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HomeMy WebLinkAbout2014-00530 - remodel CITY OF ORONO * 2014 - 00530 * 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2014 ORONO,MN 55356- 952 249-4600 FAX: 952 2494616 ADDRESS 240 NORTHGATE RD PIN 36-118-23-41-0050 LEGAL DESC NORTHGATE TWO LOT 001 BLOCK 006 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) REMODEL APPLICANT PERMIT FEE SCHEDULE 339.25 BRIAN STEPHENSON CONST.INC. STATE SURCHARGE(VALUATION) 10.00 TOTAL 349.25 2025 PAWNEE RD Payment(s) MEDINA,MN CREDIT CARD 3122 349.25 (612)889-0477 Minnesota State License#:BUIL-20222459 OWNER CARISCH,STACY 240 NORTHGATE RD 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 requested in conformance with the State Building Code.This permit may be revoked at an f d ca e. XppffMt Permitee SignaDate Issug By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: 3��� Ll Received by: Street Address: 2750 Kelley Parkway Plan review fee: ��� Orono, MN 55356 `gkESH0 Total Fee: I 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 Job Site Address: v 7& /t/emf h 64 n 0. Will this be a Parade of H mes, Remodellers Showcase Home or other Display Home? ❑ Yes Z 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 INFORM TION: Name: R'R11¢4) j-CDAPh__ 4 �ri1 -�L State License# Expiration Date: ®2,_ 31- ,2016 Lead Certification Number: Pr T— 11011303- 1 Expiration Date: 6�5-_ 0q (for work on homes that were constructed prior to 1978 Phone: (cell) 6 f�t" Rg r _ ©q7 7 (office) 76 3-Y7 9(,Sp a Mailing Address: -E�DA,I �,9WAOEC �-D City: m t%�,4 ZIP: 5. Vn Contact Person: -12-)11 ItA) Sifa�fnso.J Applicant is: ontrac or / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 2tLy 121 SC h Phone (day): -75 g- y Jam- Slcj� Address: A'/O V 0 P_ , b 4+r_ City:(�� � ZIP: Email and/or Fax: 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) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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) $ a?a6og 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 app lication may not be issued. Applicant's Signature: _ Date: Owner's Signature: Date: Last Updated:03/06/2013 PLAN REVIEW CHECKLIST T FOIA 1VEW STRUCTURES / ADDITION Addcese/Permit Number: I _ " i r Description of work: RA& ® a�- f Septic review bp r y + � ate Ap proved; r . r Zoning review bg: N Date Approved: 4 - Building review,by: Date Approved �, GrAding review by: ®� Date Approved. - i 2 ning District: Zoning File#: Reso Rest Date: Zonin Lot Area:' SF/AC . Width: Lot Coverage: SF Survey.S mitted: 0 Yes D No Date of Survey: _ Revised�d-ate Propaced.Se asks: . Front(Lake) Rear(Stooet ( N S E .1� ) ( N S E W ) ether Buildings . . Wetiand Side side Defined Height: Peak Height ` FFE: - FFE minus feet= (Baci$ting Contour) Perimeter(linear feet)= 5Q% _ ; of Stories Qit? i7 YES FORA BUILDING WITH A.BASEMENT O 1ML SPACE: ' The distance Ween theiowest _ ' START WITH FOR A SUILDING ON A.SLAB FOUNDATION proposed floor f the basement or craws apace}and the fii0hest point of tare roof. The distance the top of$laband, i / - START WITH the highest poWd,of the root If you have a.. If you have 0— ; • GABLE OR HIP ROOF(no' . GABLE OR HIPPED ROOF{no' windows}: SU . If the. windows): ,Slibtraot half the distance. distan0e,between the hest-,point, between the highest point of the roof ii of the roof to the low po of the to the low poidt of the corresponding SUBTRACTION corresponding gable or hi roof � SUBTRACTION�. gable or hipped roof E)D ON ROOF' WLIE OR HIPPED ROOF. �AS�D ON . GABLE OR HIPPED ROOF Oft Y ` TYPOn Subtract half the t2O01 TYI'.E) wiadows): :Subtract half the dtstenc ° distance between:the top. between the top of the hWmt highest window and the ghest window and the highest point of the ; point of the roof roof r p ALL OTHER ROD PES'( • ALL OTHER ROOF TYPES(flat mansard,etc):: subtraction. mansard eta:.No subtraction ADDITION Add fire distance between.he top of Stab SUBTRACTION Subtract the ass between the `_ (BASED ON and the highest odit grade adjacent to (BASED ON EXISTING basemerrt/craw pace floor'And the" b(ISTiN6 the f0untlation. GRADES} tghest exi grade adjacent to the GRADES toun 1210 feet(whiehever is secs). f >~t1UALS - Defined build height E4l1ALS Dell building netght i Shoreland distriuf ; IVICYDPermit Received' Ave " eLakes re Setback Met? Bluff ' 0 Yes �, No " ® N/A D Yes No E ©.Yes No ` 0"Yes CI�I to '��� G N/A i Permit Number '�, Setback: Stormwa Gluaiity, Existing Proposed variance Required >SUP Required sr tJverla strict Tien Hardcover ' Wairdcovor ! cl Yes No ® .Yes � No i Type(s): Types , i, Updated: January 2013 v:lformstplan rpviaw chbWlst 2013.docx r ,l- r i &1111,u L :. , r r r r L. h_7'ry" 4 x n + 1 y,� } :ik � ^`a lif -� t, ,vs _i: t vty av x + 1 :z t,e_ t: f �x s R>c ,,; r }' z:;i + ' k.' 'v r� ,w..s.,n, ,w ; F .e r.tru z c. x <. -€ lx+' „T. .Fe'' c th ,'r"t u « r a '4,r 2 1 9r... C u 'i{ r4 i fir,:& S1";, t isy-�;< 2S''y-' s P�.y s... 73 t t r :, }1;., t t 'l�- t, ' q"'..,,k,'_ S„n, �s.:,.t _ ra i_ b a v A s k9� '4� ++K,3': �. a kF t+ aY} 4N av-a]Ss-µ a+P. x:k,+ Y5q', �r a, d,.. '� x�t ; DA TIME CITY OF ORONO CALLED IN 'PI INSPECTION OT E SCHEDULED - - .�- PERMIT NO. ;e10—'5A1!2COMPLETED ADDRESS a AL OWNER S TELEPHONE NOAGR Old D�7� CONTRACTOR DESCRIPTION v/,yLG� 14 ❑ FOOTING ❑ PLUMBING FINAd ❑ EXCAV/GRADING/FIWNG Q ❑ P RED WALL ❑ MECHANICAL RI ❑ LAKESHOREAVETLANDS y ING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FIN�e ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI 11 SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 O EAICONTRACTOR TO MEET YOU:_YES_NA COMMENTS: Lu j O O W Q W W j d WRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE acW RECT 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 ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours in a nce. (95 0 OwnerlContractor on site: Inspector. White CopyllnspwWes File ary CopylSite Notice