HomeMy WebLinkAbout2014-00192 - addn/remodel/repair ` CITY OF ORONO ��
2750 KELLEY PARKWAY * z 0 1 4 - 0 0 1 9 2 *
� DATE ISSUED: 03/13/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 735 FERNDALE RD N
PIN : 36-118-23-12-0008
LEGAL DESC : JANET ACRES
: LOT 002 BLOCK 001
PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 25,000.00
NOTf�.: RI?PLACG DECKING
APPL[CANT PERMIT FEE SCHEDULE 413.00
STATE SURCHARGE(VALUATION) 12.50
REVISION LLC MISC FEE 0.00
10985 OAK SHORE TRAIL
DELANO, MN 55328- TOTAL 425.50
(952) 540-7150 Payment(s)
Minnesota State License#: BUIL-BC639027 CHECK 9815 425.50
OWNER
FISH & MARY SNYDER, IRVING
735 FERNDALE RD N
WAYZATA, MN 55391-
AGREEMENT AIVD SWORN STATEMENT
1�he work for which this permit is issued shall be perYormed according[o
the approved plans and specitications,applicable City approvals,and the
State[3uilding Code. This permit is for only the work described anJ 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.'l�his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the dale of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
�he applicant i responsible for assuring all required inspections are
rcquested in ntbrmance with the State Building Code.This permit may be
revoked at y time fbr due cause.
Q �. i /�.i/
Applicani-�rmitec Signature Date Issu By Signature Date
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PLAN REulEV1d CI�E�KLlST FOR �EW �TRI�CTt�I�ES / ADDITIONS
Address/Permit Number: ��� ��=6����e,a_, � �'4/��I�
Description of work: �� �l�t C.�:� ��C.-��e�
Septic review by: �(� Date Approved:
Zoning review by: �� Date Approvecl:
__ ____Building review_by: _ Date Approved: 3- !G^ f�
--__ __--- ._— _-
Grading review by: � 1� Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:�
�': ing: Lot Area: SF/AC Width: Lat Coverage: SF���_%
��;� Surve Submitteci: 0 Yes Q I�o Date a�Survey: Revised d �/:
�(.)
Pro osed etbacks: ��
� ,
Front(Lake Rear(Streetj � � S � V1� } ( N S E 1tV ) Other�uildings Wetland
�a Side Side
�
_ Defined Height: Peak Height: FFE: FFE ' us 6 feet= (Existing Contour)
�;' Perimeter(linear feet) = 50% _ #of St ries Ok? � YES
FOR A BUILDING WITH A BASEMENT OR C WL SPACE:
The distance be en the lowest F A BIiILDING ON A SLAB FOUNDATION:
' START WITH proposed floor(of t .basement or crawl
� space)and the highes oint of the roof. The distance between the top of slab and
START WITH the highest point of the roof.
If you have a... If you have a...
• GABLE OR HIPPED R F(no . GABLE OR HIPPED ROOF(no
��' windows): Subtract half th' windows): Subtract half the distance
distance between the highest int between the highest point of the roof
< of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped r SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF ith (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half th ROOF TYPE) windows): Subtract half the distance
distance between the to of the between the top of the highest
highest window and t highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat,
• ALL OTHER R F TYPES(flat, mansard,etc:No subtraction.
mansard,etc o subtraction. ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the dis nce between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcra space floor and the EXISTING the foundation.
GRADES) highest exi ng grade adjacent to the GRADES
foundati OR 10 feet(whichever is less). UALS Defined building height
EQUALS Defi d building height
Shoreland Distri Il�CWD Permit Received �vera e Lakeshore Setb ' k Met? �luff
Q Yes ❑ No ❑ NIA � Yes ❑ No
� Yes No � Yes ❑ No 0 N/A
y.
Permit Number: Setback:
Storm ater Quality Existinc� Proposed �areance Required CUP Require
Over District Tier Hardcover Hardcover
� ❑ Yes � No � Yes 0
Type(s): Type(s):
Updated: January 2013 �� �� ���$
v:\forms\plan review checklist 2013.docx
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� REMARKS (in-house):
Fees to be Char ed YES NO
' Permit ���
q Plan Review d�
State Surcharge
— - _ _ _ _ --- __ --- - ------- - _ _
__ _ Investigatian Fee . __ ___ ____
SAC–Number ofi S�C Uni�s
� Other(specify) '
R
i
S uare Foota e $ er S uare Foota e
t Basement X = $
� 1 S`Floor X = �
;
� 2nd FIOOf �' - $
� Garage X = $
�
y Estimated Construction Vafue: $ �5.��� �
t
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� 0 Site Q Plumbing ❑ Grading/ Filling 0 Well
�
;; ❑ Hardcover Removal 0 Mechanical 0 Fire ❑ Electrical
; ❑ Footing � Septic ❑ Water Connection
� Poured Wall 0 Fireplace 0 Sewer Connection
� ❑ Foundation Survey Q Masonry ❑ Lawn Irrigation
` � Radon Rock Bed ❑ Mfg.
� 0 Framing � Other(specify)
� � Insulation
� ❑ As-Built Sunrey
� �inal
�' � Wetland Buffer
G
❑ Other(specify)
<
�
�
; REMARKS (in-house):
�
�
�
E'
�
� Oth�r FFe�eiew: Revi�v�ed b�: Date Approved:
E
Access: Existing: 0 YES 0 NO New: Q YES 0 NO
A'
� OFFICfAL REMARKS -�O BE N�TED ON PERI'►�IIT AND {NITlALLEQ
�
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Updated: January 2013
v:\forms\plan review checklist 2013.docx
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O • MailiPO Bo�r66 Permit number: �JZ�I�—��"�J
�r�
Crystal Bay, MN 55323-0066 Date received: �J !�—/
Street Address: Received by: �'1'1,
� �G' 2750 Kelle Parkwa
ti�, � Y Y Plan review fee:
t �' Orono, MN 55356
1 kEs H°�`�` Total Fee: �Z�, 5�
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: r�35 � �� �
Job Site Address: �
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 approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �' S ' v. L��
State License# C,g3�pZ'? Expiration Date: �-3)- 2 0!�f
Lead Certification Number: Expiration Date:
(for work on homes thai were constructed prior to 1978
Phone: (cell) `�52- 5 y O - �/,5O (office) 6`Z- y6z- �O�G
Mailing Address: /53 � KF� �7�'�'7" Cit : �j"A- z�P: 53R
Contact Person: �b r "�,�1 �p.mes Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �b�," 2 Qe�jSiar�rv�ti .CbW+ A`M�.sG� f��Vlslav.YV�►.� • Ca�
PROPERTY OWNER INFORMATION:
Name: �2 V F'�S/.�
Phone(day):
Address: -735 F,�',�,C���� �� N City:�+..d,UO ZIP:
Email and/or Fax: �'�V . F'ISN 2��A.\C. ,Coi'v`
PROJECT INFORMATION: Overall ro�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) $ ZS'�oo
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 i rmation,the a lication ma not be issued.
ApplicanYs Signature: /(�- Date: 3 -/� '�d/�
Owner's Signature: Date:
Last Updated:03/06/2013
L� � `� DATE TIME V
CITY OF ORONO c� lC�'�
INSPECTION NOTIC n SCHEDULED —
PERMIT NO. C3�I�/ �17e� COMPLETED
ADDRESS �� �Z� ������ �,�
OWNER TELEPHONE NO. Z���
CONTRACTOR
� DESCRIPTION �-�`�i�w� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP
❑ PROGRESS
� "�FINAL�GG I�(, ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FpUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES,L NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPIEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlConUactor on site: ,�i�l�
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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