HomeMy WebLinkAbout2014-00982 - addn/remodel/repair , CITY OF ORONO � QJ 1 4 — fd 0 9 8 2 *
2750 KELLEY PARKWAY DATE ISSUED: 09/03/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1932 FAGERNESS POINT RD
PIN : 17-117-23-23-0015
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : ADDITION/ REMODEL/ REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,200.00
NOTE: NGW DECKING AND RAIL.
APPLICANT PERMIT FEE SCHEDULE 103.25
PLAN REVIEW 67.11
GNR CONS"I'RUC"I'lON STATE SURCHARGE(VALUATION) 1.60
2440 EAS'1' 1 17"I'H STREET
BURNSVILLE, MN 55337- TOTAL 171.96
(651)222-8459 Payment(s)
Minnesota State License#: BUIL-BC636909 CREDI"I'CARD 8797 171.96
OWNER
MARON, BARRY
1932 FAGERNESS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performcd according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. �I'his permit is Yor only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances governing this type of work
shall be compied with whether or nol 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.
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Appli ant Permitee Signature Date Issu By Signature Date
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City of Orono 9�3
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
n��O Mailing Address: Permit number: � 0 :�"
�- 1 PO Box 66 ,_
Crystal Bay, MN 55323-0066 Date received: �- —/
Street Address: Received by: �
% � 2750 Kelley Parkway Plan review fee:
� �L Orono, MN 55356
��`F��a� Total Fee: /'"7 /� �i /^
Main: 952-249�4600 Fax: 952-249-4616 www.ci.orono.mn.us G [ � S!/
This application form must be completed in full and all required information must be s bmitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: i� ��Z. �(�(���T:,E��> �C�\h:�"`� ��C;��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes '�No
If yes,a special event permit is required with Police Department and City Council approva160 days pnor to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �..ti� '" ,t�:�7( ���C:(1Lt�
State License# - �3 - � Expiration Date:
Lead Certification Number: �Q-�-��'f � — \ Expiration Date:
(for work on homes that were construcied prior to 1978 � �
Phone: ��lt:c (�' �%S � '2Z2 —�p\ 'r'�c� ��) �vs � — �� S — �� 2—�
Mailing Address: � G �, \� "� �p�Z� City: ��L ZIP: c�;�j ,�3
Contact Person: ,����; ��L� _ Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: ��.����J��� � n „ �� _
PROPERTY OWNER INFORMATION:
Name: ��4�--R,� M�RC�ti
Phone (day): (�\Z.— '7�} 3 � 2,�] `) `Z
Address: �c�3� ��j,���� ��,��;"� � City:�j���� ZIP: �js 3Q (
Email and/or Fax:
�t�S-rqLs� t�� �%�-�— 1z-t�1�-iN�: �Na% vE��—�,t:►C�
PROJECT INFORMATION: Overall roect descri tion: � �\;�c. c'1;�.i�Ec�- �L N ' �`�..�lvC�
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) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ � 't`�,
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 informa n is t ually ate o records and records of other governmental agencies required by law. �f
ou refuse to su I the in ati e a li on not be issued.
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ApplicanYs Signature: ' `�`�� -'LZ-- Date: �
r
Owner's Signature: � � Date:
Last Updated:03/06/2013 �
- PL�,F� �E\/lE�il �I�EC�C�IST FOR NEIl1/ �TRUCTU r�ES / AD�ITIQNS
Address/Permit Number: �� �� d���� �aj°`�1r �'^�
Description of work: /�� �C��Ae 6�y �.00e� t�s�-
Septic revievv by: /i�(� Date Rpproved:
rf'
Zoning review by: � Date Approved:
Buiiding review by: Date Approved: ��.3 - f�
Grading revievd by: /�e� Date Approved:
Z ing Di�trict: ZQning File#: Reso#: sa Date:
Zon�ng: ot/�rea: SF/AC V1lidth: Lot Coveeage: SF _%
Survey Sub 'tteci: 0 Yes � No Date of Survey: Revised date ? :
;
Pro osed Setbac s:
Front(Lake) ear(Street) ( N S E W ) ( N S E V1� Other Buildings Wetland
% Side Side
Defined Height: Pe Fleight: FFE: FFE minus 6 feet= (Existinc� Contour)
Perimeter(linear feet) _ % _ #of Stories Ok? � YES
�
FOR A BUILDING WITH A BASENiENT OR CRAWL SPA
The distance between the lowe FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement o rawl
space)and the highest point of the ro . START WITH The distance between the top of slab and
the highest point of the roof.
If you have a... If you have a...
• GABLE OR HIPPED ROO (no . GABLE OR NIPPED ROOF(no
£' windows): Subtract half e windows): Subtract half the distance
distance between the ighest point between the highest point of the roof
' of the roof to the lo point of the to the low point of the corresponding
a SUBTRACTION corcesponding g e or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR H PED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with
TYPE� windows): ubtract half the ROOF TYPE) windows): Subtract half the distance
distance tween the top of the between the top of the highest
highes indow and the highest window and the highest point of the
poin f the roof roof
. ALL O7HER ROOF TYPES(flat,
• A OTHER ROOF TYPES(flat, mansard,etc:No subtraction.
ansard,etc):No subtraction. ADDITIO Add the distance between the top of slab
SUBTRACTION Su ract the disiance between the (BASED O and the highest existing grade adjacent to
(BASED ON EXISTING b semenUcrawl space floor and the EXISTING the Foundation.
GRADES) ighest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS efined building height
EQUALS Defined building height
Shoreland Di� ict ffilfiClMQ �ermit Received Avera e Lakeshore Sett�a�ck IOA�t? BIufF
'= � Yes � No � N/A � s m No
0 Yes Q No � Yes � No 0 fV/A
Permit Number: Setbac �
�tormwater f�uality Existing PropQsed ��riance Required G!!R F�equired
Overla �istrict Tier Fiarcfcaver F�arcicover
� Yes � No � Yes � No
Type(s): Type(s):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
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REMARKS (in-house):
Fees to be Ghar ed YES N�
�@t'iY11$ ' .n
= Plan Revie�v a/
State Surcharge
Investigation Fee ,
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X - $
15t Floor X - �
2nd Floor X - �
Garage X ' $
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Estimateci Construction Value: $ �f ���
Orono fnspections Required Work Requiring Separate F'ermits Required State Permits
� Site 0 Plumbing 0 Grading / Filling � Well
Q Hardcover Removal � Mechanical 0 Fire � Electrical
, 0 Footing � Septic � Water Connection
� Poured Wall 0 Fireplace � Sewer Connection
0 Foundation Survey 0 Masonry 0 Lawn Irrigation
0 Radon Rock Bed 0 �f9�
� Framing 0 Other(specify)
x: � Insulation
6 0 As-Built Survey
;' �Final
,: � Wetland Buffer
0 Other(specify)
REMARKS (in-hause):
Other Review: Reviewed by: Date Approved:
' Rccess: Existing: � YES � NO New: 0 YES � NO
OFFICiAL REMARMC� -TO BE NOTED ON PERMIT/A(�D INITIALl�ED
� Updated: January 2013
v:\forms�plan review checklist 2013.docx
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BALUSTERS
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DECK� �Ol sp'���
� 4X4 CEDAR NEWEL POSTS,
������ NOTCH AROUND EXTERIOR
OF RIM JOIST
RFSlnEf�T_IAL.GU<�Rr;�AILS
Unenclosed floor and roaf opening, open and g�azed sf�!es cf landings and
ram�s, balconies, decks or porch�s w,�ich �rf m�re ti�an 30" aCove
grad�cr floor below, require a �uard v.�ith�min;���urn 3G"hzi3ht.
Gpen guardraels must have interrneu+ai�rails or an om�nentai
patiern so that a spt�ere 4'_in dian.eter cannot pass through.
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9.16.13 RAILING DETAIL 1 —1 -0
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It'LAN C .ECKED 6 � Df�I t� -�.'_ _,__ --..-
�C� DAT TIME �
� : " CITY OF ORON CALLED IN � �'�
INSPECTION N IC SCHEDULED
PERMIT NO. ���ZCOMPLETED �
ADDRESS � � �a ����'� I ' ''�''
OWNER TELEPHONE NO. 5j SI S��o�~J
CONTRACTOR n��I�r �
� DESCRIPTION �� ��-� ��L � /
� � FOOTING ❑ PLUMBING FINAL v u�` ��EXCAV/GRADIN6/�LLIN�/!�y
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 'd
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA�
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ,j�FINAL Q QLK ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �'PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Ownerf tractor on site: �,�t�Il a
Inspec or_ O� ` Z�
White Copyllnspector's File Canary CopylSite Notice