HomeMy WebLinkAbout2015-00535 - foundation repair , CITY OF ORONO * 2 0 1 5 — 0 0 5 3 5 *
' 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3220 NAVARRE LA �
PIN : 17-117-23-44-0058
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 064 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 20,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
FOUNDATION REPAIR
APPLICANT PERMIT FEE SCHEDULE 356.26
PLAN REVIEW 231.57
HARRINGTON,DEVIN STATE SURCHARGE(VALUATION) 10.00
3220 NAVARRE LANE
WAYZATA,MN 55391- TOTAL 597.83
Payment(s)
CHECK 1407 597.83
OWNER
HARRINGTON,DEVIN
3220 NAVARRE LANE
WAYZATA,MN 55391-
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. 1'his permit is for only the work described and dces
not grant permission for additional or related work which requires separate
pertniu. 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 consWction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I80 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 petmit may be
revoked at any time for due cause.
S/Z � S� � �/eZ- /.�3'
A licant Perm' ignature ate Issue y Signatu e Date
City of Orono
Bui�ding Permit Application for Maintenance / Replacement / Remodel
(�.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O�O MailingAddress: Permitnumber: GO�J�'(�r'J
PO Box 66
Crystal Bay, MN 55323-0066 Date received: � -5" 5
Street Address: Received by: �
y G� 2750 Kelley Parkway Plan review fee: ��
`� Orono, MN 55356 Q
tqkFSH��� �� 03
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 m st be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: ` ' (
Job Site Address: �-2�' J�-�.���iz�- �-N G�i��:;� /�;.} ��?'�� I
Will this be a Parade of Homes, Remodelers Showcase 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 service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
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 (Circle One)
Email and/or Fax:
PROPERTY OWNER I�IFORMATION: �
Name: �L:v,.� �-�;,��-� J G�-t v ---�
Phone (day): (�,i� ��y�- SS��
Address: �zz�-� rv�a�a.,�,�G L.�/ City: c��c.c:,�.c> ZIP: ���`��
Email and/or Fax: �r; ✓�,���j�.;�: � .yJ�_ < <, ,ti.�
l�—� �,r `' �
PROJECT INFORMATION: Overall project description: � U���C��'`�.Z��� �- /� ZE'/j��
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) www.minnehahacreek.orq
Estimated Construction Valuation of Project (excluding land) $
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 information,th ma not be issued.
Applicant's Signature: �� � Date:
Owner's Signature: ���--� Date: ���5� i S�
Last Updated:January 2015
. �`C�,C'ti�C 6 tL�l`1.��! �'� L������� ��L4 L��L'C' �� L k�l.dWC��L��4D' � ��4F�Y�[�.Ct�:�
�.ddress: ��.�' �'c�i�e�-B�lf.@: �6A�C Permit Flo.:
,
�escri�tioc� o�wrorE�: ��,�+oge�.►�m��� "�' '� � e��� �•r���aEeRec'd:
�eptic re�iev�t��►: _ ��f� ��te�►pprovect:
Zon@�g eevie�hy: u' � Qat�/�pRroved:
�
Build�ng r�vie�a b�+: �afie�proved: S -�1� ��3 f�
�radf�g re�riew►�y: �°� Date�pprovecl:
onirt� Districfi: �onir�g File#: Reso#: R�sa D�te:
Z ing: Laf�,rea: 8F/AC V4,'idth:� tot Coderage= SF %
Surv � 5ubrr�ift�c�: � Yes � t�o Qate of�urvey: Revised da ? :
E�ro ose Setl��cks:
�rcr�t(La ) E�ear(Street) � �" � E �" ? ( � � E � ) Q�her ildirigs f�iEetland
�ieE� Side
E3e�ned Height: �eaEc E��igt�t: FFE: �FE mi s 6 f�et= (Existir�g Conto
�erime#�r(Eir��ar feet)= 50%= L.E=. belornr grad� #of Staries
FOR P:BUILL`IPECC VJtTF9 A BASEFhE OR CRA1'�L SPACE: �aR�.B BIRlG Ok A SLAB FOUNDftTIDN:
The nce between the lowest proposed The distance between the top of
START VNITH filoor(af basement or crawl spa�e)and START W.ffH slab and the highest point of the
the highes oint of the roof. roof.
If you have a... ff you have a...
GABLE OR PED ROOF(no • GABLE OR HIPPED ROOF
� windows); Sub ct half the distance (no windows): 8ubtracthalf
between the high polni of the ro the distance between.ths
to the low pant of th rres�pon ',g highest point of the roof to
SUBTRACTION gable or hipped roof the law point of the
(BASED ON corresponding gadte or
ROOF TYPE � �BLE OR HIPPED ROO with SUBTRACTiON t�ipped roof
) windows}: SubtracthaH e nce (BASED ON .' GABLE OR HIPPED ROQF
petweera the top of th` ighest ROOF TYPE) (with windows): SubtracY
window and the hi st point of half ihe distance between
roof the top of the,highe.st
e ALL OTHER F TYPES{flat, window andthe highest
' mansaril, );No subtractiori, point of the roof
SUBTRACTION Subt�act the sta�ce betwee�tMe ' ALL OTHER ROOF TYPES
(BASED ON baseme rawl'space floor and the (flat,mansard,ets):No
EXISTING highes Istir�9 grade adjacent fo the subtracfion.
ADDITI N Add the distance between fhe iop
GRADES) foun iion OR 10 feet(whichevei is less). (BASED ON of siab and the highest existing
EQUALS ned bulidin hei ht EXISTING
g .9 GRADES 9rade adjacent to the foundation.
EQUAtS Defined building heighi
�har�larrc� f3i�tr' t NECtRID Fermit Avera�e Lakeshore tback Bl�ff
��ta
t3 Yes Q No Permit Number. � Yes � No C3 N Q Yes 13 No
0 N/A—see attached etback:
Stormv�r �er Quality ��Esting�EaecEcQver pr�posed
O�e y�istricfi o Fiarc6cover l�ariance Re uirecf
Ti circle one (/o and sf} %and s q C �eQuir�c4
.
� Yes C] No � Yes � No
2 3 4 5 Type(s): TYPe(s):
Updated: January 2015
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�
R�de��►RI�� (in-house):
Fees ta b�Ghar ecf �E� ��
Perrrri� A
Plan Revi�w
�tat�Surcharge <
lnvestBgation Fee
SAC-i�e�mber of SAC tlnits :
Other(�pecify)
S uare Foota e S er S uare Foota e
Basement X - �
15t Floor X = $
2nd FIoO� X = $
Garage X - $
E�timatecF Constructfon dalue: � �'��`�'���
Orono inspections Rec�uireci V�oek RequirEng Separate Permits Required Sta#e Permits
E� Site Plumbing � Grading!Filling B Well
Q Silt Fence/Erosion Control �Mechanical � Fire Electrical
� Hardcover Removal Q Septic Qi Water Connection
,�ooting � Firep�ace 0 Sewer Connection
� Poured Wa{� 0 tvfasonry O Lawn Irrigation
�' Founciation Sa�rvey � Mfg. C3 Landscaping
0 Foundation Waterproofing E� Other(specify)
Radon Rock 8ed
�Framing �
Insulation
f� As-Built Survey
,jr��inal
EB Other(specify)
REtt�6ARKS (in-house):
Other Revi�w: Revi��r�d by: Dat�/lpproved:
Access: Existing: C� YES � NO New: � YES � I�O
OFF{Ct�eL REf�A.RK�-TO BE C�Q�'ED O[V PER[�AiT AND i�iTIRLL�D
Updated: January 2015
z:\forms\plan review checklist 2015.docx
t'1Kt tJCI 1 KtC�U1KtU f s� �� Nouse/Gzra?e Wal�geaaration
�
� 2�" MIRl. CLEAR WIDTH �►e layer of gyps�►m board with 1 coai of fa�e required on the garage side of the
24" ���. C�.��� t-#E{GHT common wsll frem!he�oo�to the roof sheatF�ing. if the firew.:,N!erminates -
�J.7 SQ. FT. MN OPENING at the underside of the ceiling the walls and columns supporting the ceiiing
must have ihe same protection. Doors k►eryvee��the house and garage shall
44" MAX S{LL HEIGHT r be a 1 3/8 inch sold w�od d�or, solid or honeycomb steel doors not less 1-319�
MANIiFAC+Uf���'S �A"ELED inch-in thickness or 20 minute fire r ted
3��0 �� �"''
SAFETY GLA�9,��� c� � , a�.�,o, ,�,✓.
O Ex,sr. za"=i��� .Sriti� fT6. �j�� n STAIR1rJAYS
REQUIE�ED ,� �,�.
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w/ �ss P �=���c. E.u.,,+�.�. / r� on o side of the siair 34" to 38° higti, continuous and uninterrupted
p , ��^ P� �s Q full leng f sta�rs, han�rait enGs snall be retumed or shalt terminate
Q y_a , y_e .,-, /� frs. ' � _T����"= — ��,;,,n,,.;w ���e post of safety terminal, minimum 6'-8" headroom
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DATE ME •-
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. c MPLETED
ADDRESS ` �� �IL�
OWNER TELEPHONE NO.
CONTRACTOR
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� SCRIPTION -
ty � FOOTING ❑ DEMO- IN ❑ SEPT FI AL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCA ADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET Y'OU:_YES_NO
y COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 952) 249-4600
OwnedCorrtractor on site:
Inspector:
WhiM CopyAnspecto�'s Fik • Canary CopylSite Notke
DATE TIME
ITY OF ORONO ALLED IN �'
INSPECTION�TICE SCHEDULED
PERMIT NO cOMPLEfED
ADDRESS 1 �-�
OWNER Ll� PHONE NO. fr�����`5���
CONTRACTOR
. � ,
� DESCRIPTION
ty ❑ FOOTING ❑ DEMO-FINAI� � � ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI� /q� ❑ EXCAV/GRADING/FILLING
y ��V'�.�L
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI C�S ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
a INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
��� _ ,
Inspector. � �
White Copyllnspector's Fi Canary CopylSite Notice