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HomeMy WebLinkAbout2013-00182 - addn/remodel/repair • , CITY OF ORONO * 2 0 1 3 - 0 0 1 B z * 2750 KELLEY PARKWAY DATE ISSUED: 03/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1710 SHADYWOOD RD PIN : 17-117-23-21-0018 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY ; 434-RESIDENTIAL VALUATION : $ 3,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE,ELECTRICAL(STATE) GLASS RAILING FOR DECK APPLICANT PERMIT FEE SCHEDULE 88.50 LINDUS CONSTRUCTION INC 879 HWY 63 PLAN REVIEW 57.53 BALDWIN, WI 54002- STATE SURCHARGE(VALUATION) 1.50 (715)684-4647 TOTAL 147.53 Minnesota State License#: BC007644 PAID WITH CC# 6948 OWNER FITZPATRICK, JOHN&JOAN 1710 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be perf'ormed according to the approved pians 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 hereia 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 afrer 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 cau . i ���� � `� � 25�'� " ��1����c-�� 3� zs� .�3 Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: 0l0(3- b f� j/�►„D,j�. PO Box 66 ,� \ Crystal Bay, MN 55323-0066 Date received: 'J' 3 j��,a �"��t��r <;� a.l, StreetAddress:' Received by: � S hn�.f �,, ��',�, ��� ��/ 2750 Kelley Parkway Plan review fee: �'�q"'�• ��'�� g,� Orono, MN 55356 kESKo /`7`� �J - _= 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. (P/ease print) GENERAL INFORMATION: � ; � Job Site Address: /�/� `S�j�/�l.�t�c>�;� ���,�-(� �L�1,��1��i;c 1 Will this be a Parade of Homes, Remodel Showcase Home or other ' play 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 INFORMATI(�N: Name: ,Ci� �i� � '�io; State License# �� �/o.�i�,/ Expiration Date: �3/ � Phone: (office) �/,�-�ogy-y�y7 (cell) Mailing Address ��,� • Cit : "—' , � ZIP:�TT ;r� Contact Person: �� . Applicant is: on rac� Homeowner �c���ie o�e� Email and/or Fax: - / � � i � :� � ;/ �;i PROPERTY OWNER IWFOkMATIQN: , _ � Name: �r���i� � �Gr�/✓ �i�fZc�L��'i��� Phone (day): q,s;�_ y7/_ 7yy"� p Address: � �� �w�� '��� City: L� /ZQ,� ZIP: ,-�"j',��-�J� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Ac,essory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ��Deck �� ❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water **Any earth movement may require ❑Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or � � Estimated Construction Valuation (excluding land) $ �� � STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1 St Story = ❑On-site Prefab e. 2"d Story= ❑Off-site Prefab f. '/2 Story = ❑Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Pl�n ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. _ /. ApplicanYs Signature: � ��� ��s Date: ��/�/� Owner's Signature: r Date: -^�O��3 , , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: l'11 0 51-�Pt�`�( u��I� {�.Db4t� Description of work: Uc�-'K- ���L i2t''�fAGC��1Ms'�^�'T Septic review by: NlA� Date Approved: Zoning review by: N/19 Date Approved: Building review by: Date Approved: 3'� "�r3 Grading review by: N 1� Date Approved: Zoning District: Zoning File#: Reso#: Re Date: � Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey S mitted: �Yes 0 No Date of Survey: vised date ? : Pro osed Set cks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: eak Height: FFE: F minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%_ # Stories Ok? G YES FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: The distance between t lowest OR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the bas ent or crawl space)and the highest point the roof. The distance between the top of slab and START WITH the highest point of the roof. tF you have a... If you have a... • GABLE OR HIPPED ROOF . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest poi between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corcesponding gable or hipped of SUBTRACTION gabte or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF 'th (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half th ROOF TYPE) windows): Subtract half the distance distance between the top f the between the top of the highest highest window and the ighest window and the highest point of the point of the roof �f • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF PES(flat, mansard,etc:No subtraetion. mansard,etc):No ubtraction. ADDITION Add the distance belween the top of slab SUBTRACTION Subtract the distance tween the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING �SemenUcrawl spa floor and the EXISTING the foundation. GRADES) highest existing g de adjacent to the GRADES foundation OR 1¢'feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Avera e Lakeshore tback Met? Bluff � Yes � No � N/A � Yes � No 0 Yes 0 No � Yes � No N/A Permit Number: Setback: Stormwater Quality Existing Proposed yariance Required C Required Overla District Tier Hardcover Hardcover 0 Yes � No Yes � No Type(s): Type(s). Updated: January 2013 v:\formslptan review checklist 2013.docx , , REMARKS (in-house): Fees to be Char ed =.=_; �.�(ES���, z.,;n;.. -,� U� 'i �Plan Review � � '�� __ :� . � , ., . .. �� investigation Fee � __ . , .. ,� _ � _ . _. . Other(specify) S uare Foota e $ er S uare Foota e Basement X = � 1'�Floor X = $ 2nd Floor X = $ - Garage X = $ Estimated Construction Value: �.�DO � Orono inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing � Grading/Fil�ing � Well � Hardcover Removal G Mechanical � Fire 0 Electrical G Footing � Septic 0 Water Connection 0 Poured Wall � Fireptace 0 Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. � � G Framing � Other(specify) G Insulation G As-Built Survey Final � Wetland Buffer 0 Other(specify) � REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: G YES G NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED f f� Updated: January 2013 v:\formslplan review checklist 2013.docx , � ' DECK PROPOSAL � , ��1���� ���� LINDUS CONSTRUCTION, INC. Minnesota License No. 7644 879 U.S. Hwy 63 Baldwin, WI 54002 1-800-873-1451 715-684-4647 Fax: 715-684-3859 PROPOSAL SUBMITTED TO(BUYER) HOME PHONE CELL PHONE DATE OF PROPOSAL John & Joan Fitzpatrick 952-471-7449 612-239-4039 8/21/2012 STREET JOB NAME 1710 Shadywood Rd CITY,STATE AND ZIP CODE JOB LOCATION Wayzata/Orono, MN 55391 FAX# E-MAIL JOB PHONE We Propose hereby to fiu�nish all material and labor, skill and equipment("Work")t� Work identified below in exchange for the sum("Contract Price") of: Total Payment shall be made as follows: 1/3 Down, 1/3 Start, 1/3 Upon Substantial Completion 1/3 Down Upon substantial completion Buyer may withhold 150% of the cost Balance of any incomplete Work until the Work is finally completed. This proposal will expire if not accepted within days. LINDUS CONSTRUCTION,INC. Chuck Melberg Make all checks payable to Lindus Construction,Inc. Authorized Signature The following Scope of Work,written wananties and disclosures are included: 1) See attached Estimate No. 2) Lindus Lifetime Warkmanship Limited Warranty 3) Formaldehyde Disclosure 4) MN Statutes Chapter 327A Warranty 5) Builders Association of the Twin Cities Minimum Performance Standards t ��i A� i �� "New Deck Railing Construction Project" - Lindus to co a new Fortress Fe26 powder coated steel deck railing system or a new Fortress , Pure View Glass railin s Labor and Materials for Fortress Railing System..................................................................... - All construction will meet or exceed the local governing building code - *To sand down& refinish entire deck with Penifon (Ultra Premium Red Label)deck sealer: - Permit may be required by Wayzata/Orono; cost of permit to be added to final invoice to insure accuracy ��'����ii��,���g '�fl�' ��i��'i� ��:>�s;°'�i�.��`m�'.��" PLAN CHECKED B� U,� DATE 3-z�u -z•o�3 Acceptance of Proposal—By signing this Proposal you are: a)making a written contract with Lindus Construction,Inc.; b)authorizing Lindus to commence work immediately; Buyer may cancel this Contract at any time c)acknowledging oral notice of 3-day right to cancel; prior to midnight of the third business day d)acknowledging receipt of Lindus Lifetime Limited Warranty; after signing. See attached Notice of el arknnwler�aina rPrteint nf Fnrmal�lPh�.rla Tli��l.,�„ro• �._ ., .. F i tz atr. i ck p 23� Pro 'ect J 4' 2� Elevation: Deck Fortress GlassRailing System J Glass Elevation: Fortress Glass Railing System l�u S e H o u s e White powder coated steel with glass panels At least 36"tall with no space over 3 4" House � . . ' 2e --�=�n ��/� y � I � V� ���� e`��� � ��' � � � S . s� � �-��� '- �-4 ,� �y�r�"�� I '`a.� .w...�,r' �:�` 1 _.:,.-, __... � -�, � r � � l. � '�� t /At�b �'fY '.�_�..�.x+.� . !�_ � ��. �p � � S i�`k;Y,�' �Y t _ t Y�k�- ,�'S�C e� i � '� � ...:. .� y- - � -. � . 'aS� t ; �?';y g � � ��Ka.i.�.�..a+�Y„p,�, �� , � �,. mC��_�� " "�t�{sa�, �i�' ���h sv�.- �, ''�"��e'� � �a��,: � �' � ;�tu� �� �� r. � � ,'�t _ � r �^� < �y '=t .�� � ,7 � n�„ ��� ...�� "{;-����' � � ��� ��` 4�1i� V ���v�f' �.. �i �y�� y � 3.�� # +� �,��� � e� i �. i x � s - - �+" � � '� -� � � � I � I � i�a �r � " � -� � - a d � ! �, r� ��'.. _ � , �� � ; W �.,..�, '� -.a �.r w. . . 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