HomeMy WebLinkAbout2016-00014 - insulate/frame door opening ' '' CITY OF ORONO * 2 0 1 6 - PJ 0 0 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: OU07/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1377 NORTH ARM DR
PIN : 07-117-23-41-0094
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,500.00
NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE)
INSULATE AND FRAME DOOR OPENING
APPLICANT PERMIT FEE SCHEDULE 6035
PLAN REVIEW 39.23
NEXGEN CONTRACTING,LLC STATE SURCHARGE(VALUATION) 0.75
9721 VALLEY VIEW ROAD
EDEN PRAIRIE,MN 55346- TOTAL 100.33
(612)382-1847 Payment(s)
Minnesota State License#:BUIL-BC699459 CREDIT CARD 4934 100.33
OWNER
MCSHERRY,STEVE&SHEILA
1377 NORTH ARM DR
MOLJND,MN 55364
AGREEMENT AND SWORN STATEME1vT
1'he 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 governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if wnstruction 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.
-e 1 � 7 � �.�
Applicant Pe itee Signature Date Issued B ignature Date
� • Gity of Orono
Building Permit Application for Maintenance ! Replacement / Remodel
(�.�e. �n►i�cl�►ws, doors, siding, r��-r�c�f, et+�. — NO �TRUCT6JRAl. EXPAIUSIC)�iy
�O�r Mailing Address: Permit number: ���0'"��Q
1 YO PO Box 66 —
Crystal Bay, MN 55323-0066 Date received: /— —J
� � Street Address: C1,'' ��1•I y Received by: 'e—
��F � 275�Kelley Parkway P(an review fee:
\�q �,L Orono, MN 55356 /�,��
k�S Ft 04
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 appiecations wil! be retumed. (P/ease print)
GENERAL INFORMATION:
Job Site Address: �- rw� ✓� ,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No
If yes,a speciaJ event perrnit is reguired with Po/ice Depa�tment and City Council approva160 days prior to the everrt. Shuttle bus service wil/be
required unless applicant demonstrates sufifcienf on-site parking is available. Nort-permitted events will nof be allowed.
CONTRACTOR/APP I ANT INFO M Tf0 ;
Name: �l( �A�A��rC �,.y-�
State License# �C �[�� c�S1 Expiration Date:
Lead Certification Nu-�m ler: Expiration Date:
(for work on homes that were constructed prior to 9978
Phone: (cell) �1'L ,3�L (�'�/ (office)
Maifing Address: '� ! � City: �n �I��j�! ZIP: �„�E/
Contact Person: �,�, ,�,�,.,� Applicant is actor / Homeowner (CircleOne)
Email and/or Fax: J��,t,�,�,,,,�����(��,
PROPERTY OWNER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATt�N: C?verall ro'ect description:
Type o#Project� Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage N�CWD review S 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 [$Ot er. (specify) Phone: 952-471-0590
���. , i�_�' � Fax: 952-471-0682
[$J Window(s}�� � ��� L�I www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ / C�R3
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
solety 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 camplete;
� • Some ar 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 gen Ily cannot be given to tt�e public but can be given ta the subject of the data.
� Gonfidential data is information which g erally nnot be given to either the public or the subject of the data. Our purpose and
intended use of this infonnatio is nually date our records and records of othe�govemmental agencies required by lawr. If
ou refuse to su f t info af e a catian ma not be issued.
ApplicanYs Signafure: Date: �� 'r
Owner's Signature: Date:
Last Updated:January 2015
, �L�� E���'���` ��������T ��� �E�`' �T���`�[.!l��� � �����'t��S
I�cfcEress• (r;��� ��✓`��1 ��'�'E Fermit No.•
Description of work: _ Dag� Rec'd�
; Septic review by: Date Approved; c.>�� /�
Zaning review by: �ate ARproved: ;
' Building review by: �
Date Approved: � � �
Grading review by: r
. Date Approded•
Zoning Distrfct: Zon6ng ffie#: Reso�: Reso Date:
.;� �
Zoning: Lot Area: ' SF/AC ; Wjcith: ' Lot Coverage: , gF
, —_
: �urdBy Submitted: Q Yes f� No I: Date of SunreY� - Rev�sed date(�)•
Landscape:plan submitt�d? QYes �°�-No Lsndscaper: ,,. '
Pro osed Setbacks: ,`� ,
Front{Lake} Rear(Street) ( N ��� � dy
) ( R!'' S E, Vit ) Other Buiidfngs 4'ltetland
Si�le � Side , :
E
, ,� -
D�ned#leight: Peak Height:� EfE: FFE minus 6 feet= (Existir�g Contc
, , - „ .
: Perfineter pinear feetj= 50% '�j�°� �L,F, @�tow grade
�asement? 13 Yes �No, - Stories _.`.`' . , ,
, .�; i .
� FOR A.BUILDtNG'WITH A.BA3EMENT OR CRAWL SPAC6: ` FDR A BUILDING ON A SLAB�'OUNDATrON: '
". Trie distance betweeil She lowest propo ` S b at or above9� p-
�" a a
START W ITM floor(of fhe tsaseme���or crawl space)an� measi�re frort►h(nhe�t e�dsHno
fhe higtiest point ot ihe roof. START WITH 9�B to the higMest pct�nt 9f the
� . . t f �- ' roof even ifflll wasbroq�ht3rrto.-
i'f you have a:.. �' � elevate fwt�t8.
� SWBTRACTION • GABtE QR HIPpEb ROOF(no t ' ' Siats betow ytade m�u�e �
� � F6/1SED QA1' : windows�: Subtr�ct haTf the disfance:: � frorr��Iphest existiA9 9r,�de to the.
RO�FTYP�) � betwee�thehighestpoiM�fthero.of � Mi hest . ntoftheroaf; ;
' to the low pdM of 3h�correspondin9; � ' : 1f you h8ve a... ' �=
, gable:br hippeU roof � > � R _ O
� � � SUBtRAC'I�ON ' �O HiPP�D RQ F
, • GABLE QR HIPPED ROOF(with � (BASED ON" {no windows): Sl�tract h81f
. w�6 il�ows}: Subtract.haliUae distanee • ROOFI'YR�) the di"stan�e beiwbe��e
n the top ofi the highest 1 . •h,ighest poirn:cf th6 raif to `
� . � v�ndow and U�e highesf poirrt of the � ra f
�low polntiof#i� `
[oof . corresponding gat�le Or
; • ,-ALL OTHER ROOF TYPES(flat. ;, ¢ � hipp�d roo#' :
s ` e C�J46Lf OR HIPFE„D ROQF
mansara;etc):No subira�tion. ! (wnr,vwadows): s,ubtraa
SUBTRACTIi]PI SuqUact the distance between the �` fiaff the distance lkttween
�
(BASED ON '� baa�emenVr.rawl spabe fioor and Bie � 9ie top of the highesc
, 9e
EXtSTING h�hest existing grade�dJacenY tc iMe ; wlndow and the fitpNest
GRADES) foundat�n OR 10 feet(whichever is less): ` point of the:roof �
• ALL OTHER ROOF TYPES
EC2UAtS �Defined buiidtng height � (flet,mansatd,etc);No
subtr�ction:,
Deflned buikJinphetgftt �
EQUALS
Updated: October 20�5
z:\forms\plan review checklist 10-2015.docx
Qverage Lakeshore Setback B�u,�
Shoreland District NfC�'ND Permit Met?
� Yes C3
0 Yes O No Permit Number: L3 Yes t� No � N/A No
CI N/A-see attached Setback;
StormwaterQuatit�r Existing Prop�sed
Overtay District Tier Hardcov�r Hardcover Variance Required CUP Requir�d
circle one %and s %and s
C! Yes Q No fl Yes � No
� 2 a 4 5 Tme(S): T�e(s):
Fees to be Char ed ': Yf� NO
�Pe�tt ; ' ' '
Plan Rev;ievd �
Sta�Suraharge . . _ . �"'
lnvestigation Fee
SAG�-Nur�ber of SAC tlnits '
Other(specify) t/'
S �arg Foota e $ er S uare�oota e
Bas�ment X = $
1�F1oor X : = $
Z�Floor X ' - $
Garage X - $
Estimated Construction Value: g
Orono Insp$�tions Required Work Requiring Separate Pe�mits
�
❑ Footing Q Site C] Piumbing � Gradinglfilling
0 Poured Wall � Silt FencelErosion Control C! Mechaniaal t] fire
p Foundation Survey: . � Hardcover Remova! � Septic � Water Cor�nection
0 oundation Waterproofing O,Other(specify) C! Firepiace D Sewer Connection
Framing ' - a Masonry � L�wn lrrigation
t1 insuiation �' Mfig. � Landscaping
� as-Bui1t Survey t3 Other(specify)
Finat ,
C] Lathe ' Required State Permits
❑ Othe�{specify) ;
_ ❑ Well Elect�ical
RfMARKS.(in-house): ;
OEf1ClAL REMARKS-TO B.E NOTED 0[� PERMlT AialD INiT{A�LED:
� See Builder Acknowiedgement Form
Q Prior to release ofi escrow money an as-bui�t survey and hardcover calculations must be submitfed and approved.
Updated: October 2015
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� DATE TIME �
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C TY OF ORO
INSPECTION NOTICE C7���� SCHEDULED _� � ��1'�
PERMIT NO. �� � COMPLETED
ADDRESS � 7� � �'� �
OWNER l L � c��EL HONE NO. l�0/���C�"���
CONTRACTOR
� DESCRiPTION �� � �Z ` ��`�� � � ���`'
l~l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
�� +�INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ EPTIC INSTALL
Z OWNERlCONTFiACTOR TO MEET YOU:� YES_NO
� COMMENTS: (���c.�{'l�/�' Lt--' / /� lYL�1-�.-rC c-�'��
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W/y�aAF6R S}C ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-460�
OwneHContractor on site: J���'
C
Inspector. �---��—
White1Copyllnspector's File Canary CopylSite Notice
�I �' �� � �
�✓ /r-�' � DATE TIME
CITY OF ORONO CALLED IN ,�� �
INSPECTION NOTICE SCHEDULED
PERMITNO.,?.Ll(�-C-'C�--I�- COMPLEfED
ADDRESS I � �� � � ��,���'?
OWNER TELEPHO jE NO. I��Z ��2-�.�'�7
CONTRACTOR ��.�. o � ,
. / �
� DESCRIPTION � �_.:,��1,f �.�`7�'�/'� � �r/.i f�Z�r�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � �yy�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING 'L�G ' �
� ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q �RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� �SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑{/�EPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU: � YES_NO
� COMMENTS:�"� t'(Cc. 'p�L — 6�
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o O[.l�� �y�3�F S �e -�i r'�''�'4.�.`
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W ❑WORKSATISFACTORY:PR EED ❑PROJECTCOMP EfE
� ❑CORRECT 1MORK 8 PROCEED �r�d1'� � ISSUE CERTIFICATE OF OCCUPANCY
4i S�B oti�G�
0 ❑CORRECT WORK,CALL FOR REINSPECf10N TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑ TOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector._� i �--- �
White Copyllnspector's File Canary CopylSite Hotice