Loading...
HomeMy WebLinkAbout2013-00889 - addn/remodel/repair CITY OF ORONO * 2013 - 00889 * 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 3685 TOGO RD PIN ; 17-117-23-31-0037 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 008 BLOCK 010 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 1,500.00 NOTE: ENTRY STEP REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 57.50 KIRCHENWITZ, MELV]N 3685 TOGO RD STATE SURCHARGE(VALUATION) 0.75 WAYZATA,MN 55391- TOTAL 58.25 OWNER KIRCHENWITZ,MELVIN 3685 TOGO RD WAYZATA,MN 55391- 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 Bui)f ing Code.This.permit may be revoked at any time for due c:use. / 14043 Applicant Permitee Signature Date *IssuBy nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O1 V Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: yF G� 2750 Kelley Parkway Plan review fee: t 0SHO �, Orono, MN 55356 � � Total Fee: 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: Will this be a Parade of Homes, Remodel rs Showcase Home or other Display Home? es ff 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 INFO M Name: —rL��4, /,/ �ATION/;(! G�2 t��WJ -L, State License# a Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 ff c/ F Phone: (cell) ;L _ (office) �J` Mailing Address: �y 7 City:p c ZIP. Contact Person: J , ' Z; Applicant is: Contractor / Homeowne (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: R Name: Phone (day): q'T., ffTV If 6�// 4f9 , Address: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ R model 1-1 Fire Damage MCWD review&permits: ❑ Re-roof, asphalt pair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project (excluding land) $ , 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 applicatiop may not be issued. Applicant's Signature: lh Date: C - ��/ Owner's Signature: -� Date. Last Updated: 03/06/2013 �/ niDONO COPY r SPECIAL NOTE SEE ATTACHED SHEET ; FOR f+ANA RiaI CODE REQUIREMENTS RESIDENTIAL GUARDRAILS Unenclosed floor and root opening, open and glazed sides of landings and ramps, balconies. seeks or porches which are more than 30" above grade or floor below, require a guard with a minimum 36" height. Open guardrails must have intermediate rails or an ornamental pattern so that a sphere 4"in diameter cannot pass through. STAIRWAYS Stairways 7 314" maximum rise, 10" minimum run, Install a handrail on one si0e of the stair 34"to 36" high, continuous and uninterrupted full length of stairs, handrail ends shall be returned or shall terminate in a newel post of safety terminal, minimum 6-8- headroom REVIEWED for CODE COMPLIANCE PLAN CHECKED Byjl�,' — DATE -101,j6L PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 36tis -Mac Description of work: !D!-E4 Septic review by: Date Approved: Zoning review by: Al 113 Date Approved: Building review by: Date Approved: 8 Z�i-f3 Grading review by: 7? Gv Date Approved: District: Zoning File#: Reso M Reso:S/F _ te: 7 7ning ni : Lot Area: SF/AC Width: Lot Coverage: %Survey bmitted: D Yes D No Date of Survey: Revised da Pro osed S acks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B Idings Wetland Side Side Defined Height:_ Peak Height: FFE: FFE min 6 feet= (Existing Contour) Perimeter(linear feet)= 50% _ #of Stori Ok? DYES FOR A BUILDING WITH A BASEMENT OR CRAW PACE: The distance between t lowest FOR BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the base ant or crawl space)and the highest point he roof. START 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 HIPPED ROOF(no GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof t/ndh point of the to the low point of the corresponding SUBTRACTION corresponde or hipped r f SUBTRACTION gable or hipped roof (BASED ON ROOF GABLE OR ROOF ith (BASED ON GABLE OR HIPPED ROOF(with TYPE) windows): half t ROOF TYPE) windows): Subtract half the distance distance bee to of the between the top of the highest highest winhighest window and the highest point of the point of the roof • ALL OTHETYPES(flat, ALL OTHER ROOF TYPES(flat, mansard,eubtraction. mansard,etc):No subtraction. N Add the distance between the top of slab SUBTRACTION Subtract the d' nce between the and the highest existing grade adjacent to (BASED ON EXISTING basemenVc wl space floor and the the foundation. GRADES) highest a ting grade adjacent to the founda n OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Def ed building height Shoreland Distr' MCWD Permit Received Average Lakeshore Setback Met Bluff D Yes D No D N/A Yes D No D Yes ] No D Yes D No D N/A Permit Number: Setba Storm ter Quality Existing Proposed Variance Required CUP Required Overl District Tier Hardcover Hardcover D Yes D No D Yes D No Type(s): Type(s): Updated: Januaryy ,O C I�lv j e v:\forms\plan review checklist 2013.docx /(/ REMARKS (in-house): Fees to be Cha ed .. . W .. f Plan;ReviewInven fee Other(specify) Square Footage $perSquare Footage Basement X = $ 1't Floor X = $ 2"d Floor X = $ Garage X = $ Estimated Construction Value: $ 1,-5 0 L) Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical Footing 0 Septic 0 Water Connection 0 Poured Wall O Fireplace 0 Sewer Connection 0 Foundation Survey O Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. 0 Framing 0 Other(specify) • Insulation 0 As-Built Survey Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:ftrmsXplan review checklist 2013.docx Csz;t_ DAT TIME / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED — '- PERMIT NO. ok-21 3 -6,0591W COMPLETED / U ADDRESS 0-5 OWNER l l rz-heYihll LEPHONE NO. CONTRACTOR DESCRIPTION s El FOOTING ElPLUMBING dNAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: W a O O W az Q 2 W W QC j d Wr1c ORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor Inspector. White CopylInspector's File Canary Copy/Site Notice ly" L-yATS, TIME CITY OF ORONO CALLED IN v INSPECTION NOTICE SCHEDULED PERMIT NO. 3—eLm8F COMPLETED ADDRESS d OWNER �i�Ul/1 s'.L� �'�E HONE NO.l5;-' CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W or a e Q aj re--s f �'� r��rs to Q z W W cc J a Uj ❑WORK SATISFACTORY:PROCEED A1;%kROJECT COMPLETE Cr W jo?�6QRRECT WORK&PROCEED - ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice