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2017-01400 - remodel & windows
, CITY OF ORONO * z � 1 7 — m 1 � a 0 * I 2750 KELLEY PARKWAY DATE ISSUED: ll/06/2017 ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS : 2070 SHORELINE DR PIN : 15-117-23-21-0005 LEGAL DESC : HARTWOOD : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 225,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) REMODEL REPLACE WINDOWS APPLICANT PERMIT FEE SCHEDULE 1,89'7.42 F&B CONSTRUCTION STATE SURCHARGE(VALUATION) 112.50 1743 17TH AVE S TOTAL 2,009.92 SHAKOPEE,MN 55379- Payment(s) (952)445-6604 CHECK 59654 2,009.92 Minnesota State License#: BUIL-BC4327 OWNER HIRSCHMANN,MARK&KEELY 2070 SHORELINE DRIVE 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion authorized is no[ 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 cequired inspections aze requested in conformance with the State I3uilding Code.This permit may be revoked at any time for due causy, � �� � � �� ��� � � , , ;� �, ���;� il ,C� �l �A icant Permitee Signature D Issu By Signature Date �-��O C ITY OF ORONO � �, Street Address: Mailing Address: Telephone(952)249-4600 y�r G� 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 `�kESH��� Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us � ' City of Orono �uilding Permit Application ft�� Nevw �tructures or Additions �� Mailing Addr�ss: , . Permit number: G � - C/t t.:t� �/ ���� ���BaXBay, MN 553 -0066 9 Date received: ID- �-)7 ��y,'�� St�eerAdd�e�s:' � 00� Received by: `�. y� ,� ��"� -.-;:0;:�I.ey Parkway �� Plan review fee: ���1 ;,` urona fvi� 55356 ���3. � - (941SH�)��-' ` MGin 952-249-4600 �O 1 o t 39 �� \`-�.f Fax: 957_-2_49-4616 �.�;��,��,.-rr��s Total Fee: �O 1 "7 —O /�-,�O ! ':P is���lic�iion form must be completed in full and all required information must be submitted. Incorzt�!Ete ac;alications will be returned. (Please print) GENER� _. .::���-�� rt:y��:�: Job Site A��_:::rt?s�,� Z,6 70 (n�,r�., rL �r<uz. Will this b� ?�ru:�_ �r -omes, Remode;e;s Showcase Home or other Display Home? ❑ Yes No If yes,a speci�, a�c pe r„�-�s�:�iuuPa wir.r�Police�eoar.ment and City Council approval 60 days prior to the event. Shuttle bus service will be required unless a_:oi:can:a�monsrrates sutfi�ienr on-sire parKing is available. Non-permitted events will not be allowed. CONTRA : _ . _ `" i:i.fORlili�:1 iJf�: Name: �+ ��.c�..s ��c���:o., c�.�� State Licer=- l�_3_��____ _________ Expiration Date: 3 3� Z o � Phone: --'--� I Z-_3 8 6 -�3 3 S (office) c�7S-Z- �l N J — � �, Mailing Ac�:.- �����7� .L_ _ Cit : z�P: S`S 3 7 9 Contact Pe. �'�.;}-Z _ ��_ Applicant is: ontractor / Homeowner (Circle One) Email ana�or �, _��m���� 6 �n��c.� - C.�� PROPEi��,� _ , . -�.,��. - .. _..�,v.�_...,... Name: ���,.� _ �- � _ �-�,�r S�-��4h� Phone(day; _�j Z_-�qS�Z3 Address: �'7� Ho.�i•���r, Clty. D��M J ZIP: rS3� r Email and/o �tc,i�1�;��.i�r�,c,,•,_ Lzw. ARCHITEC' -;��r�,�'^,�=c� s�riaR�Ui,4TION: Name: Phone (dc�� Address: City: ZIP: Email ana/c: w,,. PROJECT =�'?� `�`��` � w ��es�ription of proiect: --- - --- - 1.Type of^� : _ �. �rcaosed Use 3.Structure Type 4.Sewage Disposal& � Water Supply ❑ New Cor.:.� : . ��rgle Family with ❑Accessory Bldg./Garage ❑Addition � `attached garage ❑ Deck ❑ Public Sewer ❑Accesscr � ❑ Single Family with ❑ Office/Commercial ❑ Reloca�lc,r ' �e*-ached garage Residence �Private Sewer �Other !::_- QMp_ [.� � 'Jluitiple Family/Condo �Retaining Wall(s) ����� (�;��wS ^� Public 4-feet or greater ❑ Public Water ""Any earth -� - _ . , .�c;uir� � Commercial ❑ Storage MCWD rev� �: �"i Industrial ❑Warehouse [�rivate Well Minnehaha c n�ztF � �:r,c�;Mc���1�; ^ Othec (specify) ❑ Other(specify) 15320 Minne�� _ _ .. Minnetonka,i i.! ,-.. — -� Phone: 952 -. . Fax: 952-47':-L�, ' unvw.m�rtnehahaqeek_or�U Estimatec : ..: :,-. ,,�;:clud �,� !a,-,d� $ Z Z.S�Ou.� UC� �� Packer�<: : :; OF ORONO Page 21 C+�TM "STRUCTVy�.:: ::_._:::_< :_�=.:";�:�: � 1.StructurE� :.:Wrs;J:.� 1.Structure Dimensions(continued) 2.Type of Construction .�/�- � �1�- a. Length(ft.;= _���"_ ' Number oT bedrooms= 1"� �C�`���{��y ��L` i ood/ rame� b. Width (ft.)= _ `7�v '; Number of garage stalls: 3 ❑ asonty 3 - �� d� �c����%� � . Areas in so�.:�.: - Ait��nee = ❑ etal' � -- _ _ - ❑ P �Bldg. �.-��-��/(-� / c. Basemert= 1"�y� '�etached =_ G � ��� C�(�! % � /��j �l� d. 1St Story = Z.243__ '' '. ❑On�si Prefab e. 2�d Story - ��.�Y°a Off-�ite refab f. '/2 Story �_ __ Other�(gl ase specify): g. Total Are�- 4�z 3$_ REQUIR� ���' -_,W°�.�_�; All of the :� -, =t��� must be subrr;;tte� in order for your application to be processed: � Not Enclosea � ".;��:licabie ❑ f, Buildi.no Permit Escrow A reement and Fees p ❑ ' Plan ;�eview Fee ❑ - ; Com leted A lication Form ❑ � �rc�c::ec: 3ui!d n Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ r� Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ �^ Survev-2 fu!I size, to scale meetin ALL surve re uirements ❑ ' -lardccve;Calculations ❑ �e�tic S ster:� Certification ❑ lllirn2h:a`?a �reek Watershed District(MCWD) Permit or �cc::�^��'atic^ 'rom MCWD statin no ermit is re uired ❑ _ands�a�2'��,'a!Is and/or Retainin Wall Plans ❑ S!cr^-.�Nater Po!lution Prevention Plan SWPPP � ---- -=— ^-.ccess Pe•�.�t ----=- " ❑ � �ata �'�n���r���Advisc Form / APPLIC�_;� � � r� �� Y,rKn�����,:��� ,�.;_�!T: • q5re��*^ ;-^: : = �: ;�:a�^^ati^r;req:�ired cr requested by the Building Department; • AgreE�xt o�y ,r:��.ity ofi Or�x�a f�r er,�i�eerir�g co�sultant review costs in excess of$500; • Cert' -a _ �a: �r�e inr.;:ma�lon s,,eoiie� �s�rue and correct to the best of his/her knowledge. The applicant recognizes that they are sc'E: - � T � �. _ _ _ _�r!ication being aware that upon failure to do so, the staff has no alternative but to re;e�- ' ,;,r�� �i,�c�-�nle+= • AcKr,;�,^�,�ues t�-�e �:=�cro�.�: .�� ��r�e� _ _. ,c�pletea ana signed; • Urde;s_:r:s :c�= ;�al! of;ha infcrmaUon tnat you are asKed to provide on this application is classified by State law as either pr:��.:: -;� , , c�i.,:';. '�rivate data :s information which generally cannot be given to the public but can be given to the subject of th_- >! ;:a � ,�far-� ':� � .,' i,:h generally cannot be given to either the public or the subject of the data. Our p��~�,::��,_ � -w ,`�-,:::� _��,e of this inrcrmation is to annually update our records and records of other governmental agencies rea.'r�� �, ��;�;. �t .,.��� ��fuse to supnly t'�e ir.formation, the application may not be issued. • Ac.� :E��t� i�� t!�e �=vc�i�t. zha4�n�eatheF�or Qtiher conditions prevent the completion of an as-built survey at the time the C^�^'- ��.te c�+ C'cc�.r�r�i�c1+ �� req��estecl, a .*er.rporary Certificate of Occupancy may be issued upon receipt of a $10,000 es�- cr:;*�.��•��-^i����'�*G�^iz of t�e �s�t�«�It sun�ey and all site improvements. -�-�- c.��S�,�..4-.r. • ApplicanYs �I ��� Date: ��-Z�- (7 �S Owner's Siy_� ____��_�� �ate: Packet Last ur,<:-. Page 22 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ��� J�r��� �• Permit No.: liJt 1 "���� Description of work: �/�1��(�J�' ����Go� T ���� Date Rec'd: ��'�'�� Septic review by: Date Approved: �� � Zoning review by: Date Approved: Building review by: � Date Approved: � � Grading review by: i`'�,� Date Approved: Zoning District: ��!"'� Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA Zoning: Lot Area: . Z SF AC Width: Structural Coverage: SF % Survey Submitted: 0 Yes �o Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes Landscaper: � No/ ne propose Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildin Hei ht Anal sis: Distance Between First Floor and defined Top� (See"building heighY' � � � definition : a First Floor Elevation from buildin I (b) / Highest Existing ground level er survey)or 10' above lowest ground level, ��� whichever is lower: Difference between and c ": (d) DEFINE EIGHT 'If hig t existing adjacent grade is above FFE-Height is(a)-(d): 'If ' hest existin ad'acent rade is below FFE-Hei ht is a + d Shoreland District MCWD Permit Average Lakeshore Setback gluff Met? �Yes � No Permit Number: � Yes 0 No � N/A 0 Yes � No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s � O Yes � No � Yes � No / 1 I 2 3 4 5 Type(s): Type(s): l./ Updated: June 2017 z:\forms�plan review checklist 06-2017.docx � a 1 j , Fees to be Char ed YES NO Permit Plan Review State Surcharge (/� Investigation Fee SAC—Number of SAC Units �l./ Other(specify) �- S uare Foota e $ er S uare Foota e Basement X = $ 15' Floor X = $ 2nd FIoO� X = $_ Garage X = $ Estimated Construction Value: �„�� G,�i ��G � Orono inspections Required Work Requiring Separate Permits � Footing 0 Site �Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control Mechanical 0 Fire 0 Foundation Survey � Hardcover Removal � Fireplace � Water Connection 0 Framing � Other(specify) � Masonry 0 Sewer Connection � Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation � Foundation Waterproofing 0 Other(specify) � Landscaping Framing 0 Septic Insulation 0 As-Built Survey �Final 0 Lathe Required State Permits 0 Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. �' Updated: June 2017 z:\forms�plan review checklist 06-2017.docx DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: .. ";nE inrc��mation you furnish will be used to determine your qualification for the permit or license ,��q u�stEd. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. Tne ;nformation may be shared with other local, state or federal agencies to the extent necessary tc Nrocess tne permit or license. 4. !r your requested permit or license requires Council action to approve, some information may becomz public. ;,. Y�„ ;�a��certain rights under Minnesota State Statute 13.04(see following page)to review private ua_� �r, yourself. c- Yeu�;u11 name is required to process this application or permit. .�.�./� C�s-���,��,� ��u ��; ` /�.,,�.,.- /���..1�-► F�rst �-t-� �1�_����Middle Last 1�u� �7� �9�-�- �. Aadress 5��� ,�N �� 3?`� City State Zip Phone � ,anuers.u�:�, my �ights as stated above. J;t�rlai�.11C � 1) ��,'�r� RECEIVED Packet Last Updated: August 2015 OCT 26e�w� Page 7 C1TY OF ORONO � Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. � Completed Application ���� Plan Review Fee Paid � � Signed Escrow Agreement & Escrow Payment , \ Building Plans (to scale) x2 Certificate of Survey (to scale) showing the proposed project & meeting all requirements x2 Hardcover Calculations (if applicable) I am aware that Orono will not issue a building permit without a copy of MCWD permits (or documentation from the MCWD stating the proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0590 re is roject.-���Cv.�sfi�.�,�,���-,�- . Signed by: ,J�-�. ���,� . Address: �D�l D � �� Permit #: �p �7 --O I �}-DO Packet Last Updated: April 2016 Page 2 . / (�/` - J � 5 / — DATE TIME CITY OF ORONO CALLED IN — INSPECTION N IC �,/,., SCHEDULED � !/-/7 � PERMIT NO. 7Y''� PLETED ADDRESS 7 D �� V`-�- OWNER TELEPH NE NO —� CONTRACTOR �� - , � DESCRIPTION � r 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ LATHE ❑ 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 ❑ SEPTIC INSTALL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �rdv c�� ��p�rOv�Q '3 F�.•�ev�•� W �r , ' � ' �. � I ubS /�4.O.t•r- ,�e✓ crt ���lG�e✓r�cs � ,�oJ ��DlJl�d� �SG/r�JS /��' D' � - Di'L , � <<j rsfi2/'e� � �/� ,OC�. �. O � ' � � �rvv ��O c brir�,..�Fic.�-�s�- 5{�i� �K a,x.c��.rs W °� �� A�lt�e, G�e.� d ✓tD�%/�e.Q �r ►'►'LQ�-fi.=T. Q Z �o_�.�D,T�y� rl�rli oc 6 " — � W � j O W ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT YYORK�LL FOR REINSPECTION TEMPORARY V BEFORECONERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR O CITATION ISSUED /�J�FSPECTION REQUIRED_CALL TO ARRANGE ACCESS. v Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ��H"� � YVhits Copyllnspector's File Canary CopylSke NoNee i' —�_.._ __- — - - --- - - ��--__ � � . �� �, ��(��4C,�� G��� �.J�yvJ'U�..�� �Ve�.i� �, 1 � � / �-• 1�-4nov�.s Ccw.'ES�c.ws cu �to�l�-C,t--� �' � `�� 3. �L�.��..� a v Pt�.,.t:.� �:k�4..�f :+ � � '� �I. (2C a�'✓�a.�.r•�.s!v �-� �. - S', Mw�- �-:� � � � � r :c.,�,� � , � �.� G . 0�v�.•� �-��k' /��c�. �' ye.-- ;� �., � — �, � � �: : — - � " _ =-_ -_ �'; ? � —� 'T..na/rrnn.oi..[� I� l , � � � ., \= -�,�>ti 2.����h �.yWo �,S�w.� RECEIVED �� � _ � 9 r �� i t �- _ - , _ '� ��„�.�s �W�:������. OCl'� 2��6 2U�� ` �. _ �, . � _-- �� __ ;� :i ;� -- "_ l �- � — — — = fi �� b. CITY OF ORONO �i ---� ,� 1 - ,� ' _, ��=� �� '—��� ��'_� �� _ •v,p S�o��,� 'i�� �_ ���' �, — b2.�. ���7�.�.1 ;i _ - aL _ I �-- ���.` � , I P�t- � � , I 1 �1 f � li,� �j � , I-1 w� .�UOI�.JS ±' '� �_ � I ., . 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