? ��, .--�� ,�B�Id M�tling Address; D: 2 � �,I D:; E Mc�:i Ci�Y ZIP: ��p� _ . , •. Gonfact Person: ,:,: ,v� G . Applicant is: tractor 1 omeouvner 1c�.ona� - _ Email and/ar FaX: , n y b h�i��l~ett i�o...itle'ti pROP�RTY C3WN�R iNF4RMATiON: � Name: S'�`�J� �i'Ov�a►. Phane(day)' ,l�J �S :'�,�-- c� _ _ Aad►�s; ; � ,�,� � ��+;O _ zrP:s.3- j-Q�a �mail andlor Fax: � �.. �IKl�1Q 1 ic�r,� __ PROJE�T INFORMAT�ON: QVeratl ' ct desrxi tion: �i IiP.w�cao� .1' ��i�rt :��dot�:i c�kbj• TYPQ of Project: A y�rth movemer�t may also r�uire . []Dopr(S) �.ftembtlel [7 Fire Damage 1ACYYD reWo+�i.&!'�r+hits; Minnehaha Creelc 1Nate[shed Distrid MCWD C�Re-Yoof,asphalt ❑Repafr O Storm namage � � 18202 FAinn�tor�sa SIYd. �Re-roof,ced�r [j Restoration tor (�We�er Damage Deephav�n,.MN 6539'I ❑Re-ropf,other(�Pecih) 0 Siding [�Other:(spec�i�r} �'hohe: �52-471-0590 Fax: 9$2�71-dQ9Z �ili�ndaw{s) _ y� innehahacreek:o�9 '. _ Estimated Constnrotion Veluation of Projec!(excluding land) � �a p c?C? APPLICANT ACKNOWI.EQGE EN7; � � - . Agrees t�prtiVitle al!ini4►�tation 1'eqUlred ot r�quested tijr:ttte$uil�'ir5g DeRaitment; • Csrtifles that the uiiormatlor►supplied is thhie ar�i c�rrect to the b�of hislh�r knbViAedge. The apRlic�rtit_.reGognites tYtat,fhey aa`e s�lely rsaponsible�r submil�rl,g a oompleGe applicafion being aware that upon fiallure to do so,ihe statf has no alternative but to reject IE itrtfil it is oomplete; • Sarrle or al!of the infom►ation.that yqu are 8sl�ed b ptovide on thi�applica�on ls classified b�Sfa�� !aw as ejthe�private or ppnfldential. P.rivate data is i�fc�rmadon whictl',generally cannot be given to fhe publlc but can,be given to the subJe�t of the.daka, CoM'id�tlal darta is infortnation whidi g�nerally c�nnot be given to�ither ths public or the$Ubjec�af the def�. Our purpos9 and' iMe�ded use of this ilii�ormatio�_ts fio�nnUally update ciur records and reoorGls of pther govemmerrtal agehde$r�qui►ed by IaivvU: If� • . u retuse to in ' . :the a hcation ma not be.issued. _ ApplicAnt's Signature: Date: b �wrler's Signature: _ Date: . �� ast uPaated:osros�2o13 _ _ , PLAN REVIEW CHEC�(LIST FOR NEW STRUCTURES / ADDITIONS Ad�iress/permit Number: � �3Z S I-j-� � � �}zlO 0S� �p�,/j Description of work: �= � �'C.�^J t w'��`��`- �- /��'� �U�/�-l0��S Septic review by: � �� Date Approved: Zoning review by: n/ Date Approved: Building review by: Date Approved: �!, �� ' �°� Grading review by: N�� Date Approved: ning District: Zoning File#: Reso#: Reso Date: �.-= Zon' g: Lot Area: SF/AC Width: Lot Coverage: SF�% � Surve ubmitted: � Yes � No Date of Survey: Revised date�?'f': Pro osed tbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B,�tildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) _ �� 50% _ #of Stor�es Ok? 0 YES �� FOR A BUILDING WITH A BASEMENT OR CR�N�VL SPACE: The distance betw n the lowest �/ FOR i4 BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the'�asement or crawl space)and the highest p�int of the roof. START WITH The distance between the top of slab and the highest point ot the roof. If you have a... �, �:' If you have a... • GABLE OR HIPPED R0�(no . GABLE OR HIPPED ROOF(no ,_ windows): Subtract half the�. windows): Subtract half the distanCe distance between the highest nt between the highest point of the roof of the roof to the low point of the to the low poi�t of the corresponding SUBTRACTION corresponding gable or hipped roo SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(wi (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the �° ROOF TYPE) windows): Subtract half the distance distance between the top of-fhe between the top of the highest highest window and the hi jhest window and the highest point of the point of the roof roof • ALL OTHER ROOEfiYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):Np�subtraction. k ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the �� (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space floor and the a EXISTING the foundation. GRADES) highest existing grade adjacent to the ` RADES foundation OR 10 feet(whichever is less). UALS Defined building height EQUALS Defined building height 0 Shoreland District . MCWD Permit Received Avera e Lakeshore Setb k Met? Bluff - � Yes � No � N/A � Yes � No � Yes 0 Fdo 0 Yes 0 No � N/ Permit Number: Setback: Stormwate�� uality Existing Proposed Variance Required CUP Requir� Overla D' trict Tier Hardcover Hardcover � � Yes � No 0 Yes � No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): . � Fees to be Charged YES NO `�Permit �,i'� Plan Review � �;�� ,�� ,n State Surcharge �.��=�'b� � Investigation Fee 3 SAC—Number of SAC Units Other(specify) Square Foota e $per S uare Foota e Basement X = $ 15t Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ �2,O��" Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site P mbing � Grading/ Filling � Well 0 Hardcover Removal Mechanical 0 Fire �Electrical � Footing � Septic 0 Water Connection � Poured Wall ❑ Fireplace 0 Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. �'Framing � Other(specify) Insulation 0 As-Built Survey Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED 7 Updated: January 2013 v:\forms�plan review checklist 2013.docx � ` � ��f�.�_�— _. -� \ ��+Ci'""" AT TIME � CITY OF ORONO CALLED IN l � -I � INSPECTION NOTICE SCHEDULED —' �� PERMIT NO. -0 �MPLETED ADDRESS OWNER T EP O. -S� � CONTRACTOR • � � . �; DESCRIPTION � W ❑ FOOTING ❑ PLUM8ING FiNAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ��RAMING ❑ MECHANICAL FINA ❑ TREE REMOVAL Z❑ INSULATION ❑ WOOD BURNER/FIR LACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO — � COMMENTS: L.L. � ,�l'4'�5� .��L�1 �S�t5UG.4Sc� a '�� !.J � H•t,,4 ~ �Jc�t✓ ��s C4 ✓�''1'`�� b�-t��,dN .. � - � �e� 2� - d'� — O _. �. L. v Z�"//rLv�+'� Ir�°G'��/,. � ' �N D' !�c>4,�� —" CjrG�j �� SG ESJa•`' L�r�tS— Q � �J v� ��<a .P�r � oZ �J!t��JS ` � � /� /N4J a�J s �E- dQvv�. na� ,.c s�4 <l�aD� � �/�Ll� � �'�!O✓ /Kkd t/ �Q /J t-4��Q r f c.�"Es d !ti 6 r tr � /i+S w�� W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C ion 24 hours in advance. (952) 249-4600 Ownerl tractor Inspector. White Copyilnspector's File Canary CopylSite Notice �- g �� f�, DAT TIME� CITY OF ORONO CALLED IN �vz ' � INSPECTION N ICE SCHEDULED � - %�— PERMIT NO. / '� � COMPLEfED ADDRESS o3 � � OWNER ELEP O NO. �r �3��' CONTRACTOR � �: DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z �SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS:� $G�21 �1��r�ctL N �iG.S �lrr� a d Br1P�r4z�a•[s �•a ��• ��Se , j � � ,� �v.� �•i ai�S�� Se9 o , � �/'du � e WQ llcr�t � rrtei- aUe ✓ ° ��.�.►d or4,E'� b�a�� w.wd�� ,� ��s — W � Q 2 2 a5 � � — � �pr rc�.t� a� �r-- GtJu e ✓ W � � � GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �89RF�ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEf1MANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME V �ITY OF ORONO CALLED IN INSPECTION NOTI -�/ SCHEDULED PERMIT NO.` — �C� ''�PCOMPLETED ADDRESS �� OWNER TELEPHONE Na aag - CONTRACTOR l � � DESCRIPTION / `�a-� ,,�..,(>!�f ' W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ SULATIO ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J F ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU: YES_NO . ti COMMENTS: ��d� 5.4�• J w G�L. ��• ' � . � � ��'ov�,d G E/e�. �;.r�/ i�rs� . j 0 � IQBS� ��wo r�G R.Oi06i�✓9 O�' - �O n - - - G`O�lroe� �� W tG��rs.�R��ie�1.. W � Q � N : � � !✓ !/ ' �'r" � r o ,ti`.Qi — � Y'Cr' .�t t H � O W ❑WORK SA FACTOR`t E � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �IdSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca • pection 2a twurs in ad�►ance. (952) 249-4600 ctor on site: �� nspector: White CopyAnspector's File Canary CopylSits Notk:e G� r �I�–��s ��LMC,��, CITY OF ORONO CALLED IN -��-�— INSPECTIO T��r\-1( SCHEDULED �� PERMIT NO. � � �?� COMPLETED ADDRESS 2 O32 5��1 �� `� OWNER TELEPHONE NO. ��'� �� Z CONTRACTOR �� `�d�� d�"�'S � DESCRIPTION �<<"�-� — �� `�'`�• lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMB�NG RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: ��tc.- �ir/sC ' 4�' �3 J '/� ^ � C /� a — J•�(/• rtrv.a� a✓ p�rc�co�.�, � � �� I�t/D�' CU wr- �c� 1�— � ,� - G-�/wt.� �' � W . � / Gi r..s•Z �- !4 - a r✓' �o Q — � �d v. �� — �// �r � wc- �e.L � t✓ c� � �t, W � � J W ❑WORK SATISFACTORY:PROCEED �S.�ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call forthe next inspection 24�ours in advance. (g52) 249-46�0 OwnerlContractor on site: ��^ Inspector. ��""" White Copyllnspector's File Canary CopylSite Notice