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Home My WebLink About2017-00423 - addn/remodel/repair , • � CITY OF ORONO * 2 0 1 7 - 0 0 4 2 3 * 2750 KELLEY PARKWAY DATE ISSUED: 05/09/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 280 HOLLANDER RD PIN : 25-118-23-43-0012 LEGAL DESC : HOLLY ACRES : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,800.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) REMOVE WALL AND ADD DECORATIVE BEAMS APPLICANT PERMIT FEE SCHEDULE 92.89 HOME BUILDING AND REMODELING EXPERT PLAN REVIEW 6038 1143 SOUTH SHORE DR STATE SURCHARGE(VALUATION) 1.40 PLYMOUTH,MN 55441- TOTAL 154.67 Minnesota State License#: BUIL-BC675372 Payment(s) CREDIT CARD 5718 154.67 OWNER GUNDERSON,MOX&GRETA 280 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 City approvals,and the State Building Code. This permit is for only the work described and dces 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 speci6ed hereia 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 Building Code.This permit may be revoked at any time for due cause. G /`�� l � � Applicant Permitee Signature Date Issued ignature Date . � � City af Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY �6.i?. L"vi'sii��J�'Jv, ieu�'a`�, :�f.tst a�_'s �"i.:�e'6:r�vi'e �`'�C�. 3�� .e�i u':��,�`9��"�;x� :�.�'l��`'��i�j /;^'�O ��, Mailing Address: Permit number: �� (�t �� - �(; � ,% Q�- �I � PQ Box 66 � � `` Crystaf Bay, MN 55323-0066 Date received: � �� Received by: �� t ? Streef Address: � : + � � 2750 Ke{ley Parkway Plan review fee: / ur l_L. � E��- �t �'�/ Orono,MN 55356 '`--`� � � � ��'�"�s Fi o�tj� ls- �__� 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. ��y�, s�� .� Incomplete appiications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: Z�3C> �1o��Lk- jZ,� , p�-0,,..1 0 � ��rt � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No !f yes, a speciat event permit is required wifh Polrce Department and City Counci!approva/60 days prior to the event. Shuttle bus service wif/be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APP�ICANT INFORMATION: Name: �.{'�,� State License# �G, (�7�3'j 2 Expirafion Date: � 3 4 2.+� g Lead Certification Number: ��o� —( Expiration Date: 3 � $ Zo2� (for work on homes that were constructed prio�to 1978 Phone: (cell} ��-3'.}?- 3�5� (office) Mailing Address: �j c�3 Sp�� S�-q,rt City: 7L�,A.�p,,,� ZIP: c��y't��` Contact Person: b�yp ,�,��,,��c� /� App6cant is: l.6�rrtfac / Homeowner (CircleOne) Email and/or Fax: ��tij s� �J ��rt_ ,r.,�,1 , �,,n,,r,, PROPERTY OWNER lNFORMATION: Name: .1"la k �?�� .� Phone (day): �-t -- 2-3 � — �ol u l� Address: �� ,��y LL�,,,�� City: �j�j,�.!�} ZIP: �3� , Email andbr Fax: n�c o,q v+�G(A�can,.�7_��LGi-r► •�d""� PROJECT INFORMATION: Overall pro�ect description: � .��ts�wl.s 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(specify) ❑ Siding ❑Other: s e�fy) Phone: 952-471-0590 t�� Fax: 952-471-0682 ❑Window(s} =��.s.�-''�"- www.minnehahacreek.orq Estimated Construction Valuation of Praject(excluding land) $ 2 1?��`� APPLICANT ACKNC?WLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Ce�tifies that the information supplied is true and correct to the best of hislher 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 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 govemmental agencies required by law. If ou refuse to su I the information,the a li tion ma �ot be issued. ApplicanYs Signature: __�� Date: __ `J�' �2 7 �� Owner's Signature: Date: Last Updated:January 2016 Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes � No Permit Number: � Yes � No 0 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 °/a and sf % and sf � Yes � No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit v Plan Review � State Surcharge (/' Investigation Fee � SAC—Number of SAC Units I/ Other(specify) Square Footage $ per Square Foota e Basement X = $ 1 S' Floor X = $ 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ �. ,�i �� Orono Inspections Required Work Requiring Separate Permits � Footing 0 Site � Plumbing 0 Grading/Filling 0 Poured Wall ❑ Silt Fence/Erosion Control � Mechanical 0 Fire ❑ Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection � Foundation Waterproofing 0 Other(specify) 0 Fireplace � Sewer Connection Framing � Masonry � Lawn Irrigation 0 Insulation � Mfg. ❑ Landscaping 0 As-Built Survey 0 Other(specify) inal � Lathe Required State Permits � Other(specify) � 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 �•\fnrmc\nlan ro�iio�ni rhorklict 1f1_7!1'IF rinrv PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS � ' (�/ � , ,/ �� / Address: �G'(•� IiC��'t��ZU"i�� 7�4'� Permit No.: �r�/ � �� Description of work: ��l�7CP�� l Date Rec'd: , � Septic review by: �/ � ��'`�,Date Approved: �' `� . l G � Zoning review by: Date Approved: _ — �7 e Building review by: � � Date Approved: ! �i :' � r c Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % � / Survey Submitted: � Yes �` � No Date of Survey: �./ Revised date(?): Landscape plan submitted? 0 Yes 0 No Landscaper: , � , Proposed Setbacks: . Front(Lake) Rear(Street) ( N S E W ) ( 'N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50°/a = L.F. below grade Basement? � Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— floor(of the basement or crawl space)and measure from hiphest existinq START WITH the highest point of the roof. rq 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 ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. ,to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) , foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS " Defned building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx �oe Z$� �(m t,ct�� -� �A v SHEEET NO. �Q'`��'' �� OF • Home Building& CALCULATED BY_��__e DATE 4. 17 H�r�E Remodeling Experts `; / CHECKED BY DATE �"'��/ SCALE I i R�vi��d ��r Cu�3 7 � � Com}�li�r�c i o rono ; � �� \y��\11111lt1t//i � L)8#� � � ( �� -,�''J.. �11-�i�i � ` ��LJ `'��Q� . •,l ''i � Reviewer �'{/�� •` �-:�-_- =�;, ��;J= :- 1�.Ll� •��?�.ii = ,'�'.�.;t'1/��..,* i �. ` �rdri�:;_�:�, ' :�cl�.�,�'. ��;; ,;i� �_-,� I .r, � . ' +� � h . .C)�� I ��✓�``+,�� " "w�'\y`" / I ��//�� .� '�\ i ,._.__._ _____._. ._____. __..�.._____._____.__�.� - _ l I I I I i i � ; � i �r�M��.Y i �'A �M � / 'K 4�r-�,.c,-�� ..� �.�.. i � I � � � �R>� �f� ��`'� I $ X�, C� ��-�. i I I �-- _ ��-o~— — � Exis'tt*�v �-aM ��1-+�` I � � y � --.— � �P l.-skLf �..�� +��C�v t � ; � �� 1�x Q ��_`��- S � / i � � II$t.� ( � r" ��ct Baw ` � � �`d�'�(?Il Ii,CriOX~�� reguired within a0�ft�or � • a?1 c 3-t'�ping of roc�,;;,. i � i I J+ICF7ES� �' �� %� r�-as Lm�A._S c��--� S�A Pa/L-�- Sh10KE DETECTOR CONN;�TED TO A SOUND- I iNG D"cV1C�pR GT�-!FF n�-;-=;�;p��UDI[3LE IN ; �'IE�l.�h�� Z�– �U� v�tk–'� I SLEEPING A.�'tEAS. �` �,� !�o `+�o� a 3� S�ow L,.a q�1S CQ'�l � ,�a. c� o`�era� � V /' � �f, DATE TIME Y CITY OF ORONO cnLLED IN �� -�7 INSPECTION N TICE SCHEDULED /�-�� =�� PERMIT NO. � '� � COMPLETED ADDRESS d 80 ��a-n�'� OWNER TELEPHONE NO. CONTRACTOR �� E ��lL ��-��°�-e �'' DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO "j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ' INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNERICOKTRAC?OR TO MEET YW:_YES_NO . � COMMENT'S: �L l�� /�� 'c'�,'�''�C� �.�J✓� W � �ir ��s ,9ro�c�� - o ` liJw�f r��ovcB � �' _ �'r�Er,n,KS �r ,G _ .� b�..r o� � r � .+.t `✓ � Q v�J��L�'S��- ? W rr� l'O�y►•t,fl/��r — � � y�/.w�� r/,�l� , � ❑WORKSATISFACTORY:PFiOCEED �PROJ�CT COMPLETE W ❑OORRECT VMORK�PROCEED O ISSUE CERTIFICATE OF OCCUPYINCY O ❑ppRRECT WORK�LL FOR REINSPECTION TEMIPORARY V BEFORE COVERINO PERMANENT ❑ppRRECT UNSAFE CONDITION WITHIN HOURS- p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. CaN lor the next inspectfon 24 hours in advance. (952) 249-4600 OwnerlCa�trector on site: Inspector: � � MfMb CoV1�Mspectors FII� Canary Cop�rl8ib Notio�