HomeMy WebLinkAbout2017-01564 - addn/remodelrepair CITY OF ORONO 111111111 I URI I I � I I *
2750 KELLEY PARKWAY DATE ISSUED: 12/01/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1065 FERNDALE RD W
PIN : 02-117-23-43-0021
LEGAL DESC : REG.LAND SURVEY NO. 1372
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 4,000.00
NOTE: SEPARATE INSPECTION REQUIRED FOR WINDOWS. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 108.38
PLAN REVIEW 70.45
HHC INC STATE SURCHARGE(VALUATION) 2.00
11100 W RIVER ROAD
CHAMPLIN,MN 55316- TOTAL 180.83
(763)422-8958 Payment(s)
Minnesota State License#:BUIL-BC452069 CHECK 1597 180.83
OWNER
DETOR,ELIZABETH&LUCAS
1065 FERNDALE RD W
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. 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 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
req ested in conformance with the State Building Code.This permit may be
re ed at any ime for due cause.
—17 /0,0
Applican rtnitee Signature Date Issued By, ignature Date
City of Orono
Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
CoA Mailing Address: Permit number: 0?0,7-.4,5ro�
PO Box 66
O Crystal Bay, MN 55323-0066, , l� Date received: /���"/,
Street Address: �" �� Received by:
yF 2750 Kelley Parkwa I Plan review fee:
t o Orono, MN 55356
�'rfSHC�� Total Fee: if / Sot g3
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: JQ(>c 1r2^-0a L rL YZa(-i) 14- .
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Ri 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: H(1jc. m C
State License# Bc 9 c Z o 69 Expiration Date: 3-3 1 -1 g
Lead Certification Number: n/IN i - I p B9 -Z Expiration Date: 9-Zo _z i
(for work on homes that were constructed prior to 1978
Phone: (cell) 7(2-ZZz_6 6 f 3 (office) 76)- -QZZ - ce,9 5 c,,
Mailing Address: I I(00 (...k.). gi viz./Lgo/4_6 City: C,r"p,_I .- ZIP: 5'5-) 16
Contact Person: HA tt 7 L L.1el 14 vet:el__ Applicant is: n r--ac j/ Homeowner (circle one)
Email and/or Fax: !nine. C. titi e_a a A it 10 w-S . co III
PROPERTY OWNER INFORMATION:
Name: L13i3Y 6 a To 4-.
Phone(day): 5/6 35.0 -Z7 6, 1
Address: I U66- r g a..0-,124 LPL.. /+u w City: 14,4 ;214T 4 ZIP: 55 1
Email and/or Fax: L i d i, �4 e +c.,r c_ 0,A-c • ccs M
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) ElSiding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) Li www.minnehahacreek.orq
Os?
Estimated Construction Valuation of Project(excluding land) $ -- 000
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..1 t e i'formatio ,the -••lication ma not be issued.
J / .
Applicant's Signature: G Date: l I —2-�'
Owner's Signature: Date:
Last Updated:January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: /Q �2/"/2 (,icL if 4' Q 1i' Permit No.:ao9/7' (9/5. '/—
Description of work: , ---..'ACC,4 i9 /9. q!/"S g2/Z / Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
47 ,
Building review by: /y,1-1., P ,. Date Approved:
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Cover-. .e: SF 0/0
Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitte,? ❑ Yes 0 No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(S reet) ( N S E W ) ( S E W ) Other Buildings Wetland
Side Side
Defined Height: P:ak Height: F E: FFE minus 6 feet = (Existing Contour)
Perimeter(linear feet) = 500/o = L.F. below grade
Basement? 0 Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRA L SPACE' FOR A BUILDING ON A SLAB FOUNDATION:
The distance oetween t -lowest proposed Slab at or above grade—
floor(of the ba•ement••r crawl space)and measure from highest existing
START WITH the highest poi t oft - roof. grade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE •- HIPPED ROOF(no Slab below grade—measure
(BASED ON window : 'ubtract half the distance from highest existing grade to the
ROOF TYPE) betwe the ighest point of the roof highest point of the roof. '
to th ow poi t of the corresponding If you have a...
gab or hipp=. roof SUBTRACTION • GABLE OR HIPPED ROOF
• G BLE OR HI•PED ROOF(with (BASED ON (no windows): Subtract half
indows): Sub ract half the distance ROOF TYPE) the distance between the
highest point of the roof to
•etween the top of the highest the low point of the
window and the ,ighest point of the
roof corresponding gable or
hipped roof
ALL OTHER ROS TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No .ubtraction. (with windows): Subtract
SUBTRACTION Subtract the distance bet een the half the distance between
(BASED ON basement/crawl space flo.r and the the top of the highest
EXISTING highest existing grade adja ent to the window and the highest
GRADES) foundation OR 10 feet(whi• ever 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 Bluff
Met?
❑ Yes ❑ No Permit Number: 0 Yes 0 No 0 N/A
0 Yes
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 Charged YES NO
Permit
Plan Review t1
State Surcharge
Investigation Fee
SAC— Number of SAC Units
Other(specify) 1/1
Square Footage $ per Square Footage
Basement X = $
15' Floor X = $
2nd Floor X = $
Garage X = $
diD
Estimated Construction Value: $ l)000
Orono Inspections Required Work Requiring Separate Permits
❑ Footing 0 Site 0 Plumbing 0 Grading/Filling
❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection
❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection
Framing 0 Masonry 0 Lawn Irrigation
Insulation 0 Mfg. 0 Landscaping
❑ As-Built Survey 0 Other(specify)
Final
❑ Lathe Required State Permits
❑ Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
❑ Prior to release of escrow money[[an as-built survey and hardcover calculations must be submitted and approved.
S4P-6/`�tj�
%lii l T e q u r-(,pr' "��`' ►�U /tel l�Q1 Gt/y
Updated: October 2015
v•\fnrmc\nlan ro%ii.ni rharklict 1 n_9f11F rinry
Home HHC Inc hhc@hhcadditions.com 0�5'"Fys
Addition 11100 West River Road, Champlin MN 55316 W
Everts P m BBB
MN General Contractor #BC452069
MHC a rue Service rernodelirlg ControCt«
�1(G7'/
urtt( .efq try' pia Rcvir�med dor Code
Job Location: ',/ // Compliance C ty of Orono
Libby Detor !�V it doll/`f S��'I fL�P�`rlf / Z 4�
1065 Ferndale Rd W X88 �`
Wayzata, MN 55391 Reviewer A i, l `/
Scope of Work
1) Rot damaged header was discovered during window installation dictated by"Renewal by Andersen"
2) It was determined that the source of the water infiltration that damaged the header was the lack to flashing
over top of 2 metal vents protruding through the brick veneer above the windows.
3) Rot to be repaired includes, but not limited to;
a. Window header
b. Exterior sheathing
4) Install temporary interior bracing to support floor load during repair
5) Cut out drywall as required to expose framing
a. Cut 2"below ceiling line(allows for drywall finishing not to disrupt ceiling)
6) Remove and replace all damaged framing listed above.
a. Build framing unit with sheathing attached and covered with ice and water shield for moisture barrier
b. Attach to existing framing
c. Drill through sheathing in to brick, Epoxy anchor bolts in brick to replace brick ties
d. Fasten bolts to sheathing snug, but not tight,to allow movement and support to brick veneer
e. Insulate with new as required, Install header
f. New header to be double 9.5"LVL engineered lumber continuous span over all 3 windows
i. Note—header has structural post between window units
7) Sheetrock interior wall
a. Sheet rock to be taped and sanded to a paintable finish
i. No interior priming or painting is included
8) "Renewal by Andersen "to install windows under a separate permit
9) Install flashing over the two metal vents
a. Cut out the mortar joint at the top of the vents
b. Insert custom flashing in joint and seal with mortar repair caulking
HHC Inc MN Contractor license #BC452069 Page 1 of 1 11/27/2017
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Window boarded up by
Rot damaged header to be replaced Structural post under header Renewal by Anderson
with Double 9.5" LVL
See Scope of Work Replace Damaged HHC Inc.
Header I I 11100 West River Road
Champlin Mn 55316
LL Libby Detor hhc@hhcadditions.com
Note: Windows to be replaced by v 1065 Ferndale Rd W I I Design,Construction,
Renewal b Anderson under se Remodeling
Y arate ermit a p p a Wayzata, MN 55391 HOME noDmoNEXPERTS
Date: 11-27 1 7 Rev: Sht1 of 1
Mn License#BC452069 763-422-8958
/
DATE TIME
CITY OF ORONO CALLED IN 3-52-1
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INSPECTION NOT O i 5—LUSCHEDULED
PERMIT NO. 7COMPLETE ,,1
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ADDRESS IOC ..� f 4 Q- il/
OWNER Jf / ° TELEPHONE NO. = - ' i y
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CONTRACTOR o r
DESCRIPTION -/- Z
W ❑ FOOTING El DEMO-FINAL t 0 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q RAMING 0 MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q EIFINAL ElWATER HOOK-UP 0 FOLLOW-UP
_ 0 AS BUILT-SURVEY ElSEWER HOOK-UP 0 FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO r
2 COMMENTS: �hGt ife7. — /10 ale eg
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W 0 WORK SATISFACT Y:PROCEED ROJECT COMPLETE
W
• 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZIO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /vvt QV-
White Copyllnspector's File Canary CopylSIte Notice