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HomeMy WebLinkAbout2011-00580 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00580 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUEu: 07/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2850 SOMERSET LA PIN : 04-117-23-21-0013 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 006 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 18,000.00 NOTE: ADVANCED PLAN REVIEW PAID 7/5/11 ON PERMIT#2011-00579IN THE AMOUNT OF$201.34 ADDING A GABLE TO AN F'.XISTING ROOF AND A NEW FRONT DOOR NOT ALTERING THE EXISTING OPENING. APPLICANT PERMIT FEE SCHEDULE 309.75 ROBEY CONSTRUCTION LLC 3806 WESTON AVE STATE SURCHARGE(VALUATION) 9.00 WOODBURY, MN 55125- TOTAL 318.75 (612)275-4441 Minnesota State License#: 20635859 OWNER TRANGSRUD&TERRY RASMUSSEN,JON 2850 SOMERSET LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for oniy the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of wark 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 al equired inspections are requested in conforma � e te ilding Code.This permit may be � revoked at aq�[ime for due c e. ���� `'� 7/ � I / / ( �--� � � � / �..���,-1,y�.,t�� (( -( Applicant ermitee Signature Date Issued By Signature Date SEPARA E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of Orono 1� ���� �� � ���- Buildin Permit Application �� � 9 for New Structures or Additions Mailin Address: C � g,0,�. PO Box 66 Permit number: �( � —� � � � � Crystal Bay, MN 55323-0066 Date received: �.'�--� � � ��'3" Received by: �' ,� t��,�t;�_,1� �, StreetAddress:' �',�c, � '`� "�� Gti 2750 Kelley Parkway ���<< C�G��� Plan reviewfee: L9xESH0¢�' Orono, MN 55356 � � �� 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: �j(% .�� ,-� N r y E- �/1- Will this be a Parade of Homes, Remodelers Showcase Home or other Display 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 I APP,�ICANT INFORMATION: Name: t'���ic�t'�J Cc� �� t r✓�.�-tY-'1 LL-- L State License# —� �s�— Expiration Date: '��� 3 r - J Phone: , Z- :� � "�� office �•-:.�� cell Mailing Address: ;' (,�,��_5{-: r� :r.-� Cit : ��.•� .)•"' ZIP: r�:i Z� Contact Person: �'!�; �( ,�-,b.e�/ Applicant is: ontracto � / omeowner (CircleOne) Email and/or Fax: /�� 1-��,., Cc�. s��r� ✓.-�F%��� C� %hYF«�,�/�, ��,.-� PROPERTY OWNER INFORMATION: Name: Tr��'r^,1 r���r�� 5•� f=�` 1 Phone (daY)� �l�Z^ �f l f�- Z.�� 7� Address: Zr6CC� So�✓1Fr�� P � L-�� City: C^i/`�°�'tC.' ZIP: �� s'�(.� Email and/or Fax ARCHITECT/ ENGINEER INFO ATION: �1 Name: �zj�,,� L �°;-- d lT SSe� r��'� rS Phone (day): -��Z � 3� ' - C� �+ Address: ��� �'�lo�r eCti� � S� . _S: ,' l�r� Sl� � CitY: �7�/ S ZIP: �� y C ` Email and/or Fax: �� �- � ;"y- "�y / PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with �2esidence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer �.Other: (specify) . ����' �; ��,yl� ❑ Multiple Family/Condo ❑Warehouse �" -��� z"�� s���y },,�r � ❑ Public ❑ Storage ❑ Public Water `*Any earth movement�ay requ re ❑ 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) $ /����;�; ; ` Last Updated: 4/26/2011 � :� �-- 11 I\i�`'i,-� '� 1'a n. �C7�.3 r I �� '� - 19 - �1 ��`' � � �C 7C,.��� ��.'1,� d���� �� ._�.�a3�°���'� 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 Bldg. Areas in sauare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 S'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 A 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 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 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 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 to ensure completion of the as-built survey and all site improvements. �..__ r G� /� Applicant's Signature: .r��J ' '� ��, Date: � -� ` % f Last Updated: 4/26/2011 " -20 - ' � ,� �,;1_ . Plan Review Checklist for New Structures / Additions , Address/PID/Legal: ____ 2�5� �OrhL 2Se'T' �4�t Description of work: _�n q G/3�3t,�.s '�-s.� �'3t,��n�vs 240 �=� -/�� �od�L Septic review by: IJ`1/� Date Approved: Zoning review by: ✓� Date Approved: Building review by: Date Approved: 7-1�- 11 Grading review by: /�1/� Date Approved: Zoning File#: Resolution#: Resoluti�n Date: Zonin District Fire De artment Post Office School ' trict Zoning: Lot Area: SF/AC Width: De : Survey Submitted: � Yes O No Date of Survey: Pro osed Setbacks Front(Lake) Rear treetj ( N S E W ) ( N S E W ) er Buildings Wetland Side Side Builtling Defined Height: Building Peak Height: #of Stories Ok?: � YES fOR A BUILDING WITH A:BASEMENT�R CRAWL SPAC ' FO A BUItDING DN A SLAB`FOUNDATION: START WITH the distance between thebasement floo crawl TART the distancebetween the slab and the highest space floor.and the highest roofpeak,the of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flaf roof,the deck line of a the deck line of a mansard roof,or the mansard roof,or the uppermost point-on a roun uppermost point on-a round or other arch-type or other arch-i e roof roof SUBTRACT half the distance between the highest winda and SUBTRACT half the distance beiween#he highest v�rindow hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement flo crawl A the distance between the slab and the highest space floor and the highest existing ade within existin rade within'the foundation the foundation or 10 feet,whichev is less. EQUAL Defined buildin hei ht EQUALS Defined buildi hei ht Lot Coverage: SF % Shoreland District M D Permit Received Avera e`Lakeshore etback Bluff es 0 No 0 N/A � Yes � No 0 Xes � No G Yes G 'No � ermit Number: - Setback: Hardcover Zone Existin Pro osed Variance Re uired UP Re uired 0-75' � Yes � No � � No 75-25 TYPe�s): TYPe�S): 25 00' 0-1000' REMAR (in-house): /U d G/�19r�.� Updated: 09/11/2009 z:�formslplan review checklist.docx Fees to be Char ed YfS =N0 _ �F�'�c����� '�+�`���-��'`�'�, r�,,�. � �,, • - ^-:k.. .bv Plan Review .� , .. . , �_ . _,.., _. . ., . . - �t , ♦ x . �� � < Inve .. ,.�, _ _. _ ,: �. .� ,r, , -:. stigation Fee _ v.� . _ _._. _ � a: .,�. .;,Q , . ,. ,�; _ , .�.� �,�.,,... f � ; - �., . . . . ..,._. . _: ..., ,� . _ .. Sewer Connection ,,,. . , . _ Park Fee _ .. _ , ... _ _.. Other:(specifyj _ _.. , _ . _.. . _ _ _. _ . _ - . . Calculated By: S`uare Foota e $ er S uare Foota e Basement X = � 1�Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Gonstruction Value: $ ( $�GC)0� Orono Inspections Ftequired Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading/Filling 0 Well � Hardcover Removal � Mechanical G Fire � Electrical � Footing � Septic D Water Connection � Poured Wall � Fireplace � Sewer Connection 0 Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. Framing G Other(specify) � Insulation � As-Built Survey �Final G Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES G NO New: 0 YES � NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\formslplan review checklist.docx New Entry front elevation SCALE: 1/2" = 1'-0" 2 -'\\ New Entrq Side elevations All / SCALE: 1/2" = 1'-0" Entre Detail Al2 / SCALE: 1 1/2" = 1'-0" V M �I 4`,� Entre Deta i Al2 / SCALE: 11/2" = 1'-0" Entre Deta i l Al2 / SCALE: 11/2" = 1'-0" EXISTING CEILING WITH 1x6 T4G 6413 l3/4" x (o 1/2") OR SIMILAR 'RIM (ISTING FRIEZE BOARD 600 (1/2" x 1/2") OR 51MILAR WOOD SHEATHING F600 (1/2" x 1/2") OR SIMILAR IM 45 REQUIRED 'WOOD SHEATHING NO 360,18" SMALL CLASSIC FROM UORTH COLUMNS OR SIMILAR DESIGN NO 360,18" SMALL CLASSIC FROM CHAD5WORTH COLUMNS OR SIMILAR 1/2" PLYWOOD SHEATHING CAULK AS REQUIRED x 4 TRIM Ix4TRIM FERCHE F600 (1/2" x 1/2") OR SIMILAR --1/2" PLYWOOD SHEATHING FERCHE F600 (1/2" x In') OR 1 x (o TRIM FERCHE F600 (1/2" x 1/2") OR 51MILAR I x 3 TRIM SEE 3/Al2 IM � l F600 (1/2" IR SIMILAR WOOD ING 4" A COPY R AU VTY OF ORON© \ �-I x 10 TRIM 1RUILt:11N3G PEf 1M;, P' N REVIEW 1/4" PLYWOOD INSPEOVOR_ SHEATHING DATE 'Z • 11- 11 2 PERMIT NO. PPR01dED AS SUBMITTED C.; APP R 'J.n,J V`;'ITH CORRECTIONS AS NOTED G PI OT APF'SiOVE.D -- CORRECT & RESUBMIT Tnese cc rt ;ants are for your information. AS work chatl W dorw a torr, C:�:::c!wn 8 lJith rill OPPilCebto bAc'ing and zo*U Code, Re ;«ice::; r::s Irr'uding items riot pss : ticaiiy.noted in thiste*W. KEEP ThiS PLAN SET ON Sf-r AT ALL TIMES -,\ Entru Detail SCALE: 11/2" = I'-0" CIO 5� C) co y C4 ®2011 P AUSCHER F- ASSOCIATES 0 DO NOT COPY, OR ALLOW THESE PLANS TO ESE COPIED. THESE PLANS OR DRAWINGS, THE OVERALL FORM, ARRANGEMENT AND COMPOSITION OF SPACES AND THE ELEMENTS M THE DESIGN, AIRE THE EXCLUSIVE COPYRIGHTED PROPERTY OF RAUSC 4ER 4 ASSOCIATES, LTD PROTECTED BY UNITED STATES COPYRIGHT LAW. ALL RIGHTS ARE RESERVED. THESE PLANS OR DRAWINGS CONTAIN CONFIDENTIAL, PROPRIETARY AND TRADE SECRET INS MATION. ■ VIOLATORS WILL ESE SUESJECT TO LEGAL PROCEEDINGS TO RECOVER ALL DAMAGES. ANY UNAUTHORIZED USE OF THESE PLANS IS STRICTLY PROHIBITED. DATE6-2 0- I I PACE 1.2 m 0 DE5[GNER DOORS OR EQUAL New front elevation SCALE: 1/4" = V-0" New Side elevation ALI / 5CALE: 1/4" = r-0" (--2 � 5rick Cap Detail I" �-Ic6ZE- , ,I 1—/2" ; 3 plead Detail AI.I SCALE: 11/2" = 1-'—&"— — -- :. 2 _' .. A1.1 V-011 ol New Side Elevation SCALE: 1/4" = V-0" P,AUSCHER AssocIATES • ♦ ► •► 27,5 ♦► ► • 612 4 •4• �AA 612.354.3413 11 � E V) 0720117 CHEK F• SSOCIATES N DO NOT COPY, OR ALLOW THESE PLANS TO SE COPIED. THESE PLANS OR DRAWINGS, THE OVERALL FORM, ARRANGEMENT AND COMPOSITION OF SPACES AND THE ELEMENTS IN THE DESIGN, ARE THE EXCLUSIVE COPYRIGHTED PROPERTY OF RAU5CI-ER < ASSOCIATES, LTD PROTECTED BY UNITED STATES COPYRIGHT LAW. ALL RIGHTS ARE RESERVED. II THESE PLANS OR DRAWINGS CONTAIN CONFIDENTIAL, PROPRIETARY AND TRADE SECRET INFORMATION. VIOLATORS WILL ISE SUEaJECT TO LEGAL PROCEEDINGS TO RECOVER ALL DAMAGES. I ANY UNAUTHORIZED USE OF THESE PLANS I$ STRICTLY PROHIBITED. DATI6--2 1 1 PA C1 '�'