HomeMy WebLinkAboutBuilding Permit Application 01/01./2011 12: 11PM 9524407310 VICKITERCERD PAGE 01/05
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address. Permit number: Voll- b /Oto 3
Og,O�O PO Box 66
Crystal Bay, MN 55323-0066 a received:
A a. StreetAddress:' ceived b . /� S
2750 Kelley Parkway P n review fee:
moo$$ Orono, MN 55356 '
To I Fee:
Main: 952-249-4600 Fax: 952-249-4616 www i orono.mn.us
This application form must be completed in full and all required iijormation must be submitted.
Incomplete applications IIMA' as;tGENERAL INFORMATION:
Job Site Address: VV YJ
Will this be a Parade of Homes, Remodelers Showse HIr
e or er Display Home? ❑ Yes L] No
tf yes, a special event permit/s required with Police Department and Counprova/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient onsite parking is av able, Nermitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# o Expiration Date: -�313 /,2a I
Phone: -,t, -Z Z Zoffice cell
Mailing Address: _ city: ZIP-! 3-7
Contact Person: U I Applicant is: CZalftr Homeowner (clrcle one)
Email and/or Fax: _ Cpy,7
PROPERTY OWNER INFORMATION:
Name: Y-1 r7 L r�
Phone (day): a � S S
Address: _ /I e5 LVLf Pq 4 untie_ YVa City: L( � ZIP: 3-4 1
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: _ ZIP:
Email and/or Fax:
PROJECT INFORMATION:
7,Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal&
I�New Construction ElSingle Family with ElResidence water Supply
❑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 kr Storage ❑ Public Water
"Any earth movement may require ❑ Commercial Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Greek Watershed Dlstdct(MCWD) ❑ Other: (specify)
18202 Mlnnetonka Blvd
Deephaven.MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
�mvw.minnehahacreek.orq
Estimated Construction Valuatlon (excluding land) $ ':�3 ! 4
Laet Updated: 4/28/2011
- 19-
01/01,/2011 12:11PM 9524407310 VICKITERCERO PAGE 02105
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)= 10 Number of garage stalls: ❑Metal
Attached= ❑Pole Bldg.
Areas in sough feet Detached= ❑ICF
❑On-site Prefab
a Basement= ❑O"its Prefab
d. 1e Story = �,Y ❑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 beprocessed:
Not
Enclosed Applicable
❑ ❑ Permit Application
0 0 ProposeProposeO Building Plans
❑ D MN State Ener y Code Calculations and Mechanical Code Requirements Form
D D Survey meets allrequirements)
D ❑ Stonnwater Pollution Prevention Plan
O ❑ Hardcover Calculation(s)
O ❑ Septic S stem Site Evaluation Report
a 13 Access Permit
13 O Wetland Buffer Improvement Plan
O O En ineered Plans for Retainin Walls 4 feet or above
O D 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 to ensure completion of the as-built survey and all site improvements.
Applicant's Signature: Date:
Lest Updsted: 4J=011
-20-
01/01/2011 12:11PM 9524407310 VICKITERCERO PAGE 03/05
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a RAFTER MANUFACTURED BY NAILING: OPTIONALLEVEI.NG
b TUFF-SHED ROOF: BLOCKS
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H SHED.SEE SALESPERSON FOR HEADER:
C) O BUILDING SECTION PRICNG. ATTACH HEADER TO STUD WITH: 1.STEEL SHED FOUNDATION:
1
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HEADERS3.FASTEN FLOOR BECKNG TO JOIST B TRACKS USING
HEADERS FOR N8 x I-W MINIMUM LONG SELF-DRILLING SCREWS Q 12'0.r-
OPENNGS UP To 3, CRIPPLES NO BLOCKING REQUIRED.ALL EDGES SHALL LLE ON FLOOR
USE(7)2x4 HF#2 JOISTS,STAGGER PANEL LAYOUT PER APA OONOITION L
4.FASTEN SOLE PLATE 71-MUCH FLOOR DECKING INTO JOISTS
20 WINDOW BILL SIDE WALL DOORS NOT KING STUD OR TRACKS WITH N8x8'GALVANIZED 319LF-ORILLINO SCREWS
AVAILABLE ON THIS MODEL Q 24'O.Q
5 ALLOWABLE FLOOR LAVE LOAD:ISPSF FOR STEEL JOISTS
Twp CONTINUOUSLY SUPPORTED.50 PSF FORJOISTS ON BLOCKS
FLOOR DECKING AS SHOWN.
USE OPTIONAL CONCRETE BLOCKS AS REQUIRED TO LEVEL
m BASE PLATE BUILOING:
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01/01•/2011 12:11PM 9524407310 VICKITERCERO PAGE 05/05
MINNESOTA DEPT.OF LABOR&INDUSTRY ;
Construction Codes and Licensing Dsi01910P
P.O.Box 64217
SL Paui..MN 66164.0217
TUFF SHED INC
1777 HARRISON ST
STE 600
DENVER, CO 80210
a esota c►Ti t 3 lid Licensing Division
�:•:bepartr ' t of labor and Industry 034
,0. Ba 4217 iddress: Mcenseastete.mmus
St Paul, MR.55164-0217 Website address: ww7�d11.mn..gov
L BDING CONTRACTOR
LegaTName: 11 S 1RWINC �nsr� ructure:
BgA; CORPP►TION
Address: 1777 HARRI, p1AT ,
STE 600
DENVER, 80 :'
Ucense IderdlPicadon Number: 20559888 Qualifying Penson_ DEL BUNKER"
�lcerideS.Kpii ortsp ei; :; 3/31/2012 Cv.> dnuifag LducgtfQn= lA T rs 1 }y 03/31/2012
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O O CITY of ORONO
Municipal Offices
�y a
,•� �., Street Address: Mailing Address:
2750 Kelley Parkway P.O.Box 66
�G Orono,MN 55356 Crystal Bay,MN 55323-0066
��kESH0
27 September 2011
Vicki Tercero
Tuff Shed
8687 Highway 101
Savage, MN 55378
Re: 1185 Wyndmere Road
Building Permit Application#2011-01063
The City is in receipt of your building permit application which was received by this office on September 15, 2011.
This is a permit for the construction of an accessory structure. Your application is incomplete.
As previously discussed with a Tuff Shed representative, the following items must be submitted or revised in order
for your application to be considered complete and for the plan review to continue:
1. Certificate of Survey. Please provide an updated certificate of survey meeting the City's survey
standards (enclosed) indicating the location of the existing house and proposed accessory structure (and
any proposed grading) as well as all existing structures, landscaping, retaining walls and hardcover on
the property.
2. Wetland Delineation. Please provide a wetland delineation report. The wetland delineation must be
approved by the Minnehaha Creek Watershed District (MCWD). The delineated edge of the wetland
must be shown on the survey, along with the required buffer and structure setback.
3. Escrow & Escrow Agreement. Building permits involving grading and/or review by the City's engineer
require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee
reimbursement to the City of out-of-pocket costs incurred during the review of your plans. Additionally this
escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater.
The required escrow amount for this project would be $2,500. The escrow agreement is enclosed. The
property owner must sign the escrow agreement and submit a check for$2,500.
Additionally, the City's wetland regulations and wetland buffer requirements may be triggered by the project.
Please review the enclosed information sheet regarding Construction near a Wetland and follow the instructions
provided. The above information is required in order for the plan review to continue. Please feel free to contact
me at 952.249.4620 or by email at cmattsonCc_ci.orono.mn.us if you have any questions.
Sincerely,
CITY OF},ORONO
OJ4
Christine Mattson
Planning Assistant
c Gary Gronneberg, 1185 Wyndmere Rd, Wayzata, MN 55391
Lyle Oman, Building Official
enclosures
Telephone(952)249-4600•Fax(952) 249-4616
www.ci.orono.mn.us
PLaPeie Chc�c�i firIewSt
r�t� uxes . #�ddi#ions
Address/':PID/Legal:
Description of work.'
Septic revlewt y ':Dmite ppro�etl "
Zoning review by ate,-Approved
Bulltlingrev�e�nr ijy datepprovod
Grading sre�raea�v by Datepprovetl
Zonang File, Resolution-,t. '-ResoldtibnDate:
4Znnin .district: FIre=De artment Prrst' tfice .. SchodlDistrict::.
.Zoning: Lot Area SF=/AC Width: Depth.
Survey.Subrnitted D Yes � No Date ofSnrarey `
Proposed' et
baeks:
;Front,(:L�key Rear 5tr'eelr) ( 'M E 1N ) ( M S` 1= X111 ) Other$ulldings sWetland
.Side Zide.
Building Defined`:Melght;' B- ilding.Peak Height: #of'Stories Ok?,,n YES
FOt2 A'BUILDING MT-.H A:SASEMENT DR:�Ri4WL`SPACE: <FARAMAIL"DING,DN'AI'SLA6,R)LNDiICTION:
STAR,TWITH ,the:distance between,the bAsement,floot/,oraWI START the:distance between the slab and the highest
spacel9oor and the highest roofNpeak�.�the`.top,of 1NIT:H roof peak,ithe top o:lh cornice of 4. t.
roof, . r
the•conice of.,a.flat roof;ahe��ieck Ime:ofa the deck line:of a anansard fonf,=nr the
mansard-,roof,,or.the,upperrnost;iaomt:vn-,a round, ;uppermost point on;•a roond+or.,otherarch-type,
,br-of erawch-: e:roof
roof._`
SUBTRACT. half the distance betweEn the;Highest°anrindow and SUBTRACT halfthe,distance between:thel� hest=window
=hi hesf roof eak. f itched:roof and'hi hest,toof eak of a:`"itoher]roof
'SUBTRACT theAistancebetw,6en:the.basarnentfloor/..crawlADD' thedistancebetweenZthe�sW and`the•.highest
space-fionr anti_the"Higbest existing grade=within `` :existin' rade wlthinthe;fibunt Mien'
the foundation,or'`10feet iwliichever..is'less, 'EQUALS Definedbuildin hei 'ht
:EQUALS. Definetl builtlin height
:Lot Coverage: •SF
Shorteland Distdct 'MCWD=Permit;ReceivedAverage'Lakceshore:Setback :811uff
Yes; .13 No 13 N/A d 'Yes No
M Yes' D .'N/A
.Permit'Number setback:
Hardeover-.Zones. iEzistin -Proposed �/•ariance>to wired DUP�Re aired
0-.75, .0 Yes t3 a'No 'es :No
75-250, Type(s): Type(s):
,250-500'.
500-1000'
•REMARKS.(in-house),
Updated: 09/11/2009
.z&
ftforrnt\451an review theckiistsdocx
'Fees to:be Charged
-:Plan-Review
Investigation.'—Fee
Sewer.Conn>rction
:Pack Fae
Other_,Apeq!f j
:Calculiated�By
S uare,F.00ta e' $aper Squm,Fbiota e
Basement X =
1St Floor X _ $
2"d Floor XT.
= $
Garage X _ $
Esfimated..Consfruction Value: °$
C rono'Inspectibns Required aAlor1c Requiring'Separate'Perr.its - Required..State:Perrnits
0 'Site :0 Plumbing °0 Grading/Filling 13:6w,611?.
'D
3 1 /ell-
'D Hardcover Removal i7 Mechanical Cl."Fire '.Electrical
:D .'Foatin;g :13 Septic ;JO <Water Connection
D ;Poured ill'all D. Fireplace M Sewer'Connection
D --Foundation.S.ur-uey_ D -Masonry,: a Lawn Irrigation
%D -Radon-'Rock:Bed D Mfg.
D Framing 17 O.ther;tspecify)
D Insulation
17 .As=Buiit'•Survey
i7 Final
D
Other(specify)
REMARKS (in-house):
Othe 'Review: Reviewed by: Date..Approved:
Access:Existing: D YES D =NO New: 13 YES- 13-NO
'REMARKS (TO BE NOTED ON PERMIT AND'INITIALLED'BYPERSON PULLING'PERMIT)
Updated: 09/11/2009
z'Vormslplan review checklist.docx