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HomeMy WebLinkAbout2018-00329 - Addn Remodel Repair CITY OF ORONO II*III I I I II I IIS I 13 11E I I VI* 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2018 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 : $ 600.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) MOVE DOOR,PLUMBING,AND RETURN AIR APPLICANT PERMIT FEE SCHEDULE 29.66 PLAN REVIEW 19.28 DELANEY,DAVID&FRANCINE STATE SURCHARGE(VALUATION) 0.30 3051 FARVIEW LA LONG LAKE,MN 55356- TOTAL 49.24 Payment(s) CHECK 5142 49.24 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 time for due cause. lain' A scant Permitee Signature ate / Issue,r y 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).7�I O Mailing Address: Permit number: ow/F( rj39` /.,W NO PO Box 66 / \ Crystal Bay, MN 55323-0066 Date received: 3 ( . Street Address: Received by: Y A y 1 1:4• r 2750 Kelley Parkway Plan review fee: 'KEsr+oa�`� Orono, MN 55356 //, Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 419,�T 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 Bite Address: Will this be'a`Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes EtNo 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: DAU 1,0044 , 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 INFORMATIOlt Name: a V I u7 JC C-,A�1CV1 Phone (day): �j '�- Z Qq( ) Address: '30 Si rt.s RV1(-(n) L_^J City: t tQ 0/JO ZIP: S 5 35 Email and/or Fax: DTI) L. [N! C..c) ,n1 PROJECT INFORMATION: Overall project description: PAW i Y)O 61,\)i, {•c ()1A) 0111/2-- Type 4112Type of Project: Any earth movement may also require ❑Door(s) 12 Remodel ElFire Damage MCWD review&permits: • ❑Re-roof,asphalt ❑Repair El Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ElSiding ElOther: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ (',CC. 04 APFIJCANT RCKNQYYI_EDGg7IENT: • 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 fo annually update our records and records of other governmental agencies required Py law. If you refuse to supply the information,the .••ication ma not be issued. Applicant's Signature: 4_1/r / ��" l Date: Owner's Signature: Apr- �1� Date: 3 /' 2-0 s Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ,`�O 7 Fatrfripetv A /4. Permit No.: l8 ©o�Z67 Description of work: Date Rec'd: 3/ ((iB Septic review by: Date Approved: Zoning review by: Date Approved: Z t Building review by: t C/ ,-,-4->iDate Approved: ✓/2 '/i Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF ok Survey Submitted: 0 YesNo Date of Survey: Revised date(?): / Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( S E W ) ( N S E ,SIV ) Other Buildings Wetland Side Side/ • Defined Height: Peak Height:`: FFE: 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 west pluposed Slab at or above grade— START WITH floor(of the basement or cwl space)and measure from highest existing the highest point of the root �/ START WITH grade to the highest point of the roof even if fill was brought in to If you have a... /elevate home. SUBTRACTION • GABLE OR HIPPEL ROOF(no Slab below grade—measure (BASED ON windows): Subtract halflthe distance , from highest existing grade to the ROOF TYPE) between the highest point of the roof highest point of the roof. to the low poinybf the corresponding If you have a... gable or hipp roof SUBTRACTION • GABLE OR HIPPED ROOF • GABLE OR IPPED ROOF(with (BASED ON (no windows): Subtract half windows):/Subtract half the,distance ROOF TYPE) the distance between the highest point of the roof to between&top of the highest the low point of the window nd the highest point:of the corresponding gable or roof hipped roof • ALL, THER ROOF TYPES(flat, • GABLE OR HIPPED ROOF ma/�sard,etc):No subtraction. \ (with windows): Subtract SUBTRACTION Subtragt'the distance between the half the distance between (BASED ON , baserrtent/crawl space floor and the i the top of the highest EXISTING high9tt existing grade adjacent to the window and the highest GRADES) four}dation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Dined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes 0 No 0 N/A ❑ Yes ❑ ❑ Yes ❑ No No 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 State Surcharge Investigation Fee 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: $ Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site Plumbing 0 Grading /Filling ❑ Poured Wall 0 Silt Fence/Erosion Control zIW. Mechanical 0 Fire ❑ Foundation Survey ❑ 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) 0 Well 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 v\fnrmc\nhn roviaw rhorklict 1 rL9f11 ri rinry \\‘‘ ( <( . 1 .. \ ! , . \ ‘/ . .,.. \ 6 ,z . . / \x- , • I. .-'.. \ , ..., ) / /' ii / \ . ' ---='-'`-li\'L-- N r• P‘'< - \VN \ / •41,lekeiir /IP\V • t \ • . • ,N4).---.,- ",..., ,;e ' A . . 1. _ -/',7 0 .- ; bee . 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ID piikt, i 0 1 - . , :1 0433 . - _ 0 0* ....11.11 • 1-,, • : ,1; " 0 _ . . _' e'I IMMO lilt ll-r-li:ne - , I 1 )1 igi r I. h 0 ilwor in: ,i c , el --=. pt , 3 • lir • i I ..— ....,.. 1 14.•4 Ell . II -= vr 1 .)1 t li .la oi 4,",,., . - I I • : 1 i • • ii :,.. 1 is ,... s, DAT TIMEVVV CITY OF ORONO }' CALLED INii, ,5 l INSPECTION NOTICE SCHEDULED / 8 �f': . PERMIT NO /k Dz)Jag C `�PPLETEED ADDRE 3 v Sl 7` U' ' 1't1 �.� QJ OWNER�0..1 I / //_ A.' • LEPHONE NO. k x/8-313 4-- CONTRACTOR CONTRACTOR .tit-e_3 • >: DESCRIPTION / irtI pito L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC AL Q ❑ POURED WALL ZKELUMBING RI 0 EXC' •ADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TRE -EMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACT TO MEET YOU:�Y O - _-- 1z__.Ar--- y NTS• ��� • coo-76 " R�vnOve- /1D�1-4 e/c vt� 1,.). .12 ( t - 4.514• haw.(� — I,/o✓�- Cb n•�.-to r% / 0�.2 o C - X33/ - rhp v.e /c , - �� - — cc Q ,ems.Z).3 fide SGA• 4U A)/ fge_c<rc..A (04,/ W C • C. 4 Zi/`t _------ -- z y e ire—befe44 i Yrr/a/te9 ' �.), 4 IQ oZ �c cc G O/9 4•, ,ICP ec.., k 4 s — 5 Gcz / 47i c /e #-s- a ♦ r7l*9e 6 /^,G6'-4e s 1.;. 7`op li— ly L' • . SFACTORY:PROCEED b ��f, �7 PROJECT COMPLETE LCORRECT WORK&PROCEED .. �p ee& .4. > ISSUE CERTIFICATE OF OCCUPANCY OO O CORRECT WORK,CALL FOR REIN --S lP PEECTION TEMPORARY t BEFORE COVERING L OAA/VW 4, PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. i F-✓ /V White Copy/Inspector's File Canary CopylSite Notice