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Home My WebLink About2016-00492 - addn/remodel/repair CITY OF ORONO imiuimimniimnni��unmmiimi�mi�imm� * Z 0 1 6 - 0 0 4 9 2 * 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2016 , ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2615 SHADYWOOD RD PIN : 21-117-23-23-0054 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,500.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) BEDROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 108.38 PLAN REV(EW 70.45 TODD REALTY, LLC STATE SURCHARGE(VALUATION) 1.75 206 N. CHESTNUT CHASKA, MN 55318- TOTAL 180.58 (952)345-3450 Payment(s) CHECK 1?251 180.58 OWNER Todd Realty LLC 206 N.CHESTNUT CHASKA, MN 55318- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 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 r es d in confo mance with the State Building Code.This permit may be evoke at any tim for due cause. � ��,-� G /_ ��?�' '� ��.��-t��, C�� I � � 1 l�� C� � App icant Pe ee Signature Date Issued By Signature Date � City of Orono `Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY {i.e. w�ndows, doors, sidirag, re-roaf, e#c. — Nt3 S�'RllCTURAL EXPANSION) %-.�0�� Mailing Address: Permit number: 2��+�� O\� PO Box 66 Crystal Bay, MN 55323-0066 Z J Date received: �— —( rr �, �i i � Received by: 7�� ; r i Street Address: `�� \�� ! `�� 2750 Kelley Parkway �I i 1� Plan review fee: e �a�Fi� � '` � � Orono, MN 55356 � \��'FfSHv��/ l' �� t � � % Total Fee: Main: 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must e submitted. Incomplete a plications will be returned. (Please print) GENERAL INFORMATION:� � � � � Job Site Address: Will this be a Parade of Homes, Remodelers Sh case Home or other Display Home? Yes �}-I�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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-perrnitted events will not be allow�d. CONTRACTOR/APPLICANT I `FO ATION: Name: ��C� �(��.� � L�� State License# (�,�y,� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ��Z ��y9 —�i�(j�j (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Clrcle One) Email and/or Fax: PROPERTY OWNER INFORM TION Name: 'r s Phone (day): ^ Address: City: ZIP: �� . 1 Email and/or Fax: J Z, PROJECT INFORMATION: Overall project description: 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) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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) $ 4 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 t s nformation is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I he infor ation,th a lication a not be issued. � // ApplicanYs Signatur . �1' ' �L. Date: � 6 ! t� Owner's Signature: � � � Date: � 6 b Last Updated:January 201Fj/ / / //, �;�� J !� �l� G>�� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS � , � . , Adtiress: �--Lij �',O-- �;,��c�/l{-'��,C�� J� ' � Cr/� Permit No.: �- Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: �i_-- ' �_ Building review by: �� '�� `= �� Date Approved: �� //��' � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: ' Reso Date: Zoning: Lot Area: SF/AC Width: Lot Co rage: SF % Survey Submitted: 0 Yes � No Date of Survey: Revised date ? : Landscape plan submitted? 0 Yes 0 No Landscaper: ` Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height:� FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%A�= L.F. below grade ;' Basement? 0 Yes � No, S�ories \ FOR A BUILDING WITH A BASEMENT OR CRAWL SP,AC'E: FOR A BUILDING ON A SLAB FOUNDATION: The distance between th�lowest proposed Slab at or above grade— floor(of the basement or�rawl space)and measure from hiqhest existinp START WITH the highest point of the ro0f. rq ade to the highest point of the �, START WITH roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED RQOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest poin�of the roof hi hest oint of the roof. to the low point of the corr�sponding If you have a... gable or hipped roof � SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF with (BASED ON (no windows): Subtract half windows): Subtract half the�stance ROOF TYPE) the distance between the between the top of the highes�^ highest point of the roof to window and the highest point o�the the low point of the roof \ corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat,�\ . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height 1 subtraction. , Defined building height �- � � EQUALS � � Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? ❑ Yes � No Permit Number: 0 Yes 0 No 0 N/A � Ye No � 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf (% and sf) � Yes � No � Yes O No 1 2 3 4 5 Type(s): Type(s): - Fees to be Char ed YES NO Permit j/" Plan Review V- State Surcharge fj-� Investigation Fee �_ SAC—Number of SAC Units V- Other(specify) (/' Square Footage $ per Square Footage Basement X = $ 1 S' Floor X = $ 2nd FIOOr X = $ � Garage X = $ � ' C /"��'v--��-� Estimated Construction Value: $ > .�L'�� Orono Inspections Required Work Requiring Separate Permits � Footing � Site 0 Plumbing � Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical ❑ Fire ❑ Foundation Survey � Hardcover Removal � Septic � Water Connection � Foundation Waterproofing ❑ Other(specify) 0 Fireplace � Sewer Connection �Framing � Masonry 0 Lawn Irrigation Insulation 0 Mfg. ❑ Landscaping ❑ As-Built Survey � Other(specify) �Final ❑ Lathe Required State Permits ❑ Other(specify) � Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 ��\fnrmc\nlan rcvia�ni rhorklict 1h_9MF rinrr i 1 V �� d7 � C� � .��✓C/ DATE � TIME � CITY OF ORONO CALLED�i INSPECTION NO�IC� ;.,•. �t�SCHEDULED rERMIT NO. � � � COMPLETED ADDRESS � , ` �� _ .�y�„��,� � OWNER TELEPHONE NO. � �� CONTRACTOR � -,�� -�'�"l� J � DESCRIPTION rt��-/�'`� � � � _ � � � �'% 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FO TION/REMOVAL v ❑ DEMO-SITE ❑ PTIC NSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_ O � c�.� COMMENTS: � �'�� '� �' � a� W a j � . '' � �v 0 j � � � � W � Q � 2 W � W � J ` d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2 hours in adva 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Cenary CopylSfte Notice � �� S �-� , DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE -7 SCHEDULED �(O �✓� PERMIT NO. ' 4' COMPLEfED ADDRESS � l� I � `S �?� c�--e� t-t�� OWNER TELEPHONE NO. �1��? CONTRACTOR �� l �� , � DESCRIPTION ��i� /�/'Y�"�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL�/�� Q ❑ POURED WAIL ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ S TIC INSTALL Z OWNERICONTRACTOR TO MEET • YES_NO c�n COMMENTS: � W a � � O � � O � W � Q � 2 W � � �A j d W ❑WORKSATISFACTORY:PROCEED � OJECT COMPLEfE � ❑CORHECT WORK S PROCEED ❑ISS CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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