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Home My WebLink About2014-01126 - addn/remodel/repair R CITY OF ORONO * 2 0 1 4 - 0 1 1 2 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2205 SHADYWOOD RD PIN : 17-117-23-43-0133 LEGAL DESC : WIC,EYS PARK LAKE MTKA : LOT 005 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,000.00 NOTE: DECK REPLACEMENT(IN-KIND) APPLICANT PERMIT FEE SCHEDULE 88.50 TURNQUIST DESIGN PLAN REVIEW 57.53 2000 CHESTNUT ROAD STATE SURCHARGE(VALUATION) 1.50 HAMEL,MN 55340- TOTAL 147.53 Minnesota State License#: BUIL-BC661905 Payment(s) CREDIT CARD 6132 147.53 OWNER SPILSETH,ANDREW 2205 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 wark 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 me for d cause. r6 /S" �a .er D � /�� Ap lic t Pe 'tee Signatu Dat Issued y Signature Date • • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number: o?��/f� � �O PO Box 66 Crystal Bay, MN 55323-0066 Da#e received: /D oZ��`7� Street Address: Received by: y�, G�` 2750 Kelley Paricwa b a�t� Plan review fee: t Orono, MN 55356 � � � �x�sHa�� 7. 53 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This apptication 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: ,�2�5 SI}A�y lNbop �. G'�,oJUQ f �� S�s3°�, ( WIII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be al/owed. CONTRACTOR/APPLICANT INFOR ATION: � Name: �v J«k �S� H. TCec� '�'canl v 15�, State License# �L L��pS' Expiration Date: Ap�.`� ,?�� Lead Certification Number: .�. Expiration Date: ` (for work on homes that were constructed prlor to 1978 Phone: (cell) �2 - �� — �C.�t3 (office) �^ Maiting Address: 2��p Ck��y� �, City: }.�Y�,�, ZiP: s-S'3t{� Contact Person: � � � Applicant is: Contractor / Homeowner (Cirele�e) Email and/or Fax: -r-��,T r►�'�l qw�t �C�v1 PROPERTY OWNER INFORMATION: � Name: �}-y��,J St3�15�T�} Phone(day): �12 - 3��, _2�j� Address: 32CP R�� , City: � ZIP: �'s'3C�, Email and/or Fax: �b�„�. �,�St�c�qww+ .C,��^'I PROJECT INFORMATION: Overall ro'ect descri tion: �.c¢, 3� e� �- ro� ►'�'�i�u �"Sr4q�a Type of Project: My earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage ��WD revlew&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 12{�`4.� �tG�c.. Fax: 952-471-0682 ❑Window(s) � www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or r uested th uil i , • Certifies that the information supplied is fiu and c ct to the best of his/her knowledge. The appticant recognizes that they are solely responsible for submitting a complete application being aware that upon fai►ure to do so,the staff has no altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is class�ed 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 govemmental agencies required by law. If ou refuse to su I the i ion lication ma ot be issued. Applicant's Signature: Date: IO �I 0� • Owner's Signature: � Date: 10%)�zd 1`� Last Updated:03/O6/2013 �, PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 1—�-�� ?i�'�'Q`�l3u C:C e� Description of work: �`��-�� -��=1��--� 1�1/VC�'�'�' l i v�; 1�i ti�c�} Septic review by: N 1 � Date Approved: Zoning review by: Date Approved: Building review by: '�-t---- Date Approved: /� � � � Grading review by: /v�w�- Date Approved: oning District: Zoning File#: Reso#: Reso Date: Zoni : Lot Area: SF/AC Width: Lot Coverage: SF o Survey bmitted: � Yes 0 No Date of Survey: Revised date ? � Proposed S backs: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Build' gs Wetland Side Side Defined Height: Peak Height: FFE: FFE minus eet= (Existing Contour) Perimeter(linear feet) = 50°/a = #of Storie Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance between e lowest FOR UILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the ba ment or crawl space)and the highest poin f the roof. START 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 HIPPED ROOF( . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest poin 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 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 o he between the top of the highest highest window and the ' hest window and the highest point of the point of the roof roof • ALL OTHER ROOF YPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):N subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distan between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl ace floor and the EXISTING the foundation. GRADES) highest existin rade adjacent to the GRADES foundation 10 feet(whichever is less). QUALS Defined building height � EQUALS Defined ilding height Shoreland District MCWD Permit Received Avera e Lakeshore Se ack Met? Bluff � Yes 0 No � N/A � Yes 0 No 0 Yes 0 0 � Yes � No � A Permit Number: Setback: Stormwate Quality Existing Proposed Variance Required CUP Re ired Overla ' trict Tier Hardcover Hardcover 0 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 Plan Review 1,�-- State Surcharge n�` Investigation Fee SAC—Number of SAC Units Other(specify) Square Foota e $per S uare Foota e Base�wer� � v X 1 � c� c.% _ � . ��C� 1 S'Floor X = $ 2nd FI00� X = $ Garage X = $ zx� Estimated Construction Value: $ `� d a�% r Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing � Grading/ Filling 0 Well � Hardcover Removal � Mechanical � Fire 0 Electrical Footing � Septic � Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. Framing � Other(specify) � Insulation � 9s-Built Survey 1o�Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES � NO y OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx �� -- ✓ DATE TIME CITY OF ORONO CALLED IN l�I,5' INSPECTION NOTIC SCHEDULED /O- - 3•�3� PERMIT NO.�� l� COMPLEfED ADDRESS a D5 � OWNER T EPHONE NO. ��'7-5��oy� CONTRACTOR��r''j �S f �e S[ 7�oc� �; DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ StTE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBIN ❑ SEPT C FINAL ❑ FOUNbATION/REMOVAL 2 OWNE NTRACTOR TO M ET YOU:�YES_NO � COMMENTS: � W a � i J O � � O , W � Q � 2 W � W � j GW ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � COR ECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 rs in a 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �— �� DATE TIME� c CITY OF ORONO CALLED IN /O f INSPECTION NOTIC �� SCHEDULED !d—/�/� �-' � �ERMIT NO. cOM�LETEo _ ADDRESS �� OWNER TEL ONE MO•—Y��S7�S�—/�� CONTRACTO�' � �S/ K �� >; DESCRIPTION J ' � W ❑ FOOTING ❑ PLUMBING FINAL XC V/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAK SHORFJWEfLANDS � Q ❑ FRAMING O MECHANICAL FINAL 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �.. .� � O � W � Q ' z r� W � w � j W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � COR ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS. Call for the next inspection 24 hou in adva . � ) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ��g �� D TE TIME � � ITY OF ORON � ALLED IN INSPECTION TI �� HEDULED PERMIT NO. �' OMPLETED ADDRESS � u OWNER T LEPHONE NO. '� "� CONTRACTOR �[ �`�,�,��— �.Gr•a�^ � DESCRIPTION , _-� �C � ❑ FOOTtNG 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � J�[FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r �❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � / y a (=Li.t. ��Q�'d�rs=C� o cS��r� `r� /2!/ � �s�s 'JF'r�sv1. �`� �'o�^ fr�frJ�•rt O � W � ��r� ��/.�� _ Q � z � W � J W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED �`a�j IGSLIF CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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) 249-46�0 OwnerlContractor on site: Inspector: h-�- White Copyllnspector's Ffle Canary CopylSite Notke