The URL can be used to link to this page

Home My WebLink About2012-00006 - addn/remodel/repair � CITY OF ORONO PERM[T NO.: 20�2-00006 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: OU04/2012 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/REPA[R PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 17,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) BA"I'I IROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 295.00 EDGEWORK BUILDERS INC PLAN REVIEW 191.75 7250 HAZELTINE BLVD EXCELSIOR, MN 55331- STATE SURCHARGE(VALUATION) 8.50 (612)328-0944 TOTAL 495.25 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 governing this type of work _.__.___. shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 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 ace requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. /� ! l l �`(�—� � \'� Y'�C C L � l _ (f - r,:� / f Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono 3uilding Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) �--- Mailing Address: Permit number: �� b�d � /�,0,�. PO Box 66 �Q , Q � Crystal Bay, MN 55323-0066 Date received: 1'3�� I�� -�°`;. �) � � Street Address: Received by: .�, �ti � 2750 Kelley Parkway Plan review fee: �9kE8H��'/ Orono, MN 55356 � -' Total Fee: � �C�,9�j � �' Main: 952-249-4600 Fax: 952-249-4616 v;av�v�_c� oro��: _��n iis / .J � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) � 2�i GENERAL INFORMATION: • ��' Job Site Address: ��7� �� om 'R Will this be a Parade of Homes, Remodelers Show se Home or other Display Home? ❑Yes No If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION• Name: � ' State License# 'Z�g� Expiration Date: � 3 �j Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: � _ office) s,,..-` (cell) Mailing Address: � � .t:,l.�,'„�c� (u City: � S;e,r-- ZIP: � Contact Person: v�,� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: KKO ��J � E q �o �;( {� ce��-•� PROPERTY OWNER INFORMATION: (� Name: 5u P �-�tc�Q rSt�✓� Phone (day): �rj�,_ ,�"�( – g�9 S Address: �.� � � �m� � City: ��Kp ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) (� Remodel ❑ Fire Damage MCWD review�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) n�vvw.minnehahacreek.or� Overall Project Description: (Z,_,N,o c � rn�,✓1 Estimated Construction Valuation of Project(excluding land) $ ( 7� p� 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: �— � Last Updated: 08-09-2011 . Plan Review Che�ckiist for New Structures J Additions Address/PID/Legal: � (� � SH�4i0�.iw c�0� �ii�d Description of work: �,q-7'}r /�-!�="rn�o�e`. Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Appro�ed: /- `�� Z.e l Z Grading reyiew by: _� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School Di Crict Zoning: Lot Area: SF/AC Width: De Survey Submitte • � Yes � N�o Date of Survey: Pro osed Setbacks: Frant(Lake) R r(Street) ( �N S E W ) ( N S E 'W ) her 8uildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: � YES � fOR A BUILDINGWITH A BASEMENT OR CRA S AC�: F A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the base ntfloor/crawl START the:distance between the slab,and#he highest space floor and the highest roof�p k,the top of WITH roof peak,the top of the comice of a flat roof, the comice of a flat roof,the de�k lin f a the deck line of a mansard roof,or'the mansard roof,or the uppermostipoint o a rou uppermost point on a round or other arch;type or other arch- e roof � roof SUBTRACT halfthe distance belween the`hi hest wi nd SUBTRACT half the distance between the highest window hi hest roof ak of a ftched r of and hi hest roof eak of a itched roof SUBTRACT the distance between the basertjent or/crawl ADD the dis#ance between�the slab and the highest space floor and the highest exis�i grade wifhin existin rade within'the foundation the foundation or 10#eet,whic- ver is less. QUALS Defined buildin hei ht EQUALS Defined buildin hei 'ht Lot Coverage: ! SF % Shoreland District C1ND Pe it Received Avera e La hore Setback Bluff � Yes No D N/A � Yes � No � Yes G No � Yes � No 0 N/A Permit Numbe�: Setback: Hardcover Z es fxistin Pro osed Variance Re uired CUP Re uired 0-7 � Yes � No Yes � No 7 -250' TyPe(S)� Type : 250-500' ' 500-1000' \ .� REMARKS (in-house): �!'1 G'�f r9,�G�. Updated: 09/11/2009 z:tfortnslplan review checklist.docx Fees to be Cha ed 1(ES <NO , w�..»�.._.. . �� F ��4�. >+°l�` r'e.d. ,�n r . ��'�+�`+w"�{�1'�=�;�`�+� ,�.�� *'.�;r�'1:$�'`�°h"�'�'s.�xc�.��. _�^�y'�n''--.� "�'" ,._v T s.� -�r�"saam.s�..3, w.,.: � �sn.^��s,�_. �. Plan Review t� .. -.� w,.� ..� . ,. . ,. �d ,. , a::� ,.;, , . . . _ _ y � �k x . -�i. . � _.-.'_ �;+ ' s -irn. . 4.. .�� e � , f. •.-..-:.. ,..i .... . ... - ... . . ,.... .. In�estigation Fee � _.. . , .; r _ '�1v�.'v �.,��. .x�....:.,,:A.. � � . .....4 .� _..� . .,. '. Sewer Connection .. . W. . ., ...._ ,, � . ,. . __. . _ . Park Fee y . ,�.. . .. . __ _ � Other{speci#y) ._ __ .. Calculatetl By: S uare Foota e $ er S uare Foota e Basement X = g _ ',y�Floor X = $ 2"�Floor � X = $ Garage X = $ Estimated Construction Value: $ 17+t�bo �-�' Or�no lnspections Required lNor�k#tequiring S�parate Permits Rsquired'S.tate Permits O Site lumbing 0 Grading/Filling � Well G Hardcover Removal M2chanical � Fire Electrical 0 F�oting G Septic D Water Connection G Poured Wall � Fireplace O Sewer Connection G Foundation Survey � Masonry � Lawn Irrigation D Radon Rock Bed � Mfg. ;Framing G Other(specify) 'lr�sulation � �4s-Built Sunrey . �inal �3 Dther;(specify) REMARKS (in-house): Oth�r Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: C YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:lforms�plan review chedclist.docac C � /DATE TIME � CITY OF ORONO CALLED IN �/�'� t� INSPECTION NOTICE SCHEDULED � /� 3v PERMIT NO.�'��/� �� COMPLETED ADDRESS v�� c� S`'l��t-1 Lt.'Cx'� ��_ OWNER TELEPHONE NO. � �� -�� CONTRACTOR , Ld �o?� � �d�3 �: DESCRIPTIO��L�� u y�I �C�� '��-�l � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W a o S �P� I � vb� ��t,Q�/$�i� �. � 0 � W � Q � z W � W � � a k�,/Q WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN MSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 tor the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site!l � Inspector. �� I White Copyllnspector's File Canary CopylSite Notice � C� �^if 1 ,�� ^ DATE T�ME ✓ �� l�. CITY OF ORONO CALLED IN INSPECTION NOTICE TT/� SCHEDULED `� `�' �� PERMIT NO. �C�� `'! l_.C� COMPLETED ADDRESS c_�=/ �,��`,/'��r/6/ l i ;�^��.r��/ `�C�`( OWNER TELEPHONE NO.l�J�� y CONTRACTOR - ��- ��% -��- _�;�,,� //� �s � DESCRIPTION �� " � /� �[_�--�T�'T/T � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/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 ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNERICONT�CTO-RTO_MEETYOU: YES_NO � COMMENTS: � W C o S � vl� '�� 'C �-v�� I � '' �.� ��'� `� �C�� 'c�v .M � 0 � � , � , �G, '�C �f0 � • � � �-^�e� z r .v� 1"1�.,�✓t � v ' a � �t-�'�,�r `_� � t�� Oc�✓� W � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑COfiRECTUNSAFECONDITIONWITHIN 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. �95Z� Z49-4600 OwnerlContractor on site: - Inspector. � �` White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO � a�A�Z TIME � CALLEDIN �/ INSPECTION NOT�E SCHEDULED �0-1 � �� PERMITNO. �b� - 0[70010 COMPLETED ADDRESS__ ��7� �hu-�/��-C OWNER TELEPHONE NO. I CONTRACTOR � DESCRIPTION ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �I��L—�� -� e_ C�''' 'S o ` � �� 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED /E�ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46Q� OwnerlContractor on sitQ: Inspector. �--i` =� White Copyllnspector's File Canary CopylSite Notice I _ __ __ _- — — - -- — -- — — _ _ _ _ — — — — - - 1 i F, i � __ � d' � d� z�<. � , �-- - - - I i i ' � _.. .__ _____�, �– --- � I i I � � �� 4,� —� < � d- < i � �� 7 -� � . � �� L_ _..__, i � — — T I 1 I � �� I O - - I�i .____.. II � I I Toi,uel Y�larmer �'�� '��wy/. � ` `/�L'.� ��y f.S��. � '��4u.n�� / i' �._.�.+�� f s.�w.�..�� 7 1F�►wti.na .r. .._— --.:�-- --�.:—_. .—.— -'_ � __ _— — — __ —.. . — _ _ _ ��j/� (�� rs� `II ��..�w+�r" .�"5..4.�✓(� II .w.a — _ .._. '_.. . .. . .-.___'_ -...-_ . ......� .._. ; �. 1 �._ _-._ I ...:... ;...�.s� ,� 1�� K� 1�, - I . . . � .4. �. .f:i . *. � _ . . �. . 'I �. � . � - ... . � . _ . • � . '�.'1�. • � .. . �� I �/� i _ � �� i _ ►" X �� f�;�� ,.�� '��i Q�'� f � .� '"' F— LA�! R�VI I'�� _;�i �s � � :�- . �y � �v�i..�i zass I 1 �''c y` 'T C: �i � � •s:t i ��. � -_ " ____��•� , .. --.�+�-Wr+�-.h. . / � � � r�,['t�.��, .,.� �. !� - .�r�r,�.. �._�n•� .�� .1l:_' . I � ( � . ,, � ' ��'� �' ..�^ . _•,�•.; .-�.-.. -�•r .. .....,.f �I O �{ .j�`"►.':-:� . /�. ' .IhS In •h nt� I I . , . x .. 7'li�� i�J .../ ;7 1�i v�,.!I t .. ,�.r 1\�. � �I } � '' ' � • J.�. Ii . ......._ � . . _ :- '"'' .- - .. . _ � ,._ C� i�;:�T 1�.�� J � � i, .• , ti r;� i , � � , �I 1 Th1i t +.i ti� -��iCi .w1Y i^fJ f�'- �1. � �1 �.�,u trt��f.'"�� _ . .. � � '� �}l�{r1'f ?.P})ifafl f lVlul �� cinr��1C1 iJ LUi;t f";f ✓.:lCt Z(�i`1{r1b'�. 9litqit��:�'.�nE;>inc��„�p r;ems rot s�,r,�;;c�.�!�y�7c,ted in tt�+s r�� B rrier F floor i�nen n ��;��a.��F�o�•��;-�:�,��t�T�,�� I ti -� � , � � X I �I'I _ 3 E� .� �, �� + nvi ou�l � � ;' � � ' � '! � I i; �_ , , � i � � I �= — — ,— __ — ——_— _ =_ — �'� ' � ., ..,. U142496 � • j I� i — - - — --- ___ . _..— , . r- I I r I I , ' I� � __ 1 '�i ,' G�B_ Relocate air supply � Body spray ,ii �� , ;; , M Rain Head 5ho r ; � �� 'G� � � , � � � ;3 � ��, : e � � � � -- � � � , y �,: � � , �`. ,t y :. u.",.. . x "�„'-..... . . � � 'Y' ,: �" � ,� �. p. .. � � .. _-_ - � � .. � ._ � � . � ._. . � � �es � � � . _.. .... . � � IEF�. - ' � �. � y .�•} �� ,; � � – I �N' . . ��Y� C {•>(� ., ' � ,..Y . . � . : r_! . . �� _. : ;.. . _ ,.�.,.r ..' '". .J... i.. ..N.r✓✓ '; ... .:. - ,.. . � � �.... . ... �, .�„ _..: � ' ' � Y� �� x � �� '�` �h �..� "�.. '`` I � � T � �. , �`\ �. i �4�.� 'I ,��I � Y� 5 � � � . . . dk �"�W��, t . �� ; . ..�`- , !� " g�� . �l � �, � . Edgework Buiiders, If1C. Nar�e 7his pan shaY remain Ihe propeity ot Edgework&ilders,mc(FBq. 7250 Hazeltine Blvd Gurt and Sue Anderson Residence r�r.��a�=aof�,�sw�„��,o��,o��,�;sg�a� x�ll notbe aflowed,arM shall enEde EBI to all darnages cauaed by Address 2�75 5had ood Road Orono, Mn s,�h��.��„�; b,,,,,o��m��o Excelsior,MN 55331 � + n9 prepraBon and att«ney�s tees. ticense 7t 3sai Est �s7s Client Ph: Date: �,,,.oww�as.�ssz.�as�i�sz�assoax 2•19.2011 Desic,p�er: Dave Stockdale Se�e: 3/5��=��