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HomeMy WebLinkAbout2011 - 00478 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00478 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/11/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 950 WILLOW VIEW DR PIN : 28-118-23-44-0017 LEGAL DESC : WILLOW VIEW : LOT 006 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,200.00 NOTE: DECK STAIRS APPLICANT PERMIT FEE SCHEDULE 47.75 LARRY OLSON CUSTOM HOMES PLAN REVIEW 31.04 3100 JEWEL LA N PLYMOUTH,MN 55447 STATE SURCHARGE(VALUATION) 0.60 TOTAL 79.39 OWNER KANIVE,JUSTIN&ALYSSA 950 WILLOW VIEW DR 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, formance with the State Building Code.This permit may be revoked atm i time for due cause. / /Date / // j• " , 6?///t6L-A__-- -7/ // / iplicant Per ' ee Signature Issued it Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. L City of Orono ���1# (�# Building Permit Application �- `�S' for New Structures or Additions Mailing Address: o?a((_001/7g �,O,� Permit•number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: to /(,c, // I "" Received by: a �. Street Address:' '��cr �, +i Gti``' 2750 Kelley Parkway Plan:review fee: EsiYo�`� Orono, MN 55356 -- Total Fee: 17?, 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: 95'o Wt I IoLd U t°Pw 0 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,j 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: LArry ©(Sort. 6,us +o vv._ -}1,43 ert e5 State License# a 05'1;3'0 7 '7/ Expiration Date: ao/a_ Phone: I](03 - a .%•-ail tno (office) ?6 '• — if76-coo 5 (cell) Mailing Address: •• w - Lai-Le kJ Cit : • /t , ZIP: Contact Person: L p rry p I S cih.1 Applicant is: ontract.r / Homeowner (Circle One) Email and/or Fax: La rry D is c r_ 2 + MS k) • C o PROPERTY OWNER INFORMATION: Name: '3'v 5 . ± Al y5 S a kck A t VC-- Phone(day): Lo- r. Ia fie_ Address: Q 5 O IN i Ho c V C 4,w ()r City: 0--o v O ZIP: 5-53 54 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 & Water Supply ❑ New Construction X'Single Family with ErResidence ❑Addition attached garage 0 Garage/Accessory Bldg. ❑ Public Sewer 0 Accessory Building ❑ Single Family with ❑ Deck ❑ Relocationn detached garage ❑ Office/Commercial ❑ Private Sewer Other:(specify) Oe c:k Sica r5 ❑ Multiple Family/Condo ❑Warehouse ❑ Public El Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. 0 Industrial MCWD CI 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 00 Estimated Construction Valuation (excluding land) $ , ,Z.0 o` STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= 0 Wood/Frame O Masonry b.Width (ft.)= Number of garage stalls: 0 Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= 0 ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1st Story = 0 Other(please specify): e.2nd Story= f. %Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: "Not Enclosed Applicable ❑ 0 Permit Application ❑ 0 Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ 0 Septic System Site Evaluation Report ❑ 0 Access Permit ❑ 0 Wetland Buffer Improvement Plan 0 0 Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee ❑ 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 agreement to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: 6 ��3 // 41 Plan Review Checklist for New Structures / Additions X Address/ PID / Legal: `r5-0 (�/,/(o vv Vi L----t-Al-- Description of work: 6 e-<_ - _.. -04 vt-C- Septic review by: 4,14,_ Date Approved: Zoning review by: Date Approved: Building review by: *///hir' Date Approved: 6 -u - I I Grading review by: �T Date Approved: 6,- 2.o - ) Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: D Yes D No Date of Survey: Proposed Setbacks: Front(Lake) Rear(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 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, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof,or the uppermost point 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 window 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/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existing grade 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 Received Average Lakeshore Setback Bluff D Yes D No D N/A D Yes D No D Yes D No D Yes D No D N/A Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' D Yes D No D Yes D No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): nfv ('lIi'INO e Updated: 09/11/2009 z:\forms\plan review checklist.docx t p Fees to be Charged YES > NO i. � ",y�,''3 91 ,�.3 u1 n 4wi J w d - :�. 4.r.�kxoah�. I ��4'�? i I�1».�r, r��F- i F �.r - '�' .3?` ,n1 �_F;3 �6uµk0 Plan Review ,/' State lr+ 6 40M a3 ,v`' i' i � ' a '; ,@skt{ la Investigation Fee t G€ u1�ry4 SAC 010470 $A Altslk*W IAM4 M41 0 0 ,WS/ewer Connection W t f...... 0' iAi P A. " _ £ i ,...,.:ry.. 1 . j k".f to t+ k" A� i Park Fee Situof . + iSgg )' �� + �' w' M` ':'::,401M, ��'��;, '�:,,N'.17,'�'si�` "_"`. ,,s' ;;...t*LW' »'��. �4' .°'_...,tet'°.� Other(specify) .MIsM .wn �� :4m"x 4 ,4 Z' 40 V1121 01 4. A .�. My Calculated By: Square Footage ' $ per Square Footage Basement X = $ 15' Floor X = $ 2nd Floor X = $ Garage X = I $ Estimated Construction Value: $ l/ 2-0 0 °*2 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 ,e12'Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey ❑ Masonry ❑ Lawn Irrigation O Radon Rock Bed 0 Mfg. ❑ Framing 0 Other(specify) O Insulation s-Built Survey Final ❑ 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 DATE TIME CITY OF ORONO CAL E N INSPECTION OTICE '' // SCHEDULED 7 7,b'l( LG PERMIT NOO`I—ee't�� COMPLETED ADDRESS 4750 60///0-2,0 UPS OWNER TELEPHONE NO.26 2.Z/ Z j CONTRACTOR ���2r L����Z wriv� � DESCRIPTION / //2a,L Szeta )Oy ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _• ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO co COMMENTS: cc Lu O CC O U. W CC Q ti W W O WCC ❑WORK SATISFACTORY:PROCEED ikOJ ECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑ 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 LI INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. t J fK5 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /z.- INSPECTION ZINSPECTION OTICE / ,/,7 „SCHEDULED 7 -13-1 I 1/ 160 PERMIT NO. �/—DG ! C o COMPLETED ADDRESS 9� /j(1l//fl1J ' &) D- OWNER TELEPHONE NO.76)3 22-i z`t CONTRACTOR Lao'V.11 1 /SDY1 CZtCi DESCRIPTIONi)C_c� 5 Fo 1,z s • ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Cl SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP Cl PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP Cl COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W Q.. CC /A C71 FJA / r45 >. Q /r'gL IAC' W z W cc -s WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP 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 si e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice Melanie Curtis From: Melanie Curtis Sent: Thursday, June 06, 2013 4:59 PM To: 'larryolson2@msn.com' Cc: 'a.kanive@mchsi.com' Subject: Permit 2013-00443 for 950 Willow View Dr Attachments: Building Permit Application for New Structures_Application ONLY 2013.pdf Larry The application form used for the permit to construct new stairs at 950 Willow View Drive is for maintenance type permits. Please complete the attached building permit application form and submit so we can process and issue the permit. Additionally, please note that the new stair should be incorporated on the as-built survey to be completed for the sport court permit along with the other improvements not currently shown (patio, fire pit, etc). Thank you — Melanie Melanie Curtis Planning &Zoning Coordinator City of Orono 2750 Kelley Parkway Orono, MN 55356 Direct Dial: 952.249.4627 Fax: 952.249.4616 Planning &Zoning Office 952.249.4620 Email: mcurtisAci.orono.mn.us Website: www.ci.orono.mn.us City of Orono Office Hours-SUMMER HOURS Monday -Thursday 7:30 am - 5 pm Friday 7:30 am - 11:30 pm 1