HomeMy WebLinkAbout2012-00756 - fireplace CITY OF ORONO * Z 0 1 2 - 0 0 7 5 6 *
� ` � 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2012
' ' ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2515 KELLY AVE
PIN : 20-117-23-12-0038
LEGAL DESC : REG. LAND SURVEY NO. 1428
: LOT 000 BLOCK 000
PERMIT TYPE : ADD[T[ON/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RES[DENTIAL
VALUATION : $ 95,575.00
NOTE: SEPERATE PERMITS REQU[RED: F[REPLACE
REPLACE DECKING, INSTALL FIREPLACE,CONCRETE AND WINDOWS.
APPLICANT PERMIT FEE SCHEDULE 1 026.75
MOM'S LANDSCAPING& DESIGN STATE SURCHARGE(VALUATION) 47.79
12276 JOHNSON MEMORIAL DR[VE TOTAL 1,074.54
SHAKOPEE, MN 55379-
(952)277-6667
Minnesota State License#: BC638384
OWNER
HARDTEN, DAVID&CHRISTINE
2515 KELLY AVE
EXCELSIOR, MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
thc approved plans and specifications,applicable City approvals,and the
Slate Building Code. "I'his permit is for only the work described and does
not grant permission ft�r additional or related work which requires separate
permits. All provisions of laws and ordinances govcrning 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 after work has commenced.
The ap licant is responsible for assuring all required inspections are
equcs � c fo `ce ith the State Building Code.This permit may be
rev t t r du cause.
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�c nt ermitee Si nature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. � ' Pian F��eview �heckiist for New �fiructures ! Ad�di#ions
Address>PID I Legal: ZS ��J �<C�-�-�'( �4�
Description of work: �-2.L.� !�c�k t� v�npn,y`��7�/t7�9�rr���
Septic rQview by: ��✓� Date Apprnved:
�oning re�,ie�nr by: N/.� Date�►p;pro�retl:
Buiiding review by: _ Date Appr�tl: �^' � -�12
�rading review,by: �/r� Date#�pproved:
Zoning File#: Resolution#: :ResoWtion Date.
Zonin District Fire De artment Post OfFice chool District
��oning: Lot Area: ` SF/AC 1lllidth: Depth:
Survey 5ubmitte : n Yes . 0 No Date of Survey:
Pro osed 5etbacks:
....__
.� „
Frant.(Lake� R r:�5tre�et) � M � F `� � � � S � �"` Other Builtli�gs Wetland
Sitle Side
Buitding Defined Height; Building Reak Height: ` #of Stories'�k?: � YES
FOR iA BllILDiNG WITH,74`8AS'EMENT DR CRA L SP�C£: F R A BUILDING ON A SLAB FDUNDiATlON:
' START WITH the riisfian�e between the'bas ent floor/�crawl 7STf#RT the distance between'the slab and�.fhe highest
space floor.and:the highest ro eak,theitop of WITH - roof peak,the'top of the cornice of a flat roof; `
the comice of a flat roof,,the dsck ' e�f a ; . the deok.line of a mansard roof,.or,the
mansard�rnof,or'the upperrnost Poi on`a roun uppermost pdint on a:round or other arch-type '
or�therarch- . e roaf roof
SUBTRACT half the distance between.#he highestwi and SUBTRACT half the distance be�vireen the highest.wintlow ;
hi hest roof eak of a itched:roof antl hi hest:rp:of eak of�a itched roof
SUBTRACT the distanc�e between the basernent flo ' c 1' ADD ` the,:distance between:the.slab�nd#he highest
space flDor antl the highest existing g de wifihi ` existin rade-within'tMe foun8atican >
the'foundafion.or 10#eet,whicheve s'Jess: EQUALS Defined builriin hei ht
E�IUALS Defined:buildirt `hei ht •
Lot�overage: 5F %
Sfior.eland District �IA.0 Psrmit Receiv�tl ��rs e,Lakeshore:Setba�k Bfufif-:
� Y s D No � N/A D Yes '0 No
� 'Yes � `No � 1'es D 'Ne ` D :N/A _
:P it�lumber: Setbaok:
Har�Icover Znnes Existin ` Pro osed Variance Re u 'd "CLlP Re uired
D-75' : _ � Yes 0 N 0 Yes D I�o
75-2�0�. Type($): ' T�pe(s):
2�0-5
50 D00'
REI1i1�1RKS:(in-house):
ilpdated: 09/19/2009 :
z:lformsiplan review checklist.doac
Fees to be Char ed 'YES �Ip ' •
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Plan Review ,
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In�restigation Fee
.- .:.,.-n. ,n� , . .:,, .. . , .... , . .. _
Sewer Connection
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Park Fee .
0ther(�pecifyy; .
Calculated By;
S uare Foota e' $ er uare F�oata e
Basement �( _ �
1�'Floor X , _ :$
2"d Floor ; X = �
Garage X =. � _
. -;,M'� � � _. . .
Estimated Consfiruation Value: �' `�7J .�~��
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Drono tnspections Required �Ilork�2eq�iring Sepacate Permits REquirecl State:'Permits
G Site _ ` � Rlumbing � Grading`7 Filling fl 1Alell
G Hardcaver Remo�al � Mechartical Li 'Fire � Electrical
�ooting � ptic : � �1lfater Connection
� Poured 1Nall Fireplace G Sewer�onnection
` -� �oundation Survey � . sonry � Lawn icrigation
,'� adon Roak Bed l�lfg.
Frarning tC)tther�specify)
`Ci lnsulation
� =Bui1t:Survejr
; Final
0 Qther(specify)
ftEMARKS{in-house);
flther i�eview: Reviewec�'bY, Date �lpproared:
Access:Existing: � '�ES- D 1dO New: � YES 0 �O
RE11111A�KS(TO BE�IOTED ON PERMIT 1#AlD;11�11TI�LLED BY PER�ON P.ULLING PERIr111�
Updated: 09/1'1/2009
z:lforms\plan review chedclist.doac
. . City of Orono � 07� , ��
' Building Permit Application for Maintenance / Renov'ation
• (windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. p1U l�— D U 7.5
g,�,��. PO Box 66 ` ;
O H O Crystal Bay, MN 55323-0066 ��,��'` Date received: —,�j -� �
�' "� � Received b �
a, .;r'_A �, Street Address: ?�;1�n�\� y'
�'�,r � '"� �ti`� 2750 Kelley Parkway �� ' Plan review fee:
9kE3H�g'� Orono, MN 55356 aU� � -6� .�S
-- 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 returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: � ���^���(,fi� ���1`��-1�- ���{f�C�, �1� - �7 S'�j'3�
Will this be a Parade of Homes, Remodelers S owcase 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. Shuttle bus servic�will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �Q�`'�'S j,g2sµp���G��Nfii ��i�l .
State License# ���j�j�- -� Expiration Date: �-�- i�
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: qG��_Z,�� �F,�`� (office) fo1'Z-�_Z�`7 (cell)
Mailing Address: City: " ZIP: 3-
Contact Person: '�?�,�� ��� �„t-,�c.- Applicant is: ontractor / Homeowner (Cirde One)
Email and/or Fax: - �
PROPERTY OWNER INFORMATION:
Name: `��h � ��N�s��l-fIL {��jF-�..k ..
Phone (day): �SL� ��Z( - ��j�,�
Address: Z,5�5 �-fcl:f..Y �•f�IC.J� City:�(��;p� ZIP: srj��i
Email and/or Fax ������e ���-� ,,
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) �Remodel ❑ Fire Damage MCWD review& permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑ Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding �ther. (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description: '�;��,�,� ��Z�� , ����L �,��,�� � t-��,��
� i��d J.A�S
Estimated Construction Valuation of Project(excluding land) $ s(c� r.�•-lc���
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
re uired b law. If ou refuse I the inf ation,the a lication ma not be issued.
Applicant'sSignature: Date: �-- j ' 1�-
Last Updated: 08-09-2011
� //� _�� DATE TIME �
CITY OF ORONO CALLED IN i 2-� '�2
INSPECTION NOTICE SCHEDULED /Z-0.20 ��- �
PERMIT NOr,-�1��Z-0�5.� COMPL TED
ADDRESS �l � �
OWNER EP ONE NO� � ��
CONTRACTOR �
>; DESCRIPTION �� - �� G�uit
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO �
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail forthe next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�� D TIME Y
CITY OF ORONO CALLED IN �� �
INSPECTION NOTICE SCHEDULED �LL �
PERMIT NO.�,?/�/�-v�7S(G�OMPLEfED
ADDRESS ���v
OWNER TELEPHONE NO.•So7�35� �9��
CONTRACTOR ��Y���'1'� ����-Se��IK�
� DESCRIPTION �
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerfConiractor on site:
Inspector. r � / .�
White Copyllnspector's File Canary CopylSite Notice
S W D,�aTE TIME �
CITY OF ORONO CALL� s�
INSPECTION NOTICE SCHEDULED ' �—I Z— D;OZ�
PERMIT NO.o�O�a � DD7S� COMPLETED
ADDRESS o2S�S �.�?��t,� i�
OWNER TELEPHONE NO. ��Z ��a� d� Z'�
CONTRACTOR _/f'J�}yt� LG�'`��ca'f'1-P
�: DESCRIPTION
�00 7�7'
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �`/VORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W �1LORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DecL Pan
Hardtcn Rest encs
2515 Kelly Avenue
Excelsior, MN 55551
Scale: 1/+" =1'-O"
Installation of Phantom Screen System
Existing stone column to 'boxed ou
accommodate gutter syr
of dry decL , door & window frac
Installation of Nana Wall Dc
System.
Installation of v,g,�- gas fir<
on 42" ost fc
P, I c,,+ -r-) o r---)
Replace existing dry laid patio
porcelain the on concrete sub -slab witk
frost footing at perimf
Existing Columns to Remain
Dry DccL System to be installed over existing)oists
Existnggrill to be removed & re -installed in existing location.
xistingcedar decLingto be removed and
placed with composite decking.
Uote: Existing ledger, rim & joist to remain)
Existing railing to be removed and
re -installed in existing location
i
Patio Pian
SHEET DESCRIPTION:
DESIGNED P)Y: 5ob Wallace
Design
DATE: 7-5-12
REVISION DATE: 7-17-12
REVISION DATE: 7-26-12
SCALE: 1/+" =1'-0"
Scale: ]/+" =1'--O"
VERSION
2.0
Window
Sliding Patio Door
F INED cape CQ EZ!
HECKED BY DATE
111mo- M$S
%A N,D,S CAP IX.4 DESICI
12276 Johnson Memorial Dr. 952.277.6661