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Home My WebLink About012-00479 - addn/remodel/repair _l. CITY OF ORONO * 2012 - 00479 * 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2012 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 $ 1,800.00 NOTE: PERMIT FOR DECK APPLICANT PERMIT FEE SCHEDULE 67.25 BRENNAN PROPERTIES LLC STATE SURCHARGE(VALUATION) 0.90 8452 153RD PLACE SAVAGE,MN 55378- TOTAL 68.15 (612)616-4447 Minnesota State License#:20381410 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 c ce with the State Building Code.This permit may be revoked y me r due cause. CA1 nlk� 4, Z t ermitee ignature Date Issued)Ry Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions -: Mailing Address: 0 PO Box 66 Permit number. V T Crystal Bay,MN 55323-0066 Date received:Received by: ;; Street Address:' 0 2750 Kelley Parkway Orono,MN 55356 Plan review fee: At Main: 952-249-4600 Fax: 952-249-4616 www.cl.orono.mn_us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) , ,R Job Site Address: `f `j �'I w. r r. R Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? LJ Yes No If yes,a specie/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will bw,-' required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �fj(<. � .r.nCAI .,4. State License# -.;)L 03 X31 '~ to Expiration Date: - Z d r 3 Phone: Ln t Z--Le 140- 4 4-4,-4 7 (office) .-- -. (cell) Mailing Address: t 5 ?�o F IS+1, t mac,t e '%G City' i�*DoT C�,j<eZIP• R> 3 > Z Contact Person: )d f Ctstr y ; ,,.! r Applicant is: Contractor.,,/ Homeowner tcird9 on.l Email and/or Fax: Jc�P. r3r vC►rt <<' w14 PROPERTY OWNER INFORMATION: Name: L h r<f�,/� 'r•1/, , Phone(day): i :. 4' . C,, ✓O. 11 z 2.. fi Address: -4A City 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& ❑ New ConstructionWater Supply Q Single Family with El Residence ®Addition attached garage ❑Garage/Accessory Bldg. ❑Public Sewer []Accessory Building ❑ Single Family with 0 Deck ❑ Relocation detached garage ❑Office/Commercial El ❑ Private Sewer Other: (specify) ElMultiple Family/Condo 171Warehouse ❑ Public ❑Storage ❑ Public Water "Any earth movement may require ❑Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial MCWD El Private Well Minnehaha Creek Watershed District ( ) El (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 wavw.mirn i h creek.cr Estimated Construction Valuation(excluding land) $ r STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction tI a.Length(ft.)= Number of bedrooms= 'Wood/Frame b.Width(ft.)= > Number of garage stalls: ❑ Masonry Areas in sauare feet Attached= ❑Metal ❑Pole Bldg. c.Basement= Detached= ❑ ICF d. 1s'Story = i' ❑On-site Prefab e.2ntl Story= ❑Off-site Prefab f. '/z Story = ❑Other(please specify): g.Total Area= r REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ j Permit Application ❑ ❑ Proposed uilding Plans ❑ v ❑ 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 ❑ 0--Wetland Buffer Improvement Plan ❑ ❑ _Engineered Plans for Retaining Walls 4 feet or above __.__ O ❑ Plan Review Fee ❑ ❑ Other APPLICANT/OWNER 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. i Applicant's Signature: Date: k Owner's Signature: Date: City of Orono Building Permit Application for Maintenance / Renovation`,,' (windows, doors, siding, re-roof, etc.) `�' Mailing Address: 0��l a 0 PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: j- Z a s Street Address: Received by: / 2750 Kelley Parkway Plan review fee: /✓- r9kZSIH04� Orono, MN 55356 Total Fee: 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 print) GENERAL INFORMATION: Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other 15isplay Home? ❑ Yes �' o 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/APP [CANT INFORMATION: / Name: RV e, Y2"4� �VC+Pc/;fC State License # .;L0 >> y Expiration Date: 3Z,' _3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ( fZ Cvl� _i y2 (office) (cell) Mailing Address: 50 F�.� /'-,b City: �,' %<J�'� ZIP: Contact Person: ��,� v Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ! ioCCA ':1112a I PROPERTY OWNER INFORMATION: Name: �� ;ff,574�, <C-, Phone(day): t Z— (-,7 C) �(ZZ Address: 5 '� e4 b3 e Email and/or Fax PROJECT INFORMATION: Type of Project: ❑ Door(s) ❑ RemodelFir ❑ ❑ Re-roof, asphalt ❑ Repair ❑ Stc " ❑ Re-roof, cedar ❑ Restoration ❑Wa ❑ Re-roof, other(specify) ❑ Siding ❑ Oth A " '� � El Window(s) V�p Overall Project Description: `!)GCV (0�, ex e �l� 4 Estimated Construction Valuation of Pr � ' "",� o�ect(exc d Yyf �Y)i APPLICANT ACKNOWLEDGEMENT: v' • Agrees to provide all information required or requester lu • Certifies that the information supplied is true and corn are solely responsible for submitting a complete appiic but to reject it until it is complete; • Some or all of the information that you are asked to p confidential. Private data is information which general data. Confidential data is information which generally _ ., J�� L of the data. Our purpose and intended use of this i_nfprrT1ation is to ann dno records of other governmental agencies required by law. If you refuse t u the information,tiie application may not be issued. Applicant's Signature: Date: Last Updated: 08-09-2011 j l Z Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 2..q&5 Wa Wk►V t- W Description of work: Septic review by: A— Date Approved: Zoning review by: 1, Date Approved: l!J '4 • 1--• Building review by: ��l� 1� Date Approved: " 12- Grading review by: 1 V � Date Approved: Zoning File#: Resolution#: Resolution Date: Zoninp District Fire Department Post Office School District Zoning: Lot Area: Z- SF/ Width: Depth: Survey Submitted: 0 Yes "P—<O Date of Survey: Proposed Setbacks: Fron e) Rear et) ( N S E W ( N So W ) Other Buildings Wetland Side SI Building Defined Height: Building Peak Height: #of Stories 00: 0 YES 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,t p of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck ' of a the deck line of a mansard r the mansard roof,or the upper point on a round uppermost point on d or other arch-type or other arch-type roo roof SUBTRACT half the distance een the highest window and SUBTRACT half t stance between the highest window highest roof ak of a pitched roof i hest roof peak of a pitched roof SUBTRACT the distpKe between the basement floor/crawl ADD the distance between the slab and the highest spaceIloor and the highest existing grade within existing rade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF % Shoreland District MCWD Permit Receive Average Lakeshore Setback Bluff Yes g 0 Yes No / 0 Yes E3 No N/A O Yes o � Permit Number: N/A Setback: Hardcover Zones Existing Proposed Variance Required... CUP Re uire 0-75' 0 Yes o 0 Yes No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit 000000r Plan Review 4/ State_$urcharge Investigation Fee ='SAt`_':Number of SAC Units _ Sewer Connection alVater,Connection Park Fee ��te�nspection: - Other(specify) Miscellaneous:Fees' Calculated By: Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 1r(400 Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading /Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. Framing 0 Other(specify) 0 Insulation 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: 09/11/2009 zAformslplan review checklist.docx Orono Parks Recreation Fa... Golf Course Conservancy ... Commercial M... School Facilities Future Acquisi... Park/Open Sp... Lakes Aerial Photos April 2009 ❑ Parcels Lines ❑ City Border N SCALE 1 : 269 20 0 20 40 60 FEET http://www.stantecportal.net/infraseek_asp/Orono/mwf/Zoning.mwf Monday, June 04, 2012 11:56 AM v DATE TIME V CITY OF OROAO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. / ' M#� COMPLETED ADDRESS OS OWNER TEL ONE NO. ��—��CP 7 CONTRACTOR 3Z DESCRIPTION S El FOOTING E3 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q C] 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO Zt vOi COMMENTS: W a O O cc O W W QC Q f2 2 W Z W cc Z) W�IORK SATISFACTORY:PROCEED 11 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE 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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. I . / f/ b White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.&70 ia-oo X79 COMPLETED ADDRESS Z�► 8� W OWNER TELEPHONE NO. CONTRACTOR >: DESCRIPTION I FOOTING ElPLUMBING FINAL ❑ EXCAWGRADING/FILLING LI Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W Q. cc J O cc O W cc Q 2 W W r O WW P4-WWK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP 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 sit Inspector. tv White Copy/Inspector's File Canary Copy/Site Notice V 1111 1111 111111� 11111� I'll -e - IVUV UIN/Uii,111111111 14" ��5 ��,� � � ?tel 2- M4`7Building Permit Survey Prepared for: Lori Gherordi ORONO C PY o, City of Orono b Planning&Zoning Plan view o i 6.5 Watertown Road Site Plan Review Date: cri 12' CMP-% M6 2 — — — — — �— — — 983.5 PROVED a` ' o E3. 5 Centerline as traveled ga3.0 ❑APPROVED WITH FE ONS(see notes) o o Z 5, p DENIED E 12" CMP—� — 2 \ c c o S 89 24'1 " E J275-0- Staff >° m° I � Bituminous ., cn rz I �} Driveway 3 c I o o Legend n�i O 3 I Z O Area wets I • Found Iron Monument � I 1960 t Set Iron Monument (LS 14700) 0 4? o P $ I .9- roP P. -- ---"------ 156.8 ----------------- x 000.0 Existing Elevation c �3 Garage (000.0) Proposed Elevation cl� �, I E o Existing House GFE=980.9 ___.._. . f— Drainage > o ° I I �Q FFE=982.5 9 ® Existing Well y Im �I m x98 ° 6 Silt Fence t} ga �--New steps 12.03 _� Areh Well Cp O N I Legal Description (supplied by client) ,' I I 3 1oA n. Lot 6, except the South 492.86 feet thereof, Auditor's ° I Ci Cotacre?e i. Subdivision Number 230, Hennepin County, Minnesota. a c I I p — 35 —� l •Pool.Area N Subject to any and all easements of record. o �--- O q) °4'O3 I o O ----- 59.8 ---� 16.E O Parcel Address: 2985 Watertown Road _ cL I o Z (980.4)--I_ f Z Orono, MN 55356 o�® Parcel Area: 87,219 Sq Ft (2.00 Acres) N `n 2 �J n Reference Benchmark: Z t Edge of Bituminous at northerly projection of west Proposed Silt Fence j line of Lot 6. Elevation = 976.25 (per survey by M w v ° I Mound Lot Surveys Company, Inc. on file at City of Orono) Wo O Cc a� VCc _ I W SCALE r _ o Q I 40 0 20 40 SO V, —12" CMP I I a I 1 inch = 40 feet rn $ 156.5 142.45 28.59 I v k •-9�6 S 8927J9" E 327.59 Bearings based on assumed datum. a