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Home My WebLink About2013-00043 - addn/remodel/repair .� CITY OF ORONO * Z 0 1 3 - 0 0 0 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: OU17/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2178 SHADYWOOD RD PIN : 17-117-23-42-0009 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 017 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KTICHEN REMODEL APPLICANT pERMIT FEE SCHEDULE 339.25 EDGEWORK BUILDERS INC PLAN REVIEW 220.51 7250 HAZELTINE BLVD EXCELSIOR,MN 55331- STATE SURCHARGE(VALUATION) 10.00 (612)328-0944 TOTAL 569.76 Minnesota State License#:3681 PAID WITH CC# 3222 OWNER ANDERSON,MR.&MRS.CURTIS 2178 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 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. �j. t�-' C.-'��, � I � � �� A cant Permite ignature Date Issued By ig ture te SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO E. Jan 15 13 05:25p Edgework Builders, nc. 612-368-3511 p.1 . Ci of Orono 322� tY . Building Permit Application for Maintenance 1 Renovation (windows, doors, siding, re-roof, etc.} /--� Mailrng Address: ' Permit numher: �/7��3 -�OT.3 //.e.,�,�.� �O Box 66 i.� y \ I rystal Bay, MN 55323-0066 Date receiwed: �"��.3 I�/O:a:i;�:Y-. O ,1�I ��II�J Received by: (,� �`f�l,:� ,,� Stre t Address: �',��; ;g� r,.-`�' �.�! ��,�, ,. ,�� ti� �ti�, �750 Kelle Parkway Plan review fee: t ��'��'� w rono,MN 5356 ¢� \�?s'EsAo4�� _y �� -- Toial Fee: o�� Main: 952-249-4600 Fax:; 952-249-4 16 ,�� c ��,�: !.:�. This application form must e comple d in full and all required information must be submitted. Incomplete applicatiuns will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � 7 00 - �a Will this be a Parade of Homes, Rerno elers S ase Home or other Display Home? Yes �No If yes,a specia!eveni permit is reqvired wifh Jice Deparf�nt and City Council approva!60 days pnor to the event. Sl�uttfe bus service wi!!6e required r�n/ess applicanf demonstr�tes su�cie on-s�te parking rs availabFe. Non-permihed events wil/no;6e alfowed _ � CON'�RA�1`OR/APPLtCA T IT�IFORMATI�I�: ' � �,,.. ';� „'�-, ' . Name: �1� � �e(�.� i�C, State License# � �� ;;= Expiration Date: 3 �� L�ad Certification Number. � �- � ' Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: (offi e) .- � �� (cell) -Mailing-Addr�ess: � �,� � • City: � ZIP: � - - Contact Persorr: �� Applicant is: C J Home�wner (Clrcle Qne► . Email and/or Fax: � �'ROPERTY OWNER 1NFORMATION: R�ame: ' e.� 0✓1 Phone (day): � ( Address: - �o,, . City: .Ci9 ZIP: Cmail andlor Fax � . ��OJ��CT INFORMATION: iype'tif�PfOject: �� Any earth movement may require � , ;I i i, �� _ MCWD review 8�permits: ❑ I)oor.(s) 0 Remodel ❑ Fire �amage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,aspha�t �air ❑Storm Damage 18202 Minnetonka Blvd O.Re'-Foofs cedar estoration ❑Water Damage Deephaven, MN 55391 . Phon e: 952-471-0590 �'Re-roof, other(specifyl [��.Siding_ ❑ Other: (sp�cify) Fax; 952-471-0682 ___ �. � _ . ; ,,.. � � , ❑Vlfi nd ow(s) - - - --- =-- Overal�;Project Descriptiorr. ` �.� t ' `" �stimated Construction Valuation of Project (excluciing land) $ `;'t. APPE.ICANT AGKNOWLEQGEMENT: ;_-,.. � ,rAgrees to provide all information required or requested by the Building Department: o Certifies that the information suppEied is true and correct to the best of his/her knowledge. The applicant recognizes thal they �' a_;''?:�[� solely respon�ible�fqr submitting a complete applicafion being aware that upon failure to do so,the staff has no altemative ;`�,, , but io reject it until it is complete; . • - __ i�"'''+ - Scime or all of the^information that you are asked to provide on this application is classified by State law as ei#her private or ��;,, � . �confidentiaL Arivate data is information which generally cannot be given to the public but c�n be given to the subject of ihe data. Confidential=data�is=•information which generally cannot be given to eitfier the public or the subject of the data. Our �� -f'' ''''pui'{�ose and intended use of this informaiion is.to.annually ypdate our records and records_oF other government I agencies re uired b law. If �u refuse to su 1 th info ati�n,the a lica#ion ma not be issued. � " .:. �� . fi�plic�nt,s.Signature_ �- -� Date: , � ` , : �... � . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: Zl��3 St-1 A�Y W c�O t/J 2�o b��p Description of work: k �-�G N�►•� �dV�•crec�� Septic review by: i/U I I� Date Approved: Zoning review by: N�� Date Approved: Building review by: Date Approved: � - i� � 7� � 3 Grading review by: N 1 l4 Date Approved: 7�oning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: � Yes � No Date of Survey: Revised date ? : Proposed Setbacks: Front(Lake) Rear(Street) 1 N S E W ) ( N S E W ) Other Building Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories O ? � YES FOR A BUILDING WITH A BASEMENT OR AWL SPACE: The distance b tween the lowest FOR A BUILDING A SLAB FOUNDATION: START WITH proposed floor(o�he basement or crawl space)and the high�est point of the roof. TART WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPE ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract h�alf the windows): Subtract half the distance distance between the hi§hest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped\r�o�of SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(wlt� (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between th (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space floor an he EXISTING the foundation. GRADES) highest existing grade adjac t to the GRADES foundation OR 10 feet(w hever is less). EQUALS Defined building height EQUALS Defined building hei t Shoreland District WD Permit Received Avera e Lakesho Setback Met? Bluff Yes 0 No 0 N/A 0 Yes � No 0 Yes � No � Yes 0 No N/A Permit Number: Setback: Stormwater Q ity Existing Proposed Variance Required CU Required Overla Dis ct Tier Hardcover Hardcover � Yes 0 No 0 s 0 No Type(s): Type(s): Updated: January 2013 N� C �� ,c�NG�Q v:\forms\plan review checklist 2013.docx ��— REMARKS (in-house): Fees to be Charged YES NO 'Permit Plan Review State Surcharge t/ Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $per Square Foota e Basement X = $ 15t Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ 2�, OoU �`= Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site �Plumbing � Grading/ Filling 0 Well � Hardcover Removal �Mechanical � Fire ,O�Electrical � Footing 0 Septic � Water Connection 0 Poured Wall � Fireplace 0 Sewer Connection 0 Foundation Survey � Masonry � 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 0 NO New: � YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx . . .. .,�. t. �� DATE �TIME � TY OF ORONO CALLED IN '"" INSPECTION NO�TI� SCHEDULED ' �-�� /O PERMIT NO. �-'i�`�J "�� MPLETED ADDRESS ` � OWNER TELEP O /N . � " - � � CONTRACTOR - W ��` �'`-'`�' � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FI�LING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ KESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 � OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW,yr_r�1�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WIIL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ��✓ �'" � �� White Copy/lnspector's File Canary CopylSite Notice �� DAT TIME ✓ CITY OF ORONO CALLE��IN l (3 INSPECTION NOTICE SCHEdu�Eo j PERMIT N0. D PLETED ADDRESS � � OWNER TEL NE NO. � �0 �� CONTRAC70R � � � DESCRIPTION ��'�Q�-P1 �/ �-� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAI FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP i ❑ DEMO-FINAL SEPTIC INSTALL ❑ HARD COVER REMOVAL � Pk BING RI I AL ❑ FOUNDATIOWREMOVAL OWNE CONTRACTORT ETYOU: YES_NO � COMMENTS: � a o �t�DIC eS q.�� '- o�s � 1 A s�fi � e�� -� 0 � W � Q � z W � W � � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOAFtRANGEACCESS. Call for the next inspeCtion 24 hours in advance. (g52) 249-460� Owner/Contractor on site: � � Inspector. White Copyllnspector's Fits Canary Copy/Site Notice