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Home My WebLink About2016-00644 - addn/remodel/repair . �, CITY OF ORONO * Z 0 1 6 — 0 0 6 4 4 � 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 333 HOLLANDER RD PIN : 25-118-23-43-0005 LEGAL DESC : REG. LAND SURVEY NO. 1281 : LOT 000 BLOCK 000 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) APPLICANT PERMIT FEE SCHEDULE 433.67 PLAN REVIEW 281.89 TANNER,JOHN&DONNETTE STATE SURCHARGE(VALUATION) 12.50 333 HOLLANDER RD WAYZATA, MN 55391- TOTAL 728.06 Payment(s) CHECK 1206 728.06 OWNER TANNER,JOHN&DONNETTE 333 HOLLANDER 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 ifconstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 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 cause. / ^ - . „ ' � ; .. �...� ` / � , _ __�. pp i e mi ee S� nature Date Issue_ Signature Date �.i�y u� vr u� �u � Bui!ding Permit Application for Maintenance/Replacement/ Remodel — Residential ONLY � (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) O Mailing Address: Permit number: ��—�V� � �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: —� � Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 t�'�f 5 H 0�� 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: --� � .� ��I`�� - Will this be a Parade of Homes, Remodelers 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 fhe 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: �� 1 c.,,��i State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: 3�j ,(Ic�,,1�,� i� .� City: c%��. ?� � : .5�3`�� Contact Person: �1,�,� �„�� Applicant is: Contractor / HomeowneJ (Circle One) Email and/or Fax: -{-y,�,�- .�,,�35 �; ��,,<<,�.��..� (�/2 7�(? �d�Y PROPERTY OWNER INFORMATION: Name: ,�1�..,�. ��ti,nn z_� Phone(day): (�� 'Z "] � 0�Jy Address: `��3 3 0��v.c �c�c City: �L�<,�-2�.�<.. ZIP: !�' S�� `� � Email and/or Fax: t�.•-»�' t,,,�•�,'y -333 €�; ��mc..l- c��h PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) �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(speciry) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ,��u 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 info ation,the a lication ma not be issued. ApplicanYs Signature: � ��—�— Date: �I� II6 Owner's Signature: �--- �–�'��— / (� � Date: 6 6 6 �� , �l�o�l� PLAN REVIEW CHECKL:IST FOR NEW STRUCTURES / ADDITIONS Address: _ �� Ol��'L[�� m� Permit No.:��ICl/"��`7c.�. Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: � 'Z �/�� °Z :Date Approved: /U� l Building review by: Date Approved: /0 / Grading review by: Date Approved; Zoning District; Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF o� 5urvey Submitted: G Yes � No Date of Survey: _ Revised'datefi�)• ` Landscape plan submitted? �Yes G No Landscaper: Pro osed Setbacks: ' front(Lake) Rear(Street) ( N S E W ) ( 'N S E W ) Other Buiidings Wetland Side Side Aefined Height: Peak Height: FFE:�,�..F�E minus 6 feet= ,(�cisting Cbtito� 'Perimeter(linear feet)= 50"/0= _ � 'L.'F. below-grade 8asement? �Yes G No, Stories : - fOR i4 BUILDING 1MTH A BA�EM�NT OR�FtAWL SPA�E: ': FOIt a►BUILDING ON A SL'A$"FOUNt)E4filON. ' . � Ttie distanee behveen theiawest proposed Slab�tFor a1�4e giaSie, , ._ STAR7 W I7H floor(of the basemerjt or c�'swl space)and �r�ieasure fi`i�m ht'h�e .ewsNno - the highest Poir�t af ihe ronf ' STARfi WI'fH" 9t��a the`fiigfre��poir�of fhe ioo�even rf''fiil Was t�rougM,�,n t4, Ifyyou,ha�e a... ' etevafe hor{ne . SUBtRACTION • GABL€DR HIpP�p RiJO�(r1b 31ab be�bw gradg-�me��ure. ; (BASED QN • winilows): Subtrapti�alf.the distance frort��i9p;es,t.eklstlrig grade to the ROOF T.l'PE) between the.highest.point of the roof ' . hi"tiest. Mof the roof. to tMe low polrn of tfi8fioxrespOnding If'you fiajie°8�..` gable orfiipped roof SUBTRACTION' �• ��flR HIPP�O RbOF . • GAB(.E OR;HIFiP�D ROOF(with (BASED flN . fn4�wlndotivv�s):,SUbtradt h9H windows): SublracY half the distance ROOF TY#'�) ��d��eri`the, ' between Bie top of the highest highesl point of 3�e roGf to : ' ` • � �� vindow and.the hlghest polM�o#�the � ' � the loiy<Paintof tfie .- � roof` . :; ", ' `. corre�qondtn9 g`able ar ;`. .' � • ALL OTWER ROOF TYPES(flat, hipped l�oof • GA�I:E OR HIBP,ED ROOF : mansard.etc}No subtraction. (wilh windoWs);:Subtract SUBTRAGTION SubVact the distance between the FiaN the tlistance#�etween (BASED QN basemenUcrawl space floor and the ihe�op:of fhe h(ghest EXISTING h(ghest existlng 9rade adJacer�t to the wlndouv;and tt�e fiighest � e GRADES) foundation OR 10 fieet(whichever is less}. �.point Af,Uie roof . ' •, ' ALL OTHER RCSOF TY�'ES ' �flat,mansard,etc):No EQUALS Defined building height subtraction. De#(ned buikliq9 heigfit EQUALS Updated: Oaober 2015 z:lforms�plan review chedclist 10-2015.docx Average Lakeshore Setback gtuff Shoreland District MCWD Permit Met? p Yes : � 0 Yes p Nn Permit Number: q Yes 17 No � N/A �o 0 N/A-see attached Setback: Stormwater Quality Existing 'Propossd Overlay Dis#riat Tier Hardcover Hardcover Variance Required CUP Required cir�le one %and sf %and s � Yes G No � Yes: a No � 2 3 a � Tm�(�)- Tme(S�- <, �ees to be Char ead �YfS .�lt� . .: �?+et��it � .� ,, ,. -�.._. � Plan Review . } L ' � . ��:' � �F _ k' v'.3w �✓t �� . � . Investigation Fee _ �� 5�1�=��r�i�ai��:�f�A��i�i�s ° _ � � �:� � � . Other(spe�i�jr� � � �� L�''.,' S" uare�oota e �� er S uare Foota`e B�semEnt X � � 9��It�or ' X � '. 2��FlOor x - � , Garage : X _ $ Estimat�d Cqns!��tit�n Value: - �5�� ' Orono lrispecticns Rec�uired �Uc#k lteqitirin�5eparate��Permits t3 �obfi�tag � #7 Sit� �lumbing �' �3 �rading l:�i11�rig, ;, � Pbi�r,�d W�D , CI �iit�FencelEro$ion CtSntrot °Mechanical CI ��re � . Y . `�I �+Di�ntiati�t�SiGtrvey f� �rt�cc�irerftet�rt�val.j'-� f7�S�ptic . - � ` fl �ater��e4��': � �f*�t�u�datio�;Waierproofin� � �i '��r�sp�city) , � �1 �repi��e �! �e�v�t��snn��i�t� � p,�1A�sor�r�+;, � L�avun�2�'��;��i� � r�i�rig � �IVI#g LI �.;��i��t?�►� :�.�ns�latic3r� -, . _ �- _ p �=Built Su�'�►ey; ¢ �'��'��Q�) ` y �`m�1 ., �' '. :_. , .� La�� - � � _ . ;�� R�quirieii�t�e'Pgrmit"s � � ,�7.other(�pecifyj _ : ', ;_ - � .; , ��; ' �_ � . : , f�e�'tric,��l; � . ; , . . . ' � 1� �r�11 ; � , .. , . _ :.. ; ._ , � , __ . _. � . ��. . , , t - .RE11�A�K5�ir�hvsfs�e�1 � , _ . _� _ , , ., . , . . : � , � � OFFIGlAL�tEM�►R�1CS.-tC?8f NiDTt-ty"ON:PERMIT A1V�INITIALL��x Ci See guilder AaknowleRigement Form � p p.rio�.to release of escrovu mnney an as-built survey ar�d hardcover calcuiations must be subm+tted ar�d a{iproyed. .; , ; , - Updated: October 2075 v\fnrma\nlan roviou�rthArtklicf 1fL9f11.ri rinr.v V' /I \� ._.. �r� �DATE J � TIME CITY OF ORONO �� y CALLED IN - "� p/y�� INSPECTION NOTICE� SCHEDULED '" G-�/`� PERMR NO..�i 0!4� C MPL Eo ADDRESS �� ' OWNER � � LEPHONE NO�'T��_,7-/f �/� � CONTRAC � R �. 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 �RAMING ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERlCONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: �/c�- ��• � � ��" �7 o� W � � ��1 - ��s�� - �,� 1 ��h - ,�L. o _ � �cu n�ry - f1? -G • d fI'1��'� �i yri� ��. 0 � W /� �i� . ' Q ` � �J' c�k,, e� ,6G�rN�s- — — 2 FrG� ��f ,v.r dla�.�-tl-�D Q�i.t o� - W � � �1� �T G�j v�� MIORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT VYORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnedCon or on site: Inspector: � �`'" Whits Copyllnspector's Ffle Csnary CopylSite Notice