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HomeMy WebLinkAbout2014-01009 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 — 0 1 0 0 9 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4685 TONKAVIEW LA PIN : 07-117-23-32-0065 LEGAL DESC N/A LOT MB BLOCK MB PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,000.00 NOTE: PRIOR TO RELEASE OF ESCROW FUNDS AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. APPLICANT PERMIT FEE SCHEDULE 88.50 PLAN REVIEW 57.53 COMMERCIAL BUILDING SERVICE 15405 NORTH EDEN DRIVE STATE SURCHARGE(VALUATION) 1.50 EDEN PRAIRIE,MN 55346- Payment(s) TOTAL 147.53 (952)975-0920 Minnesota State License#: BUIL-20636753 CHECK 22664 147.53 OWNER MEYER, DENNIS 4680 NORTH SHORE DRIVE MOUND,MN 55364- 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 p4riod 180 ys at any time after work has commenced. The applicant is rspo sibl r assuring all required inspections are regyested in confO c ith the State Building Code.This permit may be re oked at any ti' or a cause. i .17 Apfplic rvtee Signature Date I Ts-sLdd By Signature Date • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) D ,0 Mailing Address: Permit number: / PO Box 66 Crystal Bay,MN 55323-0066 Date received: Street Address: Received by: ye Ger: 2750 Kelley Parkway Plan review fee: t £SH0 Orono, MN 55356 / Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mnTotal Fee: us. This application form must be completed in full and all required information must be s7* k Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes gNo K yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se icrG a�Vtf/be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICANT INFORMAT Name: .e✓ 6- . v /)"- �,v, C_.— State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that w re constructed prior to 78 Phone: (cell) _ (office) Mailing Address: J 5` Ci ZIP: Contact Person: v Applicant is: Contractor Homeown (circle One) Email and/or Fax: , PROPERTY OWNER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: 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) El Re-roof,cedar 18202 Minnetonka Blvd ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑O her:(spe if r Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) 4 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 a)nLicapion 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 thay las d to provide on this application is classified by State law as either private or confidential. Private data is inform ti h enerally cannot be given to the public but can be given to the subject of the data. Confidential data is info w i ra nnot be given to either the public or the subject of the data. Our purpose and intended use of thjs in ation ' al d e our records records of other governmental agencies required by law. If you refuse to su I e inform ti tion issued. Applicant's Signatur / Date: Owner's Signature: Date: — 2_ Last Updated:03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: ` &S S Description of work: 0 ex'► Septic review by: /V 104 Date Approved: n Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: /19 Date Approved: Zoning District: Zoning File#: Reso M Reso Date: --- Zoning: Lot Area: S407$°r SF/AC Width: 13S Lot Coverage: 3?"to SF 9.14 % Survey Submitted: Yes 0 No Date of Survey: �Oj Revised date(?): -- Proposed Setbacks: Front(691we Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Cl 0 1 b-5 G 3 t-`G /✓/4 Defined Height: /J 1A Peak Height: ✓ * FFE: FFE minus 6 feet= — (Existing Contour) Perimeter(linear feet)= r 50% = #of Stories , Ok? DYES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WI proposed floor(of the basement or crawl and the highest point of the roof. START WITH The d' etween the top of slab and ighest point of the roof. If you have a... If you have a... • GABLE OR HIPPED 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 to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF GABLE OR HIPPED ROOF(with ( ON GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF windows): Subtract half the distance distance between the to a between the top of the highest highest window an highest indow and the highest point of the point of the r ro • ALL ER ROOF TYPES(Flat, ALL OTH OF TYPES(flat, mansard etc): traction. ansard,etc):No subtraction. ADDITION Add the distance between the f slab SUBTRACTION ubtract the distance between the (BASED ON and the highest existing grade adjace to (BASED ONE NG basement/crawl space floor and the EXISTING the foundation. GRADES highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height ,20DALS Defined building height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes 0'No N/A 0 Yes 121'No Yes 0 No 0 Yes 0 No � N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover o� 0 Yes No O Yes No 3 401 J'1� q.� (o Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Plan Review State.lSur�d ge00, Investigation Fee .SAC rmber F AC ilriits Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 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 A*-rooting 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. 0 Framing 0 Other(specify) 0;i" sulation -Built Survey nal 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 PN PERMIT AND I ITIALLED vewlavl `, r V Updated: January 2013 v:\forms\plan review checklist 2013.docx ' City of Orono -, 00\ Hardcover Calculation Worksheet sf Property Address: Ty�rr�re lttw L,rrr//r ("FiCN,t'wJ �.�J Prepared by: GRD.r/B6tG f AlJ'©E �.tTEI.�nAC. Date: Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 IRD Tier 4 Tier 5 Step 2: OPOSED ARDCOVER In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey(survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Key to Hardcover Item (Describe) Length x Width Total SurveyS uare Feet (Example) (Garage) 24 x-30?i 20: F, S . A /O S.F. B o 0A rAl 7 3 S.F. C a S S.F. D '0XgftrV-'# Ocrk Ed S.F. . E 36 S.F. F S.F. G S.F. H S.F. I S.F. J S.F. K S.F. L S.F. M S.F. N S.F. O S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. U S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Proposed Hardcover 3 g2 S.F. Excludable Hardcover: See City Code Sec 78 1684 3 C S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover 3 S.F. 3 Net Proposed Hardcover Subtract line 2 from line 1 S.F. 4 Total Lot Area 3Z239 ST Proposed Hardcover Percentage [(3)+(4)] /,,9;Q�f% January 8,2013 c 7 N D � I F ( ti N \ Z'S 4-11,0 0fj__ - TE TI CITY OF ORONO CALLED IN INSPECTION NO I _ j SCHEDULED PERMIT NO. MPLETED ADDRESA OWNER Zgt� ELEPHONE NO. �a CONTRACTOR D CRIPTION ty FOOTING ❑ PLUMBINGJINL [:1EXCAV/GRADING/FILLING ❑ POURED WALL ElMECHANIC ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: cc W O cc O 2 W cc Q 2 W Z W cc W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Uj ❑C RRECT W WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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) 2 600 Owner/Contractor on site: Inspector. White Copy/Inspector's File .nary CopylSite Notice D E TIME CITY OF ORONO CALLED IN INSPECTION NOT I E -D/009 SCHEDULED � PERMIT Mn _W 79 7 COMPL ED ADDRESS / v OWNER TEL HONj�� CONTRACTO DESCRIPTION 21Z 14 1 z W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADIN /FILL G ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR ETLAN S Q L1 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS FJUAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ 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 h COMMENTS: 5ipiuG - 007 77cc a rete a ks� bAAS, — - t.�orAc' vent j, 0 0a/.e-l-e cc of - ay/4- 66777 - W — �a 6 Ct QGrit ra..r` ,9� ic • �t-V/y lii--- 20 tu cc v LU [JWORK SATISFACTORY:PROCEED >rPROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CFTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in a 952) 249- Owner/ ontractor on sl Inspector. Whiteopyilnspectm's File Canary Copy/Site Notice