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Home My WebLink About2015-00363 - addn/remodel/repair f . � CITY OF ORONO * 2 0 1 5 — 0 0 3 6 3 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015 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 : $ 10,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) REMODEL APPLICANT PERMIT FEE SCHEDULE 201.36 PLAN REVIEW 130.88 STRONG, STEVE STATE SURCHARGE(VALUATION) 5.00 2032 SHADYWOOD RD WAYZATA,MN 55391- TOTAL 337.24 Payment(s) CHECK 6017 337.24 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 pertnit 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 I80 days of[he date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsibte 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. `� 3 5�' o � ,�5 Applicant Pe it i ature Da Issued B ignature Date ( � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O . ` Mailing Address: Permit number: ��,`j�'��j 1`/0 CrysBtal Bay, MN 55323-0066 Date received: .3�3��5 � 1 Street Address: Received by: ti�, � 2750 Kelley Parkway Plan review fee: t � Orono, MN 55356 qKfSH�� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: � � .��'� �► '_�. �...' �'�.rJ , � �j `� � Will this be a Parade of Homes, Remodelers Showcase Home 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 servi e will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S��`/'�- �1 ��Lo L��, State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) —. ' �^., (office) Mailing Address: " ��:� = �v p� j� City: � ?.p � ZIP: �� Contact Person: Applicant is: Contractor /` Homeowner �c�►�ie o�e� Email and/or Fax: PROPERTY OWN�INFORMATION: Name: ��._.�i � 1 r�' � l, Phone(day): _� � � _ c� � �_, � � �� Address: ��''�a�� '�� Citv:9��,J ZIP:�� Email and/or Fax: �-Evv�� fl� {�.�,L.�J �-ft�"� �'� f��l'��"'1^'1 PROJECT INFORMATION: Overall project description: L Z-'v'i 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) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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 informati n is to an ally update our records and records of other governmental agencies required by law. If ou refuse to su I the infor ation,- e lication ma not be issued. Applicant's Signature: Date: �l � � Owner's Signature: Date: � '�a � � Last Updated:January 2015 Y. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: Z l� 3� S I-�f�- b`1 tiU '�UC�i� Permit No.: Zo��- o U 3(�3 Description of work: l2�✓►�n �G l.- Date Rec'd: 3-3� • �S Septic review by: ►'V f/� Date Approved: Zoning review by: �//� Date Approved: Building review by: o Date Approved: '�-J � .� '��-S Grading review by: IN Date Approved: oning District: Zoning File#: Reso #: Reso Date: Zo 'ng: Lot Area: SF/AC Width: Lot Coverage: SF % Surve ubmitted: 0 Yes 0 No Date of Survey: Revised date ? : Proposed etbacks: Front (Lake Rear(Street) ( N S E W ) ( N S E W ) Other Buildin Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 fe = (Existing Contour) Perimeter(linear feet) = 50% _ .F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CR WL SPACE: FOR A BUILDING A SLAB FOUNDATION: The distance be een the lowest proposed The distance between the top of START W ITH floor(of the base nt or crawl space)and START WITH slab and the highest point of the the highest point of t roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPED OF(no (no windows): Subtract half windows): Subtract hal e distance the distance between the between the highest point f the roof highest point of the roof to to the low point of the corres onding the low point of the SUBTR,4CTION gable or hipped roof corresponding gable ar (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the dista (BASED ON . GABLE OR HIPPED ROOF between the top of the highest ROOF TYPE) (with windows): Subtract window and the highest point the half the distance between roof the top of the highest • ALL OTHER ROOF TY S(flat, window and the highest mansard,etc):No su raction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance b ween the (flat,mansard,etc):No (BASED ON basemenUcrawl spac floor and the subtraction. EXISTING highest existing gr e adjacent to the ADDITION Add the distance between the top GRADES) foundation OR 1 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Defined bui mg height EXISTING grade adjacent to the foundation. GRADES QUALS Defined building height Shoreland District MCWD Permit Average Lakeshore Se ck Bluff Met? 0 Yes ❑ N Permit Number: O Yes 0 No O N/A 0 Yes � No � N/A—see attached Se ck: Stormwater Q lity Existing Hardcover Proposed Overlay D' rict (%and sf) Hardcover Variance Required CUP quired Tier(cir e one %and sf � Yes � No � Yes No 1 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx REMARKS (in-house): - Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC— Number of SAC Units Other(specify) Square Foota e $ per Square Foota e Basement X = $ 1 S`Floor X = $ 2nd FloOr X = $ Garage X = $ Estimated Construction Value: $ ( C� . �� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing � Grading/ Filling 0 Well � Silt Fence/ Erosion Control � Mechanical � Fire Electrical 0 Hardcover Removal � Septic 0 Water Connection 0 Footing 0 Fireplace 0 Sewer Connection 0 Poured Wall � Masonry � Lawn Irrigation 0 Foundation Survey 0 Mfg. 0 Landscaping � Foundation Waterproofing � Other(specify) � Radon Rock Bed �Framing �nsulation �-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx �� 1�� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. Z�� •�COMPLETED ADDRESS �� c�cy �^C-� OWNER ��`� �r-� S`}-t"'�►'��LEPHONE NO. �'(' �I 7 "�► � CONTRACTOR �j� �E= � DESCRIPTION �1'�' `L t�l . L,� � �;-�-} � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �� • ❑ EXCAV/GRADING/FILLING Q ❑ 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 v ❑ DEMO-SITE S�EPTIC INSTALL 2 OW�NTRACTOR TO MEET IIOU�YES_NO y COMMENTS: � � j �o � 0 � W � Q � 2 W � W � j - O W� RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 4 hours in adva ) 249-46�� OwnedContractor on site: Inspector. White CopyllnspectoPs File , Canary CopylSfte Notfce � � �� - DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED l3 �� 3 PERMIT NO. ��`�b� COMPLETED ADDRESS� � 031- -�Y v.�CQ� C,�c� � OWNER `��' TELEPHONE N��2• ��" � � CONTRACTOR ��''��7�� DESCRIPTION-��q ��` �'� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RA ❑ MECHANICAL RI ❑ SITE INSPECTION FRAM ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: W ! a ��//G�� ri�C�/� �/Gr,Lr� j 0 Y�if�[��-1— �. � ° � �,�� ,�.�.�-- /a� �3-�� W � �5l�t.v�.� a ca ��o��s -�,� Q � a � '�c-?�fK- �^- � � � _ � � W ❑WORKSATISFACTORY:PROCEED �,�GT COMPLEfE � ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 ctor�n site: Inspector: /�-✓ White Copyllnspector's Ffle Canary CopylSke NWice �� y,:.,�,� ;n:��, ��_. ��`l; C Z014 GEROLD BROTHERS HOMES � �' � . . . �``°`` �O �J _...�.._..�_.,-.��.F_...>_��..t.-.�._..s....x,._..s. -.-��..�- �� --`�.`:��..�f�_ �j z p a m ��_ ^ �� =J�W(n � �� W�o ��,cjU 1 �� 1S '' GL(�-1��-0 �'��Z m N J U W.-i F�W m� � 9!J l�'7�G (} S 1�i-� C9 � T-o t cr� z�w o= ,�" m�,� v (',20�- C.e�,�. 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