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HomeMy WebLinkAbout2014 - 00738 - addn/remodel/repair • CITY OF ORONO II I 111111 II H : 1111 1. 11 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2120 WAYZATA BLVD W PIN : 34-118-23-24-0001 LEGAL DESC : UNPLATTED 34 118 23 -� LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR \ °/>6 PROPERTY TYPE : RESIDENTIAL U �/ CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,000.00 ;r NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) ; INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 413.00 PLAN REVIEW 268.45 ERICKBOBOLINK BRAD STATE SURCHARGE(VALUATION) 12.50 2486 2486 BO RD TOTAL 693.95 MEDINA,MN 55356- (612)490-2371 Payment(s) CHECK 693.95 OWNER ERICKSON,BRAD 2486 BOBOLINK RD MEDINA, MN 55356- 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 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /G #411.0111. 7 / 7 / / / /f Applicant 'ermitee Signature Date Iss By Signature Date . r , City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc. 2 �O�V Mailing Address: Permit number: DID/ 1 2 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 7 Street Address: Received by: 4'1 L 0 A �` 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 ��K@SHc�� Total Fee: fi C,�j3 gs 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 pr. t) v GENERAL INFORMATION: Job Site Address: t 1 2 lA (it)e. /g(k U J G Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Plislo 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-permitted events will not be allowed. CONTRACTOR I APPLIgIT INF RMATION: / Name: T Ertc�Sp n State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructedr� prior to 1978 Phone: (cell) 672 7 9 0 2_3 -2 (office) 163 ({7 3 35(9 9. Mailing Address: A y$ , ged06(r„k jet/ City: ,47-,,, 4 he ZIP: 5-5-35-6Contact Person: 'r Applicant is: Contractor' / Homeowner (circle One) Email and/or Fax: e rt. .SQ,., .9 y jov . Cc:,-)✓A- PROPERTY OWNER INFORMATION: / Name: 7'rct E rfcicLSori Phone (day): C/2 if 5'0/ .23 7 ( / Address: .2t18 rn / ee.04 k 40/ City:J 7 4(� ZIP: S5 y3-6, Email and/or Fax: 0 . 7G 3 ct 3 0 1c PROJECT INFORMATION: Overall project description:_ Ty a of Project: 4 Any earth movement may also require oor(s) emodel Fire Damage MCWD review&permits: El Re-roof,asphalt Repair )0 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd 0 Re-roof, cedar aestoration OWater Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) 411Siding , )Other: (specify) Phone: 952-471-0590 f--- fi Fax: 952-471-0682 OV1/indow(s) PLS www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ,2 S[- 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 this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the informs' t),••.lication ma not be issued. Applicant's Signature: Date: 7 1 Owner's Signature: —, - ' Date: 7/77 /y Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: Zt Z0 (A) W Arima-•7Vl, /L....i 6 Description of work: a-eYhA 0 CZ Septic review by: At /A Date Approved: Zoning review by: / Date Approved: Building review by: (Gk., Date Approved: / -Z-0/4( Grading review by: //4 Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: ing: Lot Area: SF/AC Width: Lot Coverage: SF —°/ Surve, Submitted: ❑ Yes ❑ No Date of Survey: Revised date(?): Propose. -etbacks: Front(Lake Rear(Street) ( N S E W ) ( N S E W ) Other Buildi s Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 ••et= (Existing Contour) Perimeter(linear feet) = 50% = #of Stories Ok? ❑ YES FOR A BUILDING WITH A BASEMENT OR - - •WL SPACE: The distance:: een the lowest FOR A BU DING ON A SLAB FOUNDATION: START WITH proposed floor(o he basement or crawl space)and the high: t 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 HIPPED 'OOF(no • GABLE OR HIPPED ROOF(no windows): Subtract hal e windows): Subtract half the distance distance between the high:-t point between the highest point of the roof of the roof to the low point of •e to the low point of the corresponding SUBTRACTION corresponding gable or hipped :•f 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 top of the between the top of the highest highest window and the highes window and the highest point of the point of the roof roof • ALL OTHER ROOF TYP•. (flat, • ALL OTHER ROOF TYPES(flat, mansard,etc No subtraction. mansard,etc):No sub •ction. _ : _ ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance be• een the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl spa : oor and the EXISTING the foundation. GRADES) highest existing gr•.e adjacent to the GRADES) foundation OR %feet(whichever is less). EQUALS Defined building height EQUALS Defined bu •ing height Shoreland District MCWD Permit Received Average Lakeshore etback Met? Bluff 0 Yes 0 No 0 N/A 0 Yes 0 No 0 Yes 0 'o 0 Yes 0 No N N/A — Permit Number: Setback: Stormwate• •uality Existing Proposed Variance Required C • Required Overlay i'strict Tier Hardcover Hardcover ❑ Yes ❑ No 0 -s ❑ No Type(s): Type(s): Updat-d: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge 4,/- Investigation Fee SAC-Number of SAC Units Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Z5, O00 0- Orono Inspections Required Work Requiring Separate Permits Required State Permits D Site Plumbing D Grading/ Filling D Well D Hardcover Removal Mechanical D Fire , 1 Electrical D Footing D Septic D Water Connection D Poured Wall 0 Fireplace 0 Sewer Connection D Foundation Survey 0 Masonry 0 Lawn Irrigation 0adon Rock Bed 0 Mfg. Framing 0 Other(specify) Insulation 0 As-Built Survey Final D Wetland Buffer D Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: D YES D NO New: D YES D NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx November 4, 2014 Memo to: Finance Dept. From: Lyle Oman building official Re: Plan Review fee refund On July 14, 2014 permit#2014-00738 was issued to Brad Ericson at 2120 West Wayzata Blvd.The work was not done and the owner is disputing the validity of the fee. After consideration staff has decided to return the fee. Please submit$268.45 to Mr. Erickson.Thank you. *iORIGINAL lffitiffi r BRAND t .. a ;, • -. • E, , - -_ VI ° 1 i , . , 0 R .I Q :� N • 0 ' /�� ,: 0 4 , , • I Cr • __ • • Q 1'V 1111141111' ' • ` O 1 1 , "1 • CD G =, t ' Er p. (23 film (1)- o A-0 . I / _ 0 0 r 2 I m . oZ gli .. , `i'-- 3 N0 z �+ m ClilN lir .iKm,• • Q ' 7m ©- 71 r n 'I"- Fli * irb .! 2Cj� '�.Cs — Lyle Oman From: brad erickson [ericksonbrad@yahoo.com] Sent: Friday, October 17, 2014 9:49 AM To: Lyle Oman; Daniel Schleck; Andrew Mack Subject: Refund request for 2120 w wayzata blvd Lyle, per our conversation I am requesting a refund of the site plan review fee paid on July 14 2014 while picking up a remodel permit.A sketch of the existing interior layout was delivered, however I am certain that does not constitute a"site plan review". Please submit the refund amount to Orono Station West Llc. 2160 W Wayzata Blvd, Long Lake, MN 55356 Also feel free to call me with any questions at 612-490-2371. Thank you in advance Brad 1