HomeMy WebLinkAbout2018-00276 - Addn Remodel Repair CITY OF ORONO I I
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2750 KELLEY PARKWAY * 2 1 8 - 0 0 6
DATE ISSUED: 03/11 5/22 018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3051 FARVIEW LA
PIN : 04-117-23-33-0009
LEGAL DESC : FARVIEW
: LOT 007 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
VALUATION : $ 100.00
NOTE: REMOVE WALL
APPLICANT PERMIT FEE SCHEDULE 26.25
DELANEY,DAVID&FRANCINE PLAN REVIEW 17.06
3051 FARVIEW LA STATE SURCHARGE(VALUATION) 0.25
LONG LAKE,MN 55356- TOTAL 43.56
Payment(s)
CHECK 5139 43.56
OWNER
DELANEY,DAVID&FRANCINE
3051 FARVIEW LA
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 tim- : cause.
/ !5/Yf
A•%''•!t Pe itee.•i-a're, Date Issued By ature Date
City of Orono
Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION))
^^,, Mailing Address: Permit number: v-004276
Sl.- VO PO Box 66 _ g
Crystal Bay, MN 55323-0066 &.4 Date received: j � U
Street Address:
�1�1��\o Received by: `�
y 2750 Kelley Parkway Plan review fee:
e L
l4kfSH00- Orono, MN 55356
Total Fee: /L� g°
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 7 '
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GEJobNERAL SiteAdd Address:
<o s i Tfi���"•- ��' O�Or�^ JC
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes X 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:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that'were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: DA v\ U z_q
Phone (day): Q5 Z5")- VI 9uJ
Address: 30fkl F:ItAV LOA) City: 0)2_0.A ® ZIP: j53s b
Email and/or Fax: 1 T Lk-7 ____34,‘SAI Co vn
PROJECT INFORMATION: Overall project description: 4R4Z.010VC WALL
Type of Project: Any earth movement may also require
Door(s) ISI Remodel O. Fire Damage MCWD review&permits:
ElRe-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof, cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345
0 Re-roof, other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ 1 002-0-..APPI-ICANT ACI�NQWLEDGgMPNT:
la 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 generall .nnot be given to either the public or the subject of the data. Our purpose and
intended useof this information is to annu- upda - our records and records of other governmental agencies required by.law. If
you refuse to suppl -m. .• e.a•'cation ay not be issued,
Applicant's Signature: /. f �` Date: J(i (i b
' II
Owner's Signature: Date:
Last Updated:January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
' Address: 30 Y' V &RI 4. n Permit No.: g--0/6 Z 7 C
Description of work: Ir IN QG1I Date Rec'd: 3//9
1Septic review by: Date Approved:
Zoning review by: Date Approved:
of
Building review by. Date Approved:
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso Reso Date:
i
Zoning: Lot Area: SF AC Width: Lot;Coverage: SF
Survey Submitted: ❑ Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Yes 0 No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FF : FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50' . = L.F. below grade
Basement? 0 Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the low st propo'ed Slab at or above grade-
START WITH floor(of the basement or cra I space)a d measure from highest existing
the highest point of the roof. START WITH grade to the highest point of the
roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPP ROOF(no Slab below grade-measure
(BASED ON windows): Subtr ct half the distance from highest existing grade to the
ROOF TYPE) between the hig est point of the roof highest point of the roof.
to the low point f the corresponding If you have a...
gable or hippe roof SUBTRACTION • GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
Jg the distance between the
windows): ubtract half the distance ROOF TYPE) highest point of the roof to
betwee?the
top of the highest the low point of the
window highest point of the corresponding gable or
roof
hipped roof
• ALL 07ER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mans d,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract tlye distance between the half the distance between
(BASED ON basemen crawl space floor and the the top of the highest
EXISTING highest fisting grade adjacent to the window and the highest
GRADES) foundat n OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defi ed building height subtraction.
Defined building height
EQUAL
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Average Lakeshore Setback
Shoreland District MCWD Permit Met? Bluff
❑ Yes ❑ No Permit Number: 0 Yes 0 No 0 N/A
0 Yes
No 0
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 (/1
State Surcharge
Investigation Fee
SAC—Number of SAC Units l�
Other(specify) (/
Square Footage $ per Square Footage
Basement X = $
1St Floor X = $
2nd Floor X = $
•
Garage X = $
.10Estimated Construction Value: $
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)
❑ 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.
Updated: October 2015
r\fnrmc\nlan rcn,in ,rharklici 9rL7n1 ri rinry
Reviewed for Code -
UNbNO COPCompliance City of Orono
Date 3// --(/.9 z
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on pp�� DAT TIME
CITY OF ORONO }'� CALLED IN l
INSPECTION NOTICE SCHEDULED /8' 9-'PERMIT NODI - 3 A-7 C11P'LET�ElD
ADDRE 3 v s/ /yUl L.t2J
OWNER N.L.' I ' / 4-0 . LEPHONE NO. t'f 6 8-3/3`/-
CONTRACTOR 071.t3
DESCRIPTION / itt
—1 P1
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC AL
11.
❑ POURED WALL PLUMBING RI 0 EXC• •ADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TRE -EMOVAL
❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION
Q IRCFRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL
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1.4 L • • SFACTORY:PROCEED be )".244 f� PROJECT COMPLETE
ECT WORK&PROCEED frecf 4. Q�ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING (—.zi,i l&'k(0 PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. Cl 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
OwnerfContractor on site:,
r.
Inspectoj�/t N
White Copyllnspector's File Canary CopylSite Notice