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HomeMy WebLinkAbout2017-01037 - update front facade ` CITY OF ORONO _ 2750 KELLEY PARKWAY * DANE ISSUED: 10/13/2017 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4119 OAK ST PIN : 06-117-23-41-0110 LEGAL DESC : LINDEN WOODS LOT 003 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTMTY 434-RESIDENTIAL VALUATION $ 50,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) UPDATE FRONT FACADE AND NEW GABLE ROOF OVER GARAGE APPLICANT PERMIT FEE SCHEDULE 715.92 STATE SURCHARGE(VALUATION) 25.00 LECY BROS HOMES TOTAL 740.92 15012 HWY 7 Payment(s) MINNETONKA,MN 55345- CHECK 49627 740.92 (952)944-9499 Minnesota State License#:BUIL-BC325555 OWNER HUDDY,MICHEAL&PAULA 4119 OAK ST LONG LAKE,MN 55356- 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 any time or due cause. /� X 13 47 A plicant Permitee Signature Date Isuefty Signature Date City of Orono Building Permit Application for Maintenance/ Replacement/ Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) A, Mailing Address: PO Box 66 Permit number: ®/Q1—L'162 Crystal Bay, MN 55323- 66 b• Date received: U /' Street Address: Received by: `ti Mr A, 2750 Kelley Parkway Plan review fee: 4r (OS, Orono, MN 55356 `gKFSHO�, /- --O/[) 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/APPLICANT INFORMATION: Name: \_ Z, � �.\�,,_, ' State License# � r�c�e� Expiration e: Lead Certification Number: W ts� _2y��—��--Z Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: \� �-L — \ City: ZIP:SS Contact Person: �� �c1 Applicant is: lqontracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone(day): Address: y��o� © City: ZIP: Email and/or Fax: n 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) ❑ Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ Sb Zai 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: cit) Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 40 lff(("I ©lam- Sh DA, Permit No.: tori -0165-7 Description of work: Date Recd: �. ...:r Septic review by: 'Saw- W U -- Date Approved: Zoning review by: Date Approved: Co ' Building review by: � M Date Approved: ELI z Grading review by: Iy is Date Approved: Zoning District: L 03 Zoning File M Resolution? Yes Reso M Reso Date: Signed: Yes olution/NA Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % Survey Submitted: 0 Yes lArNo Date of Survey: Revised dateM: Landscape plan submitted? 0 Yes Landscaper: 0 N one propos Proposed Setbacks: Fr t(Lake) Ular(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildin Hei ht Analysis: Distance Between First Floor and defined Top of Roof*(See"building height" (a) definition): First Floor Elevation from building plans): (b) Highest Existing ground level (persUrvey)or 10' above lowest ground level, (c) whichever is lower: Difference between-(b) and (c)*: d) DEFTHEIGHT T ' hest existing adjacent grade is above FFE-Height is(a)-(d): (e) *If highest existing adjacent grade is below FFE-Height is a + d Shoreland District MCWD Permit Average Lakeshore Setback Bluff /' Met? /P- es No Permit Number: 0 Yes 0 No N/A 0 Yes o -see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and s 0 Yes No 0 Yes No O 2 3 4 5 No Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit Plan Review State Surcharge jam' Investigation Fee 1, SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage ,x _ $ Estimated Construction Value: $ �V,C�VV �^ Orono Inspections Required Work Requiring Separate Permits Footing ❑ Site ❑ Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control ❑ Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection ❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection ❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation Cl Foundation Waterproofing ❑ Other(specify) ❑ Landscaping Framing ❑ Septic I UL Insulation ❑ As-Built Survey Final 1)2(Lathe Required State Permits ` E3 Other(specify) ❑ Well lectrical 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. Updated: June 2017 z:\forms\plan review checklist 06-2017.docx . . 1. :r `� - ��. �•�,r " `�,y�'�1,�• „,�:; >�y ,•y. e ' . ., �. � ,, ,r � �; y �. ./ r �� r` '� `� X � .!yf � � •p i 1�. � _ r`�� ���� '��� �' /''.�� ' � ��� Jam, s q s. a { ✓�" t ,. ,�� r �' "a y rr ,r _ . ��x;. d � �.� , P , ,- -. A t> a - �. � ,,• r +` � `s: rt- �,_ j, _ y `�a � . � � � _. � - y� �r.p `sy ,-� .,, .�, ,� ,� .,, • '� �[ a t sy 1 �� X93 JJ/ �� 1 _� ; ',�. r�,� � � ��'�. �•r a. � �� '�ice, �`'r � ,. Er ,,if d:��` ��;� ,• ad, ._ �.'.. i � � r _ , - , . ' ... ,� � 4` 3♦ w �1 � �r � r� .q,,- e a yR '- , �'�X is �� � � ��"� �' �' �� , � a r. �V ¢iw � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 1-ag-leY / PERMIT NO. 20//7-0.10.'2,7 COMPLETED :OWNEADDRESS C�k 5:±- OWNER R TELEPHONE NO. �(� j T��37 CONTRACTOR G e C DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING QElFOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z [ILATHE ❑ MECHANICAL RI SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q El FINAL [I WATER HOOK-UP ❑ FOLLOW-UP _ ElAS BUILT-SURVEY ElSEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Cc �ii'a w< G►'G�r.✓�as o� �.>v't:'i s a w aS¢o L%V- r/s w.;n p cc 8 Pit 32) Cr 0 LL W cc Q Z W z W cc j LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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 24 hours in advance. (952) 249-4600 Owner/Contractor own site: Inspector. ✓4�0 �. White Copy/Inspector's File Canary Copy/Site Notice U11 El 0 M c+- 0 M c� 0 Q r { m 0 0 oN v O as 1D d4 6 c� 0 Q r { m 0 0 oN custom Remodel For: Mike 4 Paula Nuddy Sheet Address: 4119 Oak Street of Orono, Minnesota 55356 v O as 1D d4 0 M O 4912�SI� ------------------ fl � custom Remodel For: Mike 4 Paula Nuddy Sheet Address: 4119 Oak Street of Orono, Minnesota 55356 v O as 1D d4 0 M O fl � z0-0� �O o ooQ o 00 I custom Remodel For: Mike 4 Paula Nuddy Sheet Address: 4119 Oak Street of Orono, Minnesota 55356 v O as 1D d4 0 M O fl � z0-0� �_ o ooQ o 00 I mm <© a ca 4 L7 co 3 9 f rn 0 0 � m 0 ® • O -i ill E7 z U' N X i"D C O e=:) O —j® v custom Remodel For: Mike 4 Paula Nuddy Sheet Address: 4119 Oak Street of Orono, Minnesota 55356 Open Items: - i x 6 T 4 G LOCATION - BRACKET LOCATIONS I I I I I I I I I i I I I -4 �. �1 � d z M X1 X1 4 X1 X1 X1 XJ O XJ XJ Z -4 m rn d m m rn m rn -.p O m 0 0 E �.M-tt3m-rrm<rn<Nz< MOS %(lzzzzzz�C�l�u,CJ�pC1=-F-F� N N N N N N m m m m "mm rnmmX �0*V�� 4h, t�l7CJ�CJC�CJ-nOz-4zZEX(, 0XXO0 XXX1N0m0 OX -4 0-4 M �m O_�p,m]'M —O TTrr =mr-Xlr-]1>r-4G) 00 MOOE0rO-IUrn-0r -0 Orrn0No20XZ0msmfr -4mz --CJz�1m-rn - Xzti rnNr-fEmOm�>�zNPrn XIX rrn�O-O�O�� Tz3t-tT�m�O��O�O�rnp U,t Az(,X-"r�u-MO0 z 1>XX1nx m m N rn]m(P NU X-0- N(P N n �z m rn -p�p ��-�mUJU3 T� mrn�d 41 rn0 zi O rn -rn O rm O m n N z X1 p rn 1> (P X ]> 1> O Z 4 XI O z rn N ]>r r z r 41> N � z 0 N Q1 II I O v O e c 0 M O fl � fl, o 0 00 I r ca 4 Open Items: - i x 6 T 4 G LOCATION - BRACKET LOCATIONS I I I I I I I I I i I I I -4 �. �1 � d z M X1 X1 4 X1 X1 X1 XJ O XJ XJ Z -4 m rn d m m rn m rn -.p O m 0 0 E �.M-tt3m-rrm<rn<Nz< MOS %(lzzzzzz�C�l�u,CJ�pC1=-F-F� N N N N N N m m m m "mm rnmmX �0*V�� 4h, t�l7CJ�CJC�CJ-nOz-4zZEX(, 0XXO0 XXX1N0m0 OX -4 0-4 M �m O_�p,m]'M —O TTrr =mr-Xlr-]1>r-4G) 00 MOOE0rO-IUrn-0r -0 Orrn0No20XZ0msmfr -4mz --CJz�1m-rn - Xzti rnNr-fEmOm�>�zNPrn XIX rrn�O-O�O�� Tz3t-tT�m�O��O�O�rnp U,t Az(,X-"r�u-MO0 z 1>XX1nx m m N rn]m(P NU X-0- N(P N n �z m rn -p�p ��-�mUJU3 T� mrn�d 41 rn0 zi O rn -rn O rm O m n N z X1 p rn 1> (P X ]> 1> O Z 4 XI O z rn N ]>r r z r 41> N � z 0 N Q1 II I O S O `} c M O � fl, Revision History June IS, 2017 June 26, 2017 Revised Sid Set August 23, 2017 September 5, 2017 September 29, 2017 Job Supervisor Lockbox Combination: Permit * Inspection N S O `} c M n � fl, O 0 Revision History June IS, 2017 June 26, 2017 Revised Sid Set August 23, 2017 September 5, 2017 September 29, 2017 Job Supervisor Lockbox Combination: Permit * Inspection N O A� Qi n O r ca rn 0 I r ---- I I I I I I I I I I I I I L — _ I I /I Square Footage Data S012 ' I j&wa� I Minnetonka, Mn 55345 Office: 952 -1344 - 94SS Fax: 952 - 942 - 1068 Licensed 5uilding Contractor "20325555 This home may not be used, photocopied or reproduced in any form without prior written consent of Lecy 5ros, Homes, Inc„ according to the Copyright Laws of the United states. rnrn� M A C1 M 4 m E U3 w A M N