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
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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.
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0
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W
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2
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❑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