HomeMy WebLinkAbout2015-00836 - addn/remodel/repair • 1
CITY OF ORONO * 2 0 1 S - 0 0 8 3 6 *
2750 KELLEY PARKWAY DATE ISSUED: 07/02/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2060 SIXTH AVE N
PIN : 27-118-23-31-0002
LEGAL DESC : UNPLATTED 2'7 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RELIGIOUS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: INTERIOR BASEMENT DRAIN TILE
OTHER INSPECTION REQUIRED TRENCH/TILE
APPLICANT PERMIT FEE SCHEDULE 123.91
PLAN REVIEW 80.54
RITE-WAY WATERPROOFING STATE SURCHARGE(VALUATION) 2.50
448 LILAC STREET
LINO LAKES,MN 55014 TOTAL 206.95
(651)786-0550 Payment(s)
Minnesota State License#: BUIL-BC692554 CREDIT CARD 9042 206.95
OWNER
CHURCH,TRINTY LUTHERAN
2060 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 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.1'his pertnit may be
revoked at any time for due cause.
1
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Applicant Pe itee Signature ate Issue By i ature Date
C��y of Orono O'�
�, q5
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windaws, doors, sidir�g, re-roof, etc, — NO STRUCTURAL EXPAN��QN)
Mail�n Address: y �'.�r�,; �k, pi��'� i� � � � �.�,�
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�'. Crystal Bay,MN 55323-0066 bate:recelved •- "`�{�h`�r�
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� st,�er add►�ss: A��t� „ � �,�
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y ���'� 2750 Keltey ParkwaY ��Isn'rew�w Ee ''���' Ui,� ���, r � � �i� �=
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Mafi: 852-249-4600 Fax: 852-249-4616 no.mn.us '� ��,�,�" r'i,l�i�ti��i"iiii'w�'��r.�i ^�}��F'i;,��'
This epplication form must be completed in full and all required information must,b�s�bmi M�� �/'
Incomplete applicatlons wlll be returned. (P/e�s�pr/nt) J� � � !7
G�NERAL INFbRMATION: ��� � � � �
Job 81te Address. _.,,
Wlil thts be a Parade of Homes,Remodelers Showcase ome 4r other Dlsplay Home? ❑Yes Na
If yes,B Sp9Cla1 aveni permlt Is requlned wlth Police Departr»9nt snd C/ry Cound!approva/60 days pnor to t►te event. Shuftle bus servlce wlll be
required unless applicant demonstr6tss auA7cl�nt on�fte parking is svaila6le. Non-permlYPed events wllf not be a0owed.
CONTRACTOR I APPLICANT INFORMATION:
Name: � pp 4�
State License# '��, (�q a SS y _ ExpiraEion Date: � �r
Lead Certitication Number: �-�T--� �p ,� �� .-� Expiration bate: �'�) I� �/�p��"
(for work on homea thaf were constructad prior to 1978 �—� r
Phone: (cell) (office) ` �j - — ��
Mailing Address: ' �-� .� City: �- ZIP: j",�"b�
Contact Person: � m-r� Applicant is; Contractor / Homeowner (C�rC�t�ne)
Email andlor Fax: -}- t'"� r' "p.d� � l
PROPERTY OWNER INFORMATION:
Name: �h'c v� 1 � �.! ��.l,��v1 ����
Phone(day): �(a �. ��� (�dU'3
Address: �,�p ���„ �� �� City: (`�^(7b1 b ZIP: �S�j�Q
Email and/or Fax:
PROJECT INFORIIMA�'ION: Overall ro ect descri tion: `���`L' �' l O(� �S�w,�-�...J� _� � ( j�
Type of Project: Any earth movement mey also require
�Door(s) ❑ Remodel ❑Flre Damage
MCWD review&p�rmltS:
❑Re-roof,asphslt ❑Repafr ❑Storm Damage ��nneh$ha Creek Wat�l�hed Dist�iCt(MCWD)
18202 Mlnnetonka Blvd
❑Re-roaf,cedar ❑Restoration ❑Weter Demage Deephaven,MN 55391
❑ Re-roof,other(speclf� ❑Siding �Other:(specify) Phone: 952-471-0590
Fax: 852�71-OB82
❑Window(s) _���___ www.minnehahacreek_orc�
Estlmated Construct[on V�luatian of Project (excluding land)W $
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building oepartment;
. Certifies that the information supplied is true and correct to the best of nis/her knowledge. The appllcant recognizes that they are
so3aly responsfble Eor submitting a complete application be[ng awdre that upon failure to do so,the staff has no alternat}ve but to
reject ft until it is complete;
• Some or all of the lnformation that you are asked to provide on this appllcation is classified by State law as either private or
confidential. Prlvate data is info�matian whlch genarally cannot be given to the public but can be given to the sub]ect of the data.
Confidantlal data is infortnatlon whlch generally cannot be given to either the publfo or the subject of the data. Our purpose and
Intended use of fhis informetlon is to annually update our recor�s and records of other govemmental agencies required by law. If
ou refuse to su I t � formation,t fication ma not be issuetl.
Applicant's Signature: p2te: I — I � ( �
Owner's Signature� Date:
Last Updated;January 2015
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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: G-(/� (�!]�ul�i N lf",O¢cL �(p Permit No.:
Description of work: �!�`Q!!�i ��� /,�a f"f�"1 dl^� Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: �
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: � Yes 0 No Date of Survey: Revised date(?):
Proposed Setbacks:
Front(Lake) Rear(Str et) ( N S E W ) ( N S E W Other Buildings Wetland
Side Side
Defined Height: Pea Height: FFE: FE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade #of Stories
FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: F A BUILDING ON A SLAB FOUNDATION:
The distance betw n the lowest proposed The distance between the top of
START WITH floor(of the basem t or crawl space)and START WITH slab and the highest point of the
the highest point of t roof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPP ROOF(no (no windows): Subtract half
windows): Subtract alf the dista ce the distance between the
between the highest oint of th oof highest point of the roof to
to the low point of the orresp ding the low point of the
SUBTRACTION 9able or hipped roof corresponding gable or
(BASED ON . GABLE OR HIPPED RO (with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half distance (BASED ON • GABLE OR HIPPED ROOF
between the top of the ig st ROOF TYPE) (with windows): Subtract,
window and the high t poi of the , half the distance between
roof � ' • the top of the highest
• ALL OTHER RO TYPES(fl t, � . window and the highest
point of the roof
mansard,etc): subtraction. . ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distanc between the (flat,mansard,etc):No
(BASED ON basemenUcrawl sp ce floor and the subtraction.
EXISTING highest existing g de adjacent to the ADDITION Add the distance between the top
GRADES) foundation OR 1 feet(whichever is less (BASED ON of slab and the highest existing
EQUALS D�ned buildi g height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building helght
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
O Yes � No Pe it Number: � Yes � No � N/A 0 Yes 0 No
0 N/A—see attached Setback:
Stormwater Quality Existin Hardcover Proposed
Overlay District (�/ and s� Hardcover Variance Required CUP Required
Tier circle one %and s
0 Yes � No � Yes � No
1 2 3 4 5 Type s): Type(s):
Updated: January 2015
c:\users\rpeitso\documents\plan review checklist 2015.docx
REMARKS (in-house):
Fees to be Char ed YES NO
Permit ;
Plan Review
.:State Surcharge �..
� Investigation Fee ` (,�
SAC-Number of S�►G,Units
Other(specify)
S uare Foota e S er S uare Foota e
Basement X = $
1 S�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ V 1�D
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing � Grading/ Filling 0 Well
0 Silt Fence/ Erosion Control � Mechanical 0 Fire 0 Electrical
� Hardcover Removal � Septic � Water Connection
� Footing � Fireplace � Sewer Connection
� Poured Wall � Masonry � Lawn Irrigation
0 Foundation Survey � Mfg. � Landscaping
� Foundation Waterproofing 0 Other(specify)
O Radon Rock Bed
� Framing
0 Insulation
� As-Built Survey
Final
Other(specify) r/"Z!� � � �/�
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES � NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
c:\users\rpeitso\documents�plan review checklist 2015.docx
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448 Lilac Street'"Lina Lakes,MN 55014'�651-786-0550'�Fax C>S1-786-0555
F,t�CSIlVIILE TRANSMITTAL �
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I7ATE: 07-01-15 TIME: 11:30 �.� �i���a���k �
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TO: City of Oroz�o ��r����'��••'� BY
FIRM: Building Permits �`� CNE�K�� ��
P
�AX NUMRFR: 952�249-4616
FROM: Veta 651-786-0550
REFERENCE: Draintile Permit
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SPECIAL INSTRUCTIONS:
ror youp ftes Please telephone me
For your informatiorz For your approval
In accordance with your request Please give immediate attendion
H.A.R.A CbPY TO FOLLOW: YES N'q
4 Pages
TH�iNK YOU
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448 Lilac Street � Lilno Lakes Minnesota 55014• 651 786-0550 • Fax 651 78�-0555
PrppOsal su6mitt d to ' Job Name
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Address /,lddress �
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City,State,and Zip Code City,State,and Zip Code
�.an�� L� 5�5�,
� hlome C911 . Home Cell.
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Work Fax Work Fax
Email Address • Email Address •
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This proposal (Contwact) entails #he fo�lowing activities to he perFormed by Rite-Way Waterproofing:
To Inst211&n unde�roUnd t3raln System bslow the basement floor level as Indlcated On thg deta3lsd dl'2tWing.A p6rfolt►ted four inch plaatic pipe ehell he ingtalled In�1fe�Ch mnd WIII be
e�cased by A mfnlmum of two Inchea of river rocic.Block wall conatructlon��II have each ca�vlry and seam driiled ea near tha toundation level as f�lble vn ihe Ivwer cauram o}blocka.
A one halt Inch plastic drain p3pe or 6/8"tlt`ain.board shall be inatelled on/in each of the drUlOd Gavltles and SCAltts 50 U1At�ny weter will be drained In�the plestic plpe Ilne.T�e plastlC
line ahall terminate In a eump and a pump will bd inatafled to remove the accumulated weter.The trenGh gh�u qg pomsnted t0 the f�Vel of the basement flooc We wlll be leeving a
vapor sep between ffie ffoor and the wAll to CAtCh dny mvisturo and condenaaUon 1rom the walls,t!hamOtl wdl!iS kft up ur tubins method la uaed.
'�''he owner�g r�gppnslble for thm removal of appliancea,furnl2ure,caipetEng,cutting walls pr}ip0�ing r�movad and clearing the excsvatlon area before we arhva ta start the job.If they
sre not removed and IF b9COmes Y1CGe35ary foY Rite-Way persannel to remove them,we wlEl not b6 IpspOnslble 4oY Any Yesulting damageo and will cherge for IabOi&�d/0l m8ferk�lS.F{IiE2• �
Way Waterprooflng wEll not�e rgsppnslble!Or Job dust or the reatoretion of tile,peint,eheetrock,p�neling or at1y Aooring zilong tha area of axcavation.llpon flnal paylllent,FIItC-Way
Waterproafng wlll lasua a Ilfatlme guarantee'wl�frz UUr drttin tllo has been insialled.The guarantee doea not Cover dBmpnCss br cond�nsation on walla or floors.7Yre pump ig co�ersd bY
T SCptrate 3 year menufacture�s werranty.The exle Ilne hAS A 1 yCdr warranty.Sattery back-up eyreteme are wsrra�IReed by!NC manufacturer&cerry e 1 year lebor warranty,
NORTH WALL '.•.. "�"" Ff. POURED WALLS/FIELDSTONE/LfMESTQNE�_ SUMP:REG-bE�P �UMP:�1 /2 HP"
SOUTH WALL - ��FT. CERAMIC TILE/LINOLIUM/WOOD/CARPET/�(A�IF.� QTY: � �; pTY: C1� ;'
FAST WALL �" F`C FRAMING/FUR STRIP/2X2/2X4l�pl� CEILING H�1GH7 �0 r ,�
WEST WALL �.�i FC SHEETROCK/PANELING/OTHER�. 7UBING MEfHOD ►�IU �
TRUNK LINE ��___FT. BLOCKWa�� �CO /3 COR� �-nr_���,_ VAPOA GAP SIT�
` r � �+1� P�LY DRAIN 2' '
TOTAL �,�_FT. TUNNELED AREA$ NOT QUARAN7EED '
Aclditions R!t -W es Not Gover Re ir Re Eace Q F�REPwcs: o cuar�r„��Q O NOT GtIARANTEEo ❑IF HfARTH REMOVED ' '.
���"Trn,�Homeowner to 5upply 110 electrical ouilet for pump(10 amp) � i�� � �� � ���„r,� �y„� ,�
-� paneling and/or sheet rock wa►Is may have to be cut off at the ��,��\,���aa1 a �t v" ��+�S1�ne �1��g
bottom including framing /' • �
.�' C ) t'p�2- �(/`U'I
_.:_Nait or screw heads may pop or corner seams may separate an �` ��►f �G'�(a h �J �, ,�
sheetrocked wans,studs may c�me loose at concrete wall � � �
`;��5 painted walls may become nicked,stained,dented or marred � �' �` "'� .� .,' '
= Flooring In excavation area wlll be lost � ' � ,� f�R
��Floor may have to be b�veled f� �� f �' � ��„� ,
,_Carpet and pad to be removed/repla�ed by homeowner � � �
� � �" � �� `�.
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�" Baseboards to be removed/replaced by homeowner �" � � I
_ i . . _.__._ ...
�alhroom fixtures(toflet,shower,vanity,etc)to be removed/ � ___._., - "�...� �
replaced by homeowner ,,� f��
Otner items to be moved by homeowner��i�LG ;�la�,C�, ��;�
��n95 d 6�X-�v�a2,wr+c[_.S. „_ '�' �
❑ sTaR.,oa o wnuc naouHa ❑euav oar un��N��cw as aHowrv
RErttark3 ���y � 1 t' $ 1 1� f a
�fonal items�CX{��C�as7� `� ' wHIGH WATER LEV LA RM INCLUDED"
Acld Concrete accelerator $�� Yes/N�Cure time:From 14 days down to 5 tlayS.
Add Concret�sealer after concrete cured $„�� Yes/No TK product-HYDROMAX 2001� �
Add electrical outlet Installation $�^,._EA, Yes/No Qty:�� _
Winter/Summer burletl exit line: Add$�Ic�u�lst 10' included$. ��A per foot addltlonal Ye No �6ap}igf�h , o"p�-_�u�",� �,�.gr�,.
Zoelier�Battery Back-up S stem: #507 Yes/No Egress Window Insialled: Yes/No Qty:� Add.$ ea.
w/Acid Battery Mlater) $ ��' w/Gel Battery $ f��5-4°r, H20 Proof: �gress/WW Yes/No Qty: Add:$�ea.
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Llcense/Cprdflcabe/Reglstretion
Detail
pnss Type: ��DEIiTIAL BLDG Number: BC69Z554
coNT�►croR
Application No: 34�'214 5tatus: ISSUED
ExpirQ Da�e: 3/81/2017 p�� 4/3/2015
Ong pate: 4/3/2015 Pr��t 4/B/2015
Date:
Enforoement ��
Action:
Name: C AND S MANAGEMENT COMPANY INC DBA RITE-
wwY wwrErtPROC�rinG
Address: 448 LIlAC ST
CIRCI,E PxNES, MN 5501�
Phona: 65�-786-0550 Fax: Other:653-786-0551
BuckMcc Mhno�tdp RwuNana�ts
Name: OR'�ON,]ERLMY L LiC/Reg N4: QB143744
Sta�s: ISSUBD Applicdtian No;�694{03
Explre Date: 3/31/20id �fFect bate: 4/�/�0�4
Orlg Date: 6/29/2010
r� A�oaher Loolcup7 _
httpsJ/secure.doli.statc.mn.us/lookup/licensing.aspx 5/13/2015
ti001�00'd 9SSO�LlS9(H�►� 6S�l l S LOZILOILO
DATE TIME , /
CITY OF ORONO cnLLED IN 7� ��
INSPECTION 1�0=I���� SCHEDULED '7— �s 8'D
PERMIT NO.a�� COMPLETED
ADDRESS ��O
OWNER E H NO "
CONTRACTOR � —
� DESCRIPTION � .
4i ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �AL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 �NNERICONTRACTOR TO MEET 1POU:_YES_NO
y COMMENTS:
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W ❑UVORK SATISFACTORIF.PROCEED COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECTYVORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C ron 2a twurs in advance. (952) 249-4600
Owne ractor on ��6c�io✓
Inspeotor: �^-�
White Copyllnspector's Ffle Canary CopylSNe Notice