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Home My WebLink About2011-01175 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-01175 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 845 WILLOW DR S PIN : 10-117-23-22-0002 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 29,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) PREVIOUSLY APPROVED-FOUNDATION AND SLAB IN FINISH WORKSHOP-STARTED WORK UNDER PREVIOUS PERMIT P11679 NEW CONTRACTOR APPLICANT PERMIT FEE SCHEDULE 456.00 REN PRO 8535 CENTRAL AVE.#107 STATE SURCHARGE(VALUATION) 14.50 BLAINE,MN 55434- TOTAL 470.50 (763)269-6598 OWNER WILLIAMS,ROBERT&JORDANNA 845 WILLOW DR S 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 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 ause. A cant ermitee Signature Date Iss6cWBy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions O 4� MailiPO Box 66 ng Address: Permit number: 0�0 f!(^ 7 5 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 \_ mosso 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:L� �� © � Job Site Address: l Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes . 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 lft required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: W,-\k — , State License# Expiration Date: -Lo Phone: office 3 ( cell Mailing Address: 3S rC-A_Q Cit 'OLA_n.( ZIP: Contact Person: D&OS& Lotti Applicant is: <9c o Homeowner (circle one) Email and/or Fax: nS,�62 c 2 v Lk- PROPERTY OWNER INFORMATION: Name: -T-1) -ii,_ n�beAy, Phone(day): _ q5 D 1>'o Q 9 Address: _K4.6 tDrAtn ,, O r City: Vrnno ZIP: Email and/or Fax ro b l LiD MS c_ a_�po . C a yy�- ARCHITECT/ENGINE R INFORMATIONS�� Name: ��y`ZI�_RL-1�LX S 7Ta'L:- Phone(day): i Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply fW 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) ❑Multiple Family/Condo ❑Warehouse ❑Public Q Storage ❑ Public Water —Any earth movement may require ❑Commercial Other( eciN) MCWD review&permits. 0 Industrial U13 OY'ILS It-G te ❑ Private Well Minnehaha Creek Watershed District(MCWD) Other: (spe ify),p 18202 Minnetonka Blvd 0y -Si Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation(excluding land) $ 12A , 0 00 . Plan e%dew Checklist for NewStructures I Additions Address/PID LLegal: WkLtXW Description ofi work: P i n/15 1 t S WC- u t-r I OyS i T- Septic review by: 1 JI#4 Date.Approued: .ZGnmg,,reviiew by: / DateApproved: Building reinewJ?y: Date P43prmred: / m -3—Lor ;Grading-review by: /f1 Date Approved: Zoning File#: Resolution*: Resolution.Date: Zoning District Fire:De artment Past`OfiFice School Di t :Zoning: ,.Lot Area: SF/AD VaZidth: De Survey:Submi D"Yes D"hlo :Date ofSurvey: Proposed setbacks: ` front Laka) 2 Strset) l `S E 1i11 { -;N S E ;W OtherSUil in IlJettand ..Side Side Building'Deffned Height: Building Peak Height: #of StoriesDk?'' YES FORA BUILDING>k1SlIT#i;A,BASEMENT DRZ,LL,,, 'R,.A SUILDING DN'1'SLAB,-FDUNDTA.TION START.INITH `the distance.between.the:basement',fioor/;�bNwl START the distance_:betweenthe.slab andahe°highest space floor and-the highest roof.peak,:the�op:: WITH roof;peak;the'top nfthe.x~ornice of a flat roof, the cornice of:a'flatroof,Ahe--deckTne-6f.a the deck line of,a;mansard,roofi,.vrthe .mansard roof,orthe uppermost.point on a:ro d upPermost;point on:a TounB or other aroh-'type or other arch;dyype Toofi roof SUBTRACT halfthe distance between-the#iighest ani dow,:antl aU CT half the-distance between the,-highest:window thi hest.mof pe6kof.at itched roof and:.hi"hest.roof.. eak ofa,Oltched;roof SUBTRACT the-distance'betweenthe'baseme floor/crawl 7ADD the distance between dhe::slab;andlhe.highest space.tfoorandthe�highestex'r grade-withinistin rade�withinthe`foundation the foundation or 10 feet,* i ever]s'�less. EQ.UAL5 De tl:builtlin `hei ht EQUALS Defined buildin ahei ht Lot''Coverage: S Ado Shorela,nd.District WDWD=Permit Received Avera e,Lakeshore Setback l3lutF n 'Yes -,M -No _ Z3 NlA •`es D Nn M �Yss D � _� 'Yes � No 13 ?N1A :Permit Number: : : :Setback: Hardcove . Dnes Existing -Pro; osed Variance:Required ;W.PRequire D'Yes 'D No :D Yes .NDL 5-2507ype(s): Type(s): 250-500' a"OD-'10D0' REMARKS (in-house); Aey"d vsc.y Ap04o%A� - r /V- IF :Updated: 09/1112009 z 1formsVian review checkfist.dom Fees to be Char ed1f5 i�ID Pian•Revriew Investigation;Fee Sewer onnec ion PatkFee Calculated°8'Sqt►: ivare:fbota a erS uare,Foota e Basernerit Ploor i;arage. Egtimafted�Construetion Vallee: S q� C).00 °% O.rano lnspet ions R-equiree Wa+rk Requiring Separate�:Permits {Required'State Perrnits Site fl :Rlurribing ratling J Filling ZI Well` I:7 'HardcD�er f�emo�raf t] Uechanicell D.fire' Electrical 1� =FraOtIng I-S tic titer onnection : :0 ::P:oured.Wall =D fireplace U-SeweriConnection oerr3ataanunrrey :'Masonry Lawrrlrrigatioit ,13 Radon Rork'Bed J3 ,Mfg. A framing M erfspecifyi)` on', .'. uilt�Snr�►e,� PV Other, (spediijr) REI>]IAfi; S;jrnmhouso):.. OtherA,ReW mN.Reviewed" y ;alte. poraaed; Access -9 .,13 YES n 'NCS New: GI YES0 No REMARKS 90`8f NOTED ON.PERMIT ►AID N ITIAL1 ED 8'y PERSON PULLING'PERlI111T1 Updated: 09/1112009 z Vormslplan review checidist docx STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction s a. Length(ft.)= Number of bedrooms= Wood/Frame Masonry b.Width(ft.)= A5 Number of garage stalls: ❑Metal Attached= ❑Pole Bldg. Areas in sauare feet Detached= ❑ICF ❑On-site Prefab c. Basement= ❑Off-site Prefab d. 18`Story = ❑Other(please specify): e.2"'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 ❑ ❑ Permit Application ❑ ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting allrequirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ 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$600; • 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. Applicants Signature: Date: i ,ip Ct OC go ti s i f • i o i • , •a • • zy ♦• Ifo �-_ .:•i f '•�'., r � . ;• * :�' �` • ,,\ • t. J( Jnr ' v_ • ..c:� , M # ,�, •, , *410 Aw • '+tom 'I:t •{,+ y , y,�l�. i � '� 1. • A•• ,' 1 M' � �, 'i �♦fir * � • .�• �tr�. <� r WTIME CITY OF ORONO CALLEDIN INSPECTIONJNQTICEO�/��SCHEDULED / PERMIT N !l— COMPLETED ADDRESS S Gf�GG'IOLIJ /` S OWNER pn TELEPHONE NO.k/l;,'3 �� J�7 O CONTRACTOR �i� / G-1 5�k > DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O El FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a 0 0 UL W cc Q z W z W Uj ❑WORK SATISFACTORY:PROCEED PPROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN L1STOP 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. 16` White Copy/Inspector's File Canary Copy/Site Notice