The URL can be used to link to this page

Home My WebLink About2009-00414 - pool building CITY OF ORONO PERMIT NO.: 2009-00414 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 08/06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 785 FERNDALE RD N PIN : 36-118-23-11-0012 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : UNDEFINED � PDoL BC-L/GD//�l�r" ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED:EL�CTRICAL(STATE) ADV. PLAN REVIEW COLLECTED ON PERMIT 2009-00413$220.51 APPLICANT PERM' 339.25 JR, M[CHELLE&THOMAS CULLUM ST° 10.00 785 FERNDALE RD N WAYZATA, MN 55391 349.25 ;�_•;.;�� :. ,- '.-' �a =-1-�-� �.:,t: �.�-,. a I.., — �i.1�6 Yv_4 . � . , . . . OWNER JR, MICHELLE&THOMAS CULLUM 785 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to ;;;j.:; the approved plans and specitications,applicable City approvals,and the . State Building Code. This permit is for only the work described and does c':�i�}�: not grant permission for additional or related work which requires separate �:r •' permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permi[will �a expire and become null and void if construction authorized is not -- — commenced within 180 days of the date of issuance,or if construction is ,'`� �::: r�-,-: suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are '�'�' _ requested in conformance with the State Building Code.This permit may be revoked at any ti e for du cause. �� '� Applicant Permitee Signature Date / / Issue y nature Date SEPARATE PERMITS REQUIRED FOR WORK OTI-iER THAN DESCRIBED ABOVE. t City of Orono Building Permit Application pu,�, for New Structures or Additions �3�9•z� Mailing Address: Permit number: :�100 3-f�0`�/ � �.��,�. PO Box 66 � �1 , 0 Crystal Bay, MN 55323-0066 Date received: 7/(c� 'd '�'�JR� ' �, Street Address:� Receiv e d b : ��l "�'��'�`��v�~� Oro�no, MN 5356 ay Plan review fee: , E;,�j/ 9kEsH04'� �J��C1��13 ��__-" 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:� �� , ��,�,��, 6'� , �'S � ( � Job Site Address: 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 approva160 days prior to the event. Shuttle bus servi will required unless applicant demonstretes su/ficient on-site parking is available. Non-permitted events will not be allowed. __._----- CONTRACT /APPLICANT IN ORMATION: f ,� / Name: �----.. . �� lM �C �.e.--l.X� c.ii� lti.>'"'� State License# Expiration Date: Cp! Z 3v 6 y SS Phone: S 2 �'� (� Y O (office) ! Z �y � 3 `7� (cell) Mailing Address: n�-�2n�: .2�.� Ci : � �.�c� �j Contact Person: To � C� I l✓�^-, Applicant is: Contractor Home wner Circle One) Email and/or Fax: d✓t N G� C_�,i.� s" � L_,�-i r-� PROPERTY OWNER INFORMATION: / I r � Name: I o�� 1/� � � l�-e_l� �'Z � �� "-�� Phone (day): (.F (2 � � � 3`1 ( Address: -'7 k /li . �/L�.�.� N--�t' ��" City: c�F� �1 � ZIP: � SS��1 I Email and/or Fax /Y]��v��ci�vi S E�' �G�-� l.�>�2� ARCHITECT I ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 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 Bld� ❑ Public Sewer cessory Building ❑ Single Family with Deck ❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer �Other. (specify) '�d� ��'�"��`✓ ❑Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑Public Water '*Any earth movement may require ❑Commercial �Other(speafy) MCWD review 8�permits. ❑ Industrial o b l ��l� ��„ ❑ Private Well Minnehaha Creek Watershed District(MCWD) Other: (speCify) � � 18202 Minnetonka Blvd ,�� 'pY-1,�i�GL.= - Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��--{� O�O ,v O Last Updated: 6/22/2009 �-L-�� - 19 - , � Plan Review Checklist for New Structures / Additions Address/ PID/ LegaL ^?�� W, ��'(Zc��A c� Description of work: l2-C�(i`1C.�=, povl �,o.,sv Septic review by: /U/� Date Approved: Zoning review by: /Y( G Date Approved: `c�-6 -a5 Building review by: d`�• � Date Approved: �S-C-o� Grading review by: /`��A Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District � Fire Department Post Office School District i Zoning: Lot Area: SF /AC Width: Depth: Survey Submitted: ❑ Yes 0 No Date of Survey: Pro osed Setbacks: i Front (Lake) Rear(Street) ( N S E W ) I ( N S E W ) Other Buildings ' Wetland Side Side I Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ � START the distance between the slab and the WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof ' other arch-t e roof SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a pitched I window and highest roof peak of a roof itched roof SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the crawl space floor and the highest existing highest existing grade within the grade within the foundation or 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff � Yes 0 No � Yes ❑ No ❑ N/A ' p Yes � No ❑ N/A � Yes � No Permit Number: Setback: Hardcover Zones , Existin Proposed Variance Required CUP Required 0-75' � Yes ❑ No � Yes 0 No 75-250' , Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): ZN 1�-tvvf� ��t7 l.g c.G n--� Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO Permit ✓ . Plan Review � State Surchar e � Investi ation Fee SAC—Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specif ) Miscellaneous Fees Calculated By: UBC: cJ Construction Type: � S uare Foota e $ per S uare Foota e Basement X = $ 1 S Floor X = $ 2" FlOor X = $ Gara e X = $ Estimated Construction Value: � 20,0� `"' Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing 0 Grading / Filling 0 Well ❑ Hardcover Removal 0 Mechanical � Fire 8' Electrical � Footing ❑ Septic � Water Connection 0 Foundation Survey ❑ Fireplace ❑ Sewer Connection ,�Framing 0 Masonry ❑ Lawn Irrigation ,0'Insulation � Mfg. 0 Wall Board 0 Other (specify) � As-Built Survey �Final � Other s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: ❑ YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Upd ated: 07l01/2009 z:\forms\plan review checklist.docx STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= L_` Number of bedrooms=� �Wood/Frame ❑Masonry b.Width(ft.)= � Number of gara e stalls: ❑Metal Attached=� ❑ Pole Bldg. Areas in sauare feet Detached=� ❑ ICF ❑On-site Prefab c. Basement= � ❑Off-site Prefab �� ❑Other(please specify): d. 15'Story = � e.2"d Story= � f. '/2 Story = � g.Total Area= �3�� 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 ❑ tQ MN State Ener Code Calcula6ons and Mecha�ical Code Re uirements Form ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ c� 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 hislher knowledge. The app�icant 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; • Some or all of the information that you are asked to provide on this application is Gassified 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 recor�and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. ApplicanYs Signature: � Date: l // � Last Updated: 6/22/2009 -20- DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE r/ SCHEDULED '" — � PERMIT NO.c►�OD9 " OD T��COMPLETED ADDRESS 78S R.7��t �- � /I�� OWNER TI� �-�� CONTR. TELEPHONENO. � �Z �C�� y9SS � DESCRIPTION � �dO� �� ❑ FOOTI ❑ MECHA AL RI ❑ EXCAV/GRADING/FILLING Q AMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FiNAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � rC� �' o ,� c,:ti� �� , c:�,�;�' � - �� r ?� �� +��= � � �� c-:�� .�.a'�-��/� Q t� ��' � i � z w � W � � d W t.�WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contractor on site: Inspector_ � � �R L � White Copy/inspector's File Canary CopylSite Notice 7 er�h� N � �� . . � C e rt�fi ca te �f S u rve � i v ,.c/�/� /� y��/�/� N '"i"'r"'� 77{J.W SJO W�W yE �"'�"'�"'� I I I �` � I � , 1 i I ' I �� ',Prope�ty Line i AREA = 3.39 AC i i � HARDCOVER CALCULA 710NS.- �� • � ' � _� . � i�v STRUCTURE �� HAROCOVER i BUILDINGS 45�3 Sf: 3.1� . _� I i DR/VEWAY/pATlOS/WALKS/pOOL/W/IL.LS 9102 Sf: 6.2..?: . i / � stone steps � ' � � oa TOTAL HARDCOVER AREA = 13,685 SF • �aL...--•\ � gorden c.� TOTAL k��...=�.�s�......,,•� ,.r._. ,.. .,. � ..,�..�.. \0 • � c.� ! �� °� ' � ' � �:i�' �� 0�� - '� � � �� `�Woad t. Woii ; V �i� � �-Tstone ret. waU " � � � �. S1T� PL.Aiv GtiAU�Nf� PLA(V � o�� .,a�' o, y Q� ; �. ;��'�D Pool ��}v.,se � I o�o ��'--.� i' - P° y�� y� � - ' ��,' .��'r�ti�ti'�� :�TH R�MS�CiN� ` S � � stone �� —ston et. wall � ��,Q i� � Pot;o o� � _ � DI�A� 1�1�'� i , ,� � �� ------=-----------------------z5o.�------------------------------ ti�,�� '�" �o� �Y � -�, t r�� se � � rock ret. wall �� 8 '(7_ 0� � � j / . = a�c, .s� ""; �: � �'�� RECEIVED � / stone ret. wallsE-�= rocks 1 ` , House AUG -S 2009 • I l �� l u conc. pod ,%- 28.3 �:� ,�o` CITY OF ORONO _ �f�or -- --- 40.4 � well � Prope�ty Line � ��------ P�operty Description: i ; �� Tract B, Registe�ed Land Su�vey I �i la ouse � No. 1031, Hennepin Counfy, Minnesota, � o;� P �' � � according to the files of the Registror of Titles. co i -- . . � 7 42 9 . — — � � 1 Fern dale Rd. N. � ; �� Note: �\ i c�� 1. Wetlands Delineoted by. � � K�olhoug Enw�onmental sernces. '�••-- . 448.15 S90'170 00 E __,_�-•��'" and shown per Otto survey dated 12-14-2001 Requested By: I hereby certify that this survey, Revised: denotes iron monument found plan, or report was prepared by me We6Site: 8/3/09 Tom Cullum or under my direct supervision and WWW,ottoassociates.001t1 Hordcover 0 denotes iron pipe Set OTTO-14343 that I am a duly Licensed Land and marked aS ShOWfI: ° Surveyor under the laws of the orro-aoos2 Date: Drawn By: Scale: Checked By: state f Minnesota. ��O BuffaloDMN55313� Job No. ❑ den o tes wood la th � denotes soil boring �� — SSOCIATES Fax((7663)682-3522 O denotes ercolation test hole 7-28-09 ejo 1 =50 PEO Pa�i E. otto a 9 y 09-0138 Date: �J License 40062 En ineers and Land Surve ors, lnc.