HomeMy WebLinkAbout2013-00415 - addn/remodel/repair ,
CITY OF ORONO * 2 0 1 3 — 0 0 4 1 5 *
2750 KELLEY PARKWAY DATE ►SSU�n: 06/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2135 COLIN DR
PIN : 03-117-23-21-0016
LEGAL DESC : KELLEY GREEN
: LOT 001 BLOCK 002
PERMIT TYPE : ADDITION/REMOD�L/RF,PAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY ; 434-RESIDENTIAL
VALUATION : $ ]0,000.00
NOTE: FRON7�PORCH ADDITION
ADV. PLAN REVIEW 20 1 3-004 1 4 PD$86.29
VALUATION WAS CHANGED FKOM$5,900.00 TO$1Q000.00 PER LYLE OMAN, WHICH CHANGED THE
ADV PLAN REVIEW FROM$86.29"I�O�124.64. THF,DIFFE2ENCE OF$38.35 WAS ADDED TO FINAL
YERMIT FEG"I�OTAL.
APPL[CANT PERMIT FEE SCHEDULE 191.75
D.W. LUTTERMAN, INC. PLAN REVIEW 38.35
P.O. BOX 224
VICTORIA, MN 55386- STATE SURCHARGE(VALUATION) 5.00
(612) 701-6318 TOTAL 235.10
Minnesota State License#: BC442534
OWNER
MEIER, RYAN & SARAH
2135 COLIN DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
I'he work for which this permit is issued shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This pennit is for only Ihe work describcd and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc of work
shall be compied wi[h 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 dat issuance,or if construction is
suspended for a period o1�180 day an [ime atter work has commenced.
The applicant is responsible f ssuri all required inspections arc
requested in conformance �th the ate E3uilding Code."This permit may bc
revoked at any time f due ca
�i i1s� ' (�� � � i/� il�
Applica mitee S gn e Date Issu d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � C'�lL� c� ���� -�?�a.�
City of Orono � � �D
c��
Building Permit Application
for New Structures or Additions
Mailing Address:
�Q�O PO Box 66 Permit number: 3-�d /`,�
Crystal Bay, MN 55323-0066 Date received: .5 `�-" �3
Street Address:� Received by: C.v
-' 2750 Kelley Parkway � �'�O. z9 f�
y .C` Plan review fee:
�'� c,` Orono, MN 55356 �p/�3 -00 /
�kFSHO�� Main: 952-259-4600 Total Fee:
Fax: 952-249-4616 ���,;>; �� ����,� ,.,� 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: 0?,[�3S � Co�:ti ,d r:v�
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 6e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:�
Name:
State License# �(��.�6� s,3-�+ Expiration Date: ,3
Phone: (cell) �(�-761-��1,5' (office)
Mailing Address: Cit : ' ZIP: g
Contact Person: ��.,�,�-m���w.� Applicant is: ontrac / omeowner (Circle One)
Email and/or Fax: �a[�,J��..�—{-e�. „� Q �,,�� � �',�,y��
PROPERTY OWNER INFORMATION�
Name: ,P c�, p��;g,r
Phone (day): G�a.- 30�- 333't
Address: City: ZIP:
Email and/or Fax
ARCHITECT I ENGINEER INFORMA/TION:
Name: P�S .Qre�.=�� �
Phone (daY)� 61��JC�- 9
Address: City:� `, ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal &
Water Supply
❑ New Construction 0 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 ❑ Storage ❑ Public Water
"*Any earth movement may require ❑ Commercial ❑ Other(sp ify)
MCWD review&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) � s �00 �`�
Packet Last Updated: 04/19/2013
Page 22 of 23
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction
a. Length (ft.)= Number of bedrooms=
❑Wood/Frame
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 15'Story = ❑ On-site Prefab
e. 2�d St°ry- ❑ Off-site Prefab
f. '/z Story = ❑ Other(please specify):
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed A licable
❑ ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ O 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
❑ ❑ 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$5Q0;
• 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: !
Owner's Signature: Date:
Packet Last Updated: 04/19/2013
Page 23 of 23
PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: Z � 3 � ��-�N Q���
Description of work: �7t% �1 ����%�
Septic review by: I Date Approved:
Zoning review by: ��-- �- � • M Date Approved: �' � � Z - �'' 3
Building review by: �Lc�.-,--- Date Approved: � " � Z- Zv�3
Grading review by: /U f/� Date Approved:
Zoning District: (��R-1 � Zoning File#: Reso#: Reso Date: —�
Zoning: Lot Area:/4Z q 6 z•�b SF/AC Width: Lot Coverage: SF _%
Survey Submitted: Yes 0 No Date of Survey: I I - Z • '� 3 Revised date(?): —"
� l7�j '�=��,�,�
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S (� W ) ( N S E �) Other Buildings Wetland
Side Side
;S� ' � i'ZO' �- i �z ' �+_' z�o ' �` N//� r l�9
Defined Height: 1V a!'� Peak Height: r FFE: � FFE minus 6 feet= — (Existing Contour)
Perimeter(linear feet) _ '-� 50% _ — #of Stories — Ok? 0 YES
��ORi1 UILDING WITH A BASEMENT OR CRAWL SPACE:
`�� The distance between the lowest F'OR A BUILDING ON A SLAB FOUNDrA�
STARY'WITN proposed floor(of the basement or crawl
space)and the highest point of the roof. START WITH he distance between the top of slab and
_.�'� the highest point of the roof.
fyou�have a...
If you have a...
• GABLE OR"MfRP,�D ROOF(no . GABLE OR HIPPED ROOF(no
windows): SubtractTiAtft#�, windows): Subtract half the distance
distance between the highest p`Dink, between the highest point of the roof
of the roof to the low point of the --'f! 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
n'PE) windows): Subtract half the�-�"� OF TYPE) windows): Subtract hatf the distance
distance between the�p{�tif the ' between the top of the highest
highest window 3racYthe highest ��.,, window and the highest point of the
point of thgradf '''�, roof
AI trt7'fHER ROOF TYPES(flat, • �t THER ROOF TYPES(flat,
•,.�`mansard,etc):No subtraction. mansar , No subtraction.
ADDITION Add the distance be the top of slab
SUBTRACTION / Subtract the distance between the (BASED ON and the highest existing gra cent to
(BASED O STING basemenUcrawl space Floor and the EXISTING the foundation.
�� highest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined building height
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
0 Yes � No N/A 0 Yes f0' No
0 Yes � No � Yes � No � N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
0 Yes �'No 0 Yes ¢�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 ,,.-�
State Surcharge v� '
Investigation Fee v�
SAC—Number of SAG Units
Other(specify) �'
S uare Foota e $per S uare Foota e
Basement X = $
152 Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ '� ��� �a� ��
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing 0 Grading/ Filling 0 Well
� Hardcover Removal � Mechanical 0 Fire 0 Electrical
j�Footing � Septic � Water Connection
� Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey 0 Masonry � Lawn Irrigation
� Radon Rock Bed � Mfg.
�Framing � Other(specify)
0 Insulation -
�s-Built Survey
Final
0 Wetland Buffer
� Other (specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: 0 YES 0 NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms�plan review checklist 2013.docx
`� � � DAT�pE TIME
CITY OF ORONO CALLED IN �o �
INSPECTION f�I,O,��CEC�� SCHEDULED Tn�9-1 3 ��� �
PERMIT NO. �' C PLETED
ADDRESS �
OWNER ELEPHONE NO. � —7d��� �
CONTRACTOR ` ` Q��
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL 1 ❑ LAKESHORE/WETLANDS
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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
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W
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Z
W
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GW �JOlORKSATISFACTORY:PROCEED L� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. �952� 249-46QQ
OwnerlContractor on s,yte:�
Inspector. �-
;�
White Copyllnspector's File Canary CopylSite Notice
^� CJ�'
� � ATE TIM�/
CITY OF ORONO CALLED IN l � l -
INSPECTION TI �SCHEDULED l s��.�- �
PERMIT NO. COMPL o
ADDRESS
OWNER T EPHONE NO �
CONTRACTOR � �
.
�; DESCRIPTION ��
�
W ❑ FOOTtNG ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI LAKESHORENVEfLANDS
h
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
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J
O
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GW ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE
� ❑ O RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OfiDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou 'n advance � 249-460�
OwnerlContractor on site:
Inspector. � '�
�
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _�_
PERMIT NO.y����i�- COMPLETED �' ^ �j � �
ADDRESS o?/,-3� �n l.r�_ .�1�.
OWNER TELEPHONE NO.
CONTRACTOR � v� L1���'�k-'�- ��
�; DESCRIPTION �r����� ��c�� /��.
�
tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS
�
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� , FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE 0 SEPTIC MAINT. (�110W-UP
? p DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES._NO
� COMMENTS:
a !E'�`'rY1.0 /.►0%�c.o �,�F'<fJ � r�'�/� ��" �
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� �' �ih�! �is5��7�'r o r Gu t� �is�i 9'L'r��/o'�S
�
GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
��CTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. / w'
White Copyllnspector's File Canary CopylSite Notice
-o���� ����� �1 �.
�.eiu
CERTIFICATE OF SURVEY FOR
ANDY ANDERS4N
City of Oron�a OF LOT 1, BLOCK 2, KELLEY GREEN � -� �
Pianning &Zon���y Plan Review �
�����. �.� �
� /�� � HENNEPIN COUNTY, MINNESOTA .. . -
Site lan Review Date:s�.,c �.�.—
��`-�1 City of Orono
�PPROVED
p APPROVED WITH REVISIONS(see notes) Planning & Zoning Plan Review
p DENIED i an Review Date: �U � �
Staif: � �✓vl�✓ ___ , ��
F3APPROVED
❑APPROVED WIT VISI notes)
❑ DENIED �
. Staff: �U�'2����
OUTLOT B
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LEGAL bESCRI?TION OF PREf11SIS SURVFY�D:
`Lot 1 , Block 2, I:�LL�Y GP.EE�!
o : denotes iro� manker
This survey in'_e�ds to_sho�? the boundaries of the above
- described property and the location of an existir.g house
thereon. [t does not purport to show any other improdements
or encroactiments.
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