HomeMy WebLinkAbout2014-00622 - addn/remodel/repair ' '` CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 6 2 2 *
DATE ISSUED: 06/19/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 951 SPRING HILL RD
PIN : 26-118-23-44-0002
LEGAL DESC : UNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 15,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
PORCH WINDOWS DOORS AND FP
APPL[CANT PERMIT FEE SCHEDULE 265.50
PLAN REVIEW 172.58
VUJOVICH DESIGN-BUILD STATE SURCHARGE(VALUATION) 7.50
275 MARKET ST.#521 TOTAL 445.58
MINNEAPOLIS, MN 55405
(612)338-2020 Payment(s)
CHECK 44684 445.58
OWNER
PASTEL ET AL TRUST,JOANNE M
951 SPRING HILL RD
WAYZATA, MN 55391- �
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 does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 I80 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.
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Applicant ermitee Signature Date Issue By Signature Date
, •
C:�-�
City of Orono �l'�� '
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�0�� Mailing Address: Perrnit number: ���'"���Z---
PO Box 66 �
Crystal Bay, MN 55323-0066 Date received: " 6 '���/S�
Street Address: Received by: ��
y �" 2750 Kelle Parkwa
�, �� Y Y Plan review fee:
' t,���sH���, Orono, MN 55356
Total Fee: ���. "3�� `
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)
GENERAL INFORMATION:
Job Site Address: �s�� v� /L� G �
Will this be a Parade of omes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event Shuttle bus se ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFOR�ATION:
Name: (, p 1/ � (�
State License# dp p Expiration Date: 3 / 7d� (o
Lead Certification Number: �/� � 2 y� p — � Expiration Date: 3 2c9i
(for work on homes that were constructed prior to 1978
Phone: (cell) (��2 _ 3�� — � ��� (office) ��Z^3� �� 2 O z G
Mailing Address: 2 � �t,f� ST � 2 City: � S ZIP: �y v
Contact Person: �p� Z � 2 �G L Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: /p�J Z,��v�/� r/U�Jvc1�c�� cr'D/�_
PROPERTY OWNER INFORMATION: �� ��/,� �
Name: ,L G cJyvG�/� ��/a/�� �
Phone(day): �2- -7�O — z S'�j �
Address: — �tl �G � City: �c��v ZIP:�S�,3 ,
Email and/or Fax: �G 2 Cd
PROJECT INFORMATION: Overall ro'ect descri tion:
Type of Project: Any earth movement may also require
� Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
�J] Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof,other(spectfy) ❑Siding �Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
`(�Window(s) www.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding land) $ ! , oO6f �
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 informa' n is to annu Ily update our records and records of other govemmental agencies required by law. If
ou refuse to su I the in rmation th lic ' ma not issued.
ApplicanYs Signature: Date: ?d�
Owner's Signature: Date:
Last Updated:03/06/2013
� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: `ls� S(�(�'���1�' h� � �l— ���
Description ofwork: (,IJ�VY/OG�'�/5 't ��?D/[S irv �pR�'�
Septic review by: �J I � Date Approved:
Zoning review by: NI Ir� Date Approved:
Building review by: �\.,�r �,,....� Date Approved: G-�� � ��
Grading review by: I�JI V�t Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: ot Area: SF/AC Width: Lot Coverage: SF _%
Survey Sub itted: 0 Yes 0 No Date of Survey: Revised date ? :
Pro osed Setb ks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50%_ #of Stories Ok 0 YES
FOR A BUILDING WITH A BASEMENT OR WL SPACE: .
The distance tween the lowest FOR A BUILDING A SLAB FOUNDATION:
START WITH proposed floor the basement or crewl
space)and the hi est poiM of the roof. TART WITH The distance between the top of slab and
if you have a... the highest point of the roof.
If you have a...
• GABLE OR HIPP ROOF(no . GABLE OR HIPPED ROOF(no
' windows): Subtract If the windows): SubVact haif the distance
distance between the ' hest point beriveen the highest point of the roof
of the roof to the low poi of the to the low point of the corresponding
SUBTRACTION corresponding gable or hip d roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF( 'h (BASED ON • GABLE OR HIPPED ROOF(with
T�'PE) windows): Subtract half the ROOF TYPE) windows): SubVact half the distance
distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
. ALL OTHER ROOF TYPES(fl , • ALL OTHER ROOF TYPES(flat,
mansard,etc):No subtractio . mansard,etc:No subtracGon.
ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distance between e (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenVcrawl space floor d the EXISTING the foundation.
GRADES) highest existing grade ad' nt to the GRADES
foundation OR 10 feet ichever is less). EQUALS Defined building height
EQUALS Deflned building ght
Shoreland District CWD Permit Received Avera e Lake hore Setback Met? Bluff
O Yes � No � N/A 0 Yes 0 No
0 Yes � No � Yes � 0 N/A
Permit Number: Setback:
Stormwater Q lity Existing Proposed Variance Required CUP Required
Overia Dist ct Tier Hardcover Hardcover
� Yes 0 No 0 Yes � No
Type(s): e(s):
Updated: January 2013 ��i n
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REMARKS (in-house):
Fees to be Cha ed YES N0 .
< °`> ,a. .�tt ��r;'i
;F��9TRfIt+'� ,
Plan Review
Stat��uacha�Cye , �� ;:, ..�. �:�
Investigation Fee
`5�=��+I�r�bi�'FS;AC"Wnits, �T �> � � 4,,
. ,
�..
� _ <_,.,.
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1°t Floor X = $
2nd FIoO� X = $
Garage X = $
�v
Estimated Construction Value: $ j S� �?��
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing C Grading/Filling G Well
G Hardcover Removal � Mechanical C Fire �Electrical
G Footing 0 Septic 0 Water Connection
0 Poured Wall Fireplace 0 Sewer Connection
0 Foundation Survey G Masonry � Lawn Irrigation
0 Radon Rock Bed �'�Afg.
,�Framing �0 Other(specify)
� Insulation �
G As-Built Survey
�Final
� Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES � NO New: � YES � NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms�plan review checklist 2013.docx
J � �`�"-�' DATE TIME ✓
CITY OF ORONO �cA�LED IN '/
INSPECTION NOTICE ,f� SCHEDULED � /Q`
PERMIT NO. � �/�/ �QMPLETED
ADDRESS 9 ti ��`/l�
OWNER ' LEPHONE NO.�o%�" �'���
CONTRACTOR � —�
� DESCRIPTION � � " - rG�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANOS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
� �FINAL � SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET Y�DU:_YES_NO -
� COMMENTS: F •n� �e�M� � ���y•oo�3q -�•u���
a Orc.�i t'sw�o,aQ�/- �d)�� ���.1�� '
oL/i��bb�! -+ a �aG�'S � / �� /�'
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� ❑WORKSATISFACTOR�PROCEED �AOJECT COMPLEfE
�RECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0���CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECO�VERING PERMANENT
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cai xt inspection 24 hours in advance. (952) 249-4600
Ow ICartractor on site: W�
inspe�tor: �^-
White Copyllnspector's File Canary CopylSite Notiee
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DUNLAP-PASTEL PORCH RENOVATION W H I T E S P A C E
D 951 SPRINGHILL ROAD
ORONO MN 55391 :�I�ZCI11'I�I:(;T�C`}ZI;
� PERMIT DOCUMENTS G l ? - 6 �2 - 1 6 2 u
� � ��R�� ���L� OCOPYRIGHT 2014 WHITE SPACE ARCHITECTURE LLC