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Home My WebLink About2013-01130 - addn/remodel/repair CITY OF ORONO � 1 3 - 0 1 1 3 0 * 2750 KELLF,Y PARKWAY DATE ISSUED: 10/23/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 325 CRESTVIEW AVE PIN : OS-117-23-14-0031 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 005 PERMIT TYPE : ADDITION /REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY ; 434-RESIDENTIAL VALUATION : $ 478,455.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL,FIREPLACE,LAWN IRRIGATION,ELECTRICAL(STATE) FIN[SI I I IOME ALREADY S"CARTED. APPLICANT PERMIT FEE SCHEDULE 3,330.75 WOODSTONE RENOVATIONS, L.L.C. STATE SURCHARGE(VALUATION) 239.23 3745 MONTEREY DR ST LOUIS PARK, MN 55416- TOTAL 3,569.98 (612)760-8450 Minnesota State License#: BC638985 OWNER � SULLIVAN, WENDY P.O. BOX 581774 MINNEAPOLIS, MN 55401- AGREEMENT AND SWORN STATEMENT fhe work for which this permit is issued shall be perfonned 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 gran[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 construetion 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 wark l�as commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rcvokcd at an��time for due cause. 1� � �� t 3 �7�� /d ��3 �/� App ica t P rmitee Signature Datc Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O • O Mailing Address: Permit number:p�� -. 1�T PO Box 66 Crystal Bay, MN 55323-0066 Date received: �a_c��j — Street Address:' Received by: L�(/- y � 2750 Kelley Parkway Plan review fee: `� L Orono, MN 55356 ��'CE S H O�� J �/�.�� 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) �� -�'f� GENERAL INFORMATION: n ,� , Job Site Address: 3� l.vLS'�tG�11 .��t' . 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. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be alfowed. CONTRACTOR/APPLIC�NT I FORMATION: Name: N/D O�'b'�bN C.. �11tio I��fi�bN L(�C.. State License# �G. (� 3�'q &S� Expiration Date: ?o�� Phone: cell f Z. 't`o Sr4 0 office Mailing Address: '� S /H•n ' G Cit :S{�l.oKcS � /'IL Z�P� �'��(o Contact Person: Applicant is: Q.�� / Homeowner (Circle One) Email and/or Fax: .k;�n Q W�o �lrH�t.•I�,Cy►n V��N •�✓ti PROPERTY OWNER INFORMATION: Name: (�Cv+�U �ull JVa1�n -- Phone (day): (,�'L. Sd 1 n S'3 Address: 1.f CnGsfi/itW 1/'C�. Cit : L��o ZIP: Email and/or Fax •Itdw✓�y�� ,A�q;� • PA�n ARCHITECT/ENGINEER INFORMATION: Name: �,/4 Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: �orw �'t- D�Se. 4��Ccid �t/�'CG� 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & Water Supply �New Construction �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) �10�SG a,��Y�l�� ❑ Multiple Family/Condo ❑Warehouse ,�jptap�h �,N,�,�� ❑ Public ❑ Storage ❑ Public Water **Any eartMmovement m also require ❑ Commercial ❑ Other(specify) 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) $ �� 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 spuare feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15`Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/�Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans � ❑ ❑ MN State Ener Code Calculations and Mechanical Code R'e irements Form ❑ ❑ Surve meetin all re uirements � � ' ❑ ' ❑ Stormwater Pollution Prevention Plan � - ' � - ❑ ❑ Hardcover Calculation s ' ❑ ❑ Se tic S stem Site Eva�uation Re ort • " � � ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or ab.ove , ❑ ❑ 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 respo�sible 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. ApplicanYs Signature: Date: Owner's Signature: Date: PLAt� REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITtONS AddresslPermit Number: �� 's��'�'T�Gr L�-�' Description of work: �� `�� ,� �-��.��,� ��-�'}�� Septic review by: �d� Date Approved: Zoning review by: rvf,� Date Approved: . � Building review by: Z�-- Date Approved: ,0�' � �-�' I� Grading review by: /e; d� Date Approved: Zoning District: Zoning File#: Reso#; R�so Date: Zoning: Lb�Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: � Yes ❑ No Date of Survey: Revised date(?): Pro osed Setbac"9�s: Front(Lake) '�.Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � Defined Height: �1�ak Height: FFE: FFE minus 6 feet= (Existing Contour', ,� Perimeter(linear feet) _ ~�'�50% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL�S�E: The distance between the lo st FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basemen r crawl space)and the highest point of the�oof. ��~ START WITH The distance between the top of slab and the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(n . GABIE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract hatf the distance distance bet�n�een the hig�st point between the highest point of the roof of the roof to the low poj�it of the to the low point of the corresponding SUBTRACTION corresponding gable qPhipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPF�ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtrect half the ROOF TYPE) windows): Subtract half the distance distance 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 OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraction. AD ITION Add the distance between the top of slab SUBTRACTION Subtract thz distance between the (BA ON and the highest existing grade adjacent to (BASED ON EXISTING basemen crewl space floor and the EXISTI the foundation. GRADES) highest xisting grade adjacent to the GRADES found ion 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 � Yes 0 No 0 N/A � Yes � No 0 Yes � No 0 Yes � No 0 N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover � Yes � No 0 Yes � No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx z�nzatr.�.� „ :..�+s�c:nz�c-.am:,�w.�ce{mw.+�.r�e�svc+,z.4�...s�,u�x�a;c+:,,v.�,�an:..; • . �.:�.. .;..,� , � 9^��x` . REMARKS (in-house): Fees to be Char ed YES NO Permit � Plan Review �� State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) w S uare Foota e $ er S uare Foota e Basement X - � 15f Floor X ' $ 2nd Floo� X ' $ Garage X - $ Estimated Construction Value: $ � ��`,� �� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing � Grading/ Filling �Well � Hardcover Removal �Mechanical � Fire �Electrical � Footing 0 Septic 0 Water Connection °: 0 Poured Wall Fireplace � Sewer Connection 0 Foundation Survey � Masonry �Lawn Irrigation �Radon Rock Bed ,C�Mfg. ` �Framing � Other(specify) nsulation �As-Built Survey 3 �Final 3 ❑ Wetland Buffer 0 Other(specify) �. REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED r Updated: January 2013 �: v:\forms\plan review checklist 2013.docx k; � �,