HomeMy WebLinkAbout2018-00099 - addn/remodel/repair CITY OF ORONO 1 �1 1 I I I1 11111111114111 I1 � �
2750 KELLEY PARKWAY DATE ISSUED: 02/05/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1955 HERITAGE DR
PIN : 10-117-23-13-0014
LEGAL DESC : FOXHILL
: LOT 001 BLOCK 004
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 775.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE)
ADDING(1)2'9"X 6'8"CLOSET IN EXISTING HALLWAY/BATHROOM.
APPLICANT PERMIT FEE SCHEDULE 36.48
PLAN REVIEW 23.71
WILSON,JENNY&THOMAS STATE SURCHARGE(VALUATION) 0.39
1955 HERITAGE DR
WAYZATA,MN 55391- MAIL-IN FEE 2.00
TOTAL 62.58
Payment(s)
CREDIT CARD 7478 62.58
OWNER
WILSON,JENNY&THOMAS
1955 HERITAGE 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 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 governing 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 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.
(41kaU- 1 X/r" 1� 7 ) /,5 /Applicant Permitee Signature Date Issued By Sire nate
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
— A`', Mailing Address: Permit number: 076!8'�&d0`j'
*''('?
\ PO Box 66
Crystal Bay, MN 55323- Cet � Date received: /—A3—�g
a Street Address: Received by: G�(�'
--'S. 2750 Kelley Parkway JAN c' 9 2018 Plan review fee:
Orono, MN 55356kESH��
�r'���yyn r� Total Fee: /�., I' 58----
Main: 952-249-4600 Fax: 952-249-4616 SOY' rNNO '6`(�;!b
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: 1955 Heritage Drive _
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes SiNo
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 I APPLICANT INFORMATION:
Name: Thomas W. Wilson
State License# n/a Expiration Date:
Lead Certification Number: n/a Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) 952.334.8329 [Judy Anderson] (office)
Mailing Address: 1955 Heritage Drive City: Orono ZIP: 55391
Contact Person: Judy Anderson [designer] _ Applicant is: Contractor / Homeowner (circle one)
Email and/or Fax: _ice y-
C
PROPERTY OWNER INFORMATION:
Name: Thomas Wilson
Phone(day): 619_701.9783
Address: 1955 Heritage Drive City: Orono ZIP: 55391
Email and/or Fax: thomaswilliamwilson@gmail.com
PROJECT INFORMATION: Overall project description: Adding (1) 2'9"x6'8" closet in existing,hallway/bathroom
Type of Project: Any earth movement may also require
❑ Door(s) Remodel ❑ Fire Damage
MCWD review&permits:
❑ Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof, cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
' 0 Window(s) www.minnehahacreek orq
Estimated Construction Valuation of Project(excluding land) $ 775.00
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•.1 b- information,the a..lication ma not be issued. ,
Applicant's Signa re: , Date: ,,�i!�!/ :7
Owner's Signature: I Date: / rl' a
Last Updated:January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: i G 5(HCiv / '� ori V`� Permit No.: `1� OG ?
Description of work: /�Qwtmde £4142,W€✓' Date Rec'd: i/ ' /tB
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: tI4; ;;A�I a.7,606 Date Approved: 1/ / f
Grading review by: �/ Date Approved:
Zoning District: Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA
Zoning: Lot Area: SF/AC Width: Structural Coverage: SF ok
Survey Submitted: D Yes D No Date of Survey: Revised date(?):
Landscape plan submitted? D Yes Landscaper: D No/ None proposed
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Building Height Analysis:
Distance Between First Floor and defined Top of Roof* (See "building height" (a)
definition):
First Floor Elevation (from building plans): (b)
Highest Existing ground level (per survey) or 10' above lowest ground level, (c)
whichever is lower:
Difference between (b) and (c)*: (d)
DEFINED HEIGHT
*If highest existing adjacent grade is above FFE-Height is(a)-(d): (e)
*If highest existing adjacent grade is below FFE-Height is(a) +(d)
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Cl Yes D No Permit Number: D Yes D No D N/A 0 Yes 0 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)
D Yes D No D Yes D No
1 2 3 4 5 Type(s): Type(s):
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
Fees to be Charged YES NO
'
Permit . k r < tz ,
Plan Review
.„a .�' 'Yr �� H 9 � 1
u # t rn3 s z 0 '� rc om%2d 1r2 F;? u
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ '1 7
Orono Inspections Required Work Requiring Separate Permits
D Footing 0 Site g 0 Grading/Filling
O Poured Wall 0 Silt Fence/Erosion Control $Plumbin
Mechanical 0 Fire
O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation
O Foundation Waterproofing 0 Other(specify) 0 Landscaping
�.Framing 0 Septic
0 Insulation
O As-Built Survey
X Final
O Lathe Required State Permits
D Other(specify)
0 Well )Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
O See Builder Acknowledgement Form
D Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
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18'31/2" .
— -- Carbon monoxide detetor°
� ��� required within 10 ft.. of
ole tte The Wilson Residence _ areas all sleeping roons.
& SMOKE DETECTOR CO ECTED TOA SOUND-
LLC 1955 'ING DEVICE OR OTHER i,ETEC T OR AUDIBLE IN
Company' Heritage 9 Drive SLEEPING AREAS.
<T Orono, MN 55391
s
514-W.-Sr-Street BY: DATE 4.
TITLE REV ` �.e., b -H- 7 "0 �4e.�
Minneaggli_s,MN 55409 CSG 12.15.17 MAIN LEVEL EXISTING 3
Tel.:612.822.2474
Fax:612.822.0144 SCALE 1/4"=1'-0" SHEET — 1
` 18'-7"
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— 29'-1 5/8" 5'-3 3/8" 5'-3 3/8" _ 6'-7"
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18'-3 1/2" —
Colette The Wilson Residence
Company, LLC 1955 Heritage Drive
Orono, MN 55391 _
514 W.39�'Street BY: DATE TITLE REV Alt
Minneapolis,MN 55409 CSG 12.28.17 MAIN LEVEL NO/ 4 -
Tel.:612.822.2474 — _ U
Fax:612.822.0144 SCALE 1/4"=1'-0" SHEET 1
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTCE SCHEDULED 'g/i!o/1i$ �'3 0
PERMIT NO. 2-01Z"000°1.1 COMPLETED
ADDRESS ! Q5 5 H f rAl-a bin lie
OWNER TELEPHONE NO. 615- ^Z -1 B-3 3 30
CONTRACTOR �nhk ,� �S
i DESCRIPTION hl,[RP L wydi C (05e#
W ❑ FOOTING 0 DEMO-`P NAL 0 SEPTIC FINAL
lc ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
12
C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
- 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
- ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: - r", '» .Cor GI05er
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cc
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CC
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W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
cC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
9o CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector:
White Copy/inspector's File Canary CopylSite Notice