HomeMy WebLinkAbout2011-00991 - inter remodel/remove roof add new roof � � CITY OF ORONO PERMIT NO.: 2011-00991
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 09/16/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1635 BOHNS POINT RD
PIN : 17-117-23-11-0006
LEGAL DESC : REG. LAND SURVEY NO. 0565
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIV ITY : 434-RESIDENT[AL
VALUATION : $ 250,000.00
NOTE: INTERIOR REMODEL&REMOVE ROOF&PUT ON NEW ROOF(CHANGE PITCH)
SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,LAWN IRRIGATION,ELECTRICAL(STATE)
AVANCED PLAN REVIEW PAID 9/1/11 CK#15628-$1,271.89
* "I'HE RE-ROOF INCLUDING THE SLIGHT INCREASE IN HEIGHT/PITCH ARE WITHIN(BELOW)THE LEVEL APPROVED BY
VAR[ANCE WITH RESOLUTION#5860.
APPLICANT PERMIT FEE SCHEDULE 1,956.75
TIMBERLAND BUILDERS STATE SURCHARGE(VALUATION) 125.00
17641 CASCADE DR TOTAL 2,081.75
EDEN PRAIRIE,MN 55347
(612)909-0663
Minnesota State License#:20135484
OWNER
KOZLAK, STNICK&JODEE
1635 BOHNS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT �
The work tor which this permit is issued shall be performed according to
the approved plans and specifica[ions,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
no[grant permission for additional or rclated work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied 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�,a�l required inspections are
requested in conformance with the State ildin ode.This pe mit ma be
revoked at e for dqe cause/�/ f
i � /
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Appljcant Permitee Signa D e � � / /
Iss d By Signature Date
SEPAR��`E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. � ��� ,�- :�
���,� �� City of Orono
� �
Building Permit Application
for New Structures or Additions ���'� ��
Mailing Address: ;��'/!- ,l��r �
j�,O,j�� PO Box 66 Permit number:
� O .� O
Crystal Bay, MN 55323-0066 Date received: -/ - 1�
��
���a "'�''� "`" a,�, Street Address:� <<G Received by: l��-) �''k f� �«K:�rE� �����7C-'
`"�'� � �� ti� 2750 Kelley Parkway `�L�CC #�`, t-�— P an review fee: �
\����r��G Orono, MN 55356 � � � J � �� �
�?fEsxo1''/
�-----� 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 applic�tions will e returned. (Please print)
GENERAL INFORMATION:
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a specia/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 ailable. Non-permitted events will not be allowed.
CONTRACTOR/APPLICA I FO M ION �
Name: (1 , (�
State License# Expiration Date:
Phone: • � office) cell
Mailing Address: � Cit : ' ZIP:
Contact Person: ' Applicant is: ontrac o / omeowner (Circle One)
Email and/or Fax: (�
PROPERTY OWNER INF TION:
Name:
Phone (day): �
Address: ' Cit : ZIP:
Email and/or Fax
ARCHITECT I ENGIN ER FORMATION:
,
Name:
Phone (day): _ �
Address: Cit : ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
Water Supply
❑ New Construction mgle Family with �2esidence
� Addition r ��� ��m�Y� r �attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
Accessory�uilding 1 ❑ Single Family with ❑ Deck
❑ Relocation �,(N r� detached garage ❑ Office/Commercial
❑ Other. (specify) - �(� ❑ Muiti le Famil /Condo ❑ Private Sewer
p y ❑Warehouse
� C{-U � ❑ Public ❑ Storage ❑ Public Water
""Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial
❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590 .�(�, ;
Fax: 952-471-0682 �� � �,
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $
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.)= Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached= ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15'Story = ❑ Other(piease specify):
e.2"d StOry=
f. 'h 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 A plication
❑ ❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin 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$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 govemmental 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 agreement to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date:
� Plan Review Ch�cki�st for New Structures / Additions
Address/PID/LegaL �Io3�j M,�. pF4�l.7S �p�� T �?,p,A„/,
Description of work: ��n�L L
Sepfic ceview'by: �1� F� ,. Date APProved:_ + �
,.�, ,
.Zoning<review:bY� `�-���'' e Date Appro�ed._ `�� t' � ��J `;'
Building review by: Date Appro�ed: �'-J-i�1- ?_tt�1/
Grading review by: �`//� Date Approved:
Zoning Fiie#: Resolution#: Resolution Date:
Zoning District Fire Department I Post Office � Scho:ol district
�
Zoning: Lot Area: SF 7 AG Width: Depth;
Suroey Slibmitte�: ❑ Yes � No Date of Survey:
Pro osed Setbacks:
Front(Lake) Rear�Street) ( N S E W ) ( 'N S 'E W ) pther Buildings Wetland
, $ide ,� Side-
,�. '"�-'f °b f`"li��' \ ti- , ;
� :
Building Defined:Height:. Building Peak Neight: #of Stories Ok?: � YFS
FOR-A BUILDING aIVITH i4 BASEMENTOR:CRAWL SPACE: FOR A'BU,ILDING ON-A SLAB FOUNDATION:
START UUITH the distancs betweenthe basement'floor/crawl START the distance between the sfab and ihe highest
space fioor and the highest roof peak,the top of 1NITH roof peak,the top of the comice of a flat roof,
the comice of a flat roof,.the deck fine of a the deck line of a mansard roofi, or:the
mansard roof, or the uppermo5t:point on a round uppermost point on a round or other arch type
or other arch-t e roof roof
: SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement ffoor/crawl i ADD the distance between the slab and the highest
space floor and the highest existing grade within i existin rade within�the'#oundation
I the foundation or 10#eet, whichever is less. j EQUALS ; Defined builtlin heiqht
EQUALS I Defined buildin hei ht
Lot Coverage: SF %
Shoreland'District MCWD Permit Received Average L:akeshore Setback I Bfuff
❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No
❑ Yes ❑ No ❑ Yes 0 No D N/A
permit Number: Setback:
Hardcover Zones Existin, Proposed Variance Required � GUP Required
D-75' � '❑ Yes ❑ No ❑ Yes D No �
75=250' TYP���)� TYPe�s):
25D-500'
! 500-1000'
REMARKS (in-house):
Updated: 09/11/2009
z:lformslplan review checklist.docx
Fees to be Charged YES NO
q�4e�f m...I�,,��-rc ,, ',• �,• .�����`+��E. +�„va`3r.�'. "���_ re�. .r,
�z'Fe+�wvv^Ctc,.,�.rm�u. r 1 ,.{,� �'tWf.aFrhr4'araBzasura�nar�
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e�'.....� �.., r . f . � .�.
.�m.. �. .�.�
P{an Review �
q �,wuw �ns ,:�. :-:� - �. � ' •- - -•�
a � �G"�� � . . �.. 0. ,
�,��-���,� : �� . _ �
Inves#igation Fee
`"SA���`�I��mbe�n`�F'��t��iraa � _
_ ..H�.4,�:.� ,�_,.._ _.,. .,�,�_ _. . . ,..:�� : s�::, ,
� Sewer Connection
.. .
�la�er.-Connec�ion:-� .,. ���..,r;-���1 .,
� - -4 ,..s`7.�.�I..�.'�,saaR� � t��:� .
Park Fe�e
. ..' ',�. , ,.- . '• ^�y '�+�.+.rris:-.,r��� r
..,.. �A� �li S' `',. � ,:. ,
�w,��lUTil ��� "��+'+���`r d� ,'�I �.� � ""I �,�
-,: �rMmc, W., 3 x n ,Y�.�s. ' '.:. J,i�-
._. , � . �.,,. .� ,-': �s`� .,.+�.'�����`5�^'��v,
� � � Other�(spe�cify�) � � �; ', ��.
' � �, .
_
, .,; ,,. .: �"�S�E����� ' , .r, . _ F,� ��� �' , �� ����
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- Calculated By.:
S uaee Foota e $ per Square Foota e
Basement X = �
1 St Floor : X _ � <
2"d Floor � X i _ � ; �
Garage X = $
Estimated.Construction Valne: $ �SO��D� �
Orono fnspections Required Work Requiring Separate Permits Required State Perrnits
:❑ Site Plumbing ❑ Grading/�illing ❑ Well
❑ Hardcover"Removal IVlechanical ❑ Fire �' Electrical
fl Footing ❑ Septic � 1Nater:Connection
' ❑ :P.oured V1(all - � �ireplace 0 Sewer Connection `
� Foundation Surve . ,
Y ❑ Mason,ry �0' Lawn Irrigation -_
0 Radon Rock Bed ❑ Mfg.
Framing � O.thec(specify)
Insulation
:❑ s=Built Survey
�inal
. .,,
� Other(specify) -
.
REMARK$ (in-fiouse): �� �— Y'Ul>f � �,�'%i'��LC�.G�� `;�t,c� �=��-LL�- (.�'1 ►�1-2��, � . �.
� d °"ti _� �.� ,,/� . . � �
✓� - �;` ,r � ' �C �J ,' ,�=��i+-c ,�- �.� , '� � ��P�� �G�,�'JrtS I�
�1�� � `f ���5��� ��L�� � ��� ��� � ,,,� .
Other Re�iew: ;Reviewed by: Date Approve�:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REM,�►RKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERM(T)
Updated: 09/11/2009
z:\forms\ptan review check(ist.docx
Jr A'U. aF [`+
�� S'���'. �"���'��
� ` ° ` - °�� Bassett Creek Business Center
i�t'��S���C.li i
�IIaC"1�nC` 901 North 3rd Street, #100
,�,�
�'�! Minneapolis, MN 5540i
M. structural 4 6I2-827-7825 voice
engineers ; 612-827-0805 fax
Date: August 26, 2011
To: Brickhouse Architects
g�g W.46`h St. #204
Minneapolis, MN 55419
Attn: Denny Ctaridge
From: Eric Bunkers
Project: Kozlak Residence
1635 Bohns Pt. Rd.
Orono, MN 55391
Proj.No: 11101.01
Subject: Proposed Remodeling
Dear Denny:
As requested,we designed new structural members for the above referenced project. We have designed
the new members using a roof and floor dea BU,ain f Codef Our wo k onlyancludes desiyning he new t'ee
load in accordance with the Minnesota State 9 rovided by you and our s
members as shown at the above reference project and is based on drawings p
visit.
the contractor and al� ith
Attached are 4 framing sheets with a�ed and t mpo ar lytb aced adeequsrseh�byn9 the new members an
connections. All framing shall be sho Lumber shall be minimum#2 SPF w
minimum nailing shalt be in accordance with IRC Table R602.3(1).
treated lumber to be#2 S. Pine and engineeredo{have large spFt�s and�hecks and shall be v��isualy ulations
assume a!I lumber is of good quality and does
inspected by the contractor at the time of construction. All fasteners in contact with treated lumber shal e
G185 hot dipped galvanized or equal.
Concrete used for footings (4"slump) shalt have a 28 day compressive strength of 3000 psi. The new
footings have been designed as a typical spread footing based on a presumptive load-bearing value ofica100
psf in accordance with Table R401�4��assumed o be perfortm ng adequately The cont actor sn hl ealso verify
spread footings on good soils that are
the condition of structural mems o�se away fnom'the bu ding and gutte s w th {ong dow spauts should be
drawings. Exteriar grade sha P ranular and the soils engineer is recommended to
used whenever possible. Foundation backfill shall be g
verify existing soils during excavation of the concrete pier footings.
'
.
����z �� _: �� ,��
When installed as indicated above,the new framing members and foundations shown on the attached
sheets shalf support the loads as required in accordance with the Minnesota State Building Code. The risks
have been allocated so that Mattson Macdonald Young Inc.'s total liability to the Client shall not exceed the
total amount of iwenty five times Mattson Macdonald Young's received payment or one million dollars
whichever is less. If you have any questions or concerns,please feel free to contact us.
Sincerely,
Mattson Macdonald Young, lnc.
� _.__
Eric M. Bunkers, P.E.
MN Reg.Num.26490 I hereby certify that this plan,specification,or report
was prepared by me or under my direct supervision
and that 1 am a duly Licensed Professional Engineer
under the laws of the state of Minnesota.
�—�_-G_
Eric M.Bunkers
Date:Auqust 26,2011 Reg.No.26490
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Hard Cover
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Main Level Plan
Scale: 1;'�" � �
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Title:
Upper Level Plan
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