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Home My WebLink About2010-00340 - addn/remodel/repair i Cf ITY OF ORONO PERMIT NO.: 2oiaoo3ao . ' 2750� KELLEY PARKWAY �RONO,MN 55356- DATE IssuEn: OS/13/2010 952 249 4600 FAX: 952 249-4616 PRINTED ON 6/3/2010 ADDRESS : 2500 SHADYWOOD RD PIN : 20-117-23-11-0034 LEGAL DESC : REG. LAND SURVE NO. 1630 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMOIDEL/REPAIR _---_..�—� PROPERTY TYPE : COMMERCIAL-BU�INESS �-,,\ CONSTRUCTION TYPE ICE � ACTIVITY 437-NONRES.j1�FN�A�-��*FE}1k1HOUSEKEEPIN __.__._----- VALUATION : $ 15,000.00 NOTE: COMMERCIAL OFFICE REMODEL APPLICANT pERMIT FEE SCHEDULE 265.50 WATSON-FORSBERG CO PLAN REVIEW 172.58 6465 WAYZATA BLVD ST LOUIS PARK,MN 55416- STATE SURCHARGE(VALUATION) 7.50 (952)544-7761 TOTAL 445.58 Minnesota State License#: 1986 OWNER FOUNDATION,FRESHWATER 2500 SHADYWOOD ROAD C/O DONALD BRAUER EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin to the approved plans and specifications,applicable City approvals,and e State Building Code. This permit is for only the work described and oes not grant permission for additional or related work which requires sep ate permits. All provisions of laws and ordinances goveming this type of ork shall be compied with whether or not specified herein.This permit wil 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 comme ced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit ay be revoked at any time for due cause. , / / II / / Applicant Permitee Signature Date I Issued By Signature Date SEPARATE PERMITS REQUI D FOR WORK OTHER THAN DESCRIBED ABOVE. �'Q/� DATE TIME � CITY OF ORONO CAL�ED IN ��ZS INSPECTION NOTICE SCHEDULED �/� � PERMIT NO.c�Dlo-D� �� COMPLETED ADDRESS �SOO `SG1�'-� W'-��'1 � OWNER TELEPHONE NO.�I�-�2 �b�J� CONTRACTOR �G��'� Y�PY�i �; DESCRIPTION ��VLuX,' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BUR{VER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNERIC NTRACT TO EEf Y U:�YES_NO �/�J Pl^O(L-- � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j O � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑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 n site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � CITY OF ORONO PERMIT NO.: 2010-00340 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: OS/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2500 SHADYWOOD RD PIN : 20-117-23-11-0034 LEGAL DESC : REG. LAND SURVEY NO. 1630 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : COMMERC[AL-BUSINESS CONSTRUCTION TYPE : OFFICE ACTIVITY : 324-OFFICES, BANKS&PROFESSINAL VALUATION : $ 15,000.00 NOTE: COMMERCIAL OPPICE RF;MOD�L APPLICANT PERMIT FEE SCHEDULE 265.50 WATSON-FORSBERG CO PLAN REVIEW ��2.Sg 6465 WAYZATA BLVD ST LOUIS PARK, MN 55416- STATE SURCHARGE(VALUATION) 7.50 (952)544-7761 TOTAL 445.58 Minnesota State License#: 1986 OWIVER FOUNDATION, FRESHWATER 2500 SHADYWOOD ROAD GO DONALD BRAUER EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT I he work for which this pennit is issued shall be performed according to the approved plans and specitications,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 pennits. 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 are requested in conformance with the State Building Code.This permit may be revol�gd at any um or e se. L; � �^ 'G}�y� 'v�t� � l � � �-�G/C' ai�J �J l /�l `� Applicant Permitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I , � la � � Cit�l of Orono Building Permit Application for New Structures or Additions Man�ng,addreas: p?D/Q_ O ��.j� PO Box 68 Permit number: _ Q a Q Crystsl Bay,MN 55323-0066 Date received: � StreetAddress:' Recelved by: . � 2750 Kelley P�rkway Plan review fee: 'te�� Orono�MN 55�i5B _-�� -� Toiai Fee: � C�� 8 Maln: 852-249-4800 Fax: 952-249-4616 www.ci.orono.mn.us 7his application form must be complete in full and all required information must be submitted. Incomplete applicati ns will be returned. (Please print) GENERAL INFORMATION: � Job Site Address: zsoo shaa ood Road Will this be a Parade of Homes, Remodelers Sho case Home or other Display HomeT ❑ Yes [� No K yos,e speC?a/event permlt fs requirod with Aofke Deparhr�snf en City Coundf epp�ova�60 days prbr to the event Slwtile bus servics wH!be requksd unfess epp8cant demaisbatea suAfcient on-aNs perking!s vaflable. Non-pennitted etrenfs w!N not bs a�lowed. CONTRACTOR!APPLICANT INFORMATION: Name: Watson-Forsl�er Co. State License# Expiration Date: __3/ai/aoiz P�1011B: 952-544-77 61 (OffIC@) {Cg��) Mailing Address: Cit :sc Loui$ Park ZIP: 55926 Contact Person: David Foreberg + Appficant is: ontractor / Homeowner (Clrcle One) Ef11811 a�dlo�FeX: DavidFewataon-forebera.corn; PROPERTY OWNER INFORMATION: Neme: Freahwater Society (Chrx� Prok) Phone(day): 952-314-4050 AddfASS: 25da Shadywood Road Clty: ExcelsiOr ZIP: 55331 Email and/or Fax cprok��reshwater.org ARCHITECT!ENGINEER INFORMATION: Neme: n/a Phone(day): Address: Cit : ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Pro)ect 2.Proposad se 3.Structure Type 4.Sowags Dtsposal d� Water Supply ❑ New Construciion ❑Single Fa ily with ❑Residence ❑AddWon attached arage ❑Garage/Accessory Bldg. ❑Publfc Sewer ❑Accessory Building ❑ Single Fa Ily wllh ❑Decic ❑Relocation detached arage �Office/Comme►cial ❑Private Sewer �Other:(specify) remodel ❑Multiple F ily/Co�do ❑Warehouse �Public ❑Storape ❑Publtc Water "Any earth movemant may require �Commarci I ❑Other(speclfy) MCWD rev[aw d�permits. ❑ IndusVial ❑Private Well I�Mnnehaha Croek W,t�rshed Dlsbicl(MCWD) ❑C�her.(s cify) 18202 l�Nnnelonka Blvd Deephavan,MN 55381 Phone: 952-171.0690 Fa�c 982�471-0682 Estimated Construction Valuation(excluding landj 3 ss,o00 Lsst Updated: 9/29V2009 - 17- , . STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimens ns(continued� 2.Type of Construction a.Length(ft.)= Number of bedrooms c ❑Wood/Frame �Masonry b.WIdtF►(ft.)= Numberofgarage staNls: ❑Metal Attached� ❑Po�Bldg. Areas in sa�ara� Detached= ❑ ICF ❑On-site Prefab c.Basemen� , ❑Of�aite Profab d. 1 s�Story = ❑Other(p�ease specity): e.2nd Story= f. 'r4 Story = " g.Total Area= � RE�UIRED SUBMITTALS: All of the information must be submitted in order fqr ur a lication to be processed: Not Endosed A licable � O Permd lication Q O Pro d Buildin PI ns 0 MN State Ene Co Ca�ulatfons and Mechar�cat Code utrements Form � Su meed all ulrements � Stormwater Pollution PreveMion Plan O HaMcover Ca�ulati s 0 Se tic S stfm 3lte luatlon RQ rt 0 Access Permit O Wetland Buffer Im ement Plan L7 En ines►ed Plens fo Retaini Walls 4 feei or above ❑ O Plan Review Fee ❑ O Othar APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all informaUon required or request by the Building Department; • Agrees W psy the City of Orono for enginesring onsultant roview costs in excess of;500; • Certifies that the ir�fortnatiMal suppiied is Uue and c Irrect to the besi of hislher knowledge. The applicant recognizes lhat lhey are�olely responsible for submitdng a complete ep�licatbn befng aware that�on failure to do so,the staff has no alGemative but to reject it untll it is complete; • Ackr�owledges the Escrow Agreement Is oompleted nd signed; • Some or ap of the inFortnatlon that you are asked provide on this application Is dassified by State law as either privete or confldendal. Private data fs InformeUon wNch 9ene {ly cannot be given to 1he public but can be gfve�to the subJect of the data. Confldential data is fnformation which genarally can ot be gtven to si�he�the pubtic or the subject of the c�ta. Our purpose and intended uae of this tnformetlon is to an�wally upda our records and records of ather povemmental agendes required by law. If you refuse to aupply the informetion,the appikatlo may not be issued. Applicant's Signature; _ Date: ��'�� Losl Updated: 9l29/2009 -18- i = o r o `F � . �;" r�` `_ , ` ,F, Q e � �-.� �? �� ti,�� m 5 z ]�M� 1� ��- x =. �e��... / �_ � � . so�sa='�iis '8� � d- l � � % ° j• � a d �i11� :.. � -.... �� . xx�aaasYo3asaxtte / `�.. 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', e �• > � �a, .. . ^ �� '� � v� A _ � J: P� �, � �� z 9 � � �� x Y` �d�� _ r�l ': � ��r ��a �� ., � � ' �� , � o � � � �r / � f �; `b �' . �� r �J �•,. n � :s o.o �, ' �� .: �� o �_ � a . ._.,�.ta. }4 y. . . � .� . _. . .. . .. . . . . *a.. " _' � . . .� � _ - ` � ' �^ . . . � � - ----- Plan Review Checkli�t for New Structures 1-Additions - Address/ PID/Legal: _ ZS� C� �S't-�-a4 ,,W�c�.� (Lp,,¢✓� Description of work: '�(�,�y�,�,�� I Septic review by: Nf/� � Date Approved: Zoning review by: N�,A ' Date Approved: Building review by: ��QL Date Approved: 5"-�c�•�� Grading review by: "'"` � Date Approved: ---- Zoning File : Resolution�: Resolution Date: Zonin "strict Fire De a ent Post Office School strict � Zoning: Lot Area:� SF/IAC Width: De : Survey Submitted: 0 Yes\ � No Date of Survey: Pro osed Setbacks: � Front(Lake) Rear(Street) S IE W ) ( N S E W ) her Buildings Wetland Sid Side Building Defined Height: ' ilding Peak Heig . FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR BUILDING ON A SLAB FOUNDATION: START the distance between the basement fl�or/ ART the distance between the sfab and the WITH crawl space floor and the highest roo peak, H highest roof peak, the top of the cornice the top of the cornice of a flat roof, th deck of a flat roof, the deck line of a mansard line of a mansard roof, or the upperm st roof, or the uppermost point on a round or oint on a round or other arch-t e ro f other arch-t e roof SUBTRACT half the distance befinreen the highest SUBTRACT half the distance between the highest window and highest roof peak of a pi ed � dow and highest roof peak of a roof itc d roof SUBTRACT the distance between the base nt fl or/ ADD the di nce between the slab and the crawl space floor and the high st exis ing highest isting grade within the grade within the foundation r 10 feet, foundation whichever is less. EQUALS Defined buil hei ht EQUALS Defined buildin hei h Lot Coverage: SF % Shoreland District MCWD Permit Rece ved Avera e Lakeshore Setback Bluff 0 Yes � No � Yes 0 No N/A p Yes � No 0 N/A � Yes 0 No Permit Number, S�tba : Hardcover Zon Existin Pro sed Variance Re uired CUP Re u d 0-75' � Yes � No 0 Yes � No 75-25 TYPe(S)� Type(s): 250-$00' 5 -1000' REM KS (in-house): J C 6 •C' Updated: 07/01/2009 z:\forms\plan review checklist.docx -- -__ _ _ _ Fees to be Cha ed - __ YES_ _ N0 - � _.�, , , � r�� :• ,_£_ ; •� _ Plan Review � � . , M .. . ��a; e v x� Investi ation Fee �i�C�="�1v�ber�.�o��s Sewer Connection ��re�c�r�:;�� Park Fee ��t�e��i.� �'�tc�� . ,.' - ` ., ,�:: , � : . Other(s eci �s��a�et�'s��s: � . : . ; : . .; Caiculated B : UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 Fioor X = $ 2 Floor X = $ Gara e X = $ Estimated Construction Value: $ 1�, t�c�0 °` Orono Inspections Repuired Work Requirinq Separate Permits Repuired State Permits � Site 0 Plumbing 0 Grading/ Filling 0 Well � Hardcover Removal 0 Mechanical 0 Fire 0 Electrical � Footing � Septic � Water Connection 0 Foundation Survey � Fireplace 0 Sewer Connection � Framing � Masonry 0 Lawn Irrigation 0 Insulation 0 Mfg. � � Wall Board O Other(specify) 0 As-Built Survey Final Other(s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: 0 YES � NO REMARKS (TO BE NOTED ON PERMIT AND INtTIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms�plan review checklist.docx