The URL can be used to link to this page

Home My WebLink About2013 - 00561 - addn/remodel/repair CITY OF ORONO jI I I II 111 11 II. III 11111 II 2750 KELLEY PARKWAY 2 1 - 0 0 5 1 DATE ISS - 005 07/25/22 013 a ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2175 WEBBER HILLS RD PIN : 03-117-23-34-0003 LEGAL DESC : WEBBER HILLS : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: DECK APPLICANT PERMIT FEE SCHEDULE 466.75 LEES LANDSCAPING&DESIGN PLAN REVIEW 303.39 7990 69TH AEV N ROCKFORD, MN 55373- STATE SURCHARGE(VALUATION) 15.00 (763)688-1217 TOTAL 785.14 Minnesota State License#: BC665790 PAID WITH CC# 2460 OWNER MANDY,CHRISTOPHER&NIKOLE 2175 WEBBER HILLS 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 fordue cause. LilkOr Applicant Permitee Signature Date Issued By ignature KA.' Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A:0 E. 6.-'VLct Lei., 4/3 CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS nn�� O VO Mailing Address: Permit number: ab,�-1)(��p/ PO Box 66 Crystal Bay, MN 55323-0066 Date received: ;�o-�}�—(3 Street Address:' Received by: - 2750 KelleyParkway y� Plan review fee. �' Orono, MN 55356 `�kESHO�� 78.5/% 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: C3/ 2S Gt,�.Age, 2 4 S C-f217?Cf3i'vo, i•-.,,,, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 3-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 ORMATION: Name: So,s" k v -t Z Ze" 441‘'PSc.4r....65 4 S'/ State License# ,'j' ' 5,' 'j ' Q Expiration Date: ,--?/3! /-dz/ - Phone: (cell) 7G3_ G'g _ r2/7 (office) fS '- 303 31r7f Mailing Address: 7 qo '?TK*-AZ City: Qec. p ZIP: s--s-3�3 Contact Person: Sop.+ eg=he.i.+, .-C Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: do,eer„ 4�,4-s 44•vj2s ,q,14-s 7'4=^. PROPERTY OWNER INFORMATION: Name: L',4/Cis 41-/li,4 t / l't,Q^./0 f Phone (day): 9So2-y ' Sr- Y&V 4 Address: p?/77- i.rE-ArzfeA, «.._- /gyp City: se>to._ro, ZIP: S-'c-34W Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 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 "lieck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also 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.orq $ ��Estimated Construction Valuation (excluding land) r �j0 • STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= /�P, Number of bedrooms= Et‘md/Frame b.Width (ft.)= Number of garage stalls: 0 Masonry Areas in square feet Attached = t/ ❑ Metal 0 Pole Bldg. c. Basement= Detached= - ❑ ICF d. 1st Story = 0 On-site Prefab e.2"d Story= ❑ Off-site Prefab f. ' Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable p� 0 Permit Application CY ❑ Proposed Building Plans Car f� MN State Energy Code Calculations and Mechanical Code Requirements Form C� ❑ Survey(meeting all requirements) ❑ l ( Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ CiY Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ 0 Wetland Buffer Improvement Plan ❑ 0 Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee ❑ 0 Application Escrow&Agreement ❑ ❑ 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. Applicant's Signature: ,,,,,,„.- -;...41011111111 -.4Date: Owner's Signature: Date: PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS • Address/Permit Number: Zt-1 S (Au l_s3E2 HI LL5 R-0;4,6 Description of work: 6c.--U-- Septic review by: IU ' Date Approved: Zoning review by: A i- C./41 Date Approved: d •z to • zoo rg Building review by: G l,� Date Approved: (s-Z b - 2-o 13 Grading review by: N /A Date Approved: Zoning District: rap,- 16 Zoning File#: - Reso#: — Reso Date: Zoning: Lot Area: Z•0 V /AC Width: /Me6utArt Lot Coverage: N 1 A SF _% Survey Submitted: ,i3- es D No Date of Survey: 5.--2:7-S ii Revised date(?): — Proposed Setbacks: Front(Lake' Rear(,Street)' ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � -73' 1 bb N(14- f rni-c0-ed N/A Defined Height: /V(i1- Peak Height: - FFE: FFE minus 6 feet= — (Existing Contour) Perimeter(linear feet) = — 50% = #of Stories Ok? D YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF • GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff D Yes D No /A0 Yes );37No 0 Yes /No 0 Yes 0 No ,2 -rs-I/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover 0 Yes ,�No 0 Yes ,OKNo ik1/44-- Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged :=YES NO Plan Review .111 Investigation Fee Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ pu Estimated Construction Value: $ 30,006 Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing D Grading/ Filling 0 Well O Hardcover Removal 0 Mechanical D Fire 0 Electrical O Footing 0 Septic D Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. Framing 0 Other (specify) O Insulation O As-Built Survey ,DT Final ❑ Wetland Buffer ❑ Other (specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES ❑ NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forrns\plan review checklist 2013.docx RESIDENTIAL BLDG CONTRAC.7f:::, Trz . ,1 0.% V \•,,' 1“1: dnd Hik cth ,-•r,r)se RESIDENTIAL BLDG CONTRACTOR , mcNor ==7,6F-:77'74,7 LEES I ANDSCAPING & DESIGN ;NC ;); 7990 69TH AVE , rHmr ';" 2 2C F ROCKFORD. MN 55373 STATUS, BOND.AND INSURANCE INFO AT www.dli.rnn.qoviceld:LIcVerifv.asc, Et,,TEP Sj5 ( � r7 DATEE '\J C1 ORONO CALLED IN -1 0-13 �d7 INSPECTION OTICE D/ /,, SCHEDULED r('-I1--L� 30 nJ PERMIT NO.VOt. "t/�/'+' COMPLETED ADDRESS 2-1 5 [Ale Libel- OWNER ibec-OWNER Pl2L5 r� TELEPHONE NO.7 - 2-17 CONTRACTOR Lee (.roc' ca • DES TION FCA- Ltj FOOTI 0 PLUIWBING FINAL ❑ EXCAV/GRADING/FILLING POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y 0 FRAMING ❑ MECHANICAL FINAL I=1 TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT • ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP 4.1 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cam.) COMMENTS: cc W _ 1 cc &I v -,i 17) S2€ 0 W CC Q CC 0 LU ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 inspef tion 24 hogrs in advance. (952) 249-4600 Owner/Contractor on sitek Inspector. White Copyllnspector's File Canary Copy/Site Notice DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE / SCHEDULED PERMIT NO. 070/3- l COMPLETEDA, ADDRESS a71-5 L.ziL`'�/�+d`C�L �� E'�o OWNER TELEPHONE NO.763 ,gf/ 7 CONTRACTOR /. !!I,, ��I V.044"- DESCRIPTION .0 DESCRIPTION / — °VeC ` tj ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ' ❑ FRAMING 0 MECHANICAL FINAL El TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL Cl PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W CC O CC O U- W CC W W CC d ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 s' e: Inspector. L� White Copy/Inspector's File Canary Copy/Site Notice