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Home My WebLink About2017-00010 - addn/remodel/repair CITY OF ORONO * z 0 1 7 - 0 0 0 1 0 * '' 27�0 KELLEY PARKWAY DATE ISSUED: OU12/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1025 HERITAGE LA PIN : 10-117-23-13-0008 LEGAL DESC : FOXHILL : LOT 002 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 649-ALL OTHER BUILD[NG&STRUCTURES VALUATION : $ 21,250.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) REDECK AND NEW RAILS AT DECK APPLICANT PERMIT FEE SCHEDULE 387.20 STATE SURCHARGE(VALUATION) 10.63 BOYER BUILDING CORPORATION TOTAL 397.83 3435 COLINTY ROAD 101 MINNETONKA, MN 55345- Payment(s) (612)475-2097 CHECK 051642 397.83 Minnesota State License#: BUIL-2988 OWNER BYRNES, STEPHEN&PAMELA 1025 HERITAGE LA 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 goveming this type of work shall be compied with whether or not specified herein.This permit will ezpire and become null and void if construction 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 required inspections are requested in conf mance with the State Building Code.This permit may be revoked a time or dne cause. �� D � 1 �l�I 7 Applicant Permi Signature Date Issued y ignature Date . � � �� . � � . City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O Mailing Address: Permit number: � ��b�d`D PO Box 66 / � � � � Crystal Bay, MN 55323-0066 Date received: � "" (O — � � � \ Received by: � �. � a r, � � 1 Street Address: ti � �{ �(�� n 2750 Kelley Parkway Plan review fee: ,�� `� �' �� Orono, MN 55356 lqkESH�� l 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: �;, � t-�?, G �- �- � Will this be a Parade of Homes, Remodelers Sh case 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: - ' - �� i � �� State License# ��j�i��g t� Expiration Date: 3� ,p��- Lead Certification Number: ti��_ �j� l � _ � Expiration Date: Z�Z� (for work on homes thaf were constructed prior to 1978 Phone: (cell) (office) �j5� -�L�1- ?�'a 1 Mailing Address z,� �,-- G,L� City: �� ZIP: .S'S 3 �- Contact Person: `�Qr,,: ,,,� Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: -��,� �,; �^yu-,�r ��„�1.t��+�,��_ , [r; vh PROPERTY OWNER INFORMATION: Name: ��i2�� .��-� �-��'►�� Phone (day): �(��- �iH� - �S7� � Address: ,��,�� City: ZIP: Email and/or Fax: Sbvrn,e„� Cv �i�ti'�4�i� .C-�ry�ti� �e�C� �t. , -� C�;��:��r .� {"t;5�i�'c�E'via�--L. PROJECT INFORMATION: Overall projectdescription: � + Nf.�n%ir%ti�i � �:f G�,Pi,�[ Type of Project: ny eart movement may a so require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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) $ �l, Z��c'`= 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 ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: ////h�� F�'ti'6 � Date: T�� Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ��i e�l � � e (n LL' � `e Permit No.: ��7� ��'� Description of work: Date Rec'd: Septic review by: Gl��h ti�( Date Approved: � lm l Zoning review by: � Date Approved: / �� l 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 Coverage: SF % Survey Submitted: � Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? � Yes � No Landscaper: � Proposed Setbacks: Front(Lake) Rear(Street) ( S E W ) ( N S E W ) Other Buildings Wetland Side Sid Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 0% = L.F. below grade / Basement? � Yes � No, Stori s � � FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: �� / FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lo st pro sed Slab at or above grade— floor(of the basement or craw spac �and measure from hiahest existina START WITH the highest point of the roof. ra ade to the highest point of the START WITH roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED RO (no Slab below grade—measure (BASED ON windows): Subtract half distance from highest existing grade to the ROOF TYPE) between the highest poi t o the roof hi hest oint of the roof. to the low point of the rres onding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED OOF( 'th (BASED ON (no windows): Subtract half windows): Subtract alf the dis ance ROOF TYPE) the distance between the between the top of he highest highest point of the roof to window and the hi hest point of t e the low point of the roof corresponding gable or hipped roof • ALL OTHER R F TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc): o subtraction. (with windows): Subtract SUBTR,4CTION Subtract the distanc between the half the distance between (BASED ON basement/crawl sp ce floor and the � the top of the highest EXISTING highest existing gr de adjacent to the � window and the highest GRADES) foundation OR 10 eet(whichever is less). \ point of the roof � • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined buildi g height �\ subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback gluffi t Met? 0 Yes 0 No Permit Number: 0 Yes � No � N/A � Ye 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 � Yes 0 No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit v' Plan Review t/' State Surcharge (/` Investigation Fee SAC— Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1 St Floor X = $ 2�d Floo� X = $ Garage X = $ l �� 0�7 Estimated Construction Value: $ �/, 271� 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 0 Foundation Waterproofing � Other(specify) 0 Fireplace 0 Sewer Connection �Framing ❑ Masonry � Lawn Irrigation �Insulation � Mfg. 0 Landscaping � As-Built Survey 0 Other(specify) �Final ❑ 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 � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 r\fnrmc\nlan ravic�u rharlrlic4 9f1_9f11F�inrv i� DATE TIME C OF ORON c�LLED IN c�� IN$PECTION N E SCHEDULED 1�— PERM�T NO.% CO PLEfED AuoR�.ss /� pyrNEp L PH NE NO. �� CONTRACTOR j �� DESCRIPTION "�� v�vZl�� ❑ FOOTiNG ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 v '�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i�❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 H OI�ITRACT�OR TO Y�1l:�YQS_NO t7� �:VMMCNTS: � �eG` r'"'��l/ /iD P�CG�IrCL,LL � � (JO�1� G�Q�6 - 0 �34� /i r��a.I�/— J��( L'bS�ef�� rl�s� � �' // o i ...� /,.�� -�e� Q�t.!�o d.� — � � � ✓r,�a �� U� /'� ei� r �jQ�ccGG �e Q lxc� �s��.is �r�Nr�� ' �'!�u� �Q�6 G�.�✓ ? 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