Loading...
HomeMy WebLinkAbout2011 - 00816 - adv plan review CITY OF ORONO PERMIT NO.: 2011-00816 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/08/2011 (952)249-4600 FAX: (952) 249-4616. ADDRESS : 965 WILLOW VIEW DR PIN : 28-118-23-44-0010 LEGAL DESC : WILLOW VIEW : LOT 009 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 60,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ $60,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00817 APPLICANT ADVANCED PLAN REVIEW 491.89 HOME ENHANCERS INC. TOTAL 491.89 1678 CHATEAU AVE. SHAKOPEE,MN 55379- PAID WITH CC# 0486 0 Minnesota State License#:BC- 1949 OWNER PFISTER,GLEN&ROBIN 965 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application 7 &, ?-5 for New Structures or Additions Mailing Address: �v O,jV PO Box 66 Permit number. (:).26//— U° 7 l�II Crystal Bay, MN 55323-0066 Date received: 8,448//f a a,Ji Street Address:' Received by: S ''S'1,17tjt,,-7:-.. " .otic'/ 2750 Kelley ParkwayPlan review#ee 7�9/. �„ ogOrono, MN 55356 p/ - e081 67 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: '96'5— C-(),'((o c (:);.e c L1y Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o /f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APP ICANT INFORMATION: Name: v f/v,_ _,n .c�tti.c e.r.S S-vt -.— State License# t 4-(c-- Expiration Date: 3(.2._6 f Phone: 4b 5 ; 1 - I. — office - , __ cell Mailing Address: ( (,"1'' (' .ems_ A - City ',,.. ......C.:,pe ZIP: s--5--3-z ? Contact Person: ,i\Irk,- L. ;c i,_gc_l-... Applicant is: ,.:ntrac • / Homeowner (Circle One) Email and/or Fax: J ii‘o , _ ((\_wV\.e— _,A ,n`6.-.VLce_cr r , C____(:-_) psi\ PROPERTY OWNER I FORMATION: f� Name: ' -'A �( b6,_ V t---; .Lr-_,,,- Phone (day): ”gra _ 7 7 Address: 'G .S 1-e J ( o ( r.2c.v f9p City0 (e,,r\c ZIP: ���T3 .57 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 & 0 New Construction Water Supply ❑ Single Family with Residence 0 Addition attached garage Garage/Accessory Bldg. 0 Public Sewer 0 Accessory Building 0 Single Family with ❑ Deck ❑ Relocationdetached garage 0 Office/Commercial 0 Private Sewer Other: (specify) ii1.3...5e_vq\.-e-0,-k--- 0 Multiple Family/Condo 0 Warehouse 0 Public 0 Storage ❑ Public Water *"Any earth movement may require ❑ Commercial 0 Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ ,,p 00Q :---- CITY OF ORONO PERMIT NO.: 2011-00817 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 08/15/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 965 WILLOW VIEW DR PIN : 28-118-23-44-0010 LEGAL DESC : WILLOW VIEW : LOT 009 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) BASEMENT FINISH ADV.PLAN REVIEW 2011-00816$491.89 PD BY CREDIT CARD APPLICANT PERMIT FEE SCHEDULE 756.75 HOME ENHANCERS INC. STATE SURCHARGE(VALUATION) 30.00 1678 CHATEAU AVE. TOTAL 786.75 SHAKOPEE,MN 55379- PAID WITH CC# 0486 Minnesota State License#: BC- 1949 OWNER PFISTER,GLEN&ROBIN 965 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 reque d in conformance wi e State Buildin 9ode.This permit may be revo d at any t e for''due e. 11! l r � cc�� / l A p icant ermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application 7 (o, 2 5 for New Structures or Additions Mailing Address: Permit number: 070//-- U 0 B/ 7 ‘4,0,�\O PO Box 66 Crystal Bay, MN 55323-0066 Date received: 8/8//f `'' Received by �Qys A :'�{ .. 4, Street Address:. Y' "`� \\t'/,4,1 4a: 2750 Kelley Parkway Plan review fee: 119/. 8 7 joe r"1 asci`' Orono, MN 55356 ovoN— 008/6 -- 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: 96,C- &),,((o L-76`€ c #Oy Will this be a Parade of Homes, Remodelers Showcase Home or other Display 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 ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 1--rb{/�ti� �vc�vl c-e.c .�-vl C- State License# (9 ci Expiration Date: 3(.2.2r3/ Phone: 9 5,-1. R g✓`( l p (office) c::? - `�� -- 71( (cell) Mailing Address: ( r ' r" City' Caen ZIP: c-3-5-3-(7 Contact Person: \ vv, (...k.. ',, �gc_(-... Applicant is: ':" _ . / Homeowner (Circle One) Email and/or Fax: 3 ,./\- c (i\cwtti e___ -1A-- o_)&c_e cf r , COPROPERTY OWNER I�VFORMATIOIV: n (I Name: `, p � , ��r ' l-e'r_ 5- Ko p Phone (day): "5- _ 7�7 Address: '/,S /.o ;( o ( .2cv E/K-' City roc ZIP: c• *---5113 57 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 ❑ Single Family with Residence ❑Addition attached garage Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck Relocation - detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) 52 ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water 'Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ ,,.Q 0 , STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= ❑ ICF D On-site Prefab c. Basement= ( ❑ Off-site Prefab d. 1st Story = D Other(please specify): e.2nd Story= f. 'A 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 0 Proposed Building Plans ❑ ,0 MN State Energy Code Calculations and Mechanical Code Requirements Form O B Survey(meeting all requirements) ❑ J2" Stormwater Pollution Prevention Plan ❑ ,Pf Hardcover Calculation(s) ❑ gr- Septic System Site Evaluation Report ❑ Access Permit ❑ 12' Wetland Buffer Improvement Plan ❑ Engineered Plans for Retaining Walls 4 feet or above O 0 Plan Review Fee O 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: i - Date: i4 Plan Review Checklist for.: lew Structures / Additions Address/PID/Legal: t / C� �/�eGJ , . Description of work: Q f1S . t n./t S r " Septic review by: / V Date tApproved. - 1 1- t t Zoning reviewby: /'t)i'/1 DateApproved: Building:review by.: ©�` Mate.Approved:- .g /.S' Grading,review:by. Date Approved: oning-File#: Resolution#: Resolution.Dat ,Zoning District Fire Department. °fPost=Office School:District .Zoning: Lot Area: SF/AC -Width: Depth: Survey Submitte• `❑ Yes '❑ No Date of Survey: ProposedSetbacks: FrontlLake) Re. Street) ( 'N . .S' E W;) .( .'N S E W .) Other Buildings Wetland Side ..ide -Building Defined"Height: Building Peak', eight #of Stories Ok?: .,❑ YES FORA BUILDINGWITHA:BASEMENTORCRAWL'SPA, : FAR ABUIL'DING ON-A SLAB:FOUNDATION: START WITH the distance between-the basementflo /cra I START the distance`.between the:slab,and the highest space floor and the tiighestroof.peak,-;the. •• of WITH roof peak,the top ofthe cornice of-a'flat--roof, the cornice:ofa'flat,roof,.the:deck:linesof.- the'deck line of a.mansard roof,or-the 'mansard roof, or the uppermost point:o r.a noun• uppermost point on a,round>or other.arch-type -or.other arch type roof roof SUBTRACT half the distance between.the high -t.window and SUBTRACT half the.distance between thebighest window highest roof:peak of.aapitched.ro: and highest roof peak of a=pitched•roof SUBTRACT the distance':between.the.base-;ent.floor/.crawl Ar•D the.distance between the slab and the:highest space'floor and the highest z,isting grade within .:existing grade within the foundation the foundation or 10 feet, , .icheveris`less. EQUAL, Defined building height EQUALS Defined building height Lot Coverage: SF % Shoreland:District <IMGWDPermit',Received Average'Lakeshore setback Bluff ❑ Yes ❑ No .❑ N/A .❑ 'es ❑ No ❑ 'Yes' ❑ .N, ❑ Yes O No ❑ ' — Permit Number: Setback: Hardcover:- ones Existing Proposed 'Variance Required P Required 0 5' ❑ `Yes ❑ No ❑ Ye- ❑ No 5-250' TYPe(s): Type(s): 250-50..0' 500-1000' REMARKS (in-house): Ito List--q Updated:'.09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged SES sMNO m' it kz ir,.::i' - ,.: d�FF� -�f k a =a� :•.c`'s rox.} PlanReview ignfnagSJOF.i��' _ �e i ��,: ' Y � ,.a ala f3F,: 7y 1y. �, { iS � e, Investigation Fee • Sewer Connection onnection Other(specify) f,. Calculated„By. Square?Footage ,$:per:Square,Footage Basement X = $ ,.1st Floor X< = , .$ 2°d Floor 'X = $ Garage X $ Estimated Construction Value: $ (O, Ocx) aY Orono Inspections Required •`:Wor7cRequir."ing Separate enrrits .Required stale?.p rniits `❑ Site dumbing 13 Grading 7 Filling :0 Wall ❑ •Hardcover Removal jllechanical Fire !'Electrical :❑ :Footing D Septic •1D Water`Connection .Poured.Wall ❑ Fireplace ;D :Sewer`Connection •❑ :foundation,Survey • ❑ Masonry D Lawn.Irrigation r❑ :'Radon. Rock Bed ❑ Mfg. iFraming D Other(specify) nsulation ❑ s=Buiit•Sunrey %� Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: ;Date,Approved: Access:Existing: ❑ YES D NO New: ,❑ YES :❑ -NO REMARKS (TO.BE NOTED ON PERMIT AND INITIALLED BY=PERSON PULLING!PERMIT) Updated: 09/11/2009 z:\forrns\plan review.checkiist.docx me4°::-....;•-' ._\ q• 0��� TIME " se / � CITY OF ORONO CALI,'�\ INSPECTIONlip/TICE /.1SCHED ED 1 / '/ 3t PERMIT NO. °// , D I// COMPLETE — ADDRESS %5 w'/1 (2/ 6c)c Or OWNER it TELEPHONE NOO.. -A. . 5 - ? 7/'/ CONTRACTOR 1AAC- an( )o /�h"'1// 1 � /evtiSk a DESCRIPTION6-5'"� I, 1.44 ❑ FOOTING 111 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS r4 ❑ 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 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 'Q._ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: CC W a i� a 1 tt( • _._3 ✓ L O O w ft Q k. Z IQ Z W cc O W :-E3 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY (O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED U 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 bite: ` Inspector. t 'I L'1 1 s S _S White Copy/Inspector's File Canary Copy/Site Notice r �� TIME (../ CITY OF ORONO CALLED IN t I l I INSPECTION NOTICE SCHEDULED c f 1 9 (T) PERMIT NO. ,L( C-C-)i-l7 COMPLETED ADDRESS 2 G.-`-5 1.t 'z 1 i i o(1 )1 V i c u:: i)R OWNER TELEPHONE NO 3 gCla /- 1 11 1 ' CONTRACTOR (-1I D-W1 �V"alYt,1,0 >.- DESCRIPTION7-3 =-›C_YYLI•.in f R k t tiy\ 1U D FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 6, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q. cc 0 (T A S r M2 � S -7-- g' 0 Li- re rcJ ace el 'b n kio -r— c' Zdc0X ct Z , i t ( Pe/t e -4--iii-i- •vrv,S' Li pi---k 440 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W.40 CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY c93S CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Cj FORE 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 site: Inspector. CA__7 IS White Copy/Inspector's File Canary Copy/Site Notice 3'd - DATE TIME CITY OF OR• O CALLED IN INSPECT!• SCHEDULED giaT 5 O y:::-4 1 A/ PE- . ' • ... t i' 0 7 COMPLETED ADDRESS 'L' E / 70u) a_ 1 Among ��aOWNER 1 s TELEPHONE NO. ,- CONTRACTOR DESCRIPTION l;ff)e- ��/ o4 ( Is !, W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING I y 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT QjAL 0 WATER HOOK-UP 0 FOLLOW-UP 0 A -SURVEY 0 S ER HOOK-UP : iouNDATioNtREmovAL ev DEMO-S E 0 S 'TIC INSTALL OW - ONTRACTOR TO MEET YOU: YES_NO d I • r ,,, - Al 44.4.- - TA,- _ • //4Liepa( A a -, aaaai�- oocd8s tf- t /K 0; _ " ',AAP pA.y� — 'd wo ik .✓ 4 e 0v c wt / G C S. IJ' . -( Cc-. o9e1 oc-E '-$ - 16,e - 116" •Z -('/n i#.' • z ..p(( . .0 1/():3(c L / 6 45 /,,n a • .' 6Aso � , w /1eeJJ5 76 epi 4r:- T!e S�Cd IQ0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE W LICORRECT WORK 8 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 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector- /t...., " White Copy/Inspector's File Canary Copy/Site Notice