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