Loading...
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 -- -------- -- ------------ N ■ L1 C u lu I I III IIIII III I 12"xl2"COL. n; ON 24"x24" MANUF.STONE FRONTIP L 1 Itl IIIII hl I VENEER(TYP) ' SCALE I/4 n--I-O E; Nt FI`A5r FotoTNf � — 73�`1t� Mf�x R, 5� Iv -- ISOI1ATL Qa5 r P T 57t:Q 5 I I t OT 'e 711 N � I 1 • f If 1 1 f 1- i _ ---- mil �' .y d I� � •gyp.^r -_ 1 I � 1t\ �✓ 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. j 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