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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 � � �- 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< </' - � , 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 �- � 4 �il�1tG i K So�G h'6�� j � � I�JQ�K �rr ��a.�'ec'� �6r �wc-��,+�t � ° �Qo �.�.� - W aC Q z ��"a,�� ���re� � -JR cr n� �rµ•'L w� c( 6e �t2.�.P� � �r rte w���a✓ d ��� 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