HomeMy WebLinkAbout2014-00390 - addn/remodel/repair , CITY OF ORONO * 2 0 1 4 — 0 0 3 9 0 *
' 2750 KELLEY PARKWAY DATE ISSUED: OS/02/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1180 HERITAGE LA
PIN : 10-117-23-13-0002
LEGAL DESC : FOXHILL
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY ; 434-RESIDENTIAL
VALUATION : $ 500.00
NO"CE: SGPARA"CE PF.RM[TS RL-'.QUIRED: PLUMBING, MF,CkIANICAL, FIRL;PLACI:, ELI?CTRICAL(S"I�ATG)
OPI;N WALLS A'I'BO"C'I�OM OF S7'nIRS
APPLICANT PERM11'FEE SCHEDULE 25.00
PLAN REVIEW 16.25
ZIEGLER& KELLY RISCHE, DAVID STATE SURCHARGE (VALUATION) 0.25
1180 HERITAGE LA
WAYZATA, MN 55391- TOTAL 41.50
Payment(s)
CHECK 3465 41.50
OWNER
ZIEGLER & KELLY RISCHE, DAVID
1180 HERITAGE LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
I�he work tbr�chich this permit is issued shall be performed according to
the approved plans and specifications,applicablc City approvals,and the
State Building Code. "I'his pennit 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 1 SO days of the date of issuance,or if construction is
suspended tbr a period of 180 days at any time after work has commenced.
I he applicani is responsible for assuring all required inspections are
requested in contbrmance with d�e State E3uilding Code."�his permit ma��be
revoked at any time for due cause.
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Applicant Permitee ' ature Date Issued By � ature Date
PLAN RE\dtEW CHECKLIST �OR IV�11V STRUCTURES / ADDlTIONS
Address/Permit Number: � r�o � E�l�Ti�4C� � C..�s iNL
Description of work: ������— a�� �w�=L � Si7�o/L� e,� r�J� f.�U��
�- � �� C c.-/.�� �'
Septic review by: 1'�ll S� Date Approved:
Zoning review by: �l� Dafe Approded:
Building review by: t��M,�e�-- Date Approved: �'Z�- ZUI `j
�
Grading review by: �� Date Approved:
�oning District: Zoning File#: Reso#: Reso Date:
Zoni : Lot Area: SF/AC Width: Lot Coverage: SF _%
Survey S mitted: 0 Yes 0 No Date of Survey: Revised d ? :
�
Pro osed Set cks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E VU ) Other B ddings Wetland
Side Side
�
Defined Height: Peak Height: FFE: FFE min 6 feet= (Existing Contour)
Perimeter(linear feet)= 50% _ #ofi Stori Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR CRA L SPACE:
The distance betw n the lowest FOR UILDING ON A SLAB FOUNDATIOPl:
START WITH proposed floor(of the asement or crawl
� space)and the highest°point 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 RO F(no .
windows): Subtract half t�Fije w ndow�RSulbt act�halOf tOhe dlstance
distance between the highest point between the highest point of the roof
of the roof to the low point of tR@ to the low point of the corresponding
SUBTRACTION corcesponding gable or hipped r�f SUBTRACTION gable or hipped roof
(BASED ON ROOF e GABLE OR HIPPED ROOF(wit ` (BASED ON • GABLE OR HIPPED ROOF(with
NPE) 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 ' hest � window and the highest point of the
point of the roof roof
• ALL OTHER ROOF YPES(flat, � • ALL OTHER ROOF TYPES(flat,
mansard,etc:No subtraction.
mansard,etc):N subtraction. ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distan behveen the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcrawl ace floor and the EXISTING the foundation.
GRADES) highest existin rade adjacent to the GRADES
foundation O 10 feet(whichever is less). EQUALS Defined building height
� EQUALS Defined ilding height
Shorelanct District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
� Yes � No � N/A � Yes 0 No
� Yes 0 0 0 Yes 0 No � N/A
�;.: Permit Number. Setback:
������ Stormwat Quality Existing Proposed ���' '
Overla istrict Tier Hardcover Hardcover �°�riance Required CUP Re uired
0 Yes � No � Yes 0 No
Type(s): Type(s): \
Updated: January 2013 �
v:\forms�plan review checklist 2013.docx �
RENiARKS (in-house):
�' Fees to be Char ed YES NQ
Permit �"
Plan Revievd �
State Surcharge �
Investigation Fee
SAC—Number af S�,C Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X ' $
15` Floor X = $
� nd —
�.. 2 FIOOf X - $
� Garage X - $
�' Estimated Construction Value: $ j�0 ��
Orono Inspections Required Work Requiring Separate Fermits Required State Permits
� Site � Plumbing � Grading/ Filling 0 Well
� Hardcover Removal � Mechanical � Fire � Electrical
0 Footing � Septic � Water Connection
� Poured Wall � Fireplace 0 Sewer Connection
0 Foundation Survey � Masonry Q Lawn Irrigation
O adon Rock Bed 0 Mfg.
Framing 0 Other(specify)
0 Insulation
0 As-�uilt Survey
Final
0 Wetland Buffer
� Other(specify)
R�MARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: � YES � NO
OFFICIA� REMARKS -TO BE NOTED ON PERMIT AND INITIAI.LED
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Updated: January 2013
v:lforms\plan review checklist 2013.docx
�''^� . I �l
� ' City of Orono �'2
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O Mailing Address: Permit number: "��3
^/O PO Box 66 a�T
Crystal Bay, MN 55323-0066 Date received: —
i� �
� Street Address: Received by: �
� :� 2750 Kelley Parkway Plan review fee:
yF� �� Orono, MN 55356
�KEs Ho��� �
f 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 retumed. (Please print)
GENERAL INFORMATION: p ' 1 S 5 ��j
Job Site Address: � � o� �e�`�°�5 � ��` � �'`��``5���` � N (
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o
If yes,a special event permit is required with Police Department and City 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 will not be allowed.
CONTRACTOR/APP II�CANT INFORMATION:
Name: � w��� ���e�,e 1'
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) � s Z- N 5�J-�S �S (office) SG�� p s Ct��
Mailing Address: � � g O {-�e�;�}A c L�-. City: Z ZIP: S S 3�t
Contact Person: �G✓�c� '�,�e �er Applicant is: Contracto / omeown �c��ie o�.�
Email and/or Fax: �z� e�� e 2 Q� o •C:o'^-
PROPERTY OWNER INFORMATION:
Name: ` ti��� 1 e �{�
Phone (day): �S 2- �(S�/-$S J
Address: v e�� ,e L�.. City: (�JQ Z� ZIP: 55,�9(
Email and/or Fax: �Z��e��e,2 y l.�oo •Ca�^
PROJECT INFORMATION: Overall ro�ect descri tion: O ti c,����5 a, �v'rtv� 6� s�a`�S
Type of Project: Any earth movement may also require
❑ Door(s) %�[temodel ❑ 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
Phone: 952�71-0590
❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682
❑Window(s) �"Y�G��� www.minnehahacreek orq
Estimated Construction Valuation of Project(excluding land) $ So d
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 hisJher knowledge. The applicant rewgnizes 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 information he lication ma not be issued.
ApplicanYs Signature: Date: � �V�� /
Owner's Signature: � _ Date: � ` 30 "��
Last Updated:03/06/2013
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-' C ; � ^l DATE TIME
Ci1"`Y OF ORONO ��CALLED IN �
INSPECTION NQTICE. scHeou�Eo � �
PERMIT NO. :�Z' ��! '�t�-'S i�' connP�ErE�
ADDRESS. � / a C� :� (.c" '1 i '�l i c;t'' �/-(
'� � �! f" TELEPHONE NO. � r`� � � �5�
OWNER . ��. �,/ Z���,,�_T_ ��., �,/
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CONTRACTOR -'
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� DESCRIPTION� �,/r i��/�1L/7 "' ^ ' � �'-�-
lir ❑ FOOTING ❑ P.L'UMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
h
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ 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/REMOVAL
Q OWNERfCONTFiACTOR TO MEEf YOU:_YES_NO
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� COMMENTS: `_ ,� ` %,�"� , ' - � ., -�
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W ❑WORKS TISFACTOR :PROC D PROJECTCOMPLEfE�
� �ORRECT WORK 8 PROCEED �ps� a� ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
--C II for the next inspection 24 hours in advance. (952) 249-4600
Ownerf ntracto�on site: �la��--�
�� .
Inspector. `-"'
White opyllnspector's File Canary CopylSite Notice
��- ✓�� �— DAi�, TIME
CITY OF ORONO CALLED IN ��� /-��
INSPECTION NO IC /�SCHEDULED �3- �l >��' ��
PERMIT NO. � � vCOM,PLETED —
ADDRESS �b
OWNER TELEPHONE NO. �� ��j
CONTRACTOR � �
� DESCRIPTION �G�L�� �
ll! ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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
��Ya�NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO�
� COMMENTS: � /ec_ �.�rg� --lD ' "0�3' l�
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� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
�
Inspector_
White Copyllnspector's File Canary CopylSite Notice