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
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CERTIFICATL OF SURVEY
FOR WILLIAM C. & ELEANOR L. FERRIL
LOT 2, 81.00K 1 , WAKEFIELD FARMS SECOND ADD
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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:
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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:
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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:
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Wcc ❑WORK SATISFACTORY:PROCEED � �ROJECT COMPLETE
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❑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
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Inspector. i,, r�
White CopylInspector's File Canary Copy/Site Notice