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HomeMy WebLinkAbout2017 - 00412 - addn/remodel/repair CITY OF' ORONO I I I L I I I I'I I II 1 1 1 1 III 1111 * 20 1 7 - 004 12 * 2750 KELLEY PARKWAY DATE ISSUED: 05/03/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4515 WOLVERTON PL PIN : 31-118-23-31-0008 LEGAL DESC : FOXFYRE ESTATES : LOT 002 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 35,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) LOWER LEVEL FINISH APPLICANT PERMIT FEE SCHEDULE 546.57 LAKE COUNTRY BUILDERS,LTD PLAN REVIEW 355.27 339 2ND STREET STATE SURCHARGE(VALUATION) 17.50 EXCELSIOR,MN 55331 TOTAL 919.34 (952)358-7313 Payment(s) Minnesota State License#:BUIL-20349679 CHECK 7892 919.34 OWNER KIRKPATRICK,GREGORY& KATHY 4515 WOLVERTON PL MAPLE PLAIN,MN 55359 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 appli t respo ible for assuring all required inspections are requeste in co orm. •-with the State Building Code.This permit may be revoked t any ti 1 e t, • e cause. yawl , 1. V117 Ya•e_4s.V 51 - 1 / Applic) r itee i late slued B ignature Date City of Orono Building Permit Application for New Structures or Additions Mailing Address: ` Q A T PO Box 66 Permit number: =LC'77- CC (// iiLj w� Crystal Bay, MN 55323-01../ Date received: 'f — -2<, _/ -) Street Address:' l 1 I Received by: 7C/' 2750 Kelley Parkway 11 1.0sC' Orono, MN 55356 Plan review fee: -v(c (-)- c%1: . C �4krSHOI'v Main: 952-249-4600 Total Fee: Pl. • 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: I f Job Site Address: g s 1 S W 1)l V ti p p . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,rEC 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 INFORMATIQN: k � Name: L k- C-a.,•v 0.,n State License# 6C ct(0 7/ Expiration Date: 3, '7 Phone: cell (,)(L. 2 I I D office `I S Z, Y- J MailingAddress: 2 ;�l _ - _ �-' S � ZIP: 7 Contact Person: Applicant is: C• racto / Homeowner (Circle One) Email and/or Fax: ! A-t , , t n.4. tilPciv(N I'V t-0.,.-,, PROPERTY OWNER INFORMATION: Name: Corcl - it-,-11‘11 (e-_;'( it, et- kJ Phone (day): (c t 2 2 1O ' 7 Address: t r I r we) v$/ PL . City:PO A rI/e ��,1 ZIP: cc3 S 1 Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: 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 0 Accessory Bldg./Garage ❑Addition attached garage 0 Deck SI Public Sewer Accessory Building 0 Single Familywith 0 Office/Commercial ❑ Relocation }- detached garage ® Residence 0 Septic p Other:(specify) L1. I--e rt 11'i Ai 0 Multiple Family/Condo 0 Retaining Wall(s) (Compliance certificate 0 Public 4-feet or greater may be required) **Any earth movement may require 0 Commercial 0 Storage MCWD review&permits. 0 Industrial 0 Warehouse Public Water Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 0 Other(specify) 15320 Minnetonka Blvd;Minnetonka,MN 55345 0 Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ �5l a 0 o Packet Last Updated: January 2016 Page 21 STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: b.Width(ft.)= Number of garage stalls: 3. Occupant Load: Areas in square feet Attached = c. Basement= Detached= 4. Type of Construcion: d. 1st Story = e.2nd Story= 5. Code Edition: 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 ❑ {J' Building Permit Escrow Agreement and Fees ❑ 0 Plan Review Fee 0 Completed Application Form ,off 0 Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8 1/2 x 11 set ❑ �' Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ Hardcover Calculations ❑ 13 Septic System Certification ❑ IE] Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ Landscape Walls and/or Retaining Wall Plans ❑ Landscape Plan ❑ Stormwater Pollution Prevention Plan(SWPPP) ❑ Access Permit ❑ Data Privacy Advisory Form 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 Occupan y IS requested, a temporary Certificate of Occupancy may be Issued upon receipt of a $10,000 escrow to ensure corn.letio of the as-built survey and all site improvements. .4 IP 4V.4FW, Applicants Signature: Date: Owner's Signature: Date: Packet Last Updated: January 2016 Page 22 PLAN REVIEW/ CHCKLIST FOR NEW STRUCTURES / ADDITIONS Address: / 5 Wo/vteet ,s;, _____7 ____ Permit No.: 7 Y1 7 ©o tk1 Description of work: Date Rec'd: % Septic review by: �/1�„ (0.3,7 ,g;..6 Date Approved: 5-/(�1 7 Zoning review by: Date Approved: / Building review by: dc,,, ...0"-,r Date Approved: 51`/l7 Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: - SF cyo Survey Submitted: D Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%= L.F. below grade Basement? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from highest existing the highest point of the roof. START WITH grade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof highest point of the roof. to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A ❑ Ye No ❑ 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required (circle one) (% and sf) (% and sf) 0 Yes 0 No 0 Yes O No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC-Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ 0� Estimated Construction Value: Orono Inspections Required Work Requiring Separate Permits O Footing 0 Site Plumbing 0 Grading/Filling O Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire O Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection O Foundation Waterproofing 0 Other(specify) Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation 0 Mfg. 0 Landscaping 0 As-Built Survey 0 Other(specify) Final O Lathe Required State Permits O Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: O See Builder Acknowledgement Form O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 \fru-mc\nlan rcvicw rharWici ln_9n1F rinry .. ( , .c,-,_ o u m or m m r m x up z 0 FULL HEIGHT FOUNDATION WALL 5.1•':1! ^ �,) N2 rQ7 !';,. o . i I,y 12'_9" 22'_9" i .1 , ...'M / / I. '�-- \ (7jFLUSH BEAM ---- 3'-111/2" ------------------- -- .�...._..-.,__�_� •h • \\I\ I I 0 011 n N, H ,i 4'-71/2' i:,0 `/ 1 l ry Lo fit - t-i 1--, r..1.. / =I/ 0 (1) \ ark \ Fa , 0; 29-111/2" ac 1 _____ oo `r —_—__—_—FLUSH BEA.A_ h'�1 ;D - BEARING WALL 0 11 1 m O Q 1 �i , 1 w `� � ci m 1 `� Al v CO I I ,, 0 -ti nC. S r 0 .i 7, _..m,N NI�e.. , •STS�' 0 _`` ik c.It oGZ Co ti "7-1r-r--r-- Q b 6',> I \ \�� iic' / I ` t v, ..' ' :17 ''r.'# S -LT,' 0 ' 0 \\\\\\\\\ \ \ . ` \ \ \ \\\\\\\\ C) R302.7 Under-stair protection. , 73 Enclosed accessible space under stairs ® =u n shall have wa",Is, under-stair surface and 11 ry m any soffits protected on the enclosed side 0 c" R. 7'-1' 8-0' 8'-7° with %2-inch gypsum board. 70 a 111 / Z O 0 r f7c 6 * rKIRKPATRICK RESIDENCE m r > ,C ~ y 4515 WOLVERTON PLACE MAPLE PLAIN,MN t»z $ tillr j o 1:-.)' I . \o ' co 1— br- - m m r Z m DJ 0 m 0 m 12'-0' C:1 / / FULL HEIGHT FOUNDATION WALL 1 GAS FIREPLACE ED. if 6-6' EQ. LINKW ; O . Amo yo z.3 " X 0 a 0 0 V CO J '•� 1' •..q I•.,• '... -- _ .11 G) iSirr,-, ?? „T 1 —1-;-6'...i. y \\ \\ FLUSH BEAM `/ V� 11l J \ a 1s n `/. ul t N `/ b CD 0 ALO E Om " �Z , N \ ;1 f.,. O 5 m Nc� O O ,..b.,„ /.% o aZ •n \ CO 25'-111/2" / ,'.'� \ DR,PPED MECHAA DUCTS (P....\ Cc...c‘ i� i (13 -A (2), ..C\./ USH BEA \\\\ BEARING WALL 'Z C- A. V ♦ � O \ • C-N \ n = C. R; Z \ / \ m O0 caN /19 cm \ t` o D 33 0 r m �'< W;P \>1 N im \ G133 ��O \� O m� m0 cT� yt,> 2 nD ODO�Z C''"' X rZm� O F-2 c.. as 8� Om�z 1� ---- 1. = O-0 -I -�'i 2 D O x O E,i; mm-omm c Z Jyy�p �<z (1 (' L7 ti z I N r Sria n>T 48 4'-0° mn0 D\-- <* , - o -. n ID ,�, ,� pm0 / m m O m~D- nti \ oc Z F , IIII 0-m p-00 OmDr ` �L9 •. �z1-1 \ zoo Z \411,c . �'�, .� ZODIp p g,ODA nO—gym ytiD \•Im r y a c A9zz, N X0 2 OZAp J c.n • r'7.10)) o 5'11" 0-< •'imm� 5-6' Znr o - Oho 11 3' z R302.7 Under-stair protection. —1 o15-F(�nl° oT `)2'' D 8 Enclosed accessible space under stairs m 2 5' a shall have walls, under-stair surface and any soffits protected on the enclosed side T-1" a-0° � a'-7' / with 1/2-inch gypsum board. C r o O D o N U] 3 Vi a KIRKPATRICK RESIDENCE -�� o �� r o � Jr z C • � 4515 WOLVERTON PLACE MAPLE PLAIN MN �‘..;c. � � r Orri { o K 0 -, m _ I i!i 1 ,z5 "54— .� TIME CITY OF ORONO L�I BALLED IN6_ ,,,.,,-14.,_//7 / �,�y INSPECTION N•TICE _ / HEDULED ` /1: Ll PERMIT NO. .A., c1 i�'��OMP ED ADDRESS 5/ I/d/ I d (N — k __ OWNER TELEPHON _ � --7 2- CONTRACTOR LA/0 bry-} _ • DESCRIPTION ile / /f)k- W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 5( ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION _ ,,,,,,❑,,,������FRAMING 0 MECHANICAL FINAL 0 RATED WALLS INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ INAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR T EET YOU:_YES_____NO < c9 COMMENTS: � - /e ' 1 -a)-"I7 cc a LL F04 Lbw. &J4 "S - G`Os ' cBd cc Ct kiwce (,,_)4►e- GxrSttirc batt IH,$GLr. &J V, g. �O a) F.,-- .54.2, is .4 C- /.1 cA4$Q -. 5e4? 45/.r-e. W P f cr / efte r4E ^. Q {Qty, .[ 5e.41 4'/( rim• fed — /G.ff f�0 D�4Lvs W ) D aid e/,G c't 56.1, Q 4 ' �G r d'ot <S c Gcllii -4-S mil ,4c9c4 °c-«s - -oyvece-C oR -* COVCr W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W CO ECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR Cl CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call • - . : 'nspectiv 24 hours in advance. (952) 249-4600 Owner r . •ctor • a . '\ c [if--A Inspector. f 44_ White Copyinspector's File Canary Copy/Site Notice ATE TIME CITY OF O ONOS-Q-CALLED IN cO I INSPECTION NN�Q TI E SCHEDULED ' //7, esa QS PERMIT N -i Ti " COMP ET D ADDRESS /[..5-/-5- l ()/y r i% OWNER _ . TELEPHONE 2- //a-7?5 — • ! ' /; / 1 - Rlei — CONTRACTOR �,/ E DESCRIPTION a- . e__Alt--47-ii-eL W ❑ FOOTING 0 DEMO-FINAL ElSEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO P COMMENTS: -C.c.s /-e -,.- -1e s71 AD 1/n9 0b10a',�J��cc_ Ct 0 ^ '11 a-c,Xet it.-Gezi v/ d vet-/6, -1i n,-Z OQ. + Z.,... iS�C-/ N. "'/ 0,-e'i 7C71 J-AA/D s " f Ara.,a. e 71.41,`C' � N ,i`C 14.ch 44.4 �O 74v/ Q — G rwpk-iL& Gi- C; r•4'e.Gt./ Ar c6y stat k-e,,re 2 1.. :. SnSU/IQ /+ -ea rt"•,L9 AisAr e L.E W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE WCORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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) 249-4000 Owner/Contractor on site: Inspector: tea,•-/c L• Whig Copyfnspsctor's File Canary Copy/Site Nola