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Home My WebLink About2015-00563 - addn/remodel/repair ' ' CITY OF ORONO * 2 0 1 5 - 0 B 5 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 45 FERNDALE GREEN PIN : 36-118-23-44-0015 LEGAL DESC : ALLO-RAE TERRACE : LOT O10 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,000.00 NOTF,: REPLACE DECKINC,AND RAILS APPLICANT PERMIT FEE SCHEDULE 263.32 PLAN REVIEW 17 L 16 GRAN MAR HOMES INC STATE SURCHARGE(VALUATION) 7.00 7460 ODEAN AVE NE OTSEGO,MN 55330- TOTAL 441.48 (612)490-4424 Payment(s) Minnesota State License#: BUIL-BC387286 CREDIT CARD 3179 441.48 OWNER DAVID,JOSHUA&NICOLE 45 FERNDALE GREEN 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[he 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pe C may be revoked at any[ime for due cause. �/ � l /I i/S Applicant Permitee Signature Date [ssued Signature Date CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: � — � � �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: —f — Street Address:' Received by: y � 2750 Kelley Parkway Plan review fee: �1 `� � Orono, MN 55356 {� �/ �� / `t"�7' qkESNv Total Fee: `�"f (� 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: �� FEQ�c/i��E G-,QEE�✓ l�Ai�2a,f-Q., /1��c1. SS39/ WII this be a Parade of Homes, Remodelers Showcase Home o other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: QrRA,� �f},Q /¢wy�E6 .�•ve• State License# 8 C 3 S 7�S�o Expiration Date: 3 —3/— �'7 Phone: _(cell) ��,� - y qo � y�/d S/ (office) Mailing Address: 7 y(iO p q�.l A✓ .� . Ci : pT C,�d ,�/ ZIP: „S,s Q Contact Person: FkAMk /nORR�S6TTb Applicant is: ontrac o / Homeowner (CircleOne) Email and/or Fax: ¢QAnq�AR hoi»�5 � l�07`��/ Com. PROPERTY OWNER INFORMATION: Name: �vshcc� s �,co�E Zl�lv�� Phone(day): Address: S/,s F��¢n�ic/F G-,�E,�J City: (,J(}V2o�,�L�v /jJ,vZIP: 5,�39/ Email and/or Fax ,T��/, ,T' D�gvi D � G-/YI�4r/ � Go�»• ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: 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 �-Deck ❑ Relocation detached garage ❑Office/Commercial ❑Private Sewer �'Other: (specify) R�P��QF d� ��d ❑ Multiple Family!Condo ❑Warehouse 4 2A��5. ❑ Public ❑ Storage ❑ Public Water '"'Any earth movement may also require ❑ Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial ❑Private Well Minnehaha Creek Watershed District(MCWD) ❑Othe�: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek or r� 00 Estimated Construction Valuation (excluding land) I-t r Ob� ' ' �LA� �E�EE1nl �HEC�C�I�� FOR �E1IV �TF�EJCTUi��S / l�$�Di�IONS �4 Adciress: ,�'_�S��!�``�� Permit tVo.: ��.� Description of work: i��t,-, � -� ��i� -f- ��`,.�" Date Rec'd: �-� . �: ; Septic review by: H+C�t°r�; Date Approved: Zoning review by: �� Date Approved: Building review by: �,.�,�� Date Approved: ;�=��" � �_� Crading review by: t`'�� Date �4pprodecl: .�� Zor�ing District: Zoning File#: Reso#: Reso Date:�` ' Zo ' g: Lot�4rea: SF/AC Wic�th: Lot Coverage: SF �% � Surve ubmitteci: Qi Yes � No Date of Survey: Revised date � : �' Proposed tl�acks: Front (Lak�) Rear(Street) � � � E � ) � N � � � ) Other Buildi s lNetland Side Side { Defined Fieight: Peak Height: FFE: FFE minus 6 et= (Existing Contour Perimeter(Iinear feet) = 50% = L.F. below grade #of Stories _' FOR A BUILDING WITH A BASEMENT OR CR WL SPACE: FOR A BUILDI ON A SLAB FOUNDATION: The distance be een the lowest proposed The distance between the top of START W ITH floor(of the basem t or crawl space)and START W ITH slab and the highest point of the the highest point of th oof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPED R < (no (no windows): Subtract half windows): Subtract half th istance the distance between the between the highest point of t roof highest point of the roof to to the low point of the correspon SUBTRACTION gable or hipped roof the low point of the corresponding gable or (BASED ON . GABLE OR HIPPED ROOF(wit�F'°� SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the di�4ance (BASED ON . GABLE OR HIPPED ROOF between the top of the hioh�St ROOF TYPE) (with windows): Subtract window and the highest p,�nt of the half the distance between roof �� the top of the highest • ALL OTHER ROO��YPES(flat, window and the highest mansard,etc):N�"'subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distan e between the (flat,mansard,etc):No (BASED ON basemenUcrawl�pace floor and the subtraction. EXISTING highest existi �grade adjacent to the DITION Add the distance between the top GRADES) foundation�l0 feet(whichever is less). (B ED ON of slab and the highest existing EQUALS Definecj�uilding height EXI NG grade adjacent to the foundation. �o GRAD EQUALS Defined building height Sl�oreland District tr�CWD �ermit Qderage Lakeshore Setback g�uff NSet? 0 Yes ❑ o Permit Number: Q Yes Q No Q N/A Yes � �o � N/A—see attached Setback. � Stormwater�uality Existing Hardcover �roposed Qverlay�strict o Hardcover Variance Requ6red CUP I�equi d Tier c�cle one (/o and sfl %and s � Yes 0 No � Yes 0 No 1 ;2� 3 4 5 Type(s): Type(s): � Updated: January 2015 z:\forms\plan review checklist 2015.docx �rF_ �_-_-�_ _.._.._T_�. __. ��.. .�.,. �_._�.,_. _._.�_.,._ w�.,._�. _..__�.�..__...._.. _....m�_,��u..., m __., _ � REMARKS (in-house): �� Fees to be Char ed YES NO � Perm it ��'°` �` Plan I�eview ��-�'y State Surcharge �� Investigation Fee SAC— Number of SAC Units Other(specify) � S uare Foota e $ er S uare Foota e P Basement X = $ 15t Floor X = $ 2nd FIOOr X = $ - Garage X = $ � �� E�� t'�� Estimated Constructian Yalue: $ �`�� a_..; �'; � Orono inspection� Required Work Requiring Separate Permits Required State Rermits �. 0 Site � Plumbing 0 Grading/ Filling � Well � Silt Fence/ Erosion Control ❑ Mechanical ❑ Fire � Electrical ' Q Hardcover Removal � Septic ❑ Water Connection � � Footing Q Fireplace 0 Sewer Connection � Poured Wali ❑ Masonry ❑ Lawn Irrigation � 0 Foundation Survey 0 Mfg. Q Landscaping 0 Foundation Waterproofing 0 Other(specify) Q Radon Rock Bed � Framing 0 lnsulation � As-Built Survey � � Final � Other (specify) � � REfViA,RK� (in-house): � �, � � � � �. � Other Reviewr: Reviewed by: Date!�►pproved: � Access: Existing: 0 YES ❑ NO New: � YES � NO �; � OFFICI�L REWfAR14� -TU BE NOTED OP� PERt�lIT AND I�ITIALLED � k � F i< Updated: January 2015 : z:\forms\plan review checklist 2015.docx �;..� ,�, , - x<;, .:.�� - _. .,.�..�h;e4k`'�w�t�.�,��>sp�'t�.��.�.��:.�,_> ��a°�.��.�'"�.� .a�....-,.. �i'.�_�rw.�i.#��,�_,�„a�r 3 e�.�.. .. _. ��`��.. ��-�'a��'�.��--.. � � STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ,0"Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached= Z ❑ Metal ❑Pole Bidg. c. Basement= Detached= ❑ ICF d. 16�Story = ❑On-site Prefab e. 2"d Story= ❑Off-site Prefab f. '/2 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 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 Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a 510,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: �� Date: � —//� �o%S Owner's Signature: Date: �`�� '�� DATE TIME C�TY OF ORONO CALLED IN � INSPECTION NOTIC � �., SCHEDULED �� PERMITNO. � ' � 'J ,� COMPLETED ADDRESS ��r'�i 1 <�� 1,n ��"�'�� OWNER TELEPHONE O. '��"''��L�"�v2y CONTRACTOR - �^��' � �� . S >; DESCRIPTION � ��`�� / �� lu ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ��NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a ��o/�C� aPec�':ti� �/y �r rG Ol4c� jO �a.r•S - � � � ' �'j' b"4�r3 /'rE•<rrt3� . 9�1a ✓�S - d� W / ' � Q ZJd� � �" rwA l G� ca �/A-c� �,�' W � W � � GW ❑WORK SATISFACTORY:PROCEED �,J.ECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f inspection 24 hours in advance. (952� 249-4600 Ownerf n ctor o ' e: v�a'�� Inspector. ti White Copyllnspector's File Canary CopylSite Notiee