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Home My WebLink About2011-00433 - addn/remodel/repair � , CITY OF ORONO PERMIT NO.: 2011-00433 ., 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuE�: 06/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1180 HERITAGE LA PIN : 10-117-23-13-0002 LEGAL DESC : FOXHILL : LOT 002 BLOCK 001 PERMiT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 85,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMB[NG,MECHANICAL,ELECTRICAL(STATG) MAIN FLOOR REMODEL&UPDATE ADVANCED PLAN REVIF,W FEE OF$613.76 PAID APPLICANT pERMIT FEE SCHEDULE 94425 SCHRADER&COMPANIES STATE SURCHARGE(VALUATION) 42.50 4725 EXCELSIOR BLVD#300 TOTAL 986.75 ST LOUIS PARK, MN 55416- (952)465-3582 Minnesota State License#: 20592473 OWNER ZIEGLER& KELLY RISCHE, DAVID l 180 HERITAGE LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Quild�ng Code.This permit may be revoked a� e for du cau . � � �/ �� / �� / / Applicant Permitee Signature Date Issued By S' ature te SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABO . � . ci of orono � 9 �'�• �� i � , � Building Permit Appiication for Internal Work � (windows, doors, siding, re-roof, etc.) �ti5$ MailingAddress: Permitnumber: �l�—�G �o� PO Box 66 ' ' � CrysYal Bay, MN 55323-0066n , �..� Date received: � �/O � O� '� =��., 1, � u A- '� ��•' Received by: ,a t �? � s,� StreetAddress: ��'.�,r ��,�Gti 2750 Kelley Parkway � � Plan review fee: � �. ��:�g Orono, MN 55356 I �I ESH� o�c�//- v Total Fee: �-3 Main: 952-249-4600 Fax: 952-249�616 This app{ication form must be completed in fu{I and a{I requi�ed informa#ion mLst be subrr�itted. Incomplete applications will be returned. (Please print) GENERALINFORMATION: � 6 �j�11,�� GN � 2�'�) ��V yJ�� I Job Site Address: n � , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No If yes,a specia/everrt permit is required wifh Police Department and Cify Counci!approvat 6Q days prior fo the event. Shuttle bus service will be required unless app'icant demorrstrates sr.fficierd on-site parking is availa6le. IVon-pem�ifted events wiN not be allowed. CONTRACTOR/APPLfCANT INFORMATION: Name: GFf✓LJ4t�Lrl'Z- ' L'o�/��1NIE5 State License# Z�C L�?�t}7,?� Expiration Date: 3,� �Z Lead Certification Number: �-.r_ (� �i5'-�� -��L., Expiration Date: • -• -� (for work on homes that were constructed prior to 1978 / - Phone: 9 Z• 6 • Z (office) b(Z• ��' 9� (cell} Mailing Address: � E�CL .. 02 QrLI/ #� 0 c�ty:5�: t,.u�s PR�t.Jc ZIP: 1�}�(p Contact Person: AN�N Qa BR�oH Applicant is: on ra r / Homeowner (CircleOne) Email and/or Fax: � �R p�y �q SC n 1�p4►� Ca M�P�4A/lL S . �1'�'1 PROPERTY OWNER IN�ORMATION: Name: �C�L[.'� # 1)�VE 2/Lslc LC'� Phone(day): 93rf• 2/!,�• �Z$7 � j ` Address: 11gd N�h.irw��s l�l� C�tY= W��214TIA ZIP: J� 39� Email and/or Fax keL�H �„_ (Z(S C NLS � C�1LC��L l. . C o W► PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits: ❑ Door(s) Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑Restoration ❑Other:(specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 Overall Project Description: J'{� �/�/ (�pd fL � d pj�i j,i (,��p/�T� Estimated Construction Valuation of Project(excluding land} s A C� �pp APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to�e 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 re}ect it until it is complete; + Some or all of the information that you are asked to provide on this application is classfied by State law as either private or confide�tial. 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 generaliy cannot be given to either the public or the subject of�e data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou refu I the information,the a lication ma not be issued. ApplicanYs Signature: ta. Date: l,v/�-1 � I Last Updated: 03-01-2011 .. -'�r e �� • i�� '"" ",'��;. State of Minnesota Construction Codes and Licensing Division _�.- a,_�� Department of Labor and Industry Telephone: (651) 284-5034 `�� _� P.O. Box 64217 E-mail address: dli.license state.mn.us ��.�_ @ ��-...�, .y�- ��,�i,j��,�,�� St. Paul, MN 55164-0217 Website address: www.dli.mn.gov �•��:..��_�, � RESIDENTIAL BUILDING CONTRACTOR LICENSE Legal Name: SCHRADER HOMES LLC Busine�s Structure: DBA: SCHARDER & COMPANIES LIMITED LIABILITY COti1PANY Address: 5118 LINCOLN CIRCLE EDINA, MN 55436 License Identification Number: 20592473 Qualifying Person: ANDREW M SCHF�ADER License Expiration Date: 03/31/2012 Continuing Education: 14 hours due by 03/31/2012 , . . ! � Plan Review Checklist for New Structures / Additions Address/ PID/ LegaL � � �� -1 C R I"i'1�.�. �1 Description of work: 1��EVvW�0�%L Septic review by: i✓'!/� Date Approved: Zoning review by: //� Date Approved: Building review by: Date Approved: (, -� —/ ( j Grading review by: /`�//� Date Approved: Zoni g File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office chool District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitte : � Yes ❑ No Date of Survey: Proposed Setbacks: Front(Lake) ar(Street) ( N S E W ) ( N S E ) Other Buildings Wetland Side Sid � Building Defined Height: � Building Peak Hei t: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the bast�ment floor/crawl START the distance between the slab and the highest space floor and the highest roof°{�eak, the top f WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof, the deck"fi{ie of a the deck line of a mansard roof, or the mansard roof, or the uppermost poiri��on round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highe win ow and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the base nt floor/cra ADD the distance between the slab and the highest space floor and the highest e ' ting grade within existin rade within the foundation the foundation or 10 feet,w �chever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District CWD Permit Received Avera Lakeshore Setback Bluff � Yes 0 No � N/A ❑ Yes 0 No ❑ Yes 0 No ❑ Yes No ❑ N/A Permit Number: Setback: Hardcover Zon Existin Pro osed Variance Required CUP Required 0-75' � Yes 0 No `� � Yes � No 75-25 ' Type(s): Type(s): 25 500' �� 0-1000' �`� REM RKS (in-house): i'w Ci Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO , � Permit �O' Plan Review �- State Surcharge � Investigation Fee � SAC— Number of SAC Units Sewer Connection Water Connection Park Fee `Site Inspection Other(specify) "Misce'llaneous Fees - Calculated By: S uare Foota e $ per Square Foota e Basement X = $ 15t Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � �S,Oc�U 'y Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/ Filling 0 Well 0 Hardcover Removal Mechanical � Fire Electrical � Footing 0 Septic ❑ Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection ❑ Foundation Survey � Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. �raming � Other(specify) �nsulation � As-Built Survey ��inal 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: � YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\formslplan review checklist.docx ��.. I . DATE TIME � CITY OF ORONO CAL�ED IN �" �Z INSPECTION NOTICE SCHEDULED 7" - � � PERMIT N0. 1 — a� ,COMPLET � ADDRESS I�R� !T�'��a-�.P � OWNER �� TELEPHONE NO. �� CONTRACTOR U �� '�� ; DESCRIPTION �rQi'YJ I nC( � l� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FiNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW�•WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 .� OwnerlContractor on sit �: ° Inspector. White Copyllnspector's File Canary CopylSite Notice � � � D T - TIME � CITY OF ORONO ca��Eo iN Z� �� INSPECTION NOTICE SCHEDULED _� PERMIT NO.�D -v� 3 corn LETED .�— ADDRESS OWNER EL N O �'�1�� CONTRACTO �� ry� � �; DESCRIPTION � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LA ESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ EE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � N� o�S A-�� . o .',� � � f�c�A c-P � 0 � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK&PROCEED '-; ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ihe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice