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Home My WebLink About2016-01461 - addn/remodel/repair CITY OF ORONO * 2 0 1 6 - 0 1 4 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: i U23/2016 . y ORONO,MN 55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 3186 NORTH SHORE DR PIN : 09-117-23-32-0010 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 11,946.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 232.30 PLAN REVIEW 151.00 JONES,MICHEAL&NATELE STATE SURCHARGE(VALUATION) 5.97 3186 NORTH SHORE DR WAYZATA,MN 55391- TOTAL 389.27 Payment(s) CHECK 5139 389.27 OWNER JONES,MICHEAL&NATELE 3186 NORTH SHORE DR 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 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 specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 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 caus . �v �/ �z3�/� Applicant Permitee Signature Date ssued Signature Date City of Orono ing Permit Application for Maintenance / Replacement/ Remodel — Residentiai ONLY �4.c�. Wttif�t9'��L;�, �C:':sl'S, i1�I�1� ,b. ;:��:3jy ��, •�. �s�;� 3��,; , 1 �O A,O Mailing Address: �?b`!� —D/ 1 V PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: /l��vZ —/ �, � ,, _ �� Street Address: Received by: �' �'F G� - ��' 2750 Kelley Parkway Plan review fe : lqk�SHO�� Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www,ci.orono.mn.us Totai Fee: � �9� ��] � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: ,�j � S ��E 't��t V E Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No /f yes,a specia!event permit is required with Police Department and Cify Counci/approva/60 days prior to the evenf. Shutt/e bus service wi//be required unless applicant demonstrates s�cient on�ite parking is available. Non-pemtitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �1�C.1+RC.l JOivE� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (pla -'� I� -d41y (office) Mailing Address: _ � • � � �� City: �,�� Z,�T,� ZIP: �S3q Contact Person: Applicant is: Contractor / Homeowner Email and/or Fax: � � (c��ie o�e� _�k� �c; �otvE S'�1 lA S PROPERTY OWNER INFORMATION: Name: .l�'��C Phone (day): Address: — City, Z�P_ Emai�and/or Fax: PROJECT INFORMATION: Overall project description: 1-1�(�IV�� St�C jjl��.mEti� da � t�L;�ma�N Type of Project: Any earth movement may also require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review 8 permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar ❑ Restoration 15320 Minnetonka B{vd ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑Siding ❑ Other:(specify) Phone: 952-471-0590 ❑Window(s) Fax: 952-471-0682 www.minnehahacreek ora Estimated Construction Valuation of Project(excluding landj $ r"J� ; p p APPLtCANT 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked ta provide on ihis 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 annuafly update our records and records of other govemmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: -�=_� � r-- Date: ��/d /i'�( (� Owner's Signature: � Date: �1 a�� 4�(� Last Updated:January 2016 —��'� �;�'► ��/(� LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS ress: �� ,�'i y�L<"��L ��6'G'� ��'!G^�', Permit No.:��c� "� � �� ascription of work: Date Rec'd: Septic review by: --� Date Approved: Zoning review by: Date Approved: Building review by: v v ' Date Approved: �� 1 Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes � No Date of Survey: Revise date ? : Landscape plan submitted? 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 He ht: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%= L.F. below grade Basement? 0 Yes � No, S ories FOR A BUILDING WITH A BASEMENT OR CRAWL SPA FOR A BUILDING ON A SLAB FOUNDATION: The distance between th lowest oposed Slab at or above grade— START WITH floor(of the basement or rawl s ace)and measure from hiphest existinq the highest point of the ro . START WITH rp ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPP D R OF(no Slab below grade—measure (BASED ON windows): Sub ct half he distance from highest existing grade to the ROOF TYPE) between the h' hest poin of the roof hi hest oint of the roof. to the low po' t of the corr sponding If you have a... gable or hi ed roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE HIPPED ROOF \with (BASED ON (no windows): Subtract half window : Subtract half the di tance ROOF TYPE) the distance between the betwe n the top of the highest� highest point of the roof to wind w and the highest point oi�the the low point of the roo corresponding gable or hipped roof • A L OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF ansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Sub act the distance between the half the distance between (BASED ON ba menUcrawl space floor and the the top of the highest EXISTING hi est existing grade adjacent to the window and the highest GRADES) f undation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. \ Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback B Met? � Yes � No Permit Number: 0 Yes 0 No � 0 N/A � Ye No � 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 � No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit � Plan Review State Surcharge Investigation Fee �' SAC– Number of SAC Units � Other(specify) �� Square Foota e $ per Square Foota e Basement X = $ 1 S' Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: l `—� Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control �Mechanical ❑ Fire � Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection � Foundation Waterproofing � Other(specify) 0 Fireplace 0 Sewer Connection Framing � Masonry � Lawn Irrigation Insulation 0 Mfg. ❑ Landscaping � As-Built Survey ❑ Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan ravio�ei rharklict 1(1_9MF rinrv �;��r��4�� BED6� � � ��, � 0�� !'��'!!� � �c„ -� �=' i� zY.�D o y��ra:u �� ;�� t�re�r�o FI�E E;<i� F`:._:' '�' _ . �� ( � GiJ�� 1V�'sl��. �i_."� �.;�s �'�ffa�' � i� � 24" I`��;�9. G�.�_; _=; 4-,�;:�;--{T Ca��;n L:�,.cz:�c�e d��ec cor �'a�y��.€�s' i � 5.7 SC�. FT. ;:;�`; �as='�i!8�G r��uir�d within 10 ft. of 44" �'v'��,i: �lLL H�aLn��`,��' a�.l sle�ping rooms. MICHAEL JONES - 3186 NORTH SHOR DRIVE LOWER LEVEL— PARTITION WALLS & SHEETT K FIREBLOCKCEILING FIREBLOCKPERMIETER i ' TRUSSES TOP PLATES AND � "' � • � (SHEETROCK) (PLYWOOD&fOAM) � n ----------------- �.� . i — ____________ _--_____ f `' I Sr;��pETECTOR CUP�;��7c►J TO A SOU�!a- � . �� FIREBLOCK STUDS � j� I '� i EVERY 10 LINEEAR FEET iNG Gt J10E On UT�;�R�'�i cCTOR AZ�ir;i.E iiJ ' (FOAM) I e I� �I � SLEEPiiJa AR�f',S. i�1UST BE VJl��D. i� ii � � � � � ; ;i Fi • � � ii I i� 6 � i . � i� i r -------- ------ - ------- -------------' � • `--- ------- ----- ----------------- x` --- --- � ' - ° . � I �1 . . -`� '� . 4 . I� �j �q a C 1 • ,i ; j � r _�_� k-=_= -_—-_ ___=--_-__��'_'_=-_�-_ -� �_.c-=- _-_= ___ _=______=___- � �'. IM1' 1 N I il � I 1 �� (1 � T I ' 4 1 � � (� s�.� � I � j � I 1 1� � ( ;-. ' ; , ;; STORAGE i'� �.=_=� , � � � � I �'� � '' � _ � ;'• ; ; �; EXERCISE �,I, •' j;' j �! . ; ; �-----� �� ROOM ��..-�' i '�-'i� � FAMILY �� .. ,; �i ----+E--, � ` ROOM �� , ------- ' . -� ii '� R.1. ,'-.�� ; Q ;� , 1 � � � 'i �i BATH`._�� i i m I � � � 1¢ � �i �� __ � F'� '1 i � i � _, rr.. ,, �r-------=1( i i� I � i I f 'a=_�__.__' 1; II � - II �I FUT. I� � i i � � � i. W ; . , �� .�.wp� � li II li �I J�'yC�e' I� ��`--'i ii � I - ; u �� ,; s�xn�R, i� �� ' I _ , , , " ' ---------- , '� , ' � 4'7 ' 2='4'__'_'_'JI L�� i �� /1 C, .. �,. ,._.. �� I -="--_ ' j TORAGE �i FVT,�ov �fi`'-, ' �NTp��'U� F --r--�--------� r -�� S ; �--- --- -- -- , �toStT'�--�� ; E N -- �—_-__- '� � R C7-� r-- - � � u f _ . , ; r, � s,.� . • j •, t___;�,�,�____ ___ J� � :#:_ � �,�OU SIpF �_ ... r . ,. I � � -- ,.__._ �___._ _-__.._ ____._ � ___�� _ , � w � tl,;� :�'� .�, I 4� �i ; I I � ,, MECHANICAL r' �:t'�� a� �w i � � � � �� i � .� ; � ---- - �� , f � i i � � 'on�.�r.s��i ' E ' �---- - � � � I , ' � STORAGE ; � � � �---- - �Q � ,•_E�,�� ;� 1 �---,� - ,� � m� ;j (UNFINISHED) � ; � ( F i r-- - �(;�� i� ; i I f. i �--- - ��! I j i j ' '. . , ... .� �'. i �: � � ; l____ _ ; ___ __ '____=-{t� 1 � 1 L___ _____�� _"___.__'a'��zar j i i i , ��\�l, ��t� �� I I 1 I 1�• � � `< `. , �N l--ti � i i i r---(----------- -� � � • i � . \ � suMQ s � h i � ;i -r-__.��cuRs � ; ; i . , �. A ` �. �� _...�j � � � 1 I� � � i � i , . . . � � t_____________'________� � ��fi� .� ` �----------' �---- -- �-------�� UN[XCAVATED ; ' � . , . i �°Qo��itd`''. \� �f ------ -- -1-------� �-------------- -� ' � - � i -- � . ,^;.a'A.4 n�c, .., � .�'.. i -r, r .. i i------------------ ------ � � 7 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED �Q/� !3� PERMIT NO. � COMPLETED ADDRESS r OWNER s TELEPHONE NO. �L� '7�8^�/� CONTRACTOR � DESCRIPTION "�► �n� ty ❑ 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 Q �FiNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO v�, COMMENTS: �`� �i/l�G � f� " a��I � W �-L- �r✓!•�� - -S/yrok 1 Co • - Eq�'�Ss _ dK - a J A `�/,JQ r lL G�OhA�l��L�e � tOt/rN�L� '� ��f(a ' G/'/i/�i��A� O - � . �d�f �..�.� � a�6 �o�y�.� - �-�• �:K.�c ' b.*•� � � �.fil JR�il yrt t��i• l.v o✓k c�s.►c ��- i.r%L �.��ra9 W � Q � - P �.�� -t� -o�y�y- ;��•�s-s��* ss��- a . � ✓�5�i/f v -L-L� ��r�-s� ' a</�„b eo - r�=L�',.r..l� � Fi a;./ a/� .3 ��..�•�s ' . � ❑WORK SATiSFACTORY:PROCEED �'�OJECT COMPIETE W ❑CORRECT WORK�PROCEED ❑I E CERTIFICATE OF OCCUPANCY � ❑(bRRECT WORK��L FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. 11 for the next inspection 24 hours in advance. (952) 249-4600 ctor on site: �'�%/fsQ.C � Inspector:�� White Copyllnspecto�'s File Gnary CopylSite Noties