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HomeMy WebLinkAbout2011-00339 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00339 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/14/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRtSS 220 WAKEFIELD RD PIN 36-118-23-31-0010 LEGAL DESC WAKEFIELD FARMS 2ND ADDN LOT 001 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 140,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) ADV.PLAN REVIEW WAS PAID 5/13/11 ON PERMIT#2011-00338 IN THE AMOUNT OF$842.89. ESCROW FEE OF$2,500 PD 2011-00601 APPLICANT PERMIT FEE SCHEDULE 1,296.75 LECY BROS CONSTRUCTION STATE SURCHARGE(VALUATION) 70.00 15012 HWY 7 MINNETONKA,MN 55345 TOTAL 1,366.75 (952)746-3783 Minnesota State License#:20325555 OWNER DAVIS,RICHARD&BETH 220 WAKEFIELD RD 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 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 ted in conformanc t tate Building Code.This permit may be revoke at any time for e use. M Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono t Building Permit Application for New Structures or Additions Mailing Address: Qv 0 PO Box 66 Permit number: �p / — p -j Crystal Bay, MN 55323-0066 Date received: Street Address:' Received by: o~ 2750 Kelley Parkway Plan review fee: p , p 5 �t9kE3H�4� Orono, MN 55356 a0 —t01_??_3 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 1 7S This application form must be completed in full and all required information must be subhflfted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: O W0,ke-1p, ,e(CA Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes K 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: l.e-c.yr State License# `)p i&cS Expiration Date: a-:a ,- la Phone: aSa- 3 office cell Mailing Address: i Sdla Cit , ZIP: Contact Person: ; t S L-;X0 %"a,i7 Applicant is: ontract / Homeowner (circle one) Email and/or Fax: nvi cam. I y PROPERTY OWNER INFORMATION: Name: (R t C L I- Phone (day): Address: City' tf� � ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: Citv- ZIP Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & 2 ®New Construction Single Family with S Residence Water Supply Addition attached garage ❑ Garage/Accesso ❑Accessory Building El Single Family with El Deck Accessory Bldg. ® Public Sewer ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) le ❑ Multiple Family/Condo ❑Warehouse rei'•11V ❑ Public ❑ Storage Public Water "Any earth movement may require ❑ 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.oro Estimated Construction Valuation (excluding land) $ i 401000 Last Updated: 9/29/2009 - 17- STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= —_—_ _ --Number--©fbedrooms-____. _.. {3 Wood/Frame ❑ Masonry b.Width(ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= [I ICF ❑On-site Prefab c. Basement= E] Off-sitePrefab d. 1St Sto X 11 8 F it 414 Adder ry = 4 x $ K�♦che., bdv%" El Other(please specify): e. 2"d Story= f. '/Story = g.Total Area= Iq_ REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable 19 ❑ Permit Application ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form �l ❑ Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above S ❑ 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; • 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. Applicant's Signature: AAL Date: S-13- 11 47 Last Updated: 9/29/2009 - 18- Plan Review Checklist for Nenw� Structures / Additions Address/ PID/ Legal: �2, Description of work: ar ` Septic review by: L"_j Date Approved: Zoning review by: Date Approved: 1 Building review by: Date Approved: Grading review by: IVt( Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: )(No Survey Submitted: 0 Yes Date of Survey:Pro osed Setbacks: Front Lake) ) N Side W ) ( N Side W ) Other Buildings Wetland OD ' ( I-7' Building Defined Height: Building Peak Height: #of Stories Ok.. YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the mansard roof,or the uppermost point on a round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab 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 building height Lot Coverage: SF % Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff 0 Yes 0 No 0 N/A 0 Yes No 0 Yes 0 No 0 Yes 0 No /A Permit Number: r Setback: Hardcover Zones Existing Proposed Variance R uir CUP Re 0-75' 0 Yes No 0 Yes No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): VV rVl 1�s�eti1'' (/✓a v�P 0� —Nl�. Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit' yr Plan Review :StaW' iurcharge , Investigation Fee '=:SAC tiNumber of S;AG;Un'its Sewer Connection I1Na ,lon Park Fee sitealnspsction Other(specify)sp ecify) SMiscellaneous-Fees; Calculated By: Square Footage $ per Square Footage Basement X = $ 15t Floor X = $ 2nd Floor X = $ Garage X = $ v Estimated Construction Value: $ 1 -/0, D o 0 Orono Inspections Required Work Requiring Separate Permits Required State Permits O SitePlumbing 0 Grading/Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire XElectrical 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. Framing 0 Other(specify) insulation 0 As-Built Survey Final 0 Other(specify) REMARKS On-house):- 60 161O Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) 6) e�Gy)-j i-ecZ w Gi-coV Updated: 09/11/2009 z:\forms\plan review checklist.docx ' B\ CD / CD CD C17 Al 9 s O0 o �i 6 m = "Cg-n - � C rn N / Z m z c' i ' i New Construction Energy Code Compliance Certificate Par NI 101.9 aeildins Catifiewe.A bildins oorificate"I be posted in a pensarondy visible location inside the boldins.Into Oeste Certificate Pasted cemficm*411 be completed by the Wider and sw list Wwreadon and values of components Iismd in Table N1101.9: Maliot Address of the Dwelling or Dwelling Unit 22.0 W(C k&4IC(� R an (0rono Name of Reeddeadal Contractor MN Lkewee Number L.�c p os. orv�e5 Z03Z5555 THERMAL ENVELOPE Ic DON.SYSTEM Type:Check All That AP,y r CL. Passive QVo Fan) 0 a r T Atxlve(Wldtan wd mawmeter s iri Q7 u U Insulation Location > z 9 K w w .q `o O .°4 e o E m m is. rz m iJz it Other Please Describe Hero BdowEhtireSiab -aw r _ 5''IF"- ...a -;�!s'. blegai Foundation Wall Types to-,. N,rt htarlormmerbrar. sir Perimeter of Slab oa't;radeAt y'.'] � .� : �.4. Rim Joist(Foundation) r�y� ... ,�• 7 eerlorar Rim Joist(1" :qR `. P :. '4. 'Y Type If110Ca11afC 1f14flnr •`^ .._. .. _ ...-.._.:.-.... :--• _, r:.-r• •(n.loOUtSitiatlidibC..:. :�.. ':,:. 4' Wall ' 4 - 7 y R ir. Ceiling,vaulted 1 Bay Windows or eanttiCYlred arlaS,.: t L' + y ;1 t ��' z s Bonus room over pmge _- x, Descnbeothecwiaioteidareas .: E j'}r'nxhm' -.`4�a�t,4t "L Windows 3 Doors HHeating or Cooling Ducts Outside Conditioned Spaces Average U-Factor Omcludrj jWW&and one door)U: I 11 INot!Wli-bl-.all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): R-value MECHANICAL SYSTEMS Make-up Air Select aT)pa Appliances Heating System Domestic Water Heater Cooling System Not required per meth.code iu il TYPI _..: Passive Manufacturer Posed t r *+ c =t . ,t r , �,r yes �,, Interlocked with exhaust device. Model , * ail wJ r 11 * .� t r t .. _ _..-...=r .. loput in eapaetry m Gtttput in Other,describe: Rating or Size BTUS: Gailoas: Toes: Htatfbss FTS Hat *}� Location f Loca'ono duct or stem: ay Strneture�s CAIt alattd -J AFUE or SEER HSPFX Calculated Efficient .00N load: Cfm's round duct OR Mechanical Ventila on System"_`-------__ ....—.______..... --.—... .__._.__17"duct Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a ur a heat pump with gas back-up furnace): Not required per meth.code Sdect Type Passive Heat Recover Ventilator(HRV) Capacity in cfnis: Low: High: Other,describe: Energy Recover Ventilator(ERV)Capacity in cfms: Low Hi Location of duct or system: Continuous exhaustingfan(s)rated i in cfms: Location of fan(s),describe: Cfin's Capacity continuous ventilation rate in cfms: a round duct OR Total ventilation(intermittent+continuous)rate in cfms: 4 metal duct K�__3 - DA TIME V CITY OF ORONO CALLED IN 7 INSPECTION NOTICE SCHEDULED PERMIT NO,�&/>- 4!039 COMPLETED ADDRESS v� r�-t "el OWNER LEPHONE NO.� CONTRACTOR ] S DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W Q. J U O cc O W W QC Q 12 2 W W W �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins i n 24 h.^ v ce. (952) 249-4600 Owner/Contractor on si41 Fq F 7 v - u Inspector. White Copyllnspectoes File Canary Copy/Site Notice D TE // TIME CI OF ORONO ALLED fIN INSPECTION NOTICE SCHEDULED PERMIT NO.,2L- / COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR > DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL LJ ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O [_1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB CYEI WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO C) COMMENTS: Cr W C 0 cc L r. Q �A-ioll , LU 0 re C, W r1/ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Ll PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED if� INSPECTION NOTICE,,, q SCHEDULEOO PERMIT NO 020!1 COMPLETED ADDRESS 4'7120 Z1)0.ke 7cz P—& OWNER TELEPHONE NO.4,12 7D3 Zzbe CONTRACTOR LPC—e4 -5 > DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 v ❑ PLUMBING RI ❑ SEPTI FINAL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TOMEET YOU: YES_NO COMMENTS: cc LU a O O CC O U_ w QC Q Z w w cc O w RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w 11 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (952) 249-4600 Owner/Contractor t Inspector. White Copy/Inspector's File Canary Copy/Site Notice 3 c _ TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / PERMIT NO. 9 COMPLETED _ ADDRESS OWNER TELEPHONE NO - 70 CONTRACTOR >: DESCRIPTION ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING tv- Q ❑ POURED WALL ❑ MECHA ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALI/ ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: Cc W C, cc J O a O U_ W Ct Q 2 W z W QC d Lu ElWORK SATISFACTORY:PROCEED P<PROJECT COMPLETE W ❑CORRECT WORK&PROCEED -❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site: Inspector. 4��mS White Copy/Inspector's File Canary Copy/Site Notice