HomeMy WebLinkAbout2013-00391 (addn/remodel/repair) . CITY OF ORONO * Z Q� 1 3 - P1 0 3 9 1 *
� • 2750 KELLEY PARKWAY �ATE tSSUE�: OS/22/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1501 BAY RIDGE RD
PIN : 10-117-23-34-0007
LEGAL DESC : REG. LAND SURVEY NO. 0192
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION /REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,000.00
NOTE: SEPF,RATE PF,RMI"I'S R};QUII2}:D: PLUMBING, MECHANICAL.FIREPLACI:, ELEC"I'RICAL(S"I'A"1'E)
[3ASEMENT REMODF,I.
ADV. PLAN RGVIEW PD 20 1 3-003 90$47.94
APPLICANT PERMIT FEE SCHEDULE 73.75
GERMANSON, DON &TWILA STATE SURCHARGE(VALUATION) I.00
1501 BAY RIDGE RD
WAYZATA, MN 55391- TOTAL 74.75
OWNER
GERMANSON, DON &TWILA
1501 BAY RIDGE RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The���ork for which this pennit is issued shall be pertixmed 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 goveming diis 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 eriod of 0 days at any time atter work has commenced.
The applica is esp sible for assuring all reyuired inspections are
requested� co for ancerWith the State Building Code.This permit may be
revoked t a time o due cause.
/ / � �� �� /�
Ap an Perm e .ignature � Date t . d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� Cit of Orono ►�" � ����
y � ��,�I�
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�'� Mailing Address: Permit number. 020/3 -DO�' '�'/ �
,�� ���/� � PO Box 66
� '�. Crystal Bay, MN 55323-0066 �ate received: S-ZI- / 'J
f� t
I: � � Street Address: Received by: �S
, .; �- J
� � � 2750 Kelley Parkway Plan review fee: � ��� G�—
`' f� -Y� ��� Orono, MN 55356
\?KFsf���,lt,% aoi�3-do3 90
_. - 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: �� � �R' �(� �
Will this be a Parade of Homes, Remodelers Sho case me or other Display Home? ❑ Yes No
/f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus rvice will be
required unless applicanf demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: - Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) � — p (office)
MailingAddress: a�� ,"�fJ City:(,�/c� . S"f��' '
Contact Person: � .e;������� Applicant is: Contrac or / Qmeowner (Circle One)
Email and/or Fax: �, q.p�..u,����p,� ,r, ��,(p,,�,��,y�
PROPERTY OWNER INFORMATION: �
Name:
Phone (day): -- �
Address: � � � City: " q cz � ZIP: S3p'
Email and/or Fax: � ,� � ,� ; �, ��
PROJECT INFORMATION: Overall ro'ect descri tion:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(specify) Siding �Other: (specify) Phone: 952-471-0590
,p Fax: 952-471-0682
indow(s) t�SWt,�— ��j�l► www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• 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;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confdential Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confdential 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 infor n is nually update our records and records of other governmental agencies required by law. If
ou refuse to su I the nfo matio , 'e a lication ma not be issued.
ApplicanYs Signature: Date:
Owner's Signature: Date:
Last Updated:03l06/2013
� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: i} � � (3�y' ��� ���= 1?���✓�
Description of work: `�7�c%t,v►-� �-t►�v ,5 i•i r� C,t=� � �-�=�'�'�--
Septic review by: �U I✓� Date Approved:
Zoning review by: V� Date Approved:
Building review by: Date Approved: `��Zl - I �
Grading review by: � ��✓} Date Approved:
Zonin District: Zoning File#: Reso#: Reso Date:
Zoning: L Area: SF/AC Width: Lot Coverage: F _°/o
Survey Submi ed: 0 Yes 0 No Date of Survey: Revise ate ? :
Pro osed Setbacks•
Front(Lake) ar(Street) ( N S E W ) ( N S E W ) O er Buildings Wetland
Side Side
Defined Height: Pea eight: FFE: F minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50 = # f Stories Ok? � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPA\
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement or cr I
space)and the highest point of the roof. START WITH The distance between the top of slab and
If you have a... the highest point of the roof.
If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the highe point between the highest point of the roof
of the roof to the low poin f the to the low point of the corresponding
SUBTRACTION corresponding gable or pped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED OOF(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtra half the ROOF TYPE) windows): Subtract half the distance
distance betwe the top of the between the top of the highest
highest windo and the highest window and the highest point of the
point of the of roof
• ALL OT R ROOF TYPES(flat,
• ALL OTHER ROOF TYPES(flat,
mans ,etc):No subtraction. mansard,etc:No subtraction.
ADDITIO Add the distance between the top of slab
SUBTRACTION Subtract e distance between the (BASED 0 and the highest existing grade adjacent to
(BASED ON EXISTING basem Ucrawl space floor and the EXISTING the foundation.
GRADES) high t existing grade adjacent to the GRADES
fo dation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS efined building height
Shoreland Dis�r' t MCWD Permit Received Avera e Lakeshore Setback Met? Bfuff
0 Yes 0 No ❑ N/A 0 s � No
0 Yes No 0 Yes 0 No 0 N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
0 Yes 0 No 0 Yes 0 No
Type(s): Type(s):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES NO
Permit
Plan Review rf
State Surcharge
investigation Fee �
SAC—Number of SAC Units ✓'
Other(specify) ��
Square Foota e $per Square Footage
Basement X = $
15t Floor X = $
2"d Floor X = $
Garage X = $
Estimated Construction Value: $ 2, G'f?t��'�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing � Grading / Filling � Well
� Hardcover Removal � Mechanical ❑ Fire lectrical
� Footing 0 Septic 0 Water Connection
� Poured Wall 0 Fireplace 0 Sewer Connection
0 Foundation Survey 0 Masonry � Lawn Irrigation
0 Radon Rock Bed � Mfg. �
�Framing 0 Other(specify)
�nsulation
�s-Built Survey
Final
0 Wetland Buffer
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: 0 YES � NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms\plan review checklist 2013.docx
Don Germanson (952-956-4058)
: � �* ��: fiy;F , �F° 1501 Bay 6�idge Rd, Orono ' '
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�'� � Smoke � ��
Detector
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PROJECT: �
Finish basement Rec Room with drywall and I
egress window. ';
NOTES:
1. Electrical per code.
2. Smoke Detector hard wired w/battery backup , :::::.:::.:::
3. Scale: 1/2" = 1' j 2x2 studs with drywall(16"o.c.) ! �.:: .
- �: :
Drylok paint(vapor barrier) v � .--�ss:.::.
r R10 Foam Insulation m �� �
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SPECIAL NOTE I
SEE AT�ACHED SHEET �
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FOR �.,.. �,N.n��s /��-ri c.-�t1 ',I
CODE REQUIREMENTS ; �,,
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Ebress wi°d°"' SpECIAL NOTE
Per Code
SEE AT�'ACHED SHEET REVtEVUED for CODE COMPLIANCE
FOR r��� w�� � �
'CODE REQUiREM�NTS PLAN CHECKED B�C�:�.C�ATE S - z.t- 2o t3
�
�Q�7 � /_ AT TIME �
CITY OF ORONO CALLED IN (�/ � �
INSPECTION NOTICE SCHEDULED ,b�l.� �
PERMIT NO.�/_3��"�l� COMPLETE r�
ADDRESS ��61
OWNER ���R-WIS��I�L TELEPHONE N09��'y5� �5�
CONTRACTOR
a DESCRIPTION � — �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW �iNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W�O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING 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. (J52� 249-4600
OwnerfContractor itq: ,
Inspector. � ✓ �
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.a�1� 'Ua�y� COMPLETED ���j`
ADDRESS /�U/ ��cti ��p ��
OWNER I�er� G�•'rr��tnsar(fELEPHONE NO.
CONTRACTOR
�; DESCRIPTION ��e� ��� ���'�
�
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP � COMPLAINT
� � DEMO-SITE ❑ SEPTIC MAINT. f�OLLOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
Ownerl n ctoron site: GG�
Inspector. ^^
W ite Copyllnspector's File Canary CopylSite Notice