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Home My WebLink About2015-00326 - addn/remodel/repair . � CITY OF ORONO * z 0 1 5 - 0 0 3 2 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1480 GREEN TREES RD PIN : 11-117-23-23-0016 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) REMODEL APPLICANT PERM[T FEE SCHEDULE 433.65 PLAN REVIEW 281.87 THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 12.50 2073 WAYZATA BLVD. W. #50 WAYZATA, MN 55391 TOTAL 728.02 (952)475-6777 Payment(s) Minnesota State License#: BU[L-BC128144 CHECK 15161 728.02 OWNER WILLSON,CHRIS& SARAH 1480 GREEN TREES 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 Ciry 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 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 aze reques[ed in conformance with the Sta[e Building Code.This permit may be revoked at a}ry time for due cause. . ,�/' /' :;��' �.�� "/� � ��c� � �as �� p ic t Permitee Signature Date Issued y Signature Date � ,, , � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, r�-�°•�: �:c. — !VO STRUCTURAL EXPAN� �T MailingAddress: Permitnumber: �� S -� c�j � ��VO� �'U Box 66 q Crystal Bay, MN 55323-0066 Date received: 3 �� 6 -"�S I Received by: �.-� ^ ,� y Street Address: � y � 2750 Kelley Parkway pi�„ roti,io,r,foo; 'G�i� %�Z� G�'�� `�tq �,�' Orono, MN 55356 KfS H�� I Total Fee: `7'� p� , I Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J This application form must be completed in full and all required information must be submitted. �r,�S y 31iq��s Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job �ite Address: 14�u Green �Trees koad Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No !f yes, a special event permit is required with Potice Department and Crty Council approval 60 days pnor to the event. Shuttle bus servrce will be required unless applicant demonstrates su�cient on-srte parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �' Name: Thomas Bren Homes, Inc . State License# BC12 8144 Expiration Date: 3/31/16 Lead Certification Number: NAT-1018 5 5-1 Expiration Date: 2/2 9/16 (for work on homes that were constructed prior to 1978 Phone: (cell) 612-7 5 9-5 610 (office) y 5 2-4 7 5-6 i � i MailingAddress: 2073 Wayzata Blvd W City: Long Lake ZIP: 55356 Contact Person: Tom Bren Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: tbren@thomasbrenhomes .com PROPERTY OWNER INFORMATION: Name: Chris & Sarah Willson Phone(day): Chri s 612-3 8 2-7 4 9 2 ;,��,��,_ �;�y: z��: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: � Any earth movement may also require I ❑ Door(s) �J Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) I 18202 Minnetonka Blvd ❑ Re-roof,ced�r � Restoration ❑JVater Damage Deepnaven, Y1N 55391 ❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-A7�-0582 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 2 5, 0 0 0 . 0 0 APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information suaplied is true and correct to the best of his/her knowledqe. 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 altemative 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 req�aired by law. If ou refuse io su i ine informafion,ihe a licaiion ma noi be issued. Applicant's Signature: Date: 3-19-15 - Owner's Signature: Date: Last Updated:January 2015 �LAN RE�lEtIV CHEGKLIST FOR I�IEV1l STRUCTURES / I�DDITIONS Address: l� �� `� �-'- S� Permit No.: '�o�- Cao 3 L L Description of woric: �ce-��- Date Ftec'd: �"��+ � r� Septic review by: /"'°�� Date Approved: Zoning review by: /v/� � Date Approved: Building review by: Date Approved: �P 'g ' � , � Grading review by: _ �rf r4 Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoni : Lot Area: SF/AC Width: Lot Coverage: SF % Survey S mitted: � Yes � No Date of Survey: Revised d te ? : Proposed Setb cks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Ot Buildings Wetland Side Side Defined Height: ak Height: FFE: FF minus 6 feet= (Existing ContourJ Perimeter(linear feet) = 0%= L.F. below grade #of Stories �. � 4 FOR A BUILDING WITH A BASEMENT OR CRAWL S CE: F �t A BUILDING ON A SLAB FOUNDATION: The distance between the west proposed The distance between the top of � START WITH floor(of the basement or cra space)and START WITH slab and the highest point of the the highest point of the roof. roof. ' If you have a... If you have a... � • GABLE OR HIPPED ROOF( • GABLE OR HIPPED ROOF (no windows): Subtract half windows): Subtract half the istance the distance between the between the highest poin f the roof highest point of the roof to to the low point of the c rresponding the low point of the SUBTRACTION gable or hipped roof� � corresponding gable or (BASED ON . GABLE OR HIPP ROOF(with SUBTRACTION hipped roof ` ROOF TYPE) windows): Sub act half the distance (BASED ON • GABLE OR HIPPED ROOF between the p of the highest ROOF TYPE) (with windows): Subtract � window an the highest point of the half the distance between roof the top of the highest • AL�HER ROOF TYPES(flat, window and the highest ma sard,etc):No subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtr ct the distance between the (flat,mansard,etc):No (BASED ON ba ment/crawl space floor and the subtraction. EXISTING hest existing grade adjacent to the ADDITION Add the distance between the top GRADES) oundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Defined building height EXISTING rade adjacent to the foundation. GRADES 4' EQUALS De e d building height Shoreland D' trict MCWD Permit Average Lakeshore Setback BI Met? � � Yes � No Permit Number: O Yes O No 0 N/A � Yes No 0 N/A—see attached Setback: �, Stormw er Quafity Existing Hardcover Proposed ;, Overlay District o Hardcover Variance Requireci CUP Required ` Tier circle one (/o and s� %and s � Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\formslplan review checklist 2015.docx RENIARI4S (in-house): Fees to be Ghar ed YES I�O Permit �i"� Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 15t Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ ��6 �� Orono Inspections Rec�uired Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/ Filling O Well � Silt Fence/ Erosion Control Mechanical 0 Fire �Electrical � Hardcover Remova► � Septic � Water Connection 0 Footing � Fireplace Q Sewer Connection � � Poured Wall � Masonry � Lawn Irrigation � Founclation Survey 0 Mfg. � Landscaping Q Foundation Waterproofing � Other(specify) 0 Radon Rock Bed �Framing Insulation �s-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx d� y��O J ��DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � PERMIT NO. ��Jr'—�3 a�, COMPLETED ADDRESS '�� OWNER TELEPHONE NO. CONTRACT�R � � /`� ��,�'a�✓g s��o � DESCRIPTION � ❑ 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 _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � 0 �. � 0 � W � Q � 2 W � W � J d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advan . �9 ) 249-46�0 OwnerfContractor on site: Inspector. White Copyltnspector's Ffle Canary CopylSite Notice y�� /. ATE TIME CITY OF ORONO CALLED IN `� INSPECTION NOTICE SCHEDULED U ! /.�T� PERMIT NO. 0�.��5�U�3�I� COMPLETED ADDRESS l� d � �//L�s � OWNER TELEPHONE NO.�-�J5Q— �G�d � CONTRACTOR � �J a DESCRIPTION 7- * i� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: c`cc. �y ' �(� " �6 '�S� a �� aX� •s � .3 b�,�.�s ,�. �f J �l`S� (.�SS C� W C/t✓r y � �...-•-.Pc��s.:, _ O _ � � r��a�fSEa� � 5e� ��.� 4i �sc�sS�� ° res�, Q�, - W � Q z �'dr�cC.� y 6K fo Gou�� W � W � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � �..-- "7�� —, White Copyflnspector's File Canary CopylSite Notice