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HomeMy WebLinkAbout2015-00482 - addn/remodel/repair + CITY OF ORONO * 2015 - 00482 * 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2015 • ORONO,MN 55356- 952 249-4600 FAX: 952 2494616 ADDRESS 4705 NORTH SHORE DR PIN 07-117-23-32-0058 LEGAL DESC TRISTANA COVE LOT 001 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: ADD BRACING TO WALL. APPLICANT PERMIT FEE SCHEDULE 278.81 PLAN REVIEW 181.23 WILLETTE BUILDING CO. STATE SURCHARGE(VALUATION) 7.50 6074 COUNTY RD 6 MAPLE PLAIN,MN 55359- TOTAL 467.54 Payment(s) (952)472-4332 Minnesota State License#:BUIL-1804 CHECK 12791 467.54 OWNER RASCHER,ANDREW&NANCY 4705 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 conformance with the State Building Code.This permit may be revoke at any time for due cause. y" /-�-7 // Applicant Permitee Signature Date Issued/by Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �0 . `O Mailing Address: Permit numb 1�/ PO Box 66 Crystal Bay, MN 55323-0066 Date received: —� Street Address: Received by: t D- .`A, 2750 Kelley Parkway Plan review fee: F tOrono, MN 55356 gKFSHO�� 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 applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 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/APPLI ANT INFORMATION: Name: lL, � C State License# f 3 0 53 Expiration Date: 7/b Lead Certification Number: _ g( y-/a -U/ cy 3 1'6 1/ Expiration Date: (for work on homes that were constructed prior to 1978 612- Phone: 12- Phone: (cell) 0 — q q S 0 (office) 02/U--, Mailing Address: 6 0 7 R tv City: yy x1a_4 p_e,_7ZIP: j�3 S 17 Contact Person: 4LL,� w Applicant is: Contract/or / Homeowner (Circle One) Email and/or Fax: C2.cj� Q PROPERTY OWNER INFORMATION: Name: GG - r Phone (day): q 5 Z - 4/7,2- Address: /7,2Address: 41 "7O 6)-, ,Q ,4,� City: /f�Ep-Q/L,&� ZIP: Email and/or Fax: ' �,� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) r� 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.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 you refuse to supply the information,the application may not be issued. Applicant's Signature: Date: 7 7/ 7� Owner's Signature: '�� < v" , Date: Last Updated:January 2015 ' PLANREVIEW CHECKLIST FOR New STRUCTURES / ADDITIONS Address: r'i9"7 D S ,I'VOAM- ' -5- V/2Permit No.: Description of work: l�d�rJ tL4C�na 6' '�'b 11 Date Recd: t , Septic review by: Date Approved; Zonlngr review by: aV Date Approved' Building review by: Date Approved: Grading review by: ! Date Approved: f Zoni District: Zoning File Res*.#: Reso Date: Zonin Lot Area: SF/AC Width; Lot Coverage: SF °lo I Survey S bmitted: CI Yes ® No Data of S'wrvey: Revised dat 7 Proposed S backs: ' G Front(Lake) Rear(Street) (. ill 5 E W; ) {, N S E W )' Other Build s Wetland E Side Side Defined Height: Peak Height;_ FFE: FFE minus 8 f et= (Existing Contour I Perimeter(linear feet)= 50°l0= .F, below grade #)6f Stories 4 FOR A BUILDING WITH A BASEMENT OR wL SPACE FOR A BUILDIN N A SLAB FOUNDATION: j The distan ean,.the fowesi proposed The dlstanae between the top of START W I I H floor(of the ba mer#or crawl space)and . START iMITH slab and the highest point of the the highest point the roof. roof. If you have a:.. If youshave a... • :GABLE OR HIPPED ROOF • GABLE OR HIPP ROOF(no (no yodows): SUbtrdat half <. windows): S, 6t, the distances distance between the between the highest of the roof - highest point of the roof to to the low point of the Co ponding the 1pw point of the SUBTRACTION gable orhipped roof aorrespondin (BASED ON . _ GABLE OR HIPPED ROOF( SUBTRACTION hipped roof g gable or ROOF TYPE) windows): Subtract half the d1sta (BASED ON` • between the top of the highest . ROOF TYPE (ABLE,do s),'Su ROOF } {with windows): Subtract window and the highest poi' the half the distance between roof the fop oftttie highest • ALL, ROOF 3{flat window and the high mansard,etc):No s traction. point of file roof' • ALL OTHER ROOF'�TYPES SUBTRACTION SUbtrad the distance n the (flet,manpartl,etc):No (BASED ON, besementicrawl s Hoot ahc1 the subtraction. EXISTING ng J AQDRtON Add the distance between the top ' GRADES fouundation OR feet ad acer�t er the I ) (whichever is fess), {BASED ON of slab and fire highest existing EQUALS Deflrred bu Ing height. EXISTING grade adjacent to the foundation, GRADES t QUALS Defined building height` Average Lakeshore.Se ack F Shoraland District-' MCWD Permit .. Met? Bluff Pem�it Number G YQs No M N/A' 0 Yes Q ,Na , 0 Yes - j WA—see attached S ack: i` Stormwate+r Q iity Proposed Existing Hardcover Overlay Di ct o Hardcover Varlanim Required CUP, ulred Tier cir one) (/o and sib %and Cl Yes CI No 1 3 4 5 Type(S): Types) Updated, January 2015 z:\forms\pian,review cheddist2015;docx 77,7 } M',:-a J�^Y w'. �r �" -r n + a x 'r-t k.F4 i s }x} a e t s t 1 � p �,t;f ql V f , r-s,.I I rI 1-1 �, y�,,iy. J� 4 P sw >, 2 4 Y p, d �' t "y k h 4 1». L qx m"r f trx ' _ F X `` .4 -,x - R 5 "J,.�. 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'f'! .-``"5`b s'r. ." 41.,4s� :`�`c e tr i € . ; --�__ <_.,�. .t .max-- ._ '' —. s.,. �_.,a DATE TIME CITY OF ORONO CALLED IN A-44 4 INSPECTION NOTICE SCHEDULED C PERMIT NO V l5-` 62US COMPLETED j�� ADDRESS N ` S� q J `)' OWNER TELEPHONE Nd,Q IZ 2/0 Ll WD CONTRACTOREEO DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL EPTIC' 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 ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS:cc ac �� n Y /dvt� �kc -ioV (.�lKC ✓�GLrnca/ �tL� O QC W cc Q 2 W W j W iKSATISFACTORY:PROCEED ❑PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca xt inspection 24 hours in advance. (952) 249-4600 Own4o Contractor on site: Inspector. ►-� White Copyllnspector's File Canary CopylSite Notice �-IITY OF ORONO CALLED IN DATE TIM INSPECTION NOTICE,rye, SCHEDULED ,� �_� PERMIT NO.�� `U J Y 9 Z COMPLETED ADDRESS 44-70E5 N , OWNER TELEPHONE NOI��Z- 210 CONTRACTOR IA , - ef- P>Icick DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ �I ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ HARD COVER REMOVAL Z ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: W a cc J O CC O _ W cc Q 2 W W J O W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ISSUE W CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in --(g ) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary py/Site Notice d rel k Uj 4� y W ➢ �' Z � 0iz h, n r-p 4 � °' - -- -- - — -- — k � � k i x x � p a � ON �— r r D -Oa C Q� rT-n3rtl U)Fn y b ..0 - Z 2 p ! � m o ® � °� X -< A� y c/1 m ( nOm , r°• ' ,; ft Os N (� > r 49 ril rq Z 1 .p :�,y�� � Via,• s w � N CID f°agog 3a � Andrew Trac Kascher UN - �� R , � z 11J <_ ( 4705 North Shore Dr. Mound, MN 55364 $ � N>-