HomeMy WebLinkAbout2015-00897 - addn/remodel/repair CITY OF ORONO * Z 0 1 5 - 0 0 8 9 7 *
' 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2015
' ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 1190 LOMA LINDA AVE
PIN : 08-117-23-23-0003
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,410.00
NOTE: REPLACEMENT OF STOOP/STEPS-USING EX[STING FOOTINGS.
HOMEOWNER HAS ALREADY PAID$29.96 FOR OR[GINAL PERMIT 2015-00887 THAT WAS ISSUED IN ERROR. THIS WAS NEVER
KEYED M THE CASH REGISTER,SO WE GAVE THE CASH BACK FOR THE$29.96 AND JUST HAD THE FULL AMOUNT APPLIED TO
THE NEW PERMIT.
FOR THE PLAN REVIEW.
THIS PERMIT REFLECTS THE CORRECT AMOUNT.
APPLICANT PERMIT FEE SCHEDULE 60.35
PLAN REVIEW 39.23
MITCHELL,MARK&EL[ZABETH STATE SURCHARGE(VALUATION) 0.71
1190 LOMA LINDA AVE
MOUND, MN 55364 M[SC FEE 60.35
TOTAL 160.64
Payment(s)
CREDIT CARD 4564 160.64
OWNER
MITCHELL, MARK&ELIZABETH
1190 LOMA LINDA AVE
MOCTND, MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and speciYications,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 sepazate
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 all required inspections are
requested in conformance with the State Building Code.This permit may be -,
revoked at any time for due cause. ' ��J
/, '-
�C�,,I, l�-�� �� C<�� ��_�.�,-t-�� ; �� ,y /�
Applicant Permitee Signature Date Issued By Signat e Date
' ` ,� City of Orono
� Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O ` _O Mailing Address: ,
C.
IY Po BoX ss
Permit number. �!5 '�
Crystal Bay, MN 55323-0066 Date received: �� ' �
�
Street Address: Received by: �
9 G�` 2750 Kelley Parkway PI review fee: �� ' L�k
`� Orono, MN 55356 � �
lqkESH��� Tota�F�e�' �
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 m st be subm,ittey� �
Incomplete applications will be returned. (Please print)-���}����/�'�
GENERAL INFORMATION: 'L
Job Site Address: �f 9� 1 o✓n� �,-y ,� �,,
Will this be a Parade of Homes, Remodelers Showcase Ho em or other Display Home? ❑ Yes ❑ No
If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATIO
Name: � � -� ,.�J
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes fhat were constructed prior to 1978
Phone: (cell) �Z- �5�— S'`-/ �- (office)
Mailing Address: 6 - City: ZIP: �
Contact Person: �`�,�� �� � �- Applicant is: Contractor / omeowne �c���ie o�e>
Email and/or Fax: � ��, � � � ,Q , �,�.� _ �l � ' �
��',--�-�Te.�—�
PROPERTY OWNE INFORMATION:
Name: ��_ �.��� � c�G�--`� ��
Phone (day): z — �f�_ ,� S^�L�
Address: � —� �' �
/ l 9'h L o o, �,vt�� city: �/� zIP: S^S�'�,6 `7
Email and/or Fax: ���f�� 1� � ��G _... ,,y, �< �-� i a .�
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
��t � ��O � Window s Fax: 952-471-0�82
��❑ ( ) www.minneh reek.or
Estimated Construction Valuation of Project(excluding land) $
��� � c�, �
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 the fo ti ,t li e '
ApplicanYs Signature: Date: �- �� 6
Owner's Signature: Date: �0 p�-O 1,�
Last Updated:January 2015
. ���� ���c�� �����c���-� ��� ���� �����r���� � �:��������
Acf�ress: /� �� �C9s�!C� �i �t � Permi�f�o.:
Descriptior� of rnrark: F��C� �° C(C e� �Q I�'`!� �at�i�ec'd:
Septic review hy: _ Dat�Approved:
�oning reviewr by: .�. • ` . Date �--
Approved: �� l S"—
Buiidin review b : �
9 Y . Date Approved: .�� �
Grad�ng review by: � ------- Dat�Q.pprovecE:
Zoning District: Zoning File#: Reso#: Reso Date: .
Zoning: Lot Area: SF/AC Mlidth: Lot Govecage: SF %
Survey 3ubmitteci: ❑ Yes C! No Date of Surve�: Revised date(�)�
Pro osed Setbacks:
Front(Lake) itear(Street) � �' S E V�► 3 ( �! S E 1!V } Other 8uildings YIletland
Sicle Side
. Defined Height: P�ak F{�ight: FFE: F�E minus 6 feet= ` (Existing Co.ntoL
Rerimeter(linear feet)= 50%= L.F.he(ow grade #of Stories .
FOR A BUILDING WITti A BASEfiAEkT OR CR/iWC SPACE: FOR A BUILDIPlG ON A SLAB FOUNDATtON:
The d(stance beM�en the lowest proposed The distance beiweer�the top bf
S'fART WiTH floor(of the basemeM or crawl space)and START WITH slab and the Alghest po(nt of the
` the highest point oFEhe roof. � . roof.
: If yau have a..: If you have a... '
: • GABLE OR HIPPED ROOF,(no • GABLE OR NIPPED ROOF
windovvs): Siibtract-hali the disfance (no w1n[lowsj: Subtract half
between the highest poin4 of fhe roof the dlStanCe petween the
` to the low poirtt of the conesponding hig�est point of the roof to'
SUBTRACTION gable or hipped roof the low point of fhe
- (BASED ON correSPonding gable or �
+ GABLE OR MIPP�D ROOF(wittr SUBfiW4GTION hipped roof
ROOF TYFE) window+s): Subtract haif the distance (BASED ON . ` CaABL,E OR liIPPED ROOF
befiveen the top of the hi hest ROOF TYPE ' �
� (with windotirs): Subtract :
window and the highest polnt of the , half t#ie distance between
roof _ the kCp of the highest
• AlL OTHER ROOF TYPES(flat, window and the highesf
mansard,etc);No subtraction: : point of�e roof
� SUB�RAC710N Subtract the distance between the • ALL OTHER ROOF TYPES
(BASED ON basemenUcrawl space floorand the (flat,rnansard,ete):No
�X�STING F�i herst extstin 5 _ .
9 9 grade adjaceni to the AbDRION Add th�distance beEween the top
GRADE'Sj foundaYron OR 1`0 feet(whiehever is less). fB�ED ON of slab and ihe fiighest ezPsiing
' EQUALS Deflned building helgM ` EXISTING grade adjacent#o the foundaUcSn.
GRADES
�ClU,'LS Defieed building height
�hcsrelandDistrict MC�+ND Permit Average Lake� ore Setback Bluff
Nf�t?
. � Yes � No Permit Number. 0 Yes 0''No Q N/A 0 Yes [7 No
0 N/A—see aitached _ � Setback:
Stormwater Quality Existing i�arc�cover �'roPosed :
Overlay DistrEct (qo and s� Karcicover Variance Required CUP Required
Tier circle one %and s
� Yes I� No CE Yes � No
1 2 3 4 5 Type(s): TYpe(S)�
Updated: January 2015
z:\forms�plan review checklist 2015.docx
REMiARKS (in-house): � a ��� �� � � •
Fees to ��Char ed YES [�Q
Permit
Pian RevieHr
State Surcharge
investigation Fee
SAC—fitumber of SAC Units
Other(specify)
S uare foota e S er S uare Foota e
x -��; _ $ �-/D
�sc Floor X ' $
2"a Floor X $
Garage X - $
�
Estimated Construction Value: 3 � ���)
Oronc Inspections Required 1Afork Re�uiring Separate Permits Required State Permits
0 Site . O Plumbing G Grading/Filling Q WeIL �
a Si1t Fence/Erosion Control L7 Mechanical � Fire � Ei�etrical
Q Hardcover Removal � Septic � Water Connection
� Footing � Fireplace D Sewer Connection
Li Poured VUall Q Masonry � Lawn irrigation
� Foundatio»Survey C! Mfg. � Landscaping
� Foundation Waterproo�ng L7 Other(specify)
0 Radon Rock Bed
Framing
Q insulation
O As-Built Swrvey
Final
� Other(speci#y)
REMARKS (in-house):
Other Review: Revieanred by: Date Approved:
Access: Existing: � YES � NO New: � YES Q NO
R
OFFICIAL REMARKS-T0 8E NOTED ON PERIVfiT AI�D ti�lIT1ALLED � e �� �
��cr ����' �rr�ccv ���� 5
Updated: January 2015
z:lforms�plan review checklist 2015.docx
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�,� �, Pti"�1',l��T�,SN �"fNIMU�� �F 36" Wl�Tt� C'�
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6'-8° NiIN. H�ABFs00h� HAND ��.__.__.�. :_.._.... _.._
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AT�EAST ONc N;iNDFAI� REQUIRED Continuous ri � �/� �����y
9 Ppable handraits 'l� f � ' �, ..
GUARDFiA1L OPEN SIDES r�'d. �"-38°high.nl-1/4°_ � ,/ f '�n '" ,
No closer than 1-1/2 to Wap 2 d�a.
Starr�va� �� Retumendstowaflorpost. ����'��, '� /� � � �r��-�`.� �dv'O�/ '�'� ,�t'�J`'�
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,..- ning, o _ _ � '� �GI+ t.K_�-� f`� ��5 �
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`� L��'s���'s of landings and (� '
gracf� �� f:cor E,�:`::w, req�,ire a , , � obove �,' � 1 (�� �c.��' �f`Qy� (��"t c�f�
yuard �,�t��a minimum 36"_he.ight. ' -�` �X.�- I�G��r,y,�-
Q�en g�ar�;�;;; mus, have interme�irate rai(;or an omamental �, �iw_� �� `�
patt�rn so that a s,�here 4"in diameter car,nnt.,���.,.__.._. �