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HomeMy WebLinkAbout2010-00491 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00491 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 240 WAKEFIELD RD PIN 36-118-23-31-0011 LEGAL DESC WAKEFIELD FARMS 2ND ADDN LOT 002 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : PORCH RESIDENTIAL ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPARATE PERMITS MAY BE REQUIRED: ELECTRICAL(STATE) REMODELING OF EXISTING DECK AND SCREEN PORCH. APPLICANT PERMIT FEE SCHEDULE 574.25 PATTERSON CONSTRUCTION STATE SURCHARGE(VALUATION) 20.00 1044 EAST LAKE ST TOTAL 594.25 WAYZATA,MN 55391 (952)473-7623 PAID WITH CC# 9884 Minnesota State License#:20131016 OWNER FERRIL,WILLIAM&ELENOR 240 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 requested in conformance with the State Building Code.This permit may be rev ed at antime 11of du ause. /U plicant a rte Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application Jrq �S' for New Structures or Additions Mailing Address: O�l0_z �+0.11 PO Box 66 Permit number: 01 0 Crystal Bay, MN 55323-0066 Date received: - Street Address:' Received by: �Gti 2750 Kelley Parkway Plan review fee: If ESH04 Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: l Job Site Address: Q e �` al Will this be a Parade of Homes, Rem-ode ers 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/APPLIQANT INFORMATION- Name: A- L�SoR! c�1� State License # p 13 jig ,( Expiration Date: �� Phone: 4W q — office — 41-5 cell Mailing Address: fd' City: 2ct/ Contact Person: Applicant is: ontra / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: &114- G.aV Phone (day): — y � Address: 7 ya e,-,a L fe.( d City: Q901,lo ZIP: Email and/or Fax 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 & ElNew Construction ❑ Single Family with ❑ Residence Water Supply ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with Deck 41--eaeK Pot�� ❑ Relocation 7 detached garage ❑ Office/Commercial ❑ Other: (specify)Qe.K�� ' o� C}�tS ❑ Multiple Family El Private Sewer P Y/Condo Warehouse 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 Sc Ce Fax: 952-471-0682 www.minnehahacreek.org Estimated Construction Valuation (excluding land) $ Last Updated: 9/29/2009 - 17- STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= 4;Wood/Frame ❑ Masonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 st Story = ❑ Other(please specify): e. 2nd Story= f. '/Story = 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 ❑ Propose 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 ❑ ❑ Engineered Plans for Retaining 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; • 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: Date: Last Updated: 9/29/2009 - 18 - ' ' Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: >? <-(Q C, 12ke45� e ( Description of work: h i?q /KoSe, Septic review by: Date Approved: w ` 7 I Zoning review by: Date Approved: &Z 4� o Building review by: Date Approved: Grading review by: Al) 104 Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: /,. SF/AC Width: / o Depth: Survey Submitted: 13 Yes l/Jo "ect �te of�u ey: ce�-} . r rYc4... Proposed Setbacks: ke 4-ddt1; rA1 _5,r&�,e- R�J Front (L-allte)- Rear N Side � N S E W ) Other Buildings Wetland 7y 0 �y� [Side /� �Ju ��} � /�* Building Defined Height: /)«- Building Peak Height: # of Stories Ok?: 19--�ES 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 i Defined building height EQUALS Defined building height f Lot Coverage: SF Y1 P C�y % Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff 0' 13 Yes ❑ No /A 13Yes 13No ❑ Yes No 13 Yes E3 No 13 N/A Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' ❑ Yes ❑ No ❑ Yes ❑ No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): s V //.>Wr--0„ ec /fit? Pew -3eC41SrcC0-)1-en' �--ca Updated: 09/11/2009 5,� z:\forms\plan review checklist.docx - - Fees to be Charged - YES - NO ' ermft'= Plan Review State surcharge .. Investigation Fee 51 ;+Iiiibejr sof;Sip►C`.Utiiits Sewer Connection late }Connect�on Park Fee te�nspection, Other(specify) lilisce�laeos�ees -.v - Calculated By: Square Footage $ per Square Footage Basement X = $ 1 sc Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire electrical ,0'Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. ,W Framing ❑ Other(specify) ❑ Insulation ❑ As-Built Survey ,O'Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 zAformslplan review checklist.docx N 0 0 v_� 'fl n o > > — m � 'fl 2 q omm w - m � h v 0 m o(� S CD H� i (�jX � 1 �, • a J G� D N � , 1 � 1 � � t CERTIFICATL OF SURVEY FOR WILLIAM C. & ELEANOR L. FERRIL LOT 2, 81.00K 1 , WAKEFIELD FARMS SECOND ADD HENNEPIN COUNTY, MINNESOTA SO D ,AbA.o$k (�� i / ... �5\ `•kms � P " k� V - IPA It t Y ` t � , 300.00 0 v aT a TIME V CI OF ORONO CALLED IN &/WWI W � INSPECTIONOTI SCHEDULED -�-� PERMIT NO.! O,00 COMPLETED ADDRESS a L10 a2!�-� &&IG OWNER TE HONE 0 917--` 58 CONTRACTOR D DESCRIPTION AA tu .FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C j O a cc O LL W cc Q 2 W z W cc O <WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor site: Inspector. V3 14b White Copyllnspectoes File Canary Copy/Site Notice /c (v"� ATE TIME CITY OF ORONO CALLED IN 7 �, INSPECTIONOTICE SCHEDULED PERMIT NO.-VI0�/� � COMPLETED ADDRESS a` OWNER TEL HONE NO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL AWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc W a J O cc O W cc Q 2 W z- W CC J WKWORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY O ❑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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. A White CopylInspector's File Canary Copy/Site Notice /a TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ov PERMIT N0. ;i; O j _�(��COMPLETED /I ADDRESS Uri OLL( t W OWNER TELEPHONE NO. eO CONTRACTOR ) >; DESCRIPTION / //70 r ` Uj ❑ FOOTING ❑ PLUMB4G FINAL ❑ EXCAWGRADING/ ILLING— Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVALdolV— Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT C INAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: cc W C O 7* Z4W A Q Z W W cc d Wcc ❑WORK SATISFACTORY:PROCEED � �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR F-1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onsite 1' r 0 , Inspector. i,, r� White CopylInspector's File Canary Copy/Site Notice