HomeMy WebLinkAbout2016-01554 - addn/remodel/repair CITY OF ORONO * 2 0 1 6 - PJ 1 5 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 12/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3215 LAFAYETTE RIDGE CT
PIN : 17-117-23-44-0088
LEGAL DESC : LAFAYETTE RIDGE
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATIOI�I : $ 1,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMB[NG,MECHANICAL,ELECTRICAL(STA'I'E)
HVAC CLOSET
APPLICANT PERMIT FEE SCHEDULE 43.30
WYERS, DAVID&ANN PLAN REVIEW 28.15
3215 LAFAYETTE RIDGE CT STATE SURCHARGE(VALUATION) 0.50
WAYZATA, MN 55391- TOTAL 71.95
Payment(s)
CHECK 6635 71.95
OWNER
WYERS, DAVID&ANN
3215 LAFAYETTE RIDGE CT
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which(his 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. AII 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 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
ted in rmance � i the S te ilding Code.This permit may be
voked a� ime for due cau . �
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Ap ' rmi �gnatur ate Issued By Signature Date
��ECEIVED
, pEC 2 0 2016
Building Permit Application for Maintenance/ Replacement/ Remodel — Residential ONLY
CITY OF ORONO�i,e.windows, doors,siding, re-roof,etc.—NO STRUCTURAL EXPANSION)
�j�� Mailing Address Street Address FOR CITY USE ONLY
� •� P.O.Box 66 2750 Kelly Parkway aate Received: ��I' /�b—��
Crystal Bay,MN 55323 Orono,MN 55356 Permit�i �D � �o—D l 'J—S�
�
,� �pproved By: �`��_
y � Phone:952-249-4600 Fax:952-249-4616
�' G�' . PMan Revie+M$: �
�'�x�swc���' Website: www.a.orono.mn.us �?� � ��
�/� c�
Amount$:; J�� !
This application form must be completed in full and all required information must be submitted. �
Incomplete applications wlll be returned. (Please prin[J
GENERAL INFORMATtON. � � /� ' ,,� �� �,7 A i
Job Site Address: �, �'
Witl this be a Parade of Homes,Remodelers Show e me or other oisplay me? Yes • IYo
fJ yes,a specla!evenL permit is reqttlred w}ih Fo1lce pepartrrterrt an `Ltty touncil approval 60 doys prior to the event.Sl�uttfe d servke w�lf 6e requr'red unkss
applicant demonstrotes sufficient on-site porking is avoilable. Non-permi[ted events wil!not be allowed.
CONTRACTOR/APPUCANT INFORMATION: y
Name: � ��„ �� t �
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (ClrcleOne)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: � �v
Phone(day): .. � �
Address: � t City: ZIP: . ,,
Email and/or Fax:
PROJECT INFORMATION: Overall project 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)
15320 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345
❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) ��i�,�'��� " wwtiw.mf nehah creek.or
Estimated Construction Valuation of Project(excluding land) $ � = ;
APPLICANT ACKNOWLEDGEMENT: Q
• 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 record d records of other�pv rrrme at agencies required by law. If you refuse to supply the information,the application may
not be issued.
Applicant's Signature: ' Date: _��� ��(�'1��
Owner'S Signature: " Date: �t'� �`(„���..�
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: 'Z l� �a Ct � / �. �us`�permit No.:�� �[(� � ��.�7 �"T'
Description of work: (i���I/l Y ��G� Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: J Z- z� l
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: � Yies � No Date of Survey: Revised date ? :
Landscape plan submitted?` 0 Yes � No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Stre t) ( N S E W ) N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak eight: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50° = L.F. below grade
Basement? � Yes � No, S es
FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance b ween the low t proposed Slab at or above grade—
floor(of the b ement or crawl s ace)and measure from hiphest existinq
START WITH the highest int of the roof. rade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON ,tivindows): Subtract half the distan from highest existing grade to the
ROOF TYPE) between the highest point of the roo hi hest oint of the roof.
' to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
� Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
� Yes 0 No Permit Number: 0 Yes 0 No � N/A � Ye No �
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
� Yes � No � Yes � No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit
Plan Review 1/'
State Surcharge (��
Investigation Fee
SAC— Number of SAC Units
Other(specify)
Square Footage $ per Square Foota e
Basement X = $
1 St Floor X = $
2nd FIOOr X = $
Garage X = $
Estimated Construction Value: � Ay ����
Orono Inspections Required Work Requiring Separate Permits
0 Footing � Site Plumbing � Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control Mechanical � Fire
0 Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection
0 Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection
Framing 0 Masonry 0 Lawn Irrigation
Insulation 0 Mfg. � Landscaping
0 As-Built Survey � Other(specify)
inal
� Lathe Required State Permits
� Other(specify)
� Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
0 See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
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C��n�l�ance Ci� o�t�rono
Roger Peitso :p 'J `�� pa� Z( j •
City of Orona 1 � Z��� Revi�wer `
2750 Kelly Parkway -
Orono, MN 55356
Dear Mr. Peitso,
I have enclosed a drawing of the cioset for the furnace and hotwater heater built in my
garage. As we discussed, the 1St inspector gave us the idea and go ahead to build this.
He said we would need fire doors and fire rated sheetrock. This is the direction we took.
He also said it would be up to us if we wanted to insulate it, as the garage is insulated.
We should have the electrical and the sealing of the vent run done this week. I will expect
I will hear back from you on this.
Thank you,
r�.
. � ' �
David Wyer
3215 Lafayette Ridge Ct.
Wayzata, MN 55391
Cell: (612)845-1256
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