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HomeMy WebLinkAbout2016-00541 (addition) CITY OF ORONO * 2 0 1 6 - 0 0 5 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 1185 WYNDMERE RD PIN 26-118-23-41-0009 LEGAL DESC WYNDMERE LOT 003 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 175,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) INTERIOR REMODEL ONLY APPLICANT PERMIT FEE SCHEDULE 1,582.42 STREETER&ASSOCIATES STATE SURCHARGE(VALUATION) 87.50 18312 MINNETONKA BLVD TOTAL 1,669.92 WAYZATA,MN 55391 Payment(s) (952)346-2499 CHECK 103131 1,669.92 Minnesota State License#:BUIL-BC-001380 OWNER WLAZLO,TONY&MICHELLE 1185 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 St ilding Code.This permit may be revoked at an a or due cause TpqKcant P ee Sign ate Issued y ignature Date 0 City of Orono Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) T Mailing Address:�O2_ — r)vC 1 YO PO Box 66 Permit number: C�I L �11-I Iia-rt-* Crystal Bay, MN 55323-006Date received:�� c� Street Address: Re by: � �tL rc L�9G yG� 2750 Kelley Parkwa ( ��, p _ J� F` krS H O�� Orono, MN 55356 � I�- Total Fee: p, Main: 952-2494600 Fax: 952-249-4616 www.ci.orono.mn.us fffjjj [[ This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) p Job Site Address: I I gS ( yotY MERE- 'JZoA-D vJfrYzk r f! N Sa l Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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: ST(zF_LTE 2 A- Ar SScGIrfjT�� State License# e�c_—bot Stip Expiration Date: 3/3( Znr Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (,12 - 7"Z3--3re5g3 (office) 952--3q(a-Zif 9 Mailing Address: t 3Q- tMl00b;TQ A D> City: ,3AF ZETA ZIP: 55.3q Contact Person: ki`' 5cHi2o Applicant is: ontrac o / Homeowner (circle One) Email and/or Fax: k5c4%;ro Q GreehPr %omen-(ori PROPERTY OWNER INFORMATION: Name: T©n}Y > Mt(HE/.[ E fyLRZLU Phone (day): Address: f i$S W`fn,p,fn6;9,(= P=V" City: y-)1+yZAT-4 ZIP: . 39/ Email and/or Fax: PROJECT INFORMATION: Overall project description: �` �ecc__� 5F: ,i�yd Type of Project: Any earth movement may also require ❑ Doors Remodel MCWD review&permits: ( ) El Damage ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) F1 Re-roof, cedar 15320 Minnetonka Blvd ❑ 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.org Estimated Construction Valuation of Project (excluding land) $ / '75f000 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 thq information, tkpApplication may not be issued. Applicant's Signature: Date: 511&1Z0 Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 119L Jr(,v 4 `W evi- �[� Permit No.:2-01o' `&K*1 Description of work: Date Recd: Septic review by: /GC' mcg�( //`��7� Date Approved: ILL'hca Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning District: Zoning File M Reso M Reso Date: Zoning: Lot Area: SF/AC Width: Lot Covera e: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised dateM: : Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N E W ) ( N S E W ) Other Buildings Wetland ide Side Defined Height: Peak Height: F FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 500 = L.F. below grade Basement? 0 Yes 0 No, Stories ' FOR A BUILDING WITH A BASEMENT OR CRAWL SPACEFOR A BUILDING ON A SLAB FOUNDATION: The distance between to lowest p posed Slab at or above grade— START W ITH floor(of the basement r crawl spac )and measure from highest existing the highest point of th roof. START WITH grade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION GABLE O HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the dista ce from highest existing grade to the ROOF TYPE) between a highest point of the r f hi hest Mint of the roof. to the to point of the correspond! If you have a... gable hipped roof SUBTRACTION GABLE OR HIPPED ROOF • GABL OR HIPPED ROOF(with (BASED ON (no windows): Subtract half wind s): Subtract half the distance ROOF TYPE) the distance between the be en the top of the highest highest point of the roof to win ow and the highest point of the the low point of the roo corresponding gable or hipped roof • A OTHER ROOF TYPES(flat, GABLE OR HIPPED ROOF m nsard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtra the distance between the half the distance between (BASED ON basem nVcrawl space floor and the the top of the highest EXISTING highes existing grade adjacent to the window and the highest GRADES) found !on OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Define building height I I 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: 0 Yes 0 No 0 N/A 0 Yes 0 0 Yes 0 No No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf %and sf 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit Plan Review tf State Surcharge Investigation Fee SAC—Number of SAC Units l/ Other(specify) Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: �— Orono Inspections Required Work Requiring Separate Permits Footing 0 Site Plumbing 0 Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire 0 Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation PInsulation 0 Mfg. 0 Landscaping COR3 As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits O 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: October 2015 r\fnr c\nInn raviaui rharrklicf io_?n9Fi rinry C / DATE TIME CITY OFNO CALLED IN Z4_ INSPECCTIONION NOTICE r SCHEDULED ? „���,,,_` PERMIT NO. 1C`!( 12`CLT COMPLETED ADDRESS OWNER TELEPHONE NO. � CONTRACTOR LJI � d` c_ DESCRIPTION 6, 1 w ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT AFINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ 'TIC INSTALL OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: A w w o _ w Q 2 � cc LAj ❑WORK SATISFACTORY.PROCEEDROJECT COMPLETE Qc w ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. , White Copyllnspector's File Canary Copy/Site Notice � DTE TIME CITY OF ORONO CALLED IN 7-L —/v INSPECTION OTICE SCHEDULED 7�1 PERMIT N (� COMPLETED ADDRESS 14, OWNER 42 —TEONE NO.�Y�..g{pQ:'�lj�� CONTRACTOR `� "L 3Z DESCRIPTION ey2� W ❑ FOOTING [I DEMO.FINA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION QjjrFRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �t9N ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER=NTRACTOR TO MEET YOU:_YES cam., COMMENTS: /Pc /L - /�� ✓ /` `�� c � -- 11 e� Z - ��.�.- L-G • - ex.s2«s ��ss• -a� o _ � cc -Fo u ruQ•r�rsj, LL harlmf W !� Qcc ��Odr�� S�r4c a/�Gigp /b L_ � iGr c6�ZeJa c( 1 f OU rd a it ilk/.K �G•[ G f cZ � W ❑WORK SATISFACTORY.PROCEED L—C/rr'�� ❑ PROJECT COMPLETE QC ACORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTfON TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copynnspectoes File Canary Copy/Site Notice DATE TIME J CITY OF ORONO CALLED IN �` INSPECTION NOTICE SCHEDULED (t' PERMIT NO. 2.1711_41-(�5 ( COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR fY � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: cc 4n�-Kc G?x re-cle-leyC-)/m7eJ/ 0 W Q 2 W Z W QIzd W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc (PORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY W Y ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 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