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Home My WebLink About2013-00895 - addn/remodel/repair , CITY OF ORONO * Z 0 1 3 — 0 0 8 9 5 * � 2750 KELLEY PARKWAY �pTE�ssuEn: 09/11/2013 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1700 SHORELINE DR PIN : 10-117-23-14-0014 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 75,000.00 NO"I'E: SEPARATF,PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) MASTER BATE 1 REMODEL APPLICANT HNH HOMES PERMIT FEE SCHEDULE 86925 13911 RIDGEDALE DRIVE#406D STATE SURCHARGE(VALUATION) 37.50 MINNETONKA, MN 55345- TOTAL 906.75 (952)288-3746 PAID WITH CC# 6746 Minnesota State License#: 654037 OWNER ETAL, [RWIN JACOBS 1700 SHORELINE DR WAYZATA, MN 55391- AGREEMENT A1vD 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 no[grant permission for additional or related work which requires separate permits. All provisions oY 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. �� .,%�.'' � �. �� // � � � ��,,,�_;. r��L�_-�..�-2 � :> � ,� _ Ap icant Permi e Sign ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � y • �� ' . a-`� �S City of Orono � (0� Building Permit �4pplication � �D �,�� for New Structures or Additions Mailing Address: Q PO Box 66 Permit number: �� —Z3�$'J � �Q Crystal Bay, MN 55323-0066 Date received: p=�-v_�_ StreetAddress:' Received by: �� y� ,�'� 2750 Kelley Parkway Plan review fee: . � � C.` Orono, MN 55356 1qK�sHo��` Main: 952-259-4600 Total Fee: a�� -� $ � Fax: 952-249-4616 www.ci orono.mn.us This�pplication form must be completed in full and all required information must be submitted: Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: j ji�r� �l��r j�;�.P �,�. d r��,r_, ��,AJ ��q/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,[�(] No 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 su(ficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: �N � �n.r„N_5 L�-� State License# �� 3— Expiration Date: ;:i/3/ / �.ol�f Phone: _�cell) 6i 2� i g7— S LgS (office) `�� LSS- 's 7 r�� Mailing Address: ��9//�Gq� ��/P tlr. .Sa:�� yo�� Citv:/+1;.+,:r�� ZIP: —C:3_n� Contact Person: �,�.� "/�,j/,,,�� Ap�licant is: ontrac o ' / Homeowner (Circle One) Email and/or Fax: pe /,Hh -J,�,,,,eS � cc>�, PROPERTY OWNER INFORMATION: Name: �r�„ilq ?�<�`o b S Phone (day): Address: /7t�o 5.��/f,�c Q r City: C%yn,�rs ZIP:S S39/ Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: I(1�S f�rc/,i�-rc� Phone (day): �6/Z) �/o •- �bZ,�� Address: �C� /�uy 6�' Su1�c 30`; City: �J/�L,, 1-fo�� ZIP: SSy�� Email and/or Fax: }�-S��y-/•e�� Co.--.f�S� - h e� PROJECT INFORMATION: Description of project:________ ----------------------------------- 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ❑Single Family with �$,Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial �Private Sewer ,�Other. (specify) �rN,.�GI�`fc�_�_w_��r�r.��/ ❑ Multiple Famity/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial _________________ ,�Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 ---- Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ '7,�`�pp�. `�J � Packet Last Updated: 04/19/2013 Page 22 of 23 f . . � STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a.Length(ft.)= ____ Number of bedrooms= ,� �ood/Frame b.Width(ft.)= _ Number of garage stalls: (�' ❑Masonry Areas in sauare feet Attached=_� ❑Metal ❑Pole Bldg. c.Basement= ____ Detached=_____ ❑ICF d. 1S`Story = ------- ❑On-site Prefab e.2"d Story= _______ ❑Off-site Prefab f. '/2 Story = ______ ❑Other(please specify): g.Total Area= �QBO_ REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed ]icable (ST ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calcula6on s ❑ Se tic S stem Site Evaluation Re ort ❑ Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ Minnehaha Creek Watershed District Permit s ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . Agrees to pay the City of Orono for engineering consultant review costs in excess of a500; • 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; . Acknowledges the Escrow Agreement is completed and signed; • Understands 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 required by law. If you refuse to supply the information,the application may not be issued. ;;� • A�r�� ,��s�t�at westhe��, � �p�r� " �tt�s:thr�e� C�ic�;� �� is u � � �� . �� '1� -, y�. � �1 ea�'t�� :. ,,,�� . .,. � � , .. . �� ,� �rov�r�-�,+�p��.�a�b�ll��„�� "" .,� Applicant's Signature: Date: ��'� Z�� —�3 Owner's Signature: Date: Packet Last Updated: OM19/2013 Page 23 of 23 •PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDtTIONS Address/Permit Number: /�7 a 4 .SftOi7.�LiN'L—. ,Q/j I (t-Q Description of work: /')'ff}S�2 rC3r�-TL3 �,C:n'�Oc..2- Septic review by: Nl It� Date Approved: Zoning review by: Date Approved: Building review by: � Date Approved: 9" 3" 7��3 Grading review by: N�� Date Approved: oning District: ` Zoning File#: Reso#: Reso Date: 20 ' g: Lot Area: SF/AC Width: Lot Coverage: SF _% Surve Submitted: 0 Yes 0 No Date of Survey: Revised date ? : Pro ose etbacks: Front(Lak Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 fe = (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: The distan between the lowest FOR A BU! ING ON A SLAB FOUNDATION: START WITH proposed floo f the basement or crawl space)and the h hest point 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 HIPP ROOF(no • GABLE OR HIPPED ROOF(no windows): Subtract If the windows): Subtract half the distance distance between the hest point between the highest point of the roof of the roof to the low poi of the to the low point of the corresponding SUBTRACTION corresponding gable or hip d roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(w (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the high t window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF ES(flat, mansard,etc:No subtraction. mansard,etc):No s traction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance tween the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl sp e floor and the EXISTING the foundation. GRADES) highest existing ade adjacent to the GRADES foundation O 0 feet(whichever is less). EQUALS Defined building height EQUALS Defined ilding height Shoreland District MCWD Permit Received Avera e Lakeshore Se ack Met? Bfuff � Yes 0 No � N/A 0 Yes 0 No � Yes No � Yes � No � Permit Number: Setback: Stormw er Quality Existing Proposed Variance Required CUP Req d Overl District Tier Hardcover Hardcover 0 Yes O No � Yes 0 No Type(s): Type(s): Updated: January 2013 ^ '� G��6��— v:\forms�plan review checklist 2013.docx I� REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review �' State;Surchacge Investigation Fee SAC—�Numher of SAC Units Other(specify) Square Foota e $ er S uare Foota e Basement X = $ 15`Floor X = $ Znd Floor X = $ Garage X = $ Estimated Construction Value: $ 7S��00`� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/ Filling 0 ell 0 Hardcover Removal � Mechanical 0 Fire Electrical � Footing 0 Septic 0 Water Connection 0 Poured Wall � Fireplace 0 Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. Framing 0 Other(specify) � Insulation � As-Built Survey �'Final � 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 A rn �� X a � � O � � (A � � � � � � � -� ; ', Z �1. O O � 3 � � r z �i DRE59ER WLL �iGDJ. i FULL NGT,HNYaING iy.i_ �5N�v5 . . . • . _______" ________ ___________________"_____� ____ _________ w _____Q N � a � �b _ ��i N �� m u. ` - -t m t �A �z � � � ___ �� • • i ', A v" � m� � �i�___________ � � o! ._ �. N� o�, F��._ I;,�',,, � � �� Z �0 T 0 � A� �� R1LL NGT. �iAOJ. • i � � 'i i • D �i H/YY ING � • • /� � T • • � T n1 • n' � " p� /V i `___________� /V i _'_______'_ � (TI � � � � � � I'�� A . , O . . ' ��i' C� ''� � 3 . 3 �� - T ►;'� � ----, � . � ��a- J m _ �-- - A----, ¢ A p�0=zm A o��, ��BBA� � � r - - � � m�', i � G� e;, � � N W � � _ `_ _ � I I�I�`1"�'^}' = z'nE ]DPD . � � , �r � Z � • • Z �I� I A � -------- -- � Z -- - r \1/ c D 6'7• � p-j------ � � �rc � � • • D�, '�� P '� � N�� a �L!�/ � m�x � � zm � � i i � � X u i� ,.• IN — , � p z� � R f� O ' .. � A m �E., O , �. .__"__ _____"_____"� �— m O SpIEL �.. 9______"_�� 7 „�-� L 6'-e' � ]'-i0' I 5'-0' p � �� g � �� {� u; xg Cv� A ��_�. � (1_ � ' J � � � � C � °m °N REMODELING FOR < � mN mm JACOBS RESIDENCE � W A O A p � m � p� . N m � " . '� � ` ` 1700 SHORELINE DRIVE J ORONO,MINNESOTA ��K� � DA E � TIME CITY OF ORONO `—�LLED IN ��IL/� INSPECTION N TICE ` SCHEDULED �` PERMIT NO. COMPLETED ADDRESS ��f� OWNER TELEPHONE N . CONTRACTOR ��W - . � DESCRIPTION � d' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � �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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: �'�� •T- �a ` a�� W C oT r,�w�►�.�. �n r C�i vas.� -� GldS� - '' - �i�i .�'�a na� c�ba nec�`efl Q.�ij�,S. � o � �/�e � �ON.� Y4 c�o.� s6q�Ls '�7CO� Q Gq n t/2�'►-t OGe.f' �-h�4 S�.�ce at�ae� ��•�o•� � � C66 �r— - z - � fl�- -� �tt s � �'s�c — W � J GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �/�6RR�GTWORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O��❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING 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 ion 24 hours in advance. (952� 249-4600 OwnedC actor on site• �� Inspector. ' � White Copyllnspector's File Canary CopylSite Notice J-5 - ��' �� ✓ DATE TIME CITYOFORONO�'� CALLEDIN oz�/-/.� INSPECTION NOTICE SCHEDULED o?/3�'� /O' PERMIT NO�� " cOMPLETED ADDRESS 17D0 �r[��(.2�PJ �(i��2.[.!/`�� OWNER TELEPHONE NO. ��'�g"7�aZ CONTRACTOR � eS � DESCRIPTION �� "`�`� � ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RAD SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ F MING ❑ MECHANICAL FINAL ❑ PROGRESS � NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. �- � O � W � Q � 2 W � � W � � d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PEFMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � _� � � � �� X � � O i i � i i i i � i i � i i = i i /� 0 � � � O � r � z FULL NGT.N?JJCaING BENGH FULL NGT. � 3 � r o - N - � � � � m � � A A � v_ �� r FULLNGT.NANGING �� , m� O N� � � � o� ... � � m^ FUIL HGT.HANGING („�„� O � �_i;' �• � , 0 � 3 NEW 4g PD. 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Dm AD3 � rZ� \�� mm �O m� � b A D� �� D P _ € O "' � in Z m = m �..6. v �° -onT DDZ �m� N �. Nti o° A A r�.� � � � � m �� O y� D „ '1� '0 v Jl n m „ C6�, ° � � m �� - � �� X °� � � —} a c� $ � 0 � ' N m tn rn m � � �1 � � � E � � � W m \ I � r �— O O m3 1 4' �� rn m � o r � rn rn .- W. , , � 3 6 v� � . �y O v A m � _"_' m Bo m � o x D � v z m N � � O E (1 a1 @ � gDZ � mmN rmm 3 E m� �� Fm € / � N y � , o ; � �$ \m % D � 1'•10' �$ _. r yA O m Z� REMODELING FOR S '^C � � � �m JACOBS RESIDENCE o � m � � � T m � o' � � 1700 SHORELINE DRIVE ORONO, MINNESOTA