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Home My WebLink About2014-01256 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 - 0 1 2 5 6 * 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014 r ORONO, MN 55356- 952 249-4600 FAX: (952)249-4616 ADD ESS : 1325 SHORELINE DR PIN : 02-117-23-34-0011 LEGAL DESC : REG. LAND SURVEY NO. 1350 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,000.00 NOTE: FOAM INSULATION FOUNDATIN WALL-SHEET ROCK-TAPE AND PAINT APPLICANT PERMIT FEE SCHEDULE 162.25 STATE SURCHARGE(VALUATION) 4.00 MICHAEL HOMES INC. TOTAL 166.25 4265 CTY RD 123 Payment(s) MAYER,MN 55360- (612)670-5879 CHECK 33498 166.25 OWNER MILLER,CRAIG&BEVERLEY 1325 SHORELINE DR. 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � �_ �� i �i 1 Applicant Permitee Signature Date Issue y Signature Date ��Q . City of Orono � Bui�ding Permit Appiication for Maintenance / F ��7� ration (No structural expansion. Onfy windows, door �.f� ��6 ��7i I Maiting Address: c! '/as �D�TO PO Box 66 �3`��-0 Crystai Bay, MN 55323-0066 � Street Address: Received by: y� 1 `� 2750 Kelley Parkway Plan review fee: �,� Orono, MN 55356 ��KESHO� Total Fee: � ��' �5 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: -� ` ' l �� j 3 Job Site Address: � �.�t�� Y"�C�`��6v��. �v�lU(? L �Ct-�ZC��I � , � Will this be a Parade of Homes, Remodelers Showcase Home or other Dispfay Home? ❑ Yes No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR!APPL CANT INFORMATION: Name: � `1�� Gl� �l�'Y�L� S -�-1�C'- ._ State License# _��cj c� � Expiration Date: � ' t Lead Cer�ification Number: Expiration Date: (for work on homes that were constructed pr,i�Qr to 197� f�---�_ �� a � �� c-�-7 � Phone: (cell) � ,� � �,� ��(`�d � (office� Maifing Address: ` � � �3 City: � ' 1 ZIP: J�,3��1 Contact Person: ��,}Q� � ��j ,�jL.(�J� �'1'"1 Applicant is: Contract / Homeowner (Circle One) Email and/or Fax: ��(t�� i Ss�'/'� � �77 �l�Q � rY�C' I �c��-� � PROPERTY OWN INFORMATION� � Name: ��C�� ' l��i Phone (daY): J �'��7- ) Address: � . �t IYl e� •�,�, City: /y ��, ZIP: ��,� �`��%/ Email and/or Fax: ��st-�� rn.� - /�s�yr�.��-E-�rn -:1"-�5cc�df��►� �urtd�zfi�✓� l�� PROJECT INFORMATION: Overall pro�ect descnption: Type of Project: Any earth movement may also require f" ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: L�G/L ❑ Re-roof,asphalt �,.'Repair�n�� . ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) r�P� � � 18202 Minnetonka Bfvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �n� ❑ 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(excfuding fand) $ �� C'an APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a compfete application being aware that upon failure to do so, the staff has no alternafive but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is cfassified by State faw as either private or confidential. Private data is information which generally cannot be given to the pub(ic 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 annualfy update our records and records of other governmental agencies required by law. If ou refuse to su I the' f ation,the a ic,ation ma nat,be issued. AppficanYs Signature: � G�� .E�� Date: t�.��%�'j�.�[�i�� z ��- �� /�- �'�'��`'��1�`e`'��-<<____� Owner's Signature: a e: Last Updated: 03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Addr,�ss/Permit Number: �3� S 0 N� 2. De�cription of work: - - NS V�-4 � t� �N � � � /3'l r " Septic review by: ' /�1 l/.� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: ! � `Z7" �`� Grading review by: N'J/�- Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: ' �. 2onin : Lot Area: SF/AC Width: Lot Coverage: S�% Survey bmitted: 0 Yes 0 No Date of Survey: Revised d e : Pro o�ed S backs: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Othe; uildings Wetland Side Side , Defined Height: Peak Height: FFE: FFE mirius 6 feet= (Existing Contour) /� Perimeter(linear feet) = 50%_ #of Stqr`ies Ok? �YES / FOR A BUILDING WITH A BASEMENT OR C WL SPACE: The distance be n the lowest F A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of basement or crawl space)and the highes int of 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 R F(no . GABLE OR HIPPED ROOF(no windows): SubVact half th windows): SubVact half the distance distance between the highes oint between the highest point of the roof of the roof to the low point of th to the low point of the corcesponding SUBTRACTION �rresponding gable or hipped o SUBTRACTION gable or hipped roof (BASED ON ROOF . Gp,BLE OR HIPPED ROOF ith (BASED ON . GABLE OR HIPPED ROOF(with T�'PE) windows): SubVact haif ROOF TYPE) windows): Subtract half the distance distance between the to of the between the top of the highest highest window and highest window and the highest point of the point of the roof �f • ALL OTHER R F TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc. o subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab � SUBTRACTION Subtract the dis nce beriveen the (BASED ON and the highest existing grade adjacent to ' (BASED ON EXISTING basemenUc I space floor and the EXISTING the foundation. , GRADES) highest exi ng grade adjacent to the GRADES foundati OR 10 feet(whichever is less). EQUALS Deflned buliding hefght EQUALS Defl d building height Shoreland Distric MCWD Permit Received Avera e Lakeshore Se ack Met? Bluff � Yes � No 0 N/A 0 Yes 0 No 0 Yes No � Yes � No � A Permit Number: Setback: Stormwa r Quality Existing Proposed Variance Required CUP R uired Overla District Tier Hardcover Hardcover � Yes 0 No � Yes 0 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 Pai�mif> ` . � '" ,w ' . Plan Review ,State Stt!'C�al'�e , �: x �y} < s ': ,i� Investigation Fee SA�` Ni� ber�f S1�+C Un�,ts= r � ' � � w;� � �5 �. F, . �r� ,,'�' � � ,�_. Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 18'Floor X = $ 2nd FI00� X = $ Garage X = $ po Estimated Construction Value: $ ��,D�� Orono inspections Required Work Requiring Separate Permits Required State Permits 0 Site C Plumbing � Grading/ Filling � Well � Hardcover Removal 0 Mechanical 0 Fire � Electrical G Footing 0 Septic G Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection G Foundation Survey � Masonry G Lawn Irrigation 0 Radon Rock Bed � Mfg. O raming � Other(specify) Insulation � As-Built Survey Final � Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: � YES � NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:�forms�plan review checklist 2013.docx � y�TE TIME V CITY OF ORONO CALLED In� `��`—� INSPECTION NO�CE ,O`�.�SCHEDULED l/ — — _� PERMIT NO COMPLEfED � ADDRESS �� LL��!��r D � �I" OWNER ' L ONE NO. ��' $g �� CONTRACTOR � DESCRIPTION � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZJ,�INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: o� . — a T�t�e r�e r �'v�.c•�c�Q�rs-� l�.rs l! �.r s k�•tL�o..� ��woue�2- jc�- SD��us � ` - 0 0�•K /•csu�- Div r�� . � � w ��!Z Ir00 M /t D�. �6 rl! �/ fi�S �'.,�'[`I ' Q '" �t/��Sl. v o!C �T' cv N2✓ �" � �' ' vto e lec�rc�c v ls a r r�.rc! �H r�olUcD W � �4 - � �Q/�rK 'f'i �/�'frfi�Q'� ' � `-� � ❑WORK SATISFACTORY:PROCEED �/ �EROJECT COMPLETE i � ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca "nspection 2a hours in advance. (952) 249-4600 Ow r�tractor on site: Inspector. �-- White Copyllnspector's File Canary CopylSfte Notice