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HomeMy WebLinkAbout2013-00412 - addn/remodel/repair � y CITY OF ORONO * 2 0 1 3 - 0 0 4 1 2 * 2750 KELLEY PARKWAY DATE ISSUED: 06/1U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2215 BAYVIEW PL PIN : 17-117-23-44-0026 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 9,500.00 NOTF_: DECK APPLICANT pERMIT FEE SCHEDULE 191.75 SOLID FOUNDATION CONSTRUCTION STATE SURCHARGE(VALUATION) 4.75 4326 7TH STREET NE COLUMBIA HEIGHTS, MN 55421- TOTAL 196.50 Minnesota State License#: BC646691 OWNER DLJNN,TIMOTHY 3010 BROOKS LANE WAYZATA, 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 18 ays of the date of issuance,or if construction is suspended for a perio 0 0 days at any[ime after work has commenced. The applicant is nsi e or assuring all required inspections are requested i orm n w th the State Building Code.This permit may be revo jd`'ai an e fbr ause. l I / �U , 3 / / pplicant Per itee ignature Date Issued Sign re e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • � CITY OF ORONO (� -, J�--� BUILDING PERMIT APPLICATION � �� FOR NEW STRUCTURES OR ADDITIONS �'�O Mailing Address: Permit number: �/3" � � � �O PO Box 66 I� Crystal Bay, MN 55323-0066 Date received: � —rV StreetAddress:' Received by: y� � 2750 Keliey Parkway Plan review fee: � `a� - � Orono, MN 55356 7� ' / `9kfSH0�� �`�/��j "Z���7"�� 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: �2 l S' 1�a-� ���..� ��uc� � �},��,�„�� �U' WII this be a Parade of Homes, Remodeters Showcase Home or other Display Home? ❑ Yes No If yes,a specral event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be a/lowed. CONTRACTOR/APPLICAN�INFORMATION: Name: Sol� ,.,,.,n-�a,-;�,.� C_�� �� �,..c-r'. � State License# Q c �,��,(� � l Expiration Date: ��/31 /r Phone: (cell) (,��- ��- 31Q� (office) ��v�ce.. Mailing Address: �-{3av �: 5 , � Cit : (,qi�nnb; I�t-T� ZIP: S�-ta I Contact Person: d'�h,� p;.,,n,� Applicant is: ontracfor"�/ Homeowner (ClrcleOne) Email and/or Fax: � o v�v� �d v�n,� � v�e , c�w� PROPERTY OWNER INFORMATION: Name: 'r��nn O.;���`� Phone(daY)� C�l�- �'.f8v -Cc999 �/��� �;a Address: �J10 r3t�oa�5 (��n City: r� ZIP: 5339� Email and/or Fax -r:.,,�� ��.j �;, „��,;r , ��,�,,,� ARCHITECT/ENGINEER INFORMATION: Name: (3�;uv� 1-}�r�v� Phone(day): "�i�3- ����l - a�`� �- Address: �. �r ti3c� 3 �S' City: Q�lu� � ZIP: ��3� Email and/or Fax. 4��p5 � cx�1 v,,,,��n �;- c;e ��a w� P� : ��w� PROJECT INFORMATION: Descri tion of ro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ,�Single Family with ❑ Residence ❑Addition attached garage ❑Garage/Accessory Bldg. ,�Public Sewer ❑Accessory Building ❑ Single Family with �,peck ❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer �Other: (specify) ��C.✓� ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also 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) $ � , ��� , ��� ��'� � ��� '��� PLAN REVIEW CHEG�(LIST �OR IVEW STRUCTUR�S I ADDITi ION , /�ddress/Permit Number: ��` "� �a`��E i �� � �CX� Descri�tion of work: �e��-� Septic review by: �y� � � Date Approved: �- Z--� � � � Zoning review by: �- �� �" �� �- G-- �� Date Approved: � �1� - i� �uilding review by: Date Approved: � ' �� ` �-� Grading review by: � �"�1 f/� Date Approved: �"' Zoni�g District: �2�d � Zoning File#: Reso#: Reso Qate: Zoning: Lot Area: : 3 f 5��� SF/AC Width: r'�"� Lot Coverage: ���'� SF d�Q/o Survey Submitted: �J Yes � No Date of Survey: �-/� �/ c Revised date(?): Pro osed Setbacks: Front(Lake) Rear(Streetj ( N S � W ) ( N S E �;� ) Other Buildings Wetland Side Side �� �� �u /�7�19 c:u-+-t..-� �/"r°� Defined Height: �" Peak Height: '� FFE: - FFE minus 6 feet= (Existing Contour} ` Perimeter(linear feet)_ _ 50%= r #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAVIPL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl 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. . GABLE OR HIPPED ROOF(no :f you have a... windows): Subtract half the GABLE OR HIPPED ROOF(no windows): SubtraCt half 4he distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance ,. dis4ance between the top of the between the top of the highest highest window and the highest window and the highest point of the �• point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL O7HER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjaCent to (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS De£ned building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff �'Yes � No � N/A 0 Yes �'No 0 Yes � No 0 Yes � No �N/A Permit Number: Setback: Stormwater Quatity Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover � Yes No Q Yes No 3 � 1'� `�. `�`� TYPe�S)� TYPe(S)� Updated: January 2013 v:\forms�plan review checklist 2013.docx REMARKS (in-house): Fees to be Char �d YES 6V0 �' Permit �`'" Plan Review � State Surcharge ��n` Investigation Fee �AC—Nurr�ber of SAC Units Other(specify) Sauare Foota e $ er S uare Foota e Basement X ' � 15f Floor X = $ �' 2nd FIoOP X = � Garage X - � Estimated Construction Value: $ °$����' ��? Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing 0 Grading/ Filling 0 Well � Hardcover Removal � Mechanical � Fire 0 Electrical Footing � Septic � Water Connection C] Poured Wall � Fireplace 0 Sewer Connection 0 Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. �Framing 0 Other(specify) � Insuiation 0 As-�uitt Survey a� �Final 0 Wetland Buffer 17 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date/Approved: Access: Existing: � YES � NO New: � YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMiT AND INITIALLED � Updated: January 2013 v:\forms�plan review checklist 2013.docx . STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a�u + � II a. Length(ft.)= � Number of bedrooms= ❑Wood/Frame i� b.Width(ft.)= �3, �3 Number of garage stalls: ❑ Masonry Areas in sauare feet Attached= ❑ Metal ❑ Pole Bidg. c. Basement= Detached= ❑ ICF d. 1 S`Story = ❑ On-site Prefab e. 2"d Story= ❑Off-site Prefab f. '/z Story = ' �Other(please specify): C��M po�� T�- g.Total Area= 'rt`eX REQUIRED SUBMITTALS: All of the information must be submitted in order for our application to be processed: Not Enclosed A licable ❑ Permit A lication ❑ 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 ❑ ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: 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 Certifcate 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. � ApplicanYs Signature: ' '� v1 ��` �'� �� Date: �S/ ��l I� ,� Owner's Signature: Date: ncryNti-'1IV IrVUN 1 �l, MINNESOTA ZZ lr �� .� City of Orono ` .� Planning 8 Zoning Plan Revi�avv �� a- b� � ` Site Plan Review Date: 0 ��\ � � APPROVED �� QAPPROVED WITH FEVISIGNS(see notes) � ���� + �]�ENI�D � � �� �� SIl Staff: ,����� ��� ❑ APPRt ' � �e �� � APPR� � ��� . � �� '�y �• n a�sA� � 3 HACK- � � \\ �" � BERRY S�� �G�. � �� ��� BY � e� � � DATE � 10"HACK- �,� � — / BERRY O� C��. �\ , � �t�, �� , o,o � ,� / / �Qi`� � �� � �� / Q�'�� � � �� q� \\ /� �v \ � �� \ � // /� \ % �' \ � \\� � � \ ; � \ � /� i't o„ � /� � �� / � � \ ` /� O �\ j ,�' . ,� fp�� P,n-t✓4�,c� . � Q / � � 'o`� 12" PLE / / ^(�0� �'' / MAP E �\ /I ,��� ��0� / / � 2 14" � O� O��" „� � MAPLE ,-'••9? � o��� ��p �J� OCLUM� �—� � \U�� '��'�Q Q CE:'�' � �O �� / h� $� � � �� � �_ �, \�� ,��� � � ��• 8� � � �� � o:���� � 't'. / ��� 12" � `ti'! � \ � I� � �/ ' � \ � / ��// f ,�. �� ry• � 'C��S R \ � ��- \ � /' p� • ,��ti�, 38' � � / ti' �� < � LFND \ �� �\ ^'' / A � ' s 8 �5�.����, \ � /� /� � � /�/ � ti• 9 C��`'�'. �\ \ S� �7cnac, � ��,�� � y'�q,� 66 . , � � � �ti � � � � �' S � � � �64-—� � ^�' t� �` � / / I s^�+ � .`/ �18'H�PL Q � / / / /�' � � � � , � � ` �Sp �O���' � � _� � 9 � � � � � '''. � \�� i � � �� \ � � � � � \ ry�� / . �6(i- �� / A �? j ^� �' �� /'� -- CA,t.�,.>_ -_._y�'�- � /��G/ �� '. . � � _ ". �y -/ � - - _ � /;��_ \�� \ \ MAPLE / LINE �— --_' _ _ ?Do / � v,J O� ��\ \�sg, \��00 FT SETBACK_� .�� /� �� �� �� �� �� _ _ — � � � I � �'� _ � � ,, } �� �� � � j � � \ � \ / � � �/ � / � \ �� /� s" i �� � � � MAPLE � � � � \ 6"�AP\LE�� � / \\� 1�INA �g ����� ���� \ �� � / % . _ - � � � � S � q S � �� �� � 24�MAPLE C�T` �� O��O � 6� � 18"HACK- \�� � // �C/ 3g;�p,, �" ����8\ �� �,� �_p.._C SItE PLA Z� zZRADI�6LC1.AN cc '�' -_� �� � APAROV�D � ,OO�Q BERRYK �� [�- A;�RAOv�� tMiTH !�!+1SIO�NS � � fl1314PP �}1�'`� �Y l�1T� b -�� - u��� . �� PROPOSED ELEV, . . . . � 1 ) GARAGE Legai description of premises: 2) TOP OF FNDTN Lots 23 and 24, Wallace's Addition to the Village of Minnetonk� Beach 3) BASEMENT This survey shows the boundaries and topography of the abov� described 4) LOOKOUT property, the location of an existing house thereon, and the proposed location of a proposed house and driveway. It does not purport to show any 5) FIRST FLOOR other improvements or encroachments. • : Iron marker found ��-: Existing contour line 0 20 �-: Proposed contour line 53.5 : Proposed spot elevation Bearings shown are based unon an as����„A� �at��r,,, / DATE TIME V CITY OF ORONO CALLED IN �O —.� INSPECTION NOTICE SCHEDULED �o-�L l� :o O PERMIT NO.�D13 �U� �I �COMPLETED ADDRESS d�l� C��- OWNER TELEPHO E NO. CONTRACTOR °SQ��� r"������ �; DESCRIPTION ������ � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o < < �r'� c� `-� �� ��iU�C� � ° ���� C� r%�- C�� �� � � ; � � v �j ; ��-�-� /� � 5 � ��,�� � �-�� z W � W � � d W ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED !l; ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. J PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� ZQ9-46�� Owner/Contractor on site: Inspector. c � White Copyllnspector's File Canary Copy/Site Notice �� �' TE TIME � CITY OF ORONO CALLED IN ' INSPECTION NOT SCHEDULED � "� ��'�� PERMIT N0. 'DO �COMPLETED ADDRESS a�al S U �� OWNER TELEPHONE NO.��Z 3D9 J���S CONTRACTOR �L�Z� G��tC�—C � �t C� >; DESCRIPTION ��'�'� r�""`` � � ❑ 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. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI L ❑ FOUNDATION/REMOVAL � OWNER/ NTRACTOR TO MEET YOU: YES NO � COMMENTS: � W a � � � �� a � �-� � �� � 0 � W � Q ti Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �` BA�iRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN 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� 249-46�0 Owner/Contractor on si Inspector. �_ � White Copyllnspector's File Canary CopylSite Notice � D E TIME " CITY OF ORONO c�iN J-�� INSPECTION NOTICE '���sCHEDULED �'� � PERMIT NO.�C�l� , co ETED � ADDRES ' OWNER �I TELEP NE NO�(.� —3� � CONTR TOR �: DESCRIPTION � 1y� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � Ga-���A � 1 'j� ��e�� � � 0 � w � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. r �( -� White Copyllnspector's File Canary Copy/Site Notice