HomeMy WebLinkAbout2014-00848 - addn/remodel/repair } � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 8 4 8 *
DATE ISSUED: 08/06/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4385 CHIPPEWA LA
PIN : 31-118-23-42-0017
LECAL DESC : UNPLATTED 3l 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/ REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NO"CE: FOUNDATIN REPAIR
O"CHER [NSPEC"IION REQUIRED: AF�I'ER FORMED UP AND BEFORE POUR.
APPLICANT PERMIT FEE SCHEDULE 118.00
STATE SURCHARGE(VALUATION) 2.50
FRITZLER,J. MARC TOTAL 120.50
4385 CHIPPEWA LA
MAPLE PLA(N, MN 55359- Payment(s)
CHECK 6892 120.50
OWIYER
FRITZLER,J. MARC
4385 CHIPPEWA LA
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfbrmed according to
the approved plans and specitications,applicable City approvals,and thc
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]80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
�he applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State[3uilding Code.This permit may be
revoked anv time ue se.
�'-� - / g- , � ,�
Applic• t ' itee Si � D � Issu By Signature Date
r
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number: o2U� "
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �- �O -1
Sfreet Address: Received by: .v .
y�, � 2750 Kelley Parkway Plan review fee:
�' Orono, MN 55356 7�
`qkESH��� ��C/. �U
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: J
Job Site Address: { 3�5 � � � " .����.i/,L l� �
Will this be a Parade of Homes, Remodelers wcase Home or other Display Home? ❑ Yes o
If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus senrice will be
required unless applicant demonstrates sufficient on-site paricing is available. Non-permitted events will not be allowed.
CONTRACTOR/AP LICANT INFORM�TION: ���`" ��
Name: � Q,�� �% '��l,�L�O� �+r�jlc=� S � `��
State License# Expiration Date: ��e__,1...¢�
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (� 1 a— ac� - -�-� �j`^ (office)
Mailing Address: 3,� `j;'3, City: �4- c ZIP: � S� �-'
Contact Person: � Applicant is: Contract / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER FORMATION:
Name: �L� � �' �.��'
Phone (day): ` y� _ __ ,
Address: �' L f� City:�� (j���� ��IP: S� 3S J
Email and/or Fax: ,�
(
PROJECT INFORMATION: Overall pro�ect 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)
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.orq
Estimated Construction Valuation of Project(excluding land) $ ��rr-r) _ r1�
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
ou refuse to su I the`.formatio , �h�a fcation ma not be issued.
, ` - ---- ' �_� `—��
ApplicanYs Signature: < � � , Date:
Owner's Signature: 2� ,� --� Date: O ��7 ' � 7`
Last Updated:03/06/2013
' PLAN REVIEW CHECKLIST FOR NEl�ll STRUCTURES / /Q►DDITIONS
Acidress/Perrnit Number: '��� � �c� o��.i��
DescriptBon of work: ✓� � �-e�
Septic review by: �1�4 Date Approved:
Zoning review by: ? Date Approved:
BuBiding reviewr by: Date Approved: $ P 6 �`��°�
Grading review by: �� � Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zon g: Lot Area: SF/AC Width: Lot Coverage: SF =%
Survey ubmitted: � Yes � No Date of Survey: Revised dat .
Pro osed etbacks:
Front(Lake Rear(Street) d N S E W ) ( N S E W ) Other B ' dings Wetland
Side Side
k
` Defined Fleight: Peak Height: FFE: FFE min 6 feet= (Existing Contour�
{
Perimeter(lineae feet) = 50% _ #of Stori Ok? � YES
�' ° ,
FOR A BUILDING WITH A BASEMENT O CRAVYL SPACE:
The distan between the lowest FOR 'BUILDING ON A SLAB FOUNDATION:
START WITH proposed floo of the basement or crawl
space)and the h' hest point of the roof. �� START WITH The distance between the top of slab and
If you have a...
the highest point of the roof.
• GABLE OR HIPP ROOF(no :f you have a...
GABLE OR HIPPED ROOF(no
windows): Subtract If the windows): Subtract half the distance
distance between the ghest point between the highest point of the roof
of the roof to the low poir�f of the to the low point of the corresponding
�' SUBTRACTION corresponding gable or hi�d roof SUBTRACTION gable or hipped roof
$ (BASED ON ROOF . GABLE OR HIPPED ROOF(i (BASED ON e GABLE OR HIPPED ROOF(With
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of e between the top of the highest
highest window and the h' est � window and the highest point of the
point of the roof roof
• ALL OTHER ROOF PES(flat,
• ALL OTHER ROOF TYPES(flat,
mansard,etc:No subtrac4ion.
mansard,etc):N ubtraction. ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distan between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcrawl ace floor and the EXISTING the foundation.
GRADES) highest existin grade adjacent to the GRADES
foundation 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined uilding heigh4
�:
�
Shorelanci D6stroct MCWD Permit Received AveEa e L�keshore Se ck Met? B{ufF
� Yes � No � N/A 0 Yes � No
� Yes o O Yes � No 0 N
Permit Number: Setback:
Stormwat Quality Existing f�roposec! Variance Requireei �UP Req ' ed
Overla istrict Tiee H�rdc�ver Hardcover
� Yes � No � Yes � No
Type(s): Type(s):
Updated: January 2013 ,� � ��
v:Aforms\plan review checklist 2013.docx �' `�� �' ����
REMARKS (in-house):
Fees to be Char ed YES NO
Permit �,,�'
Plan Revieu� a ��
State Surcharge �
Investigation �ee
SAC—Number of SAC Units
Other(specify)
Square Foota e $ er S uare Foota e
Basement X - $
15f Floor X = $
2"d Floo� X - �
Garage X - �'
Estimated Construction Value: $ ���� ��
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing 0 Grading / Fillin�g � Well
� Hardcover Removal 0 Mechanical � Fire 0 Electrical
� Footing � Septic � Water Conne�:tion
� Poured Wall � Fireplace � Sewer Conn�ction
0 Foundation Survey � Masonry � Lawn Irrigatic,n
� Radon Rock Bed 0 Mfg.
0 Framing 0 Other(specify)
� Insulation
0 As-Built Survey
O Final
� Wetland Buffer
� 0 Other(specify) 6�
.��;�. ����.� � 6� �'� ����
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: � `�ES 0 NO
OFFiCIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
;:
Updated: January 2013
v:\forms�plan review checklist 2013.docx
,;
.
,,, _,. . ,. �
_._.. ,
..,�� _ .,-., .� �. ,q_ -:�._, �_,t,��.. . ..�-.
�. _.w . ��u...,. � , ,- ., � ...0__.
EXISTING WOOD STUD EXTERIOR WALL
- EXISIING REINFORCED CONCRETE ENTRY SLAB
_�.
EXISTING STONE EXTERIOR
EXISTING CONC. SIDEWALK
, �: �
��_S_
107'-3"
_ ,,��
I
� ! EXISTING STONE FOUNDATION WALL TO REMAIN
—I ( i O�� 8�
( � �—
� 105'-0"
- NEW 8" THICK CONCRETE RETAINING WALL REINFORCED
; � WITH #4 REBARS � 12" O.C. EACH WAY IN EXT. FACE
''_ � ' � BEND AND LAP VERTICAL REBARS 2'-6" INTO FOUND.
—I I -- - 2" CLEAR
j
EXISTING COMPACTED `� � '�
SUBGRADE � '
I ! I
`- i I �--- �
'-I i � w NEW 8" THICK CONCRETE FOUNDATION SLAB REINF.
� cJ.� WITH #4 REBARS � 12" O.C. EACH WAY BOT.
_
EXISTING CRACKED CONC. --. ' N � T.F.E.=
FACING TO REMAIN ; �� _ �, h „ � ��Op�=8��
: ;� - � B.F.E.=
--+ �---- - �; ,
' 100�-0"
+ � ,'i; %�� i.�'i`:
NOTE: ALL CONCRETE TO BE ',---'I !--_._. _ �"'
F'c= 4,000 PSI � 28 DAYS ----� �_'�___e�:.._ ------- - --'--;. __ �___i._------
W/ 4" MAX. SLUMP. ALL EXISTING CONCRETE SLAB TO REMAIN
REBAR SHALL BE GRADE 60
SPECIAL NOTE
� SECTION SEE ATTA T
s� CE �LAR WALL REPAIR ��R c�fi���� ���
CODE REQUIREMENTS �
Peterson Residence — Cellar Wall Re air
p
4385 Chippewa Lane
Maple Plain, MN. 55359 08- 06- 2014
N O TC H I hereby certify that this plan, specification,
or report was prepared by me or under my
EN GI N EER I N G direct supervision and that I am a duly
C� 1250 Morningview Drive Licensed Professional Engineer under
. Mound, Minnesota 55364 the laws of the State of Minnesota.
STRUCTURAL TOM NOTCH, P.E.
DESIGN (952) 472-5566 �
SERVICES notchengineeringC�mchsi.com —-
COPYRIGHT 2014 NOTCH ENGINEERING Date: 08-0�6— �-Registration No. 14947
REVfEWED far CODE CON'tPCT�:NGE
rUN CHECKE� t
Y DATE � '6 ,�'"Y �R��� ���Y
�- ✓
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTIC SCHEDULED ll%�
PERMIT NO. ` D COMPLETED
ADDRESS y3�� `� �
OWNER /�'���/"i^���l�'TELEPHONE NO��2�7��Z��n1
CONTRACTOR
� DESCRIPTION �e��' "' `� ����� ���
�
lt� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
��POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z p INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FiEMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a �P rrt�G�C�K� �af ��.�4�ro�, f�lr,r-
j � � 4 ra�it� - �p� R d.0- (/��`7 -� iio�•te�r�415 _
O .
�.. • �-o„v�QrS ���L` � l7cr eK9tdeC/ �KS-
�
O
� -
W �
� C �Q4/4�as - Crjl�
Q
�
2
� a�� -� DD�/
w
�
J
�V�-NI9F�IC5ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
t inspection 24 hours in advance. (952) 249-4600
Own Contractor on ' . � `���
Inspector.
Whi Copyllnspector's File Canary CopylSite Notice
DATE TIME �/
CITY OF ORONO CALLED IN �
INSPECTION NOTI� �g� SCHEDULED '�
PERMIT NO.�b/ � COMPLETED
ADDRESS 'r`I'_� �� G+/�E�'A ��+Q
OWNER ��r'z� TELEPHONE NO.y�Z"`��3'7Y4�•
CONTRACTOR G`Z'��s— �tt2
� DESCRIPTION ��NO,4-c�on► �c�.a�hl�.
� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
W �2� , � -� /vo � — L
a ✓l-toiCe� � �� T��GIG LJ�
� � �f r�h�,- /� � o.C. - -T--
0
� c l��Q.��.�5--D�L
0
�
W
Q /�l� � 1�0��
�
z
W
�
W
2
J
d
W� VORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail f xt inspection 2a hours in advance. (g52) 249-460�
Own ontra or on site: ti
Inspec or. �^-
White Copyllnspector's File Canary CopylSite Notice