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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. � f� � Appli ant Permitee Signature Date Issu By Signature Date c��� �• �!���" . . l� 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. C � 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 , , � ;,, r, ._ ,. , , . . , v.:_�. 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 ' $ ��'� 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 � �Z C_�> �� (�-� C- � � C% Q C��''� � �� �=�� ± � � -� . � � �� �-�j��fi � C . t��S� �"�' _i � �� ��� 5/4 X 6 CEDAR DECK BOARD � ICAL ���-�X UM BALUSTERS �4"O.C. z M� `��'._��— GN'e G ��' ,� ll o��3� 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. ��_ � �� �G..� A; ,. 9.16.13 RAILING DETAIL 1 —1 -0 _ �� ���� , _ �. : -I���� � �_. ___ _ ��:a�ti,���. �. �a�n��a d��:� �2� � . z �,� . - . _ .H � ��4�rs"`� a�. �� � - ,... � -- {. � 1. � ��,��� a':f :.s. +�a �.�A' . �" • -- �;��+��. 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: � W a 0 1''a���►1 S '.1 ►'�eCJ G�"GG�/w� ' k1Q✓�. � � _ �J�..�.rJ�e,'�-� � O � W � Q � 2 W � W � � � � ❑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