HomeMy WebLinkAbout2010 - 00560 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00560
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/14/2010
(952)249-4600 FAX: (952)249-4616
ADDRESS : 850 WINDJAMMER LA
PIN : 07-117-23-11-0010
LEGAL DESC : PIRATES COVE
: LOT 006 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 7,500.00
NOTE: REBUILD DECK IN SAME LOCATION
APPLICANT PERMIT FEE SCHEDULE 162.25
MINNSTRUCTION,LLC PLAN REVIEW 105.46
2731 ASHBOURNE
MINNETONKA,MN 55345- STATE SURCHARGE(VALUATION) 5.00
(612)490-9288 TOTAL 272.71
Minnesota State License#: 20547322 PAID WITH CC# 2607
OWNER
KHAN, FAIZ&KATHLEEN
850 WINDJAMMER LA
MOUND,MN 55364
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 vol. if construction authorized is not
commenced within 180 days/the date of issuance,or if construction is
suspended for a period off I days at any time after work has commenced.
The applic. t is respon e for assuring all required inspections are
requestes'n conform. e with the State Building Code.This permit may be
revo •'.t any time 'a s cause.
/4/ 0 /, ,
i .— / ,41 l l ,l
cant Permrtee Signature Date /U
Issi, By Signature 7 Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
I
City of Orono ' 1 (i
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number. 0'O/0— 60560
��� POBox 66
0:1--;
Q Crystal Bay, MN 55323-0066 Date received: 747//v
' " Received by:
a ,f,,,; Street Address:'
.4'<4.1%:11'1V
.4, •1%Wit'1 V 2750 Kelley Parkway Plan review fe • •
�� �¢�'G Orono, MN 55356
o
Total Fee: Ola` 7/
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. (P/ease print)
GENERAL INFORMATION: so �c i,
Job Site Address: , n gyi j& c L&ii e_
Will this be a Parade of Homes, Remodelers Shov ase Home or other Display Home? ❑ Yes to
if yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servicewr e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ' //Jil,rtroC) GyLf GZ r.
State License# ._ j. 3.- ,; Expiration Date: '�/cd//
Phone: /,,,2— - ,,L j (office) ,,4.1-9/o - " (cell)
Mailing Address: - 7c , 456�h ..)/vi e /fir-/. City: f l r af ras,d ZIP: 5yf/
Contact Person: net> Za'h/,)L Applicant is: a o / Homeowner (Circle One)
Email and/or Fax: '/
PROPERTY OWNER INS VMATa
Name: k �/NC�r�nST�LJc a� ���
�(i 'IT
Phone(day); LSa ,!
Address: (50 Akr G2 City: d/'ovi G ZIP: 553611
Email and/or Fax 4, Ca',,"
ARCHITECT I 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 Water Supply
Single Family with _ ❑ Residence
El Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with Deck
AzRelocation Office/Commercial detached garage [Oce/Commercial ❑ Private Sewer
Other: (specify) '.'. * ' 7. ., ❑ Multiple Family/Condo ❑Warehouse
r n 3c y.l e_ (out Public ❑Storage ❑ Public Water
"Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial
El Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven.MN 55391
Phone: 952-471-0590
Fax: 952-471-0582
www,minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ 7 SOO
Last Updated; 9/29/2009
- 17-
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STRUCTURE INFORMATION: kejjo, (� X��S ip�,2 in scai•.�. / 6Q�/v,„t
1.Structure Dimensions 1.Structure Dimensionst�(c tinued) 2.Type of Construction
a. Length (ft.) !`7 Number of bedrooms=_ Wood/Frame
Masonry
b,Width(ft.)= Number of garage stalls: a, ❑ Metal
Attached= ( ❑ Pole Bldg.
Areas in square feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement- ❑ Off-site Prefab
d. 18 Story = • ❑ Other(please specify): •
e, 2nd Story=
f. '/2 Story
g,Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
fX ❑ Permit Application
J� O Proposed Building Plans
O MN State Energy Code Calculations and Mechanical Code Requirements Form
❑ .121' Survey(meeting all requirements)
❑ 13' Stormwater Pollution Prevention Plan
❑ Hardcover Calculation(s)
❑ IV Septic System Site Evaluation Report
o Access Permit
❑ Wetland Buffer Improvement Plan
O te' Engineered Plans for Retaining Walls 4 feet or above
❑ A� Plan Review Fee
52- ❑ Other r‘..-fv ro o. Lice, dtr� �� z` (( „v
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;
• 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 applicatio, may not be issued.
Applicant's Signature: Date: 7 ?//i)
Last Updated: 9/29/2009
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Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: e w IND J F ('AM t z.. L-.,"iJ(-
Description of work: ILIN1 k“..i.(3 (.. e - ta(A L r'Utq'NT
Septic review by: NM Date Approved:
Zoning review by: N lo Date Approved:
Building review by: t(� -.-- Date Approved: 7- /2 I 0
Grading review by: Q r-i IA Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zoning District Fire Department Post Office School District
Zoning. Lot Area: SF /AC Width: Depth: .
Survey S bmitted: ❑ Yes ❑ No Date of Survey: /
Proposed S� backs:
Front(Lake Rear(Street) ( N S E W ) ( N S E W ) Other/Buildings Wetland
Side Side
i
Building Defined Height: Building Peak Height: ,i
FOR A BUILDING WITH A BASE •NT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START the distance be een the basement floor/ STAR/ the distance between the slab and the
WITH crawl space floor - d the highest roof peak, W).TF-I highest roof peak, the top of the cornice
the top of the comic- of a flat roof, the deck of a flat roof, the deck line of a mansard
line of a mansard roof, •r the uppermost \ roof, or the uppermost point on a round or
.=point on a round or other ch-type roof other arch-type roof
SUBTRACT half the distance between th_ highest SUBTRACT half the distance between the highest
window and highest roof peak • a pitche. window and highest roof peak of a
roof pitched roof
SUBTRACT the distance between the basemen oor/ ADD the distance between the slab and the
crawl space floor and the highes -xist •• highest existing grade within the
grade within the foundation or I feet, foundation
whichever is less. EQUALS Defined building height
EQUALS Defined building height
Lot Coverage: SF %
Shoreland District MCWD Permit Received Ave - •e Lakeshore Setback Bluff
❑ Yes ❑ No
0 Yes 0 No 0 N/A ❑ Yes.' 0 No 0 N/A 0 Yes 0 No
Permit Number: Setback:
Hardcover Z• es Existing Proposed Variance uired CUP Required
0-75' 0 Yes 0 0 Yes 0 No
75- 0' Type(s): Type(s):
;0-500'
00-1000'
REMARKS (in-house): N4 CNAA/6,
Updated: 07/01/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit ✓
Plan Review
State Surcharge
Investigation Fee
SAC-Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify) _
Miscellaneous Fees
Calculated By:
UBC: Construction Type:
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ -7,So 0 °'
Orono Inspections Required Work Requiring Separate Permits Required State Permits
O Site 0 Plumbing 0 Grading / Filling 0 Well
O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
,03 Footing 0 Septic 0 Water Connection
O Foundation Survey 0 Fireplace 0 Sewer Connection
`Framing 0 Masonry 0 Lawn Irrigation
O Insulation 0 Mfg.
O Wall Board 0 Other (specify)
O As-Built Survey
J� 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: 07/01/2009
z:\forms\plan review checklist.docx
July 7,2010PP:;t
Attn: Lyle Oman
Fax: 952-249-4616
Pg's_4_ (including cover page)
From: Minnstruction, LLC
Cell: 612-490-9288
Lyle,
Per our conversation, enclosed is the building permit application accompanied with a
drawing of the property/existing deck we will be replacing in the exact same location,
and a list of the materials and dimensions. Thank you for your time on the phone this
morning and if you need any further information,please don't hesitate to contact me.
�.. y,,u,
14 att Laughlin
612-490-9288.
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