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Home My WebLink About2011-00582 - addn/remodel/repair � , •� � � CITY OF ORONO PERMIT NO.: 20��-oosg2 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 700 SIXTH AVE N PIN : 25-118-23-32-0003 LEGAL DESC : LJNPLATTED 25 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 190,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ADVANCED PLAN REVIEW OF$1,037.89 WAS PAID WITH VISA BY CONTRACTOR KITCHEN REMODEL APPLICANT pERMIT FEE SCHEDULE 1,596.75 CHOICE WOOD COMPANY STATE SURCHARGE(VALUATION) 95.00 3300 GORHAM TOTAL 1,691.75 ST.LOUIS PARK,MN 55426 (612)9240043 PAID WITH CC# 8160 Minnesota State License#: 1532 OWNER BOLGAR,DANIEL 700 SIXTH AVE N WAYZATA,MN 55391- 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 dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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.1'his permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV -. .. � �1` City of Orono �� Building Permit Application � � �S ��9 for New Structures or Additions Mailing Address: Permit number: �/ —005�� ,�,� PO Box 66 %/ � Crystal Bay, MN 55323-0066 Date received: 7 /� ( �� `� � Received b �a 'y��t�� ` a.�, Street Address:' y� � ��'� ' ,� �,�.� �� 2750 Kelley Parkway Plan review fee: T> . �'�'f '��rvo4� Orono, MN 55356 O _D �„___sx./ oZ / d S � --`� 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 o er Display Home? ❑ Yes No If yes,a special event permit is required with Polrce 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 I FORMATIO� Name: �-�jf�,��yD + State License# � Expiration Date: ��;� , Phone: ` office , cell Mailing Address3 ' � Cit . �, ZIP: Contact Person: � Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: o � � , PROPERTY OWNER INFORMATION: Name: C ' Phone (day): , . `7 � Address: Cit :�� ZIP: Email and/or Fax � r C c� , ARCHITECT/ENGINEER INFORMATION: Name: ��-��'�' �N��1� Phone (day): � � � Address: �'' � � Cit : � ZIP: ��" Email and/or Fax: ��. � -�� PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8 Water Supply ❑ New Construction Single Family with �Residence ❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial � Other: (specify)� �1\! ❑ Mu1ti le Famil /Condo � Private Sewer TS�}a p y ❑Warehouse �� ❑ Public ❑ Storage �Public Water *"Any earth move erri nt m req iG"re' ❑ Commercial ❑ Other(specify) MCWD review 8�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) $ I��r� , ✓ + STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction : � , a. Length(ft.)= Number of bedrooms= Wood/Frame ❑ Masonry b.Width(ft.}= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bidg. _ Areas in square feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 15t Story = ❑ Other(please specify): e. 2"d Story= f. '/z Story = ''� g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ Permit Application ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ j� Surve meetin all re uirements ❑ � Stormwater Pollution Prevention Plan ❑ Hardcover Calculation(s ❑ ;� Se tic S stem Site Evaluation Report ❑ ❑ Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT 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 Iof the data. Confidential data is inforrnation which generally cannot be given to either the pubfic or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental 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 agreement to ensure completion of the as-built survey and all site improvements. � ApplicanYsSignature: \ Date: 7'.� ' � � �< i ' � ,i - �. ' � Pian I��view Ch�cklist ft�:r �I�ew Structures / Ad�litic�ns Address/'PID/'LegaL• 1�� f�'�" qv�t,_ N Description of work: �1 T�Lte� �Vh�o�A EZ- Septic review by: ✓V/!� � Da#e Appro�red: - .Zoning re�riew by: N'//�1 Date Appro�retl: Buiiding review by: �l[/�_ Date Approyetl: 7-l N�'U 1� Grading review`by: /�//� 'Date Appro�ed: Zoning File#: Resolution#: Resolution Date: Zonin 'District Fice De: artment Post OfiFce School Di ict �onin • °Lot Area: SF/A� 1Nidth: : p Survey S itte�: �Yes' � No Date of Sur•vey: Pro osed"Set cks: Front{Lakej ; >Rear('Street) � '�N S E W ) ( 1V S E iN j her Builiiings lAle#{and Side .Side Building Defined Height: Building Peak Height: #of Stories flk?: fl YES FOR-A BCJIL`D1NGlIlI1TH A BA�EMENT OR' WL SPACE: :FO BUIL�ING ON 74 SU#B FOUNDATI�N: START WITH the distance between the. sement#loor/crawl ART the distance:between the slab and#he highest space':floor and,the highest r f;peak,:the top_of WITH roofpeak;:the top of the:comice of a flat roof,`; the comice of'a ffat roo#;;the de: tine of a the deck line of a mansartl roaf,.or:#he mansard roof,or the u.ppermost p 'nt on a round uppermost poi�t on a round or other arch-type 'or other arch- e roof roof SU.BTRACT haifthe distance.between#he highest ''nd and SUBTRACT halfithe distance beiween the highestwindow =hi hest roof eak of a: itched roof and hi hest roof: eak of a itched,ronf SUBTRACT the distance between#he`basement fl N c wl ADD the tlistance between the:slab and,the highest space floor and the highest existing ade wit ` existin rade a�rithinthe'#oundation- the#oundation or 10 feet,whiche r is less. EQUALS Defined buildin hei ht :EQUALS Definetl buildin hei ht Lot Coverage: SF o�o Shoreland District - M D Permit Received Ave e Lakeshoce Setback " Bluff ::� es � No � N/A G Yes G No fl Yes � No D l�es ;0 No � 1�/A ermit Number: Setbaek: Hardcover Zones `Existin. P;r� osed #/ariance:Re ired CI�P Re uired 0-75' . � Yes :� ' o � Yes � No 75=250' TYPe(�)� Type(s): 250- 0' : . -1000' RENI�IRKS (in=house): v C/-� NG � `Updated: 09/11I2009 z:lforms�ptan reviewcheckfist.doac : . Fees to be Cha ed �ES , <.�IO , Plan Review - . lnves�gation Fee w _ . . . _ _ `5ewer��onnectio:n Park Fse aDther.-(s�ecify) _ ,; ��alculated'By: 9 uare:Foota e $:: er S uare Fnota e ` Basement X _ � '1�:Floor X; _ .� : 2"d FloOr � �C = < � �arage X - � , Estimated ConstructionUalue: $ ' j °IO, JOC) t°-� �rono lnspecticns Reguired 1f11lork Requiring-Sepacate"Permits Required'State F.err�its C1 ''Site .Plumbing ', � Grading/Filling :0 Weil C] ':Hacdcover Removai �!'i�flect�anical n Fire Eleetrical -fl :Footing '� -Septic D`Water�or�nection fl ,P4ure�Wall � �ir�place � Sewer Connection � �oun[fation�urvey � 'Masonry � Lawn Irrigation O Radan Rock Bed G <A�Ifg. ,0'�Framing � �.ti�er(�pecif�r) �''f nswlation � :;As=Built"Sar�rey ' �!'Final : � gther'(specify) REMAf��CS {in-house); Other R��i�eanr; :Reviewet!by; Date ApProved: ' Accsss:E�cisting; � Y�S D NO New: � YES 0 NO REMARKS (TO'BE NOTE�D ON PE�MIT 1AI�ID tM1TIALtED BY PEI�SON PULLING PERMITI Uptlated: 09/11/2009 z:\formslplan review ched�list.docx r. � � �� A.M. STRUCTURAL ENGINEERING 112 EAST MAPLE ST. RIVER FALLS, WI 54022 7� �� 20 April 2011 �p/I- oDS �' 7� Mark Tambornino Albertsson Hansen Architecture 2800 Lyndale Avenue S., Ste. 220 Minneapolis, MN 55408 Re: Structural Review Bolgar Remodeling Dear Mark: As you requested, I have reviewed the proposed modifications to the above referenced project. I am providing you with "red-lined" drawings indicating the minimum structural member sizes to be incorporated into your drawings. I am also providing you with structural notes and two details for this project. My design work pertains to the structural elements of the modifications and only those portions of the existing building affected by the new work. Please call me if you have any questions concerning the above. Sincerely, A.M. Structural Engineering, LLC David P. Wagner, P.E. MN Reg. No. 25420 (Iet1063a) S� DA� TIME � CITY OF ORONC�y_��l CALLED IN INSPECTION NOTICE SCHEDULED / 3-!/ %-� PERMIT NO. COMPLETED ADDRESS 7OO ��}C��'�l (�l�`(" �v OWNER TELEPHONE NO. q5�2 Z�? 7363 CONTRACTOR ��G,� ClJD7�� GO �: DESCRIPTION ��Z'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � I � Q �� S �:, ��,�� .�� o � � � 0 � W � Q � Z W � W � � d W� �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN O STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CAllTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �� SC�� DAT�j TIME V CITY OF ORONO CALLED IN IU l`� INSPECTION NOTICE /-� SCHEDULED �� .�� PERMIT NO.°'zD�l—dv��OMPLETED ADDRESS 7DD �l�� >� /(/ OWNER TELEPHONE NO.��7 2- �3� 73(3 CONTRACTOR �: DESCRIPTION l�S�L`'r' �-, � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � 1 O �-�2 -- uD l'� � 0 � W �� Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice