HomeMy WebLinkAbout2013-00641 - addn/remodel/repair ' ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 3 - P1 0 6 4 1 *
DATE ISSUED: 07/12/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3980 CHERRY AVE
PIN : 08-117-23-33-0026
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 005
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,000.00
NOTG: SEPARATE PERMITS REQU[RED: ELEC"I�RICAL(STATE)
PARTIAL BASEMENT FINISH
APPLICANT PERMIT FEE SCHEDULE 41.25
SCHULTZ, KEVIN
3980 CHERRY AVENUE PLAN REVIEW 26.81
MOUND, MN 55364- STATE SURCHARGE(VALUATION) 0.50
TOTAL 68.56
OWNER
SCHULTZ, KEVIN
3980 CHERRY AVENUE
MOLJND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed accordino to
the approved plans and specifications,applieable 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 specitied herein.This permit will
expire and become null and void if cons[ruction 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 afrer 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 any tim r du cause.
�, -7 � iz � /3 7�/� /-3
App ica t ermit Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. �J
City of Orono �-' 2-'3
Building Permit Application for Maintenance 1 Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
"� l '�. Mailing Address: ��3�-�(�C��
%� ��^! � PO Box 66 Permit number:
/ � '�,� Crystal Bay, MN 55323-0066 Date received: 7—/ —
I i Street Address: Received by:
�
S. �% 2750 Kelley Parkway Plan review fee:
�� �/ Orono, MN 55356 �
��EtiHI)�`.� � C�
_ � 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 returr�ed. (P/ease print)
GENERAL INFORMATION:
Job Site Address: 3 9 8 0 CHERRY AVENUE
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes X� No
If yes, a special event permrt 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 atlowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: PROPERTY OWNER IS PERFORMING THE WORK
State License# N/A Expiration Date:
Lead Certification Number: N/A Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / omeowne (Clrcle One)
Emaif and/or Fax:
PROPERTY OWNER INFORMATION:
Name: KEVIN SHULTZ
Phone (day): 612-710-7 2 3 6
Address: 3 9 8 0 CHERRY AVENUE City: ORONO ZIP: 5 5 3 6 4
Email and/or Fax: KEVINRSHULTZC�GMAIL.COM
PROJECT INFORMATION: Overall ro�ect descri tion:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review 8 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 �Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) partial bsmt fin www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ $1, 0 0 0 . 0 0
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provide alt 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 altemative 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 an ual update our records and records of other governmental agencies required by law. If
ou refuse to su I the info on, lic � n not be issued.
ApplicanYs Signature: Date: �� �� l;3
,
Owner's Signature: � ------ " -_ .____ Date: � �� "I-�
:
Last Updated:03/06/2013
PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: 3�I �0 C:�--�E�"�2� i9�y-i,
Description of work: 'PAR)1� (3AS�.i'VK,�1J' �inr1 SrS
Septic review by: /��� Date Approved:
Zoning review by: 3�1 I� Date Approved:
Building review by: �c1e l.X:��`��---- Date Approved: � " ��- �''� �-3
Grading review by: N�� Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: t Area: SF/AC Width: Lot Coverage: _%
Survey Sub 'tted: 0 Yes 0 No Date of Suroey: Revised e ? :
Proposed Setba s:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Oth uildings Wetland
Side Side
Defined Height: eak Height: FFE: FF inus 6 feet= (Existing Contour}
Perimeter(linear feet) = 50°/a = #of tories Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL PACE:
The distance between t lowest OR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the bas ent or crawl
space)and the highest poin f the 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 . GABLE OR HIPPED ROOF(na
windows): Subtract half the windows): Subtract half the distance
distance between the highest p between the highest point of the roof
of the roof to the low point of e 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 RO F(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract h the ROOF TYPE) windows): Subtract half the distance
distance between th top of the betwee�the top of the highest
highest window a the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat,
• ALL OTHE OOF TYPES(flat, mansard,etc:No subtraction.
mansard, c):No subtraction. ADDITION Add the distance betwee�the top of slab
SUBTRACTION Subtract the stance between the ASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenU wl space floor and the E TING the foundation.
GRADES) highest isting grade adjacent to the GRA S
found ion OR 10 feet(whichever is less). EQUAL Defined building height
EQUALS De ed building height
Shoreland Distri MCWD Permit Received Avera e Lakeshore Setback Me Bluff
0 Yes 0 No 0 N/A Yes � No
� Yes No 0 Yes 0 No 0 N/A
Permit Number: Se back:
Stormw r Quality Existing Proposed Variance Required CUP Required
Overla istrict Tier Hardcover Hardcover
� Yes � No � Yes � No
Type(s): Type�s):
Updated: January 2013
v:\forms�plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES NO
Permit ` '
Plan Review
State Surchatge ���_:" �� ��
Investigation Fee
SAC—Number o#'SAC Units � � �:
,�. ��..
Other(specify)
Square Foota e $ per S uare Foota e
Basement X = $
1 St Floor X = $
2nd FloOr X = $
Garage X = $
Estimated Construction Value: $ �'�1 ATZ'%'-r✓.7� i, c�c�� �� U7 34-P� t, ��c'J = Z.J G�C`'`�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing � Grading / Filling � Well
� Hardcover Removal � Mechanical � Fire lectrical
� Footing 0 Septic � Water Connection
0 Poured Wall 0 Fireplace � Sewer Connection
� Foundation Survey 0 Masonry 0 Lawn Irrigation
� Radon Rock Bed 0 Mfg.
Framing � Other(specify)
0 Insulation
� s-Built Survey
Final
0 Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: 0 YES � 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
INSPECTION NOTICE SCHEDULED
PERMIT NO.�f.�' LL��i� COMPLETED -- ��/
ADDRESS 3%�U G �1C✓✓�'-1 v�.
OWNER �E'�!� � ����—TELEPHONE NO.
CONTRACTOR ����' �
� DESCRIPTION ��✓�L��� �- L' �• ��� 5�
�
ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWEfLANDS
y
Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adva �. (952) 249-4600
OwnerlContractor on site:
Inspector.� ) r��
White Copyllnspector's File Canary CopylSite Notice