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
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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
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