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HomeMy WebLinkAbout2016-00576 - addn/remodel/repair CITY OF ORONO * 2016 - 00576 * 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1150 WYNDMERE RD PIN 26-118-23-41-0013 LEGAL DESC WYNDMERE 2ND ADDITION LOT 1 BLOCK 1 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 70,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 873.52 WATER STREET HOMES,LLC STATE SURCHARGE(VALUATION) 35.00 1161 WAYZATA BLVD E TOTAL 908.52 Payment(s) #208 WAYZATA,MN 55391- CHECK 8203 908.52 (612)850-4002 Minnesota State License#:BUIL-BC390906 OWNER KRUESEL,JEFFREY&SHEILA 1150 WYNDMERE RD 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 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 cau Applicant Petmitee Signature Date Issued By afore Date City of Orono �� �• Building Permit Application for Maintenance / Replacement/ Remode — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) OA, Mailing Address: Permit number: a?_o/ - �,D,S !VO PO Box 66 5 Crystal Bay, MN 55323-0066 Date received: Street Address. �(/�` 0 Received by: `yup 2750 Kelley Parkway Plan review fee: 7 F L `9kESH0�� Orono, MN 55356 b oi�- oa s7S 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: Job Site Address: /,. 5-0 wy, p ni 4F/e-f�' wa/7-p Will this be a Parade of Homes, Remodele s 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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /t 5T2 ef_r LLG State License# 4 C 3 Qp 9�1� Expiration Date: Lead Certification Number: 1Vi?7✓: Z9<c+3� 2_ 7Y-FRIc AJ �.v7-:Expiration Date: Zg2o,Zc, (for work on homes that were constructed prior to 1978 Phone: (cell) Z a 7-0 r0 0 Z (office) Mailing Address: ( Q a cit : ZIP: Contact Person: tc L Applicant is: Contra / Homeowner (circle One) Email and/or Fax: lc 3' V✓/)� � j'�/y/Fj C o�-v. PROPERTY OWNER INFORMATION: Name: 1jt$�(G ef- ,Fara Phone (day): g Y-2 9 X41 1(4- Address: (( w(ImJ/1 w O✓40 City: ,O/�a,'J (D ZIP: .s'j'�}'} Email and/or Fax: SV-RRuti5 EL (I "90LJ a_T . LAr-- PROJECT INFORMATION: Overall project description: Type of Project: EK Any earth movement may also require [v"Door(s) LK Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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(excluding land) $ R'?0, ©CFO 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 cvnually update our records and records of other governmental agencies required by law. If you refuse to supp!y the.int@OatiorxYe application may not be issued. Applicant's Signature: Date: Owner's Signature: � Date: 1/22/11, Last Updated:January 2016 /� lel(` 11(e PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: LR CeI°/ Permit No.: Description of work: JS ( /�r'l��tek ��/✓1 X76 Date Rec'd: Septic review by: Date Approved: k( Zoning review by: Date Approved: Building review by: Date Approved: l Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot C erage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 es 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland Side Side Defined Height: Peak He ht: FF FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade Basement? 0 Yes 0 No, S or FOR A BUILDING WITH ABASEMENT OR CRAWL SPAC : FOR A BUILDING ON A SLAB FOUNDATION: The distance between thA to st proposed Slab at or above grade— STARTWITH floor(of the basement or a space)and measure from highest existing the highest point of the roo START WITHrg ade to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION GABLE OR HIP D R OF(no Slab below grade—measure (BASED ON windows): Sub act half he distance from highest existing grade to the ROOF TYPE) between the hi hest poin of the roof highest point of the roof. to the low poi of the co sponding If you have a... gable or hip d roof SUBTRACTION GABLE OR HIPPED ROOF • GABLE O IPPED ROO (with (BASED ON (no windows): Subtract half windows): Subtract half the istance ROOF TYPE) the distance between the between a top of the highe t highest point of the roof to window nd the hlghest point f the the low point of the roof corresponding gable or hipped roof • ALL HER ROOF TYPES(fl t, GABLE OR HIPPED ROOF man rd,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract t e distance between the half the distance between (BASED ON baseme crawl space floor and the the top of the highest EXISTING highest JxIsting grade adjacent to the window and the highest GRADES) foundatibn OR 10 feet(whichever is less. point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ ❑ Yes ❑ No No ❑ N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one %and sf %and sf ❑ Yes ❑ No Cl Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit (/ Plan Review State Surcharge I' Investigation Fee SAC Number of SAC Units li- Other(specify) Square Footage $ per Square Footage Basement X = $ 1 st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 70 Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control ❑ Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Septic ❑ Water Connection ❑ Foundation Waterproofing ❑ Other(specify) ❑ Fireplace ❑ Sewer Connection Framing ❑ Masonry ❑ Lawn Irrigation Insulation ❑ Mfg. ❑ Landscaping ❑ As-Built Survey ❑ Other(specify) Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 7Afnr c\nInn rn%Apw rho.rliet 1n_9n1.;rinrr I J4 �✓ DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE HEDULED OP PERMIT NO. �9MP ETED ADDRESS OWNER TEfEPWYE NO. �-- CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ 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 ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: E7lec, f3 -1 j � P�or•4� rlo�t ��•j .,/� groat t,yr.0or 5�•e/ LQ Q —�P��v r•,�G H?jP�fi• �� !K SO�ror- Gralr�sf � Lpf rec, -� ✓ �/1. W j d WW ❑WORK SATISFACTORY:PROCEED El PROJECT COMPLETE �CQRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ✓❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. Q I r"" White CopyAnspectoes File Canary Copyr4ite NotIce "j- Set` Dy�TE /� TIM CITY OF ORONO CALLED IN / INSPECTION N I�j SCHEDULED — (O PERMIT NO. �` �57COMPL ED ADDRESS �� Q OWNER EL P O NO _o �-- CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q [1 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 ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vdi COMMENTS: a " J O QC O 2 W Q 2 W W C d d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (9 -4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopyWe Notice