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Home My WebLink About2013-01299 - addn/remodel/repair " CITY OF ORONO � ` * 2 0 1 3 - 0 1 2 9 9 * ! 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2013 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2760 SHADYWOOD RD PIN : 21-117-23-24-0040 LEGAL DESC : REG. LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ENCLOSED PORCH APPLICANT PERMIT FEE SCHEDULE 265.50 CREATIVE BUILDERS INC. PLAN REVIEW 172.58 5958 FENNING AVE SE STATE SURCHARGE(VALUATION) 7.50 DELANO,MN 55328- TOTAL 445.58 (952)955-3062 Payment(s) Minnesota State License#: BUIL-BC037260 CHECK 6573 445.58 OWNER ENGLER,JEFF 3330 MARTHA LANE MINNETONKA,MN 55345- 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due ,.i� Z-l��3 / l Appf •ermite/ gnature Date Issued By gnature Date v �� j� - PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS , Address/Permit Number. Z� �� St-�.�iON w�v� Description of work: Cr''�UC�C�S.Q /�o/Z-� Septic review by: N � � Date Approved: Zoning review by: /� Date Approved: Building review by: _ Date Approved: �2- � �" � /3 Grading review by: N�►A Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: ot Area: SF/AC Width: Lot Coverage: SF _% Survey S�itted: ❑ Yes � No Date of Survey: Revised date(?): Pro osed 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% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. GABLE OR HIPPED ROOF(no If you have a... • windows: Subtract half the • GABLE OR HIPPED ROOF(no � windows): Subtract half the distance distance between the highest point�' between the highest point of the roof of the roof to the low point of the i to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the t of the between the top of the highest highest window and�ighest window and the highest point of the point of the roof , roof • ALL OTHER RC�6F 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 dis nce between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenVcra space floor and the EXISTING the foundation. GRADES) highest exis g grade adjacent to the GRADES foundatio OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defin building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff 0 Yes � No � N/A 0 Yes 0 No 0 Yes No 0 Yes 0 No � N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover � 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 Char ed YES NO Permit v�' Pian Review �' State Surcharge ��""�„_�..; �'� ' � . �� Investigation Fee SAC—Number of SAC Units : , Other(specify) Square Foota e $ er S uare Foota e Basement X = $ 1 S`Floor X = $ 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ I �+ �� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/ Filling � Well � Hardcover Removal 0 Mechanical � Fire � Electrical 0 Footing 0 Septic 0 Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. Framing 0 Other(specify) �'Insulation � As-Built Survey �Final 0 Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx � f' . . . City of Orono � Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: aDl3-d/o�� PO Box 66 �� Crystal Bay, MN 55323-0066 Date received: �� -�� Street Address: Received by: � � � � 2750 Kelley Parkway Plan review fee: � F �'` Orono, MN 55356 " `�'�ES H OR� Total Fee: ,, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. � Incomplete applications will be returned. (Please print) �; GENERAL INFORMATION: � C S r �� \ \ Job Site Address: �� 1 � J Will this be a Parade of Homes, Remodelers S owcase 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 s ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPL��A�NT I�OR TIQN:\�S, �� Name: �- �_ ��J State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 ' Phone: (cell) � �'i Z� �6�'�-2-�'/z (office) � ;; Mailing Address: .�q 5� -�nn_:� �� City: �� ZIP: ��3 Z � �; €`` Contact Person: `� 7"„ 4;�.r Applicant is� �ontractor�, / Homeowner (Circle One) �..:- -=----_: Email and/or Fax: L/'�pr�. �•z�O�,'�c��fS t3 ��/�h�c� � �� ;',,,y � PROPERTY OWNER INFOR ATION: Name: 3�.� ��c ��: � Phone (day): ?bc�-Y��- 1� �: AddreSS: `"r � o1�6U S�iAc�l�ac� � _ City: ('x��co ZIP: '7�3}� ,. Email and/or Fax: '' ;: PROJECT INFORMATION: Overall pro�ect description: � Type of Project: Any earth movement may also require � MCWD review&permits: ,�; ❑ Door(s) Remodel ❑ Fire Damage `� ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 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 �i ❑Window(s) www.minnehahacreek.orq � Estimated Construction Valuation of Project(excluding land) $�, ��-' 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 i+ 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 required by law. If � ou refuse to su I t m ' ,the a lication ma not be issued. "� ! ApplicanYs Signature: � Date: 3 ! � �Zi�6 -ZU� e� f�, 1 :. Owner's Signature: Date: t§ � �� Last Updated:03/06/2013 INSPECTION NOTICE � DATE TIME CITY OF O�aK� CALLED-IN SCHEDULED PERMIT NO. ��3 -a��99 COMPLETED / "�/y ADDRESS ot 76 v s�a��oot► (+� OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑REINSPECTION O CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑ RATED ASSEMBLY ❑FIREPLACE O FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM �FRAMING ❑SEPTIC INSTALL ❑ >- ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ lL O PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS• Z Q /� � IZ- rYl..w�.-v �r TI'�n t �rr7�s � J W ¢ � ��1 5/L r�� (e✓t�6�Q✓L- �� K/1 0 — Fye��y��o� Lu E/� e�r�� ?f�w�r� �iC � W � . a /Prs vsb e E'/��,-.c�! �t��s.va�.e'� � � o .o r�e r- g— ih�/ . � � 0 w ¢ Q � w w � 5 a � FURTHER CORRECTIONS MAY BE REGIUIRED ❑ PERMIT FINALED 0 ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN O�G.4RRECT WORK&PROCEED V ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr.on site:___11� Inspector: Q�..�.. `7/ ��a f ��T�� TIME ✓ CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMR NO. o��Q/� COMPLETED ' �45 ADDRESS /�7� � ��p � OWNER TELEPHONE NO. CONTRACTOR C�'��`� �r��- � DESCRIPTION �K�Io,�r��/G/C 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALI ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q (�}:PII�AL ❑ WATER HOOK-UP �QLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � � COMMENTS: /Pcr....� �el�o r- �4.1c�/ � L-:G� �i � �'s -�i•�r.e L i�sotc G�ia:.. - Liw�. f s.N.s�� - 6�' � J 0 � �o d�t,e � m� - 0 W - Q �1�4 S� Gt L� �l'o�a c c�{C.. lr-T L/ — �' f1's SC�.�.��/-e 2 �i-r�l I�t oG�•�o.►t. � � cvihC �� , � �t/k� �d (` .i�rt��a, .l� .t�:�/ S c� �t� � ns j a W� O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT VYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �18rECT10N REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspect�n 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: � White Copyllnspector's Flle Canary CopylSke Notke �� DATE TIME V �� CITY OF ORONO CALLED IN� j INSPECTION N TICE SCHEDULED � PERMiT NO. ��COMPLETED --i� ADDRESS � 1`« OWNER TEL P NE O.�lz��` ZZyZ CONTRACTOR � �; DESCRIPTION � tL ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S��IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET Y�11�a YES_NO ��_ � COMMENTS: � W a O �Q�� (� �� `� �. � ` � �� rl3 Y c�c C� �.� 'L�ec�a✓f l�Jc f,�i.,,� W � �� O� !l<� ��'rdC �s ' Q z � P��+��4� � -�j,�, [.� S�✓u�y_T � � Cp►�✓'c�7�1f- ,A�rv,�[�L *� �J .OBnG��+tf W � /v� j � ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE �CaRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerfContractor on site:_�!s'�� Inspector. �^^� White Copyllnspector's File Canary CopylSite Notice