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Home My WebLink About2018-0032 - addn/remodel/repair CITY OF ORONO I''' LII I II 11 ' 111 * 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 3 2 8 DATE ISSUED: 04/02/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : 05-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT MB BLOCK MB PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) REMODEL APPLICANT PERMIT FEE SCHEDULE 490.12 STATE SURCHARGE(VALUATION) 15.00 MAETZOLD HOMES,INC. TOTAL 505.12 5750 HIGHWAY 25 MAYER,MN 55360 Payment(s) (952)657-2139 CREDIT CARD 9973 505.12 Minnesota State License#:BUIL-20285530 OWNER AZAD,ALISHAH 200 BEDERWOOD DR LONG LAKE,MN 55356- 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 revok 'at any time for due cause. ,P frky- ic;2 Applicant 'e !(Siature Date Issue By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)/ Mailing Address: Permit number: 40` S �3#3� �o V PO Box 66 Crystal Bay, MN 55323-0066( p Date received: (3/24 h c\\N Street Address: t1r 2750 Kelley Parkway Received by: t i`� Plan review fee: i�p a , 5 �( C� l9KESHDR� Orono, MN 55356 aV� CD)p/S p03dN7 Total Fee: U_ 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) �5 7,U GENERAL INFORMATION: � Job Site Address: A 00 (3ederwc�ce C)ri _ , 0v-oetO, /MI 5 5 35(, 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 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/APPLICANT INFORMATION: Name: /Mat?t-z-old N-ome1 Kt' State License# 5G-,?.g 55 30 Expiration Date: 3_ at /Cf Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (0l0—a - (office) ei6a— 57- 3/3 Mailing Address: 5750 1-1-j VI►n,&v a5 City: VVt.a ZIP: 5 5360 Contact Person: -J - Nkat za[ Applicant is: ontracto]/ Homeowner (circle one) Email and/or Fax: Jimae+ L ✓ }tP �n�- h.P4- PROPERTY OWNER INFORMATION: Name: Al A.za d Phone (day): Address: ?oo Q}41-€.- City: O;—o - U ZIP: 5535(0 Email and/or Fax: a _ ��zcz d e r✓l Gh s j_co PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) . Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt CI Repair 111 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding CIOther: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 30100 0,00 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 you refuse to supply the information,the a••lication ma not be issued. 4 Applicant's Signature: - )I i ' 'I Date: 3--21 -18 ED MAR 21 2018 Owner's Signature: Date: Last Updated:January 2016 CITY OF ORONO PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: Z ( E(9 igod er-p(,'O(d y 2/ Permit No.: 74./O"Mc Description of work: Date Rec'd: S1/4--///27 Septic review by: Date Approved: Zoning review by: / Date Approved: Buildingreview by: l_ : �j, / Date Approved: `�� `7j / /�j Grading review by: Date Approved: GG Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot overage: SF % Survey Submitted: D Yes D No Date of Survey: Revised date(?): Landscape plan submitted? D Yes , D No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S \'E W ) ( S E W ) Other Buildings Wetland Side'.. Side `` 1 Defined Height: Peak Height: F : FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade Basement? D Yes D No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:// ORA BUILDING ON A SLAB FOUNDATION: The distance between the/lowest proposed Slab at or above grade— START WITH floor(of the basement orcrawl space)and measure from highest existing the highest point of the,/roof. START WITH grade to the highest point of the roof even if fill was brought into j elevate home. If you have a... / SUBTRACTION • GABLE OF('HIPPED ROOF(no \ Slab below grade—measure (BASED ON windows/ Subtract half the distance '\ from highest existing grade to the ROOF TYPE) betweeil the highest point of the roof highest point of the roof. to theA'ow point of the corresponding If you have a... gabs or hipped roofSUBTRACTION • GABLE OR HIPPED ROOF • GAI3LE 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 • ALL OTHER ROOF TYPES(flat, • GABLEhippedroof OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl 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 / Defined building height subtraction. 1 Defined building height EQUALS I • '. Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes 0 No 0 N/A ❑ Yes 0 ❑ Yes 0 N 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) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit (7 Plan Review, State Surcharge Investigation Fee V' SAC-Number of SAC Units Other(specify) f/- Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X /� = $ Estimated Construction Value: $ ✓0 x%6)0 Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site Plumbing 0 Grading / Filling ❑ Poured Wall 0 Silt Fence/Erosion Control ,Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation `f/ Insulation 0 Mfg. 0 Landscaping l❑ As-Built Survey 0 Other(specify) )(Final ❑ Lathe Required State Permits ❑ Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ 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 7•\fnrmc\nlan rcvinw nc.rldict 1f_901C rinry R Carbon monoxide detector Compliance for Code RECEIVED TOR CONNECTED TO A SOUND required within 10 ft. of CUliance CiAty of Orono1�DETEC IN Oittitii) SMOKE all sleeping rooms. INC DEVICE OR OTHER DETECTOR AUDIBLE Date SLEEPING AREAS.MUST BE WIRED. -- 7 MAK 2 'I 2018 ` Reviewer CITY OF ORONO _._. _ „ n j NOTE: mo_ 2_ F- �3 1599 _ 12" 12° �> 1 Soffit runs perimeter of Game Room Q x _ — Z z Bedroom �" Pra-P- - / Sc94 1S & perimeter of Family Room L� � rIli!lJ� "1 1 u Z Q v�':r�j± a r 'i(/'t /( j All dimensions indicated on plan W < ';:: a ...j 1683/4" .--1 Game Room I C, IZ Lia;iii :::,,,.4 21-- —1 _1 c • Q QUI-- � ° x : — New Valls =c-Ni V 1 Q w Bedroom Closets: Lt W Ci..c:7-) Back Nall Existing 0 CC o 4 1 4. New Door Nails Lill co c _N 6 d' New Divider Nall A I,n /\ O� / - k� Soffit ., v < 50"- — 50" o c. m v .2Y6\- 7 Family Room �¢ 8 N l ` '''2 LG '�;��.. 'I�J f O I I J ll V44 Linen , - - I Floor Floor I� f Cpy �" - Transition Transition - — - �� p , In- - < 36"----- --� 36",- ,- m Lm /V\ 1 - --- Bath - BC.52112 . Mechanicals '��' ( G) Soffitif , 44 9/16">4- - 1 ,F _ I m n {pF 5-g�i 7c, ( ---4-�� - d-, ,, .._s , r4< Storage Floor iv m ` cj Transition "' - Floor Net Bar i'l ii Transition - : - - Y1 1z S te- re,/ 6 ,:z.--4.71 1 J1 ,./f /2`/ l -� a sl 1: 7:,-:„-,( = 7 r DESIGNED FOR i 1 i SHEET# ■ Al & Carol n Azad Project Address: All Measurements & Scope of 1Nork Scale: y Lower Level Plan A-1 i ; HILL D E 5 { G N BY 200 Bederu�ood Drive November 21, 2016 To Be Verified By Contractor 1/4" = 1 '-D" 1 Kristin Gabriel, AKBD Orono, MN 55356 1 ) "I DATE TIME CITY OF ORONO CALLED IN / INSPECTION NO CE , SCHEDULED 7r7-2-47 ,:_36 PERMIT NO. —d C PLETED ADDRESS .200 / OWNER T LEPHONE NO.ALR-a:70-97.20 CONTRACTOR _ ' Zo lr o S csf5 ki&. 52 DESCRIPTION rra-114/✓Ar/ W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE M HANICAL RI 0 SITE INSPECTION FRAMING /❑ MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL / 2 OWNER/CONTRACTOR TO MEET YOU: YES l_NO �`' ^ ti COMMENTS: I� _ QC et o N. 7/20G y open. 7 a/A-oob7A- k '‘ 341t-r,e(41-- .t '!fes -, ,e ,c)/A.teE �0-s Aix- 7 07-6 G ie<A4G ei ImRK—SATISFACTORY:PROCEED 0 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next.. -pection 24 hours in advance. (952) 249-4600 Ovtmen'Contractolife: Inspector: White Copyfnspector's File Canary Copy/Site Notice c....b — 4' --Q)f DATE TIME CITY OF ORONO C LLED IN Q� INSPECTION NQT,IcE� A SCHEDULED ' ' V .7% av PERMIT NO. ��t (�/�OO COMPLETED ADDRESS t5-0 ce diA.)..4"-C. OWNER TELEPHONE NO - ` CONTRACTOR Iv DESCRIPTION 7 .444. k_SP/LkejUAVI IU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11.c ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING VC 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION _ 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS L Ej SULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL .t ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cci COMMENTS: 4. 4 . - i el t•i✓c /iisa. - 4e .-i✓cx�-1 1bj 4 . - . dips d/oma fi, l/- cc 0 -G>C /to r /,c1 a t'( / s u./. --CS S z,i 117 �- �O - no �• (� 7`J•; t ,4A2 cc O Cb"6'-4i e Q W z W cc W A*ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OtimerlCorrtractor on site: Inspector. C.-?/ rw White Copy/InspectoI s File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E 2 SCHEDULED 7-4P) PERMIT NO.r O O- COMPLETED ADDRESS o7e):0 d A OWNER ELEPHO E NO491R- A70- 6 701;-- CONTRACTOR (AV �� • DESCRIPTION d • ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q 0 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 ty 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL OWNER/CONTRACTOR TO MEET YOU:_YES_NO {.9) F.COMMENTS: fl / hc51 it 'f�a l `7)s 1.1 dAkto 14!. $iptc,S 3 ) acs Li',Ne air' 0 cc CC W W d W U WORK SATISFACTORY:PROCEED U PROJECT COMPLETE CCU CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED U 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/lnspector's File Canary Copy/Site Notice