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HomeMy WebLinkAbout2012-00882 - addn/remodel/repair CITY OF ORONO * 2 0 1 2 — 0 0 8 0 2 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 245 TONKA AVE PIN 05-117-23-13-0050 LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK LOT 000 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 800.00 NOTE: 3'LANDING&STAIRS TO GROUND NONENCROACHMENT PER 78-1405(3) APPLICANT PERMIT FEE SCHEDULE 34.75 MCCARTY,MARY 245 TONKA AVE PLAN REVIEW 22.59 LONG LAKE,MN 55356- STATE SURCHARGE(VALUATION) 0.40 TOTAL 57.74 OWNER MCCARTY,MARY 245 TONKA AVE 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 requested in conformance with the State Building Code.This permit may be evoked at any time for due cause. ApplicanoernAitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono c Building pp Permit Application !a�` for New Structures or Additions _ Mailing Address: Permit number: O•g,O,�O� Cr B66 Crystal Bay, MN 55323-0066 Date received: Received by: Street Address 2750 Kelley Parkway Plan review fee: 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: 0 S TD n i�G� �1 k L, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ZNo 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. (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: e- fy)4ArW Phone (day): &_ 1 S'j Address: It_- City: ZIP: 553SLO Email and/or Fax (� VY1CC'/lr�ii l.�% CL1YY� 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/Accessory 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 I G 4- Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) - 18202 Minnetonka Blvd 5ta Irl? r�U � 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 J a. Length (ft.)= Number of bedrooms = ❑Wood/Frame t b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1 st Story = i ❑ 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 Applicable ❑ ❑ ! Permit Application ❑ ❑ Proposed Building 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 ❑ ❑ ; 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. i / Applicant's Signature: C Date: Owner's Signature: Date: Plan Review Checklist for New Structures /Additions Address/PID/Legal: Z S TO Iv(C A Au i✓ Description of work: 3 K 3 C.AN 5:- Septic Septic review by: /4_-/A Date Approved: Zoning review by: DateApproved; Building review by; Date Approved; -- I Z Grading review by: Nl/-(- Date-Approved: Zoning Fife#: Resolution#: Resolution Date: Zonis ;District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width- Depth: Survey'Submitted: D'Yes .D No Date ofSurvey:, Proposed•Setbacks: =: `Front(L-ake), Rear(Street) ( '"N S 'E ,>4i11 ) ( N S E W ) OtherBuihfings Wetland w . Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: D YES FOR A'BUILDING WITH ABASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDA-rioN: START WITH the distance between the basement#loor/crawl START the distance betweenthe slab andthe highest space floor and the highest roof peak,the,top of - WITH roof peak,the top of the comice of a flat roof, the:cornice of a flat roof,the,deck line of a the:deck line of a>mansardcroof;nr:the mansard 7roof,or the uppermost point on a round uppermost point on round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance betweenthe highest window highest roof:peak of a, itched roof and highest roof:peak of pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between thesiab and the highest space floor and the highest existing grade within existing rade within the foundation the foundation or 10'feet,,whichever is less. EQUALS Defined building height EQUALS Defined-buildin height Lot Coverage: SF Shoreland-District W.C.WD P-ermit Received Avera e=Lakeshore:Setback Bluff _M Yes 0 No D -N/A M Yes D No 0 Yes G No D Yes 0 No n N/A Permit Number: Setback: HardcoverZones Existing Proposed Variance Required CUP_Required 0-75' 0 Yes D No D Yes D No 75-250'. Type(s): Type(s): 250-.500' 500-1:000' REMARKS (in-house): A/0�1 e/11VW&C I-4ME/V T 46-2 :29- 11f0:5 t 3) Updated: 09/11/2008 z:\forms\plan review checklist.docx Fees to be Charged 'YES I\IO y Plan Review Investigation Fee Sewer Connection 11-1 Park Fee 1- 111 Other(specify) ill!ill ii Ell Calculated By: Square Footage $per Square Footae Basement X 1 n:Floor X = $ 2nd Floor X Garage X = is EstimatedConstruction Value: $ g06 Orono Inspections Required Work'Requiring:Separate Pen,nits Required State Permits 0 Site D Plumbing 0 Grading/Filling 0 Well 'D Hardcover Removal 0 Mechanical 0 Fire 13 Electrical 10 Footing 0 Septic :,D Water Connection 0 Poured Wall 0 Fireplace 13-Sewer.Connection 0 'Foundation Survey 0 Masonry 1 Lawn Irrigation 0:Radon Rock Bed' 0 Mfg. Framing 0 Other(specify) D insulation 3 As=Built Survey W Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date-Approved: Access:Existing: 0 YES D NO New: .0 YES .0 NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/20139 zAtormslplan review checklist:doac GOODIN COMPAN REND COPY �fl�io�sa�es^s PLUMBING•HVAC•PIPE•VALVES•FITTINGS•WATER WELL•INDUSTRIAL SUPPLIES www.goodinco.com polis St.Paul Duluth Detroit Lakes St.Cloud Brainerd Sioux Falls Fargo Rochester Eau Claire 1-7811 (651)489-8831 (218)727-6670 (218)847-9211 (320)259-6086 (218)8284242 (605)332-3444 (701)298-3210 (507)529-1284 (715)830-1800 RE_SIDENT{AL_CLIARDRAIi_S Unenclosed floor and roof opening,open and glazed sides of landings and ramps, balconies, decks or porches which are more than 30"above grade or floor below, require a QUard with a minimum 36"height. Open guardrails must have intermediate rails c an ornamental pattern so that a sphere 4" in diameter cannot pass through. STAIRWAYS Stairways 7 3/4" maximum rise, 10" minimum run; Install a handrail on one side of the stair 34" to 38" high, continuous and uninterrupted full length of stairs, handrail ends shall be returned or shall terminate in a newel post of safety terminal, minimum 6'-8"headroom �. p�V (At 14 LV 9 r 4Z �I T re O TIN (0 s i i RE . ry > .� fd ht W'.e N`Y1FI� �li7 S7P�(frw__,•' vl G:. � ��G"4 a ksi�+os` PLAN CHECKED 13 DATE_?•7— /Z y�us 1 S no-f Su��►C�i��-F . �(M'�/� S�aI I'S -7 b3� rv- 3 I k "� a 4 } i 4 � 5 r 3 �h 1 ti .� :Y;wy�.e«...w�w„ .,,,..,,,,,�,w'1�yC"..-U«.-1 'M �'��• �C N� J. Air tm Lk 44 ' k qyh j 0, AP fi F 4 u• '� F Y Y. . ,3'X3 land�n� d2X8 �reen � oi�orsts 6 Ouar� �fi`�°� de�lCt� �a� �slf �'amin� -�dr Iand�n9 Onfa house, Ax I 5uPPor15 al o�WQ. (Is /3o '•� � Pp Ca►��r�� 3l 5P � /andt/ gf 5frrs a?957m!'A flu V CITY OF ORONO CALLED IN TE.t_,� TIME INSPECTION NOTICEGSCHEDULED � - 12 PERMIT NO.QkL o COMPLETED ADDRESS �- OWNER TELEPHONE NO,61 CONTRACTOR a DESCRIPTION I- ❑ FOOTING ❑ PLUMBING FIN ❑ AV/G DING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R ❑ LA E/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL El SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Cc W 0. cr, 0 LL W CcQ Z 2 W Z ❑WORK SATISFACTORY:PROCEED L/ NTROJECTCOMPLETE Cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ElSTOP 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 site: Inspector. White Copynnspectoes File Canary Copy/Site Notice 6 3571 �I CERTIFICATE OF SURVEY FOR MARY Y McCARTY OHMONOY OF LOTS 3, 4, 5, & 6, BLOCK 3, BAYSIDE ADDITION TO LAKE MINNETONKA HENNEPIN COUNTY, MINNESOTA 96s.9 — N 69146 W 9 •/2325 9 40 f RGP�JfA D.tlt/E' O d p W 8.0 o Qq53 Z LU '7.0g > 4.0 9s9.° 8 Proposed, o .o DN Nouse 161" ti,-- _ N 90.53 ' _ n � 95o.oI (953.3 ° 9so.1) N, v b-(9+7.6) O O t Z 2 </� i ' (94-c.5) Z t , 40 0.2r N 89046'W /25.25 Legal Description Lots 3 , 4 , 5 and 6 , Block 3 , "Bayside Addition o Lake Minnetonka" . This survey shows the location of the boundarie of the above described property and a proposed house and garage thereon It does not purport to show any other improvements or encroachments . Pio/olEO J6,9 Fx/rr,vc (956.9): v of eleation CITY OFORONO j o. Trop riarker set DING SITE PLAN GRADING PLA � • : Iron marker fo��nc? x3 C��7 -t ,S � Bearings shown are based on an assumed datum. APPROVED 3 0 APPROVED WITH REVISION /.IOPOfFD EL F//il t//✓J ❑ DISAP f 0 ' D 0 "X A 4 F = 96/.o By . Z� To.oFF� 96..3 DATE ' 3) 8,11'Fa Fvr- � 953.3 for,l.cFe - 2S, oSo_<1Q.F� I hereby certify that this survey was prepared by me or under my direct super- 9 ZI_s9 1 1 vision, and that I am a duly registered Civil Engineer and Land Surveyor under 9-/� 99��✓f• rA.,Nrnfnw.. /i the laws of the State of Minnesota. �" _ sca,t.E 30' ,OB NO. 94-20 Mark S. Cronberg Minnesota License. Number 12755