HomeMy WebLinkAbout2016-01066 - siding �
� � CITY OF ORONO
* 2 0 1 6 - 0 1 0 6 6 *
2750 KELLEY PARKWAY DATE ISSUED: 09/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : ]035 HERITAGE LA
PIN : 10-117-23-13-0009
LEGAL DESC : FOXHILL
: LOT 003 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 48,718.00
NOTE: THIS IS THE PERMIT FOR SIDING ONLY
09/20/16 NOTE:THE ORIGINAL PERMIT WAS SUBMITTED AS ONE PERMIT FOR SIDING AND A SMALL STOOP ADDIT[ON TO FRONI
OF HOME WITH ONE VALUATION OF$55,000. WHEN THIS WENT THROUGH THE REVIEW PROCESS,ROGER DECIDED TO BREAK
OUT THE COSTS SINCE THE BULK OF THIS PERMIT WAS FOR THE S[DING AND WE DO NOT CHARGE PLAN REVIEW FOR THAT.
THIS ADVANCED PLAN REVIEW PERMIT#2016-01067 FOR$490.96 W[LL BE APPLIED TO THE ENTIRE PRICE OF THE SIDING PERMIT
AS A PRE-PAYMENT OF SORTS,S[NCE THE STOOP PERMIT IS NOT A HIGH ENOUGH PERM[T COSTS TO DEDUCT ANYTHING.
THESE WILL BE ISSUED AS TWO SEPERATE PERMITS.
APPLICANT PERMIT FEE SCHEDULE 704.63
STATE SURCHARGE(VALUATION) 24.36
SHIMOTA PROJECT MANAGEMENT MISC FEE -490.96
5727 FRONTENAC CIRCLE
LONSDALE, MN 55046- TOTAL 238.03
(651)387-3297 Payment(s)
Minnesota State License#: BUIL-BC637001 CHECK 11487 728.99
TOTAL PAID 728.99
DUE -490.96
OWNER
FRITZ,JEFF&ELLEN
1035 HERITAGE LA
WAYZATA, MN 55391-
AGREEMENT A1YD SWORN STATEMEIYT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and Ihe
State Building Code. This permit is for only the work described and does
not grant pennission for additional or related work which requires separate
permits. All provisions of(aws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The appiicant is responsible for assuring all required inspections are
requested in conformance with the State Buiiding Code.This permit may be
revo �at any time for c� e cause.
� Is * , � 7
,�.�✓ `t Z ��" �' �' � �,t—� � l��
� i
Applicant Permi Signature Dat Issued B Signature Date
� � � �l'e- � a�$ , la y- C i ty of �ro n o
. !�fi�0p ��!` '` -
Buiid�ng i�ermit Appl�catiorf a - �{� 011�i
for f�e�rv Structure� or Additions
Mailing Address: �
,���T �� ' ���`� _ Permi number: p�/ —Q��
�Vo Crystal Bay, MN 55323-0 6 Date received: � �'����
Street Address:' Rec '
y ,� 2750 Keiley Parkway w Pla e i w fe : p�O/�o"�f��
�' L` Orono, MN 55356 �D' ��
`'kES H�4� Main: 952-249-4600 . ee:
Fax: 952-249-4616 www.ci.orono.mn.us
This appiication form must be completed in full and all required information must� su mitt .,� ,��
Incomplete applications will be returned. (Please print) ,�.,�v�s�t
GENERAL INFORMATION:
Job Site Address: ��3 S- (.� �f+y��� C,�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
lf yes, a special event permit is required with Police Department and Ciry 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 wil!not be allowed.
CONTRACTOR/APP1�ICANT INF0�2ME1TION:
Name: Sh.►.. � f/ o ecf �'1u�4
State License# (, 3 Expiration Date: �
Phone: cell !� � - '� r � office
Mailing Address: ��a 7 F�o �� C:.-c% Cit : ,, j ../� ZIP: S�1�
Contact Person: t Applicant is: Contrac o / Homeowner (Circle One)
Email and/or Fax: S M '� „ ,�� r-�
PROPERTY OWNER INFORMATION:
Name: _ ���� Frrtt
Phone (day):
Address: /o�-� ^c T�-y e C�,+ City: '11�y Z� ZIP�
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION: �
Name:
Phone (day):
Address: � Cit : ZIP:
Email and/or Fax:
ARCHITECT I ENGINEER INFORMATION: �'Z �
Name:
Phone(day):
Address: Cit : Z�P:
Email and/or Fax:
PROJECT INFORMATI : Des � ion of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
❑ New Constructio Water Supply
❑ Single Family with ❑ Accessory Bldg./Garage
Additfon attached garage ❑ Deck
❑ Accessory Building ❑ Single Family with ❑ Office/Commercial � Public Sewer
❑ Relocation � detached garage ❑ Residence
❑ Septic
�] Other:(specify) - ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate
� ❑ Public 4-feet or greater may be required)
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review& permits. ❑ Industrial ❑Warehouse ❑ Public Water
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(speCify)
15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ PrivBte Well
Phone: 952-471-0590 1 Fax: 952-471-0682
www.m innehahacreek.orq
Estimated Construction Valuation (excluding land) $ �i po�� �-
�
Packet Last Updated.� January 2016 ��� �
Page 21
STRUCTURE INFORM,ATION: , ,, ' �
1,;Struct�jre.,DimeM sions w ,:' '�. t�'uc�ture Dimensions(continued)
M it C 1—f M�:..� : �. �Iv . ... , � _ �
��i,. .�. .� A , ;�i ��p .� � � �v/
F a. Lengt�i (ft)= I;.� � Number of bedrooms= 2. Occupancy:
s f, _ '
b.Width(ft.)= v Number of garage stalis:
� � K� . . 3. Occupant Load:
. .. . . , �� .: �, � �s �i•�,
�� Areas in sQua�e feet A�a���'=� - �+��
c. Baserr�enF� Detached= ��"� 4. Type of Construcion: ���
' � .. . , �.
d. 1 Sl$tory = a . � 2��� �/ � ��
'` Te.2�d Story= ���—�."�::1�; � ;•, ��. .,s. � .:� A 5. Code Edition:
,;`� ��. .�' �.�' .
f. '%Stoty = *' � ;�.
,_ , ;.�"' �: :i
g.Total Are�=' � ' �
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ � Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans–2 full size sets,to scale and 1 reduced 11 x 17 or 8'/�x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve –2 full size,to scale meetin ALL surve re uirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Landsca e Plan
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ O Access Permit
❑ ❑ Data Privac Adviso Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
. �
. Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
. 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 applicatFon being a�nrare,that upon failure to do so,the staff has no altemative but to
reject it until it is complete; ` � ,,� "
h
• -A�.�. .. 3�.
. Acknowledges the Escrow Agreement is completed and�si�ned,+
. Understands some or all of the information that you are asked to;;�i�4v�de on this application is ciassified by State law as either
private or confidential. Private data is information which generally cahno�"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 govemmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
. Agrees that in the eVent that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a femporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements. •
i anYs Si nature: ` Date: � 3 � �G+
Appl c g
Owner's Signature: Date:
, *' � f � *`�
♦
.�'t ��,� ';a��" � 3:k v. � .�,..
4 Pac�et Last Up�t&d.� January 2016
,;, " -'.:�,�`�. Page 22 \\
M �'�.
a �
,��' ,/�-
v ` DI�T�, TIME
C bF ORONO � CALLEO IN �� �
INSPECTION N�TICE SCHEDULED _'�� -���-�
PERMR NO. �'��'"�D���� COMPLEfED `
ADDRESS ���� ��'��.�-�-�.� �,� a
OWNER TELEPH�E NO�'�S����� � �
CONTRACTOR , i 16 �� �`�� �' �
'' DESCRIPTION /���/,1iL� >��GC_-�
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i�❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNENCOHITRIICTOR TO MEEi Y�U:_YES_NO
v�, COMMENTS:
� ( '��{1�e, .t��C�CIv�S U-� /�'ld�n�/'Q�J -
�
,
0
� �e f� � d� 6Jo r�C l`r�►�lr�- �-
0
� cs�S �
Q �` n'1l` ,Q/�d�US �b Pei�so � ��L b�6K0 i M►1. �S
�
2 / // � n
� �GIw�-� t-1'qk��� A�i'��v .�`t0�05 /c-Grc✓eb�
�
�
J
O
W ❑WORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLETE
� �RRECT W'ORK 3 PROCEED ❑ISSUE CEFiTiFICATE OF OC(;UPIINCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERINQ PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. �pHOTO TAKEN
INSPECTOR WILL RETl1RN
❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site•
Inspector:
YYhite CopyAnapecto�'s Fils Cmary CopylSlb Noties