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HomeMy WebLinkAbout2009-00572 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00572 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/17/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 320 WAKEFIELD RD PIN 36-118-23-31-0014 LEGAL DESC WAKEFIELD FARMS 2ND ADDN LOT 005 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 10,000.00 NOTE: APPROVED BY:LYLE OMAN DECK EXTENSION APPLICANT PERMIT FEE SCHEDULE 191.75 HEATHERWOOD DESIGN&BUILD,LLC PLAN REVIEW 124.64 P.O.BOX 358 MAPLE PLAIN,MN 55359- STATE SURCHARGE(VALUATION) 5.00 (952)472-1600 TOTAL 321.39 Minnesota State License#:20636246 OWNER CIBUZAR,MARK 320 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 revoked at any time for due cause. Applicant Permitee Signature Date Iss-66'� ue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK orHER THAN DESCRIBED ABOVE. Sep-03-2009 02:55pm From-CITY OF ORONO +9522494616 T-770 P.001/002 F-911 City of Orono Building Permit Application for New Structures or Additions Mailing Address; PerMhviniber: Z CSU - vZ p Cr Box Be Crystal Bay,MN 55323-0068 Date•reeeivad: ,a Street Address:' tecehredby: ? a` 2750 Kelley Parkway Rlap:r'Newfee;. Orono,MN 55356 Total�Fss. • . •�� �:t., 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 prino .GENERAL INFORMATION: Job.Site Address: 'AQO �jjmr_ IEi-o 1& 2 , \tAYzATA M553ctI Will this be a Parade of Homes, Remodelers 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 suffFclent onsite parking is available. Non permitted events 00 net be allowed, CONTRACTOR 1 APPLICANT INFORMATION: Name: H T Eft W00Q D SICK4&0 L L C- State License ANUMNOW Q0 6.3,CExpiration Gate: 31, to Phone: - office cell Mailing Address: P6 nmt Asr Ci :MA )„AIN ZIP: 653 Contact Person: AC=M Applicant is: ontrac o / Homeowner (cimie Ons) Email and/or Fax: bill&>bg:kYgr,%6CM& _f O on PROPERTY OWNER INFORMATION: Name: M Ay-►c Ct wi-A&S Phone(day): I b l z_- 3 - $q":A Address; —aim V City: WAYZA'm ZIP: !jsl Email and/or Fax markcjhU-.Lo.rQ Cpl.WM ARCHITECT I 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 Cl Single Family with ❑ Residence ❑Addition Attached garage Garage/Accessory Bldg. Q Public Sewer Q Accessory Building ❑ Single Family with i Deck 0 Relocation detached garage ❑Office/Commercial ❑ Private Sewer R Other.(specify) ()at k El Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage Q Public Water "Any earth movement may require 0 Commercial ❑Other(speclfy) MGWLTi"revlew;�permlts:---------•- ridUstrial-- —_...---- -Ptivate•Well—....—._ -...,....,, Minnehaha Creek Watershed District(MCWD) (] Other:(specify) 18202-Mipnetonka 131+d Deephaven,MN 55391 Phone, 952-471.0590 Fax: 952-471-0682 www.Minnehahacreek,prg Estimated Construction Valuation (excluding land) $ 10,000 Last Updated: $/=009 -19 Sep-03-2009 02:55pm From-CITY OF ORONO +9522494616 T-770 P.002/002 F-911 STRUCTURE INFORMATION: 1,Structure Dimensions 1,Structure Dimensions(continued) 2.Type of Construction a.Length(fk)= Number of bedrooms= ®Wood/Frame El Masonry b.Width(ft.)- U+ Number of garage stalls: © Metal Attached= Pole Bldg. Areas in souare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= Off-site Prefab d. 14 Story = [� Other(please specify): e.2""Story f %Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to beprocessed: a^' PEn ace 'Tici ble.1 ❑ ❑ Permit Application ❑ ❑ Proposed Building Plans Q ❑ MN State EneEgy Code Calculations and Mechanical Code Requirements Form ❑ 17 Survey(meeting all uirements ❑ Cl Stomtwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit Q ❑ Wetland Buffer Improvement Plan ❑ ❑ I En ineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee 0 ❑ I Other APPLICANT,ACKNOWLEDGEMENT: -t. 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 submitdng a complete application being aware that upon failure td do so,the staff has no alternative but to reject it undl it Is complete; « Acknowledges the Escrow Agreement is completed and signed; t 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 infonnadon which generally cannot be given to the public but can be given to the subject of the data. Confidential date 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 refusa to supply the Information,the application may not be issued. Applicant's Signature: Date: Last Updated: 5/22/2009 -20- Plan Review Checklist for New Structures / Additions Address/ PID/Legal: 320 t2-0430 Description of work: (0 eue- crX rt75 j';A 1 Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning File* Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zonin Lot Area: SF/AC Width: Depth: Survey bmitted: 0 Yes 0 No Date of Survey: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings etland Side Side Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: FOR A BUILDING OSLAB FOUNDATION: ',04START the distance between the basement floor/ START the distance between the slab and the WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or point on a round or other arch-type roof other arch-type roof SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a pitch window and highest roof peak of a roof itched roof SUBTRACT the distance between the baseme floor/ the distance between the slab and the crawl space floor and the high,p9t existing highest existing grade within the grade within the foundation r 10 feet, foundation whichever is less. EQUALS efined building height EQUALS Defined building hei Lot Coverage: SF % Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff 0 Yes ;103Z 0 Yes 0 No 0 N/A 0 Yes 0 No 0 N/A 0 Ye 0 13 Yes Permit Number: Setback-, Hardcov Zones -Existing Proposed Variance Required CUP Required -75' 0 Yes 0 No 0 Yes 0 No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Nb ?o,jW Updated: 07/01/2009 z:Vorms\plan review checklist.docx Fees to be Charged YES NO Permit Plan Review State-Surcha, e Investigation Fee SAC--'Number of SAC Units Sewer Connection -later�onnection Park Fee Site Inspection Other(specify) Misceilaneous Fees Calculated By: UBC: !Z- Construction Type: Square Foota e $ per Square Footage Basement X = $ 1 Floor X = $ 2r'a Floor X = $ Garage X = $ Estimated Construction Value: $ 10.0000 Orono Inspections Required Work Requirinq Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/ Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical ,0"Footing 0 Septic 0 Water Connection 0 Foundation Survey 0 Fireplace 0 Sewer Connection AT Framing 0 Masonry 0 Lawn Irrigation 0 Insulation 0 Mfg. 0 Wall Board 0 Other(specify) 0 As-Built Survey Final 0 Other(specify) REMARKS (in-house): 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) Updated: 07/01/2009 zAforms\plan review checklist.docx K� ✓ TIME CITY OF ORONO CALLED IN O - � INSPECTION I SCHEDULED rjF. PERMIT NO. �57�co PLET - k ADDRESS — I PI /00-1 OWNER CO R. / TELEPHONE NO. D< DESCRIPTION Lt FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL U LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O cc O W W cc Q Z W Z W rz O Luh VORKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP 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 s' Inspector. White Copyllnspector's File Canary Copy/Site Notice 1� DATE TIME CITY OF ORONO CALLED IN �0�b INSPECTION NQ TIC SCHEDULED PERMIT NO. ddb —�S7�COMPLETED ADDRESS 3 7-it'2 We*4Adld OWNER Q CONTR _ 4, TELEPHONE NO. I=Z 5Z1/e O A/ /Q DESCRIPTION ;��G -60eci_1 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C O cc O W W cc z ►� 2; AA 'U v. 5-�-- Wa _ QC d tum ElWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W A::�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice T/1=/G* / ;e a,�_ SU` 1/EY 411CROFILMED CITY OF O R O N O 3alO Wa-tefl mf lei o �K 4 NAkEF�ELhF,4,QW16 2/vo Aph BUILDING =RMIT PLAN 77 ,B1- REVIEW 7�»r S TEPNE'N LoN�MAN c'oNST7e[�cT/oN INSPECTOR DATE j *2 - PERMIT NO. RON KRUEGER & ASSOCIATES, INC. El APPROVED AS SUBM}TTED LAND SURVEYING • ENGINEERING • PLANNING /9 APPROVED WITH CORRECTIONS AS NOTED _ ;140 FLYING CLOUD DRIVE • EDEN PRAIRIE, MINNESOTA 55344 •PHONE (612 .941-3030 0 NOT APPROVED — CORRECT & RESUBMIT CALE /� = 40 REVISIONS DRAWN BY DATE These comments are for your information. All work shall be done ATE DEG /Z / /983 tIn full compliance with aN Applicable building & zoning code re- � CK'Dquirement�s Including items not speciflcatly noted in this review. B ,2MS NO. d--7-77 L/C — KEEP THIS PLAN SET ON SITE AC TIMES. OB / __ _ EC. 34, T. //B R. 23 - BOOK ¢/¢ PAGE �,eOPOSEQ EL E V,4 7i0�^.1 S 5GA L E 1'1=40' LOWEST FLO�o,2 - /04. S � a�� Assu10ED' ELE v, of /oo,00 - �D ; on/ TO,o of I-/NE �GJIj. pE/voTES oQOPOSEp ELE1i.AT/O/�/ 0 t m 013 ` — //.? rlo¢5) ORONO cod I I _� � oiQ0�5ED f-1CXJSE � _- s CP OF ORO�O N I /3 ) s -- 22. i3o .5) � SITE PLAN GRADING LAN Q N f� -21 ,4010 PPROVED ,-n -t,, o..-I � e m ❑ APPROVED W1TN REVIS10N6 0 DtSA R ED s BY /o / DATE - o r- `` 5.33. 45 2-ST r-)e NouSE