HomeMy WebLinkAbout2015-00666 - addn/remodel/repair CITY OF ORONO * 2 0 1 5 - 0 0 6 6 6
2750 KELLEY PARKWAY DATE ISSUED: 06/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 4695 NORTH SHORE DR
PIN 07-117-23-32-0059
LEGAL DESC TRISTANA COVE
LOT 002 BLOCK 001
PERMIT TYPE ADDITION/REMODEL/REPAIR
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 49,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
KITCHEN REMODEL
APPLICANT PERMIT FEE SCHEDULE 704.61
STATE SURCHARGE(VALUATION) 24.50
DUGGAN CONSTRUCTION TOTAL 729.11
1520 PENNSYLVANIA AVE Payment(s)
GOLDEN VALLEY,MN 55427- CHECK 4312 729.11
(763)245-4740
Minnesota State License#:BUIL-BC316739
OWNER
PORTER,CAMERON&MOLLY
4695 NORTH SHORE DR
MOUND,MN 55364-
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
requested in c, ance with the State Building Code.This permit may be
revoked t y t' a user,
Applic ipr
it nature a Issued V Signature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�0 Mailing Address: Permit number: 026)ET—o-0 (O
O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: /3�-'7
y ` 2750 Kelley Parkway plan review fee:
�e ktsxo� G Orono, MN 55356 43 (o
k CD
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 71
This application form must be completed in full and all required inf tion rr _ st be su fitted.
Incomplete applications will be returned. ( lease print
GENERAL INFORMATION: Z-1-KC-F,CO ��
Job Site Address: 4(p�� /ls / S�biQ-� ���`r✓
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: tu&&4A) 80A)
State License# jtr '3 j(Qp739 Expiration Date:
Lead Certification Number: NA-1-' �7ZIo �-1 Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) ( Z,7()2-- g (office) 7(,, 3 — 2_ff _ c�7c/v
Mailing Address: L City: ply ZIP:
Contact Person: 0,t-A y7oA) �-)4J 66,4j Applicant is: onrac 5:r>/ Homeowner (Circle One)
Email and/or Fax: , t461an Cp j-6+f.(f;V 1) CoMC a-4+ , nem
PROPERTY OWNER INFORMATION:
Name: CkmEfl-OU + AA 0LL,V 'POf-"TE/L
Phone(day): 12 -(off /y&7 (Cqffi CaOAJ
Address: ++�4 �y , ,s-tof-F, JV_XQE City: 6(2-0A)® ZIP:
Email and/or Fax: /� �y �l fr(2,) JA!Q?e , cpM
PROJECT INFORMATION: Overall project description:
Type of Project: 14 ) Any earth movement may also require
❑ Door(s) Z4 Remodel El 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.org
Estimated Construction Valuation of Project(excluding land) $ 060
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
you refuse to supply the ipfpr05_abpn,the applicaWn may not be issued.
Applicant's Signature: Date: 1
Owner's Signature: Date:
Last Updated:January 2015
PLAN REVIEW
CHECKLIST FOR NEW STRUCTURES
STRUCTURES / ADDITIONS
Address: `� �([ c /V� _Sli101y t Permit No.:
Description of work: - /`-i[ P? Q/e ( Date Recd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: l
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: O Ye 0 No Date of Survey: Revised date(?):
Proposed Setbacks:
Front(Lake) Rear(St eet) ( N S E W ) ( N S E W ) O er Buildings Wetland
Side Side
Defined Height: Pea Height: FFE: FFE nus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50%= L.F. below grade #of Stories
FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FOR A BU DING ON A SLAB FOUNDATION:
The distance be n the lowest proposed The distance between the top of
START WITH floor(of the baseme t or crawl space)and START WITH slab and the highest point of the
the highest point of th roof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPPIE ROOF(no (no windows): Subtract half
windows): Subtract If the distance the distance between the
between the highest int of the roof highest point of the roof to
to the low point of the rresponding the low point of the
SUBTRACTION gable or hipped roof corresponding gable or
(BASED ON • GABLE OR HIPPED ROO (with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half the ista (BASED ON • GABLE OR HIPPED ROOF
between the top of the highe ROOF TYPE) (with windows): Subtract
window and the highest point the half the distance between
roof the top of the highest
• ALL OTHER ROOF TYPE flat, window and the highest
point of the roof
mansard,etc):No subtrac on. . ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance bet7cheverisless).
the (flat,mansard,etc):No
(BASED ON basement1crawl space flod the subtraction.
EXISTING highest existing grade adto the ADDITION Add the distance between the top
GRADES) foundation OR 10 feet(w (BASED ON of slab and the highest existing
EQUALS Defined building heig EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building height
Shoreland District MD Permit Ave ge Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Nu er: 0 Yes 0 No 0 N/A 0 Yes 0 No
0 N/A—Jee attached Setback:
Stormwater Quality Existing Hardc ver Proposed
Overlay District o Hardcover Variance equired CUP Required
Tier circle one (/o ands %and s
0 Yes 0 No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Updated: January 2015
c:\users\rpeitso\documents\plan review ecklist 2015.docx
• J
REMARKS (in-house):
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC— Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
151 Floor X = $
2nd Floor X = $
GarageX y� _ $
cEstimated Construction Value: $ -/ / o
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site Plumbing ❑ Grading/ Filling Well
❑ Silt Fence/ Erosion Control Mechanical ❑ Fire Electrical
❑ Hardcover Removal ❑ Septic ❑ Water Connection
❑ Footing ❑ Fireplace ❑ Sewer Connection
❑ Poured Wall ❑ Masonry ❑ Lawn Irrigation
❑ Foundation Survey ❑ Mfg. ❑ Landscaping
❑ Foundation Waterproofing ❑ Other (specify)
❑ Radon Rock Bed
/; Framing
�,Insulation
❑ As-Built Survey
XFinal
C3 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
l�Access: Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
w OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
c:\users\rpeitso\documents\plan review checklist 2015.docx
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' bDATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED Z 15 2-
PERMIT NO. �(I�5'DD(01doCOMPLETED
ADDRESS �Ag q S Z\/ '
OWNER TELEPHONE NO.��
CONTRACTOR Q
DESCRIPTION r
ty ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
❑ MECHANICAL RI ❑ SITE INSPECTION
❑ F G ❑ MECHANICAL FINAL ❑ PROGRESS
LATInK1 ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNEFMONTRACTOR TO MEET YOU: 4ES_NO
COMMENTS: t
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WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 4 hours in advance. 5 ) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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Plan/Date DUGGAN CONSTRUCTION
5/22/15 , COPYPICW2014 Builder: 1520 Pennsylvania Ave N
J L P Designs Golden Valley, MN 55427
3427 Humboldt Ave S THM DOCUMENTS ARE Dr�RU7EN7S OF
SERVICE PREhLAIN D BY U.S. TY OF M
LAW AND RPMAD7 78e PROPPATY OF JDd
Minneapolis, MN 55408 PATSM AND JAMES L PAIS® Jay: 612-701-9855
Sheet P / CONSMUCIION.D7C.PUBLMH OR USE MMd
ONLY WIIH 71M PATSCH'S APPROVAL TBE
DEXGN AND THESE DRAWINGS AAE TO BE
USP)FOR TWS PROJECT AND SrM ONLY. Owner:VNAUIHOR@D USE OR R"WDUCDONOP VW Molly & Cameron Porter
Office: 612-824-2153 TBW DMCW, DETAILS OR PLAN AND
A1 .0 9P,ICAIIO7'I3PROmn7m. 4695 North Shore Drive
Cell: 612-310-5392
Orono, MN 55364
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6ARA67 E °
Line of Skylight Shaft U W 0 .W
Extg (2) 2"x 10" Ridge Bm > a C �O
Verify Gontinuity -,� Z r MIN
Velux Skylight Model F5-G05. ,tilt: F5-MOSOOW 0
Verify Vertical Placement W ..s~ Z
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1 1!2"x 2 1!2"x 3/16" Rect. 51:1 Tubing @ 4' o.c. Original 2"x 4" Rafters @ 16" o.c. E Back Wall of Garage O rA to
Provide (2) 1/2" Dia. Bolts per Rafter U V U Z W O
Maintain Min 3/4"from Rafter Edge obi W �, °� O 0
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Original 2"x 4" Rafters @ 16" o.c. i 1/2" G.B. �D
Extg Detail - 2"x 4" Rafters & Top C
5hgls & Original Roof Deck Plates Bolted to Precast Gonc
Extg 2"x S" Rafters @ 16" O.G.
b" Precast Gonc Plank
5hgls & Extg Roof Deck
Extg Glg Jsts @ 16' o.c.
Provide (1) 1/2" Bolt @ Collar Tie
Bolts
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Extg Insul.
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SMOKE DETECTOR CONNECTED TO A SOUND- (n CO �
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IN DEVICE OR OTHER DETECTOR AUDIBLE 1N 0 LO
SLEEPING AREAS. Q LO N �
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Carbon monoxidedetector Q o g ao
required within 10 ft. of 0 .�' � N
all sleeping rooms. a :3 6co
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