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Home My WebLink About2011 - 00115 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00115 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/25/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2275 WEBBER HILLS RD PIN : 03-117-23-33-0004 LEGAL DESC : WEBBER HILLS : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : PORCH RESIDENTIAL ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,000.00 NOTE: ADVANCED PLAN REVIEW PAID CK#28573 FOR$76.70 PAID BY HOMEOWNER 2011-00114 SCREEN PORCH ON EXISTING DECK ADDITIONAL PERMITS REQUIRED: ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 118.00 JOHNSON, BYRON&THERESA STATE SURCHARGE(VALUATION) 5.00 2275 WEBBER HILLS RD WAYZATA, MN 55391- MISC FEE 0.00 TOTAL 123.00 OWNER JOHNSON, BYRON&THERESA 2275 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 appy ant is responsible for assuring all required inspections are reque in ..nformance with the State Building Code.This permit may be rev. .4 . . y time for due cause. 410 •pp/ant PermiteeSignature Date , Issued By ature40 �. e SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A .. i I • ��v City of Orono Building Permit Application for New Structures or Additions Pia-3 = Mailing Box6ess: 6Permit number. .20 II- 5-0// 5` ��O Crystal Bay, MN 55323-006602-h / Q , � rY Date received: � / / Received i �z,i ;` Street Address:' by: 2750 Kelley Parkway Plan review fee: 7(0. 70 rgEHHoif-4,26../ Orono, MN 55356 � -- 020//-00//z/ _ 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: 227..--7 6- G✓E=gie-YZ- `4 /(S 4) Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YesNo 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 e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNERFORMATIO Name: 1>�1� llwS Phone(day): G,O.•- ;,& t c — ' 3 l Address: � -.2 wL.S 6<-41.: �� /� `Z` S ✓2 ' City: ZIP: ;53-51` 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 Construction ,,Sin le FamilywithWater Supply 9 0Residence iet'Addition attachedara e Accesso Buildin g g ❑ Garage/Accessory Bldg. Public Sewer ry g ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other:(specify) ❑ Multiple Family/Condo 1=1 Warehouse ❑ Private Sewer ❑ Public 0 Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) yC ,/ MCWD review&permits. ❑ Industrial SCdeL ie KPrivate Well Minnehaha Creek Watershed District(MCWD) ❑ Other: sp ci ) 18202 Minnetonka Blvd -e---1- R S I`� Deephaven, MN 55391 ,, nn ?-k Phone: 952-471-0590 OA)t.00/S - NG- /✓L' Fax: 952-471-0682 l ZZ,& _www.minnehahacreek.orq Estimated Construction Valuation(excluding land) $ .5 D 00( STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction / a. Length(ft.)= / 7 Number of bedrooms= RWood/Frame / Masonry b.Width(ft.)= IA Number of garage stalls: 0 Metal Attached= 0 Pole Bldg. Areas in square feet Detached= 0 ICF c. Basement= / 0 On-site Prefab 0 Off-site Prefab d. 1st Story = 0 Other(please specify): e. 2rd Story= f. '/2 Story = g. Total Area= 9D y REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable r ❑ Permit Application ❑ Proposed Building Plans ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form 0 Survey(meeting all requirements) O Stormwater Pollution Prevention Plan 0 Hardcover Calculation(s) ❑ Septic System Site Evaluation Report ❑ K Access Permit ❑ Wetland Buffer Improvement Plan ❑ Engineered Plans for Retaining Walls 4 feet or above 0 Plan Review Fee )6.6-0 ❑ 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. � 72/..A. Applicant's Applicant's Signature: C Date: Plan Review Checklist for New Structures / Additions • Address/ PID/ Legal: 22--) 5 W E aee-g- N"I Lk- 5 Description of work: S C 0.-4c—E-r // t AA.C.-44- O of C-,c\5'3")i:5 el2.CK Septic review by: M IA Date Approved: Zoning review by: N/A Date Approved: Building review by: QQ__ ti -- Date Approved: Grading review by: NI A Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School •" rict Zoning: Lot Area: SF/AC Width: .- •th: Survey Submi -d: 0 Yes D No Date of Survey: Proposed Setback . Front (Lake) - -ar(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: D YES FOR A BUILDING WITH A BASEMENT OR CRAW PACE: 'OR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basem_ t floor/crawl START the distance between the slab and the highest space floor and the highest roof pe. the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line . a the deck line of a mansard roof,or the mansard roof, or the uppermost point on . ro. d uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest w''dow - d 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 basemen oor/crawl ADD the distance between the slab and the highest space floor and the highest exist' g grade within existing grade within the foundation the foundation or 10 feet,whic•ever is less. .QUALS Defined building height EQUALS Defined building height Lot Coverage: SF ok Shoreland District CWD Permit Received Average La :shore Setback Bluff D Yes 0 No 0 N/A 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 N/A Permit Number: Setback: Hardcover Zo•es Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 75 50' Type(s): Type : 50-500' 500-1000' • REMARKS (in-house): /4O CHA11;7- Updated: 1L;7-Updated: 09/11/2009 z:\forms\plan review checklist.docx 1 Fees to be Charged YES NO Permit Plan Review ✓ State-Surcharge ye' Investigation Fee SAC--:'.Number of SAC Units Sewer Connection Water:Connection .; Park Fee Site Inspection. Other(specify) Miscellaneous Fees - Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ S,000 0 0 Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing 0 Grading / Filling 0 Well O Hardcover Removal 0 Mechanical 0 Fire Electrical O Footing 0 Septic 0 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 ❑ is-Built Survey %Final O 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:\forms\plan review checklist.docx OFD T TIME CITY OF ORONO CALLED IN 5 INSPECTION NOTI E 0o/LS SCHEDULED b-1-It PERMIT NO4 /fCOMPLETED ADDRESS 677a75 (l ad 4" rA OWNER d � i I I (_TELEPHONE NO.6/z •19 32 7 CONTRACT•R -;: DESCRIPTION Fr Pd7c 4, 1- ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 4. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL Ir. - ., BING RI ❑ SEPTIC Fl 1 ❑ FOUNDATION/REMOVAL 15 OWNE• CONTRACTOR TO MEET YOU:_YE• 0 v, •MMENTS: cc W Q.. J5 a (--1 Li r / fct1 / J� �� -*- lA l� /7, n acc e,-). ,_) z (-e'6 O) V eLIc r-f Q S -4 A-er ,2 x ic: / Q A c ;z-) ti) --1-- 17c -f--s -7"-- FTe 1/4) T Z W cc a L CAWORK SATISFACTORY:PROCEED CIPROJECT COMPLETE W CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 9 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY %.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (J2 =- White Copy/Inspector's File Canary Copy/Site Notice