HomeMy WebLinkAbout2014 - 01353 - addn/remodel/repair CITY OF ORONO II 1 1 11111111111111111111 11 1 II II1111111 II 11
2750 KELLEY PARKWAY DATE ISSUED: 11/20/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2610 WEST LAFAYETTE RD
PIN : 21-117-23-24-0043
LEGAL DESC : SHORE HILLS
: LOT 011 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,600.00
NOTE: EGRESS WINDOW AND WELL
APPLICANT PERMIT FEE SCHEDULE 88.50
PLAN REVIEW 57.53
MCGOWAN DESIGN BUILD INC STATE SURCHARGE(VALUATION) 1.30
11180 33RD CIRCLE NE TOTAL 147.33
ST MICHAEL,MN 55376-
Minnesota State License#: BUIL-BC642682 Payment(s)
CREDIT CARD 3076 147.33
OWNER
ENQUIST,CYNTHIA
2610 WEST LAFAYETTE RD
EXCELSIOR, MN 55331
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 Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date
y Signatu Date
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
".!L*1\111L
O A Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a
Street Address: Received by:
GSC2750 Kelley Parkway Plan review fee:
kESHo�`` Orono, MN 55356 /i /_"7 32
Total Fee: /`7
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: ,p
Job Site Address: .;.< ( to Gki, La j. t - e f`- c
Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes XI 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 MATION:n
Name: /14c6CuXxi1 .6e.;,5,,,, >'lJii,' _- -,tic
State License# Arc(, 4,2 6 :Q 2 Expiration Date: 3. 3/-/S-
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978 /
Phone: (cell) 73---2-,2/2 /f6( (office) (S'cr
Mailing Address: ///go 33tW „sr,, / City: s-y-,ii9/e1ao/ ZIP: -
Contact Person: -1a.1 irlr. C;- ur rn Applicant is: Gro ltracter-' / Homeowner (Circle One)
Email and/or Fax: jokn c� 7/1c c,4)•4,e7,7 D e j-9,, Bak/ ,C C,"t
PROPERTY OWNER INFORMATION:
Name: Clnd/'� 1y 0cli z
Phone (day): 6/2_ 3S'.2- 3 7 VC
Address: 2 (/0 LrJ, Z.eet7...g Re ecer' City: e R 0 ZIP: 3-$-3 3/
Email and/or Fax:
PROJECT INFORMATION: Overall project description: ///S)1m// e,ZtesS wpv....p �- fir'/(
Type of Project: Any earth movement may also require
❑ Door(s) E Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof,other(specify) ❑ Siding 0 Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
$Window(s) VA'S'S www.minnehahacreek.org
Estimated Construction Valuation of Project(excluding land) $ 4.6 00
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 govemmental agencies required by law. If
you refuse to supply the information,
,tthe application may not be issued.
Applicant's Signature:-- /i''/ -- -- Date: // 2-O --/
Owner's Signature: Date:
Last Updated: 03/06/2013
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: ZCo I 0 W L Ac-AY TLl ®A
Description of work: E 025.9 U.) V -)KM°kJ -+- w 2c-L,
Septic review by: /V // Date Approved:
Zoning review by: A)r4 Date Approved:
Building review by: E4 L,.— Date Approved: IF 06 -2-1-9/`f
Grading review by: () N (/-- Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zonin • Lot Area: SF/AC Width: Lot Coverage: SF _%
Survey S mitted: D Yes D No Date of Survey: Rev' ed date(?):
Proposed Se cks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) • her Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FF' minus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50% = # • Stories_ Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL PACE:
The distance between the lowest OR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the baserhent or crawl
space)and the highest pointaf the roof. START WITH The distance between the top of slab and
\ the highest point of the roof.
If you have a... .
you ..
• GABLE OR HIPPED ROOF(na • GABLEave
windows): Subtract half the
windooww s))::OHIPPED ROOF Subtract half the dis(ntance
distance between the highest poi between the highest point of the roof
of the roof to the low point of th- to the low point of the corresponding
SUBTRACTION corresponding gable or hippe. oof SUBTRACTION gable or hipped roof
(BASED ON ROOF • GABLE OR HIPPED ROOF with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half •e ROOF TYPE) windows): Subtract half the distance
distance between the t..of the between the top of the highest
highest window and b-highest window and the highest point of the
point of the roof roof
• ALL OTHER RO F TYPES(flat, •
ALL OTHER ROOF TYPES(flat,
mansard,etc):No subtraction.
mansard,etc)/No subtraction. DDITION Add the distance between the top of slab
SUBTRACTION
Subtract the dist ce between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basement/cra space floor and the EXIS"TI G the foundation.
GRADES) highest existing grade adjacent to the GRADS)
foundatio R 10 feet(whichever is less). EQUALS Defined building height
EQUALS Define building height
Shoreland District MCWD Permit Received Average Lakeshore Setback Met?\, Bluff
0 Yes 0 No 0 N/A ti,Yes 0 No
0 Yes D o 0 Yes 0 No 0 N/A
Permit Number: Setb�k:
Stormwate uality Existing Proposed Variance Required CUP Required \
Overlay Di trict Tier Hardcover Hardcover
D Yes D No D Yes D No
Type(s): Type(s):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
REMARKS (in-house):
Fees to be ChargedYES NO
Permit
Plan Review ✓
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ Z, (o 00-52"-
Orono
O--
Orono Inspections Required Work Requiring Separate Permits Required State Permits
O Site 0 Plumbing 0 Grading/Filling D Well
O hardcover Removal D Mechanical 0 Fire 0 Electrical
):1 Footing 0 Septic
0 Water Connection
O Poured Wall 0 Fireplace 0 Sewer Connection
O Foundation Survey 0 Masonry 0 Lawn Irrigation
O Radon Rock Bed 0 Mfg.
O Framing 0 Other(specify)
O Insulation
O /ps-Built Survey
/Final
O Wetland Buffer
O 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:\forms\plan review checklist 2013.docx
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DATE TIME."
/
CITY OF ORONO CALLED IN � --- - . a
INSPECTION NOTICE SCHEDULEDf:\ 6"' '
PERMIT NO. _O 3COMPLETED /o2 --v/-/
ADDRESS (0! a «/- l- ifr
OWNER TELEPHONE NO5A` ?/a-l /�}c/
O''
�CONTRACTOR / / t c-
3.. DESCRIPTION jl/U 111°,5C UA '
IQ ❑ FOOTING ❑ PLUMBING FINAL I=1EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
" ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
v ❑ DEMO-SITE 0 SEPTIC MAINT 0 FOLLOW-UP
tu ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
v 0 PLUMBING RI CISEPTIC FINAL ❑ FOUNDATION/REMOVAL
2N.
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS: �� F gua.v'vvi Wtf — -
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WWORK SATISFACTORY:PR EED ElPROJECT COMPLETE
CC
w CICORRECT WORK&PROCEED C7ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
. 7‘,(__
Inspector. %(9 .^^ ` --
White Copy/Inspector's File Canary Copy/Site Notice