HomeMy WebLinkAbout2013-00702 - pergola CITY OF ORONO . * z 0 1 3 -00 77 0 2�
2750 KELLEY PARKWAY DATE ISSUED: 07/23/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 1065 TAMARACK DR
PIN 26-118-23-31-0018
LEGAL DESC UNDERHILL FARM SECOND ADDITION
LOT 002 BLOCK 001
PERMIT TYPE ACCESSORY STRUCTURE
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE PERGOLA
ACTIVITY 329,Sf F1.te ;u �L1r� do-��4f c�a, i ,-�
VALUATION $ 800.00
NOTE: PERGOLA
APPLICANT PERMIT FEE SCHEDULE 34.75
REDER,DEAN&JEANINE PLAN REVIEW 22.59
1065 TAMARACK RD STATE SURCHARGE(VALUATION) 0.40
LONG LAKE,MN 55356-
TOTAL 57.74
PAID WITH CC# 5274
OWNER
REDER,DEAN&JEANINE
1065 TAMARACK RD
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
r?ueg in conformance with the State Building Code.This permit may be
evoked t any time for due cau AVL� -7
p ' ant Permitee Signature Date Issue Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
OqT Mailing Address: � CyV1 Permit number:
1 VO PO Box 66 7-k3-13
Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
yF 2750 Kelley Parkway Plan review fee:
kC�� Orono, MN 55356 Total Fee: �f�f [1
`gESH /i ! /
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: �1�h5 j�b�le�cc�C D-ZLrt_ (_V300;
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/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: `nn
Phone (day): c61 l
Address: 16' City: OV60-r-- ZIP:
Email and/or Fax dean. re4g r w.n� tv�411,1.�o�rn
ARCHITECT/ ENGINEER INFORMATION: ►'� tom'
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
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/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
Other: (specify) t�D aq ❑ Multiple Family/Condo ❑Warehouse
J� ❑ Public ❑ Storage ❑ Public Water
**Any earth movement may also require ❑ Commercial Rr Other(specify)
MCWD review&permits. ❑ Industrial Private Well
Minnehaha Creek Watershed District(MCWD) Other: (specify)
18202 Minnetonka Blvd ria e'
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.)= (0 Number of bedrooms = AWood/Frame
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1"Story = ❑ On-site Prefab
e. 2"d Story= ❑ Off-site Prefab
f. '/z 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 Applicable
❑ ❑ Permit Application
❑ ❑ Proposed Bui ding Plans
❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form
❑ ❑ Survey(meeting all requirements)
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation(s)
❑ ❑ Septic System Site Evaluation Report
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Improvement Plan
❑ ❑__ En ineered Plans for Retaining Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ 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.
Applicant's Signature. Date:
Owner's Signature: Date: f
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: 10(,'% T A M1ARAGe-
Pe Description of work: l eR-C'o LA
Septic review by: Al/A Date Approved:
Zoning review by: 0• Date Approved:
Building review by: Date Approved: -7-'Z 3- 7--01-3
Grading review by: N�� Date Approved:
Zoning District: R.R' I Zoning File#: — Reso#: — Reso Date:
Zoning: Lot Area: 3 .044 SF/AC Width: 304 Lot Coverage: N 1A► SF _%
Survey Submitted: Ales 0 No Date of Survey: It-Z5-(816 Revised date(?):
Proposed Setbacks:
Front(Lake) Rear(Street) (� S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: C?+1c Peak Height: FFE: FFE minus 6 feet= xisting Contour)
Perimeter(linear feet)= 50%= #of Stories Ok? 0
Fbg,A BUILDING WITH A BASEMENT OR CRAWL SPACE:
The distance between the lowest FOR A BUILDING O SLAB FOUNDATION:
START WITH proposed floor(of the basement or crawl
space)and the highest point of the roof. The distance between the top of lab<and
ART WITH the highest point of the roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the highest point between the highest point of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF GABLE OR HIPPED ROOF(with (BASED ON + GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of a between the top of the highest
ighest window and the hest window and the highest point of the
t of the roof roof
ALL OTHER ROOF TYPES(flat,
• ALL HER R F TYPES(flat, mansard,etc):No subtraction.
manna e .No subtraction. ADDITION Add the distance between the top of slab
SUBTRACTION Subtrace
to between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING baseme spa oor and the EXISTING the foundation.
GRADES) high grade a ' cent to the GRADES
fo ation OR 10 feet(whi ver is less). EQUALS Defined building height
EQUALS fined building height
Shorelan istrict MCWD Permit Received vera a Lakeshore Setback Met? Bluff
1] Yes 0 No ,8'� N/A 0 Yes No
A No es 0 No CCN/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Req ul CUP Required
OverlayDistrict Tier Hardcover Hardcover
I 0 Yes 0 0 Yes 0 No
Type(s): Type(s):
Updated: January 2013
v:\forms\pian review checklist 2013.docx
REMARKS (in-house):
Fees to be Cha ed
Plan Review ✓
Investigation Fee ✓
Other(specify)
Square Footage $per Square Footage
Basement X = $
1'4 Floor X = $
2"d Floor X = $
Garage X = $
oc�
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Pe rmits
0 Site 0 Plumbing 0 Grading/Filling 0 Well
0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
Z'Footing 0 Septic 0 Water Connection
0 Poured Wall 0 Fireplace 0 Sewer Connection
0 Foundation Survey 0 Masonry 0 Lawn Irrigation
0 Radon Rock Bed 0 Mfg.
0 Framing 0 Other(specify)
0 Insulation
0 As-Built Survey
7Final
0 Wetland Buffer
0 Other(specify)
y
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: 0 YES 0 NO
OFFICIAL REMARKS -TO BE NOTED ON PEfRMIT AND INITIALLED
Updated: January 2013
v:ftrms\plan review checklist 2013.docx
ORONO COPY
July 17, 2013
RE Planned wooden pergola structure at 1065 Tamarack Drive, Orono, MN 55356
To Whom It May concern:
Please see attached diagram of our planned wooden Pergola project which will be adjacent to our home
at 1065 Tamarack Drive, Orono, MN 55356
Dimensions: 12'W x 16'L x 8' H with four concrete footings and structure will be placed 2 feet from the
house wall. We have notified appropriate utility companys to come and mark. We are hoping to
complete project within the next month.
The estimated project total costs: $800
Kindly,
Dean and Jeanine Reder
1065 Tamarack Drive
Orono, MN 5535//6
95473-1097
Z(L�p-" �
I(EVIEV0 ED forfD 9 COMP IA ,
PLAN CHECKED B DATE
SKETCH ADDENDUM
Re No. 106082
Borrower Roder
Property Address 1065 Tamarack Dr
city Orono County Hennepin stale Mn Do Code 55356
LerdwCNent Custom Mortaaae Address 11100 Wayzata Blvd 25 Minneton_ki MN 55305
Rambler
71.w
pyft Bath Bedroom
LMV Room
Bath
KW= 9NM
18.0' Bedroan Bxkoorn
q b
b, Fwrdy o
28.(Y
�C
(o Bath Laundry tb
Q y Den
O C`L j
_ Z�-
23.0'
&NN NWYtlnw��
Comments:
AREA CALCULATIONS SUMMARY LIVINGAREA BREAKDOWN
code Oosaiptlon size NdTogds &wlFtioYrn y
�— � easlrG rsr,c floor
aa.o--.- ► —aeon&
TOTAL LIVABLE (rounded) IMP. 3 Calculations Total(rounded)
CkWOffin PAW EMtft 4P16d 6o imm by&acmd T*Wcbpbs(800),=44
�
—� N =?� TE TIM
e_
TE
OF ORONO CALLED IN �J
INSPECTION I SCHEDULED - `l:,3
PERMIT NO. 'XN')C LETED /
ADDRESS
OWNER TELEPHONE NO - y
CONTRACTOR Q��'
DESCRIPTION � A/
t ❑ FOOTING ❑ PLUMBING FIL ElEXC GRADING FILLING
Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
ti ❑ FRAMING ❑ MECHANICAL FINAL
O [-I TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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a
O
W
cc
Q
2
W
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LU 11!1 QRK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on si
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE y1ME V
INSPECTION NOT E SCHEDULED
PERMIT NOLO A �7O L
_ COMPLETED If
ADDRESS�Io65
OWNER TELEPHONE NO./P/Z(0009G(P7s
CONTRACTOR 4Q
DESCRIPTION v 44ta--e 6 e.
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
2
El INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
UK ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
cc
0
2
W �. 5,.. e S A-c�•'�nr�i
Q
z
W
Z
W
cc
J
W ❑WORK SATISFACTORY:PROCEED NROJECT COMPLETE
W CORRECT WORK&PROCEE ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. — L--�;;IswT
White Copyllnspector's File Canary Copy/Site Notice
,Z) POR
Certificate of Survey
for Steve Peterson
of Lot 3 , Block 1 , Underhi11 Farms
Hennepin County , Minnesota TRIS Irani /,'I -S BEEN
WROFILM
D
33' 33'
v�n1,ID A"
• /8�.9Z
on NoKO
Copy
CITY Of ORONO
" SITE PLAN GRADING PLAN
3 [eAPPROVE.D 0E1*f-«(5_0 (04nAy
y C ❑ APPROVED WITH REVISIONS
❑ DISAPPR E
BY
Ex,yiTotuirney
DATE Air!
CITY
OF
-
0 0
SITE PLAN G DING P N
9 APPROVED-t 2 x1b P C'0"
❑ APPROVED WITH R • EONS
�:o,,� ��� z ❑ DISAPP ''D
aY
•�/
ti f/n t✓a f c E Ca dscfvut'✓\ DA 1T
E
css� - 33 33'
{� V=�'oY"J7" T I
`ouiv�� /3i.3� /moo-B9
I hereby certify that this is a true and correct representation of a survey of the bound-
aries of Lot 3 , Block 1 , Underhill Farms and the lopation of an existing house and barn
and a proposed addition to the house . It does not purport to show any other improvements
or encroachments .
COFFIN R GRONBERG , INC .
Date 11 -25-86 Mark Bron e-T� rg Mn .LIc.No .
Scale : 1 " = 100 ' Engineers , Land Surveyors , Planners
o Iron marker Long Lake , Minnesota
CITY OF ORONO
. SITE PLAN GRADING PIAN
APPROVED
0 APPROVED WITH REVISIONS
i i CIS ` I ,0'u.r
_- 1��I ,r i
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