HomeMy WebLinkAbout2014-00905 - remodel 3 doors, headers, drywall and flooring � CITYOFORONO * z014 - 00905 *
2750 KELLEY PARKWAY DATE ISSUED: 08✓25/2014
ORONO, MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 2650 KELLY AVE
pIN ; 20-117-23-14-0005
LEGAL DESC : APPLE HILL
: LOT 007 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 12,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
REMODEL 3 DOORS,3 HEADERS,DRYWALL AND FLOORING
APPLICANT PERMIT FEE SCHEDULE 221.25
PLAN REVIEW 143.81
EDGEWORK BUILDERS INC STATE SURCHARGE(VALUATION) 6.00
7250 HAZELTINE BLVD
EXCELSIOR,MN 55331- TOTAL 371.06 �
(612)32&0944 Payment(s)
Minnesota State License#:BUIL-3681 CREDIT CARD 3889 371.06
OWNER
WENDLING, STEVEN&DOREE
2650 KELLY AVE
EXCELSIOR,MN 55331
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit 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 goveming 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 applicant is responsible for assuring atl required inspections aze
requested in wnformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Da Issued By Sigr►ature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number: oL-O /y- DD '�'/OS
PO Box 66
Crystal Bay, MN 55323-0066 Date received: � /`f /
Street Address: Received by: �
y�, �' 2750 Kelley Parkwa � Plan review fee:
l,9kFSH���C' Orono, MN 55356 �l ��"�
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. (Please print)
GENERAL INFORMATION:
Job Site Address: � S c'� �jE��y v
Will this be a Parade of Homes, Remodelers S case Home or other Display Home? ❑ Yes � No
If yes, a specral 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/APPLI�CA1NT INFORMATION{•�
Name: (��� �o o � _�K u; ���(� ,L.�c
State License# � 3,��r� Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (���., _3��- p ry t�c� (office) q lj �- - ��� - �S/�
Mailing Address � p � � „ , City: _"x�-�.�s;o- ZIP: $S 33/
Contact Person: EU ` � o Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �„� ` �o,,,�
PROPERTY OWNER INFORMATION: ��.
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Name: �o �,ee_ ��wcJ St-�Ve L���.1C� I�,+Lq
Phone (day): ���� .- ��g-pQ� �r
Address: �� c�.p KC j�a a�� City: ���_, � ZIP:
Email and/or Fax:
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PROJECT INFORMATION: Overall pro�ect description: � �r - � o c -��� �t`� �;,,o, I ��- � �$yZ}
Type of Project: Any earth movement m Iso 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) $ I �,� � �
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 inforrr�ation t e a lication ma not be issued.
ApplicanYs Signature: 1 Date: � � (
Owner's Signature: Date:
Last Updated: 03/06/2013
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Septic review l��: f�)F t� D�te Approvec�:
Zoning ceview by: �� Date Appro�red:
8uilciing revtew bp: , pate app�ov�d: � '� � ��-����`
Grading review by: N(/� Date Approved:
Zoning District: Zonireg File�: Reso#: Reso Date•
ing: Lot Ar�a: SF/AC �[clth: Lot Coverage;< SF %o"
Sur�re Submitteci: �' Yes � No Date of S�rvey: Rev' d date ? :
Pro ose etbacks:
Froc�t(La,ke Rear(Street) � � � � � ? � � S E � 1 her B�ilciings Wettand
Side Side
DefiRed Height: Peak Heigfit: FFE: F E minus 6 feet= (Existing Contou
Perimeter(linesr feet)= 50°�_ ` # f Stcries Ok? Q YES :
FOR A BUILDING 1MTH A BASEMENlT OR WL SPAGE:
The distance n the lowest FOR A BUILDING ON A SLAB FOUNDATIOAtC
START WITH proposed floor,( fhe basement or crawl
space)and fhe hig point of the roof. The distance between the 4op of siab;an
START WITH �e highesi point of the roof.
If you have a... If you have a:'.. `
• GABLE OR HIPPE OOF(no . GABLE OR HIPPED ROOF(no
windows): SubVad h the windows): Subtract half the dist8n
distance between the hig stp ' t between the highest pointofthe rc
of the roof to the low poinY to the low nt of the co
SUBTRACTION corresponding gable or hi of P� rresPontlii
PP SUBTRACTION gable or hipped roof
(BASED ON ROOF, . GABLE DR HIPPED RQ (with ` (BASED ON . GABLE OR HIPPED I�OOF(wkh
T�E) windows): SubUact e ` ROOF TYPE) wintlows)i SubVact half the disffin
distance beMreen op of the ` betuveen the top of the highesf
highest window a e highest wintlow and ths highest pcint of th
point of the roof �f .
• ALL OTHER OF TYPES(flat, • ALL OTNER ROOF TYPES(flat;
:No subtracHon. mansard,etc:No subiraction:
m��' ADDRION Add the distanGe between ihe top of sla
SUBTRACTION Swbtrad the di nce between the (BASED OM and the highest existing grade adjacent
(BASEp ON EXISTING basemenU spaoe floor and the FJtISTHdG the foundation.
GRADES) highest exi ng grade adjacentto the GRADE$ ,
founda' OR 10 feet(whichever is less)- �QUALS DeBned butMing helgM
EQUALS ` Defin bullding helght .
Shorelanc! Qis#rict IVEC1R�D Perqnit Recefved Avera'e Lakeshore tback 11�et? Bluff
0 Yes � No 0 N/A ' O Yes a M�
0 Yes o Q Yes 0 No /A
Permit Number. Setback: '
Stormvvat Qt�ality Existing P'roposed Variartce Required CU�R uirecf
Overla �strict Ti�r Harcicover Hardcover
0 Yes � No Q Yes Q No
TYpe(s): TYPe(s):
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