HomeMy WebLinkAbout2012-00246 - addn/remodel/repair CITY OF ORONO * 2012 - 00246 *
750 KELLEY PARKWAY DATE ISSUED: 04/06/2012
ORONO,MN 55356-
(952)249-4600 FAX: 952 249-4616
ADDRESS : 2985 WATERTOWN RD
PIN : 04-117-23-21-0001
LEGAL DESC : AUDITOR'S SUBD.NO.230
: LOT 006 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,500.00
NOTE: ENTRY STOOP
APPLICANT PERMIT FEE SCHEDULE 88.50
GHERARDI,RICHARD&LORI PLAN REVIEW 57.53
1010 WILLOW VIEW LANE
LONG LAKE,MN 55356- STATE SURCHARGE(VALUATION) 1.25
TOTAL 147.28
OWNER
GHERARDI,RICHARD&LORI
1010 WILLOW VIEW LANE
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
d at ime for due cause.
gAp
pr_
Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
for New Structures or Additions �d�w
Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
II ZReceived by:
Street Address:'
2750 Kelley Parkway Plan review fee:
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 b .
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: `
Job Site Address:
Will this be a Parade ofH es, 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 sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: -� 6hq_Cc..(
State License# Expiration Date:
Phone: office cell
Mailing Address: _ZA S S r -r,,,.. AP, City: o ZIP: -
Contact Person: Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: C <
PROPERTY OWNER INFORMATION:
Name: 6 _q(-&W
Phone (day):
Address: 2 � ^^ a City: o'\C),� ZIP: S> S
Email and/or Fax C�c�c—c�1�rc�l �c „o •
ARCHITECT/ENGINEER INFORMATION:
Name: ZeCIL, ;jam
Phone(day):
Address: 41 Do '�-,_ \",a\d City: i31a.,.e ZIP: 5,9%446 -
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
❑ RelocationS'e detached garage ElOffice/Commercial El Private Sewer
POther: (specify) ElMultiple Family/Condo ElWarehouse
❑ 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.or
Estimated Construction Valuation (excluding land)
Gold Medal Summer Showcase ( Tournaments I Orono Ice Arena Page 1 of 3
ono Ice Arena
• old Medal Summer Showc
Gold dal Summer Showcase
Regular 2011-
2011-12 x Regul
Seasons
"WE BELIE IN MIRACLES"
**July 26- 29th, 2012
**Boy's 1999 - 2004 Open 'vision
**Girl's U10, U12 and U14 O n Division
**4 game guarantee
**No gate fees
**Games will be played at Plymouth Ic Center, Orono Ice ena, Thaler Ice Arena, Minnetonka Ice Arena
TOURNAMENT FEE., $1250.001team n n-refu able due on registration)
http://www.oronoicearena.com/page/show/462077-gold-medal-summer-showc-2011-12- 3/16/2012
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Vyi�dth(ft.)= Number of garage stalls: ❑ Metal
"b—� > Vt" per, Attached= F-1PoleBldg.
Areas in square feet Detached= ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 1St Story = ❑ Other(please specify):
e. 2nd Story=
f. '/2 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
❑ ❑ 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
❑ ❑ 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;
• 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.
Date:
Applicant's Signature: ` Z.p�' L
Calendar I Orono Ice Arena Page 1 of 1
Orono Ice Arena Z.
lendar
Cur ntly Selected Tag(s): Match Any
Home of no Ice Arena 99 Jr Rage Gold (2012) 03 Jr Rage Gold (2012)
Select All Ta Clear All Tags
Show Tag Me
March 2012
Sunday I Mo ay Tuesday Wednesday ursdayFriday Saturday
[26-[T7 [28 --[29 1
5 F 7 18 —[i0
11 12 3 14 15 [i6—[i7
[i8 119 2 21 22 F23 [24
25 ` 26 27 28 29 30 31
Practice: 2003 Rage r : 2 -ge
Black,2003 Rage Gold IaA.2 3 Rage Gold
4:45pm-6:15pm 61d
m-6:15pm
I Plymouth Ice Center A uth Ice Center C
I Tag(s):03 Jr Rage Black 03 Jr 3 Jr Rage Black 03 Jr Rage
Rage Gold
Practice: 1999 Rage Practic 1999 Rage
Black. 1999 Rage Gold Black, 19U Raue Gold
8:00pm-9:30pm 8:OOpm-9:30p
Orono Orono
Tag(s):99 Jr Rage Black 99 Jr Tag(s):99 Jr Rage BI 99 Jr Rage
Rage Gold Gold
http://www.oronoicearena.com/page/show/233227-calendar 3/16/2012
Plan Review Checklist for New Structures / Additions
Address/ PID/Legal:
Description of work: r✓ Iy T 2y
Septic review by: 41 /1 Date Approved:
Zoning review by: Date Approved:
Building review by: vr~ Date Approved:
Grading review by: /V CA Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zoning District Fire Department Post Office School Distri
Zoning: Lot Area: SF/AC Width: Depth:
Survey Su itted: O Yes 0 No Date of Survey:
Proposed Setb cks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W )' Othe uildings Wetland
Side Side
Building Defined Height: BuildingPeak`Height: #of Stories Ok?: 0 YES
FOR A BUILDING WITH ABASEMENT O RAWL SPACE; FOR A BUIL NG ON A SLAB FOUNDATION:
START WITH the distance between the asement floor/crawl START the distance between the slab and the highest
space floor and the highest of peak,the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the line sof a the deck line of a mansard roof,or-the
mansard roof,or the uppermost int 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 "ndow 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/c wl ADD the distance between the slab and the highest
space floor and the highest existing grade wit ' existingrade-within the foundation
the foundation or 10 feet,whichever is less EQUALS Defined building height
EQUALS Defined building height
Lot Coverage: F
Shoreland District MCWD ek6mit Received Av ge Lakeshore Setback Bluff
17 Yes l a No 0 N/A a Yes 0 No
0 Yes 0 No 0 'Yes � No D N/A
Per, it Number: Setback:
Hardcover Zones Existing Proposed Variance Re ired CUP Required
0-75' 0 Yes o C Yes 0 No
75-250' Type(s): Type(s):
250 0'
0-1000'
RARKS (in-house): IVO G
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES X10
esus ..., . �. _ - _ �D
10
WH
Plan Review
,ri... _ =u«o per,•- �_. _.., .. . :> ,
t.
Investigation Fee
Sewer Connection
Park Fee
Other(specify)
MEMO
Calculated By:
Square Foote e $ per Square Footage
Basement X = $
1s`Floor X $
2nd Floor X = $
Garage X _ $
Estimated Construction Value: $ 2�5 D L)
Orono Inspections Required Work Requiring Separate Permits Required State Permits
• Site 0 Plumbing 0 Grading /Filling O Well
0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
1!'Footing 0 Septic 0 Water Connection
0 Poured Wall 0 Fireplace 0 Sewer Connection
O Foundation Survey 0 Masonry 0 Lawn Irrigation
0 Radon Rock Bed 0 Mfg.
O Framing 0 Other(specify)
0 Insulation
0r As-Built Survey
incl
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: 09/11/2009
z Vormslplan review checklist.dom
OPTIONAL FAL5E
_ - 30"x30"CHASE W/
MANUF.STONE VENEER
(TYPICAL)
12
7.5
NEW FRONT PORCH
EXISTING ROOF 4"GROWN
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I III IIIII III I 12"xl2"COL.
n; ON 24"x24"
MANUF.STONE FRONTIP
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DAT TIME
CITY OF ORONO CALLED IN 7 /�
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER TFLEPH NO. ,?b12)
CONTRACTO '
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
0.
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O
° �j C T��� i41::;cc4
W
cc
Q
Uj
W
tij ❑WORK SATISFACTORY:PROCEED D<ROJECT COMPLETE
W ❑CORRECT 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 REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: ,A� jj
Inspector. �-�-t_J r
LsT
White Copynnspector's File Canary Copy/Site Notice