HomeMy WebLinkAbout2015-00789 - roofing F CITY OF ORONO * 2 0 1 5 - 0 0 7 8 9 *
. 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3025 SIXTH AVE N
PIN : 28-118-23-32-0009
LEGAL DESC : LJNPLATTED 28 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-OTHER
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,000.00
NOTE: INSTALL DOOR AND FRAME IN EXISTING OPENMG,RE-SIDE GARAGE,STAIN HOUSE.
WATER DAMAGE
REROOF-FLAT/SEAL
GARAGE SIDING
GARAGE DOORS
APPLICANT PERMIT FEE SCHEDULE 77.44
STATE SURCHARGE(VALUATION) 1.00
MCKEE,MR.&MRS.BRENT TOTAL 78.44
3025 SIXTH AVE N
LONG LAKE,MN 55356- Payment(s)
CREDIT CARD 6473 78.44
OWNER
MCKEE,MR.&MRS.BRENT
3025 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 confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
`� '/��50 7 .3 �
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pplic Permitee Signature Date Issued y Signature Date
.
City of Orono
.Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�T Mailing Address: �C��S •- C�-7�-t
��1 VO PO Box 66 �i �� Permit number:
Crystal Bay, MN 55323-0066 �-� Date received: ��
Street Address: Received by: �.��
y�, � 2750 Kelley Parkway Plan r view fee: /v��
1qkESH���G Orono, MN 55356 �S� -�.�3�11� /J
Total F ` �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��� -' ,�: ' �
S'-�' " y°
This application form must be completed in full and all required information mus b mitted�.�
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION. , S , ��,�
Job Site Address: � C-'� � C� �;�e !�.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
lf yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: 1� ,� r � � � `/(F�.
Phone (day): ���� Z p�> - `)6/�/
Address: 3 v Z,S - E * ` � /v . Cit :
_ �- Y �; ,, L, ZIP: �S! 3 J �
Email and/or Fax: i'`�t�K�� 3 .�5 �J ,�''�� �✓�- < <..�
PROJECT INFORMATION: Overall project description: 'l/�.�C �.. C�er t.��t �
Type of Project: Any earth movement ay also require
� Door(s) �✓`u5 '�- ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof, asphalt �Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ Restoration �]Water Damage Minnetonka, MN 55345
� Re-roof, other(specify) �Siding �Ja�'yy e ❑ Other: (specify) Phone: 952-471-0590
�/� .f ;'�S �,� / Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project (excluding land) $ L c%�
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 appficant 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 I the information,the a lication ma not be issued.
ApplicanYs Signature: Date:
Owner's Signature: %�/ �'J /'/� %��-- Date: .��w � '��.� �/.,5
Last Updated:January 2015
.PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
. 2 /_ ��1 ��
Address: ✓�� � lJ� � Tld� JV� Permit No.:
Description ofwork: �C(�4' ei P ✓�C'.��//�;S Y� �C�O'�'Date Rec'd:
Septic review by: ' Date Approved:
Zoning review by: Date Approved:
Building review by: .G�� 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: � Yes � No Date of Survey: Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear(S reet) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Pe Height: FFE: FFE minus�feet= (Existing Contour)
Perimeter(linear feet) = 50%= L.F. below grade #of Stories
FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FOR A BUILDI G ON A SLAB FOUNDATION:
The distance behv n the lowest proposed The distance between the top of
START WITH floor(of the baseme 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 haff
windows): Subtract alf the discance the distance between the
between the highest int of the roof highest point of the roof to
to the low point of the rcesponding the low point of the
SUBTRACTION gable or hipped roof corresponding gable or
(BASED ON . GABLE OR HIPPED RO F(with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half th distance (BASED ON . GABLE OR HIPPED ROOF
between the top of the high t ROOF TYPE) (with windows): Subtract
window and the highest point f the half the distance between
roof the top of the highest
• ALL OTHER ROOF TYPES(flat, window and the highest
mansard,etc):No subtraction. point of the roof
• ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance between the (flat,mansard,etc):No
(BASED ON basemenUcrawl space floor and the subtraction.
EXISTING highest existing grade adjacent to t ADDITION Add the distance between the top
GRADES) foundation OR 10 feet(whichever i less). (BASED ON of slab and the highest existing
EQUALS Defined building height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building height
Shoreland District MCWD P rmit Avera e Lakeshore Setback Bluff
Met?
� Yes 0 No Permit Number: � Yes � No 0 N/A � Yes 0 No
� N/A—see a ched Setback:
Stormwater Quality Existing Hardcover Proposed '
Overlay District (��o and sfl Hardcover Variance Req ired CUP Required
Tier circle one %and s
� Yes � No 0 Yes � No
1 2 3 4 5 Type(s): Type(s):
Updated: January 2015
c:\users\rpeitso\documents\plan review check st 2015.docx
.
REMARKS (in-house): •
Fees to be Char ed YES NO
1�ermit
Plan Review
State Surcharge �
' Investigation Fee
SAC—Number�f SAC�lnits
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1 S'Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ �, (���
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing � Grading/Filling � Well
0 Silt Fence/Erosion Control 0 Mechanical 0 Fire � Electrical
� Hardcover Removal 0 Septic � Water Connection
0 Footing � Fireplace O Sewer Connection
0 Poured Wall � Masonry 0 Lawn Irri jation
� Foundation Survey O Mfg. � Landscaping
� Foundation Waterproofing O Other(specify)
� Radon Rock Bed
Framing
� Insulation
� As-Built Survey
Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES 0 NO New: 0 YES O NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED S !�
aat �n -e r� 61 v< </'
-
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,
Updated: January 2015
c:\users\rpeitso\documents\plan review checklist 2015.docx
DATE TIME�
CITY OF ORONO cnLLED IN
INSPECTION NOTI E GscHE�uLED
PERMR NO. `d� / COMPIEfED `s �
ADDRESS �dS vr f� /¢�-. �-
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �� '�' �''°s�d �'ar29�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI � EXCAV/GRADING/FILLING
Vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�NAL ❑ WATER HOOK-UP ��OLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNEAICONTRACTOR TO MEET Y�OU:_YES_NO �
� COMMENTS: �ra•i��` /tGl��•� �•�� �l` ��l �-
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W ❑WORK SATISFACTORY:PROCEED ❑FROJECT COMPLETE
� ❑CORRECT 1NORK 3 PROCEED ❑ISSUE CERTIFiCATE OF OCCUPANCY
W
0 ❑CORRECT VMORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORE CdVERiNG PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: � �-
wnia coprn��.o�F�� Gnary CopylSlf�Nofies