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Home My WebLink About2013-00701 - addn/remodel/repair , . CITY OF ORONO * 2 0 1 3 - 0 0 7 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 2700 KELLY AVE PIN : 21-117-23-23-0033 LEGAL DESC : VERN-MAR MANOR : LOT 008 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION c $ 1,000.00 NOTE: 10 X 10 DECK � APPLICANT pERMIT FEE SCHEDULE 41.25 JOHNSTON,ALEXANDER PLAN REVIEW 26.81 2700 KELLY AVE STATE SURCHARGE(VALUATION) 0.50 EXCELSIOR, MN 55331- TOTAL 68.56 OWNER JOHNSTON,ALEXANDER , 2700 KELLY AVE EXCELSIOR,MN 55331- 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 sepazate 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 l80 days of the date of issuance,or if construction is suspended foj.a period of 80 days at any time after work has commenced. The applicarJt is responsi e for suTing all required inspections are requested in,lconformanc with State Building Code.This permit may be revoked at�n time or cau � `1 �Z �� I 3 , , A ph ant Permi e ignatu Date Issue y S' ture ate � SEPARATE PERIVIITS REQUII�D FOR WORK OTHER N DESCRIBE E. , 4 CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: a0�3�7� � �O PO Box 66 _ Crystal Bay, MN 55323-0066 n` ^�, Date received: x StreetAddress:' I �,,�.. � ` Received by: y `'' 2750 Kelley Parkwa��,v" 2,(,�� Plan review fee: `� G Orono, MN 55356 � y `qkESH�� Total Fee: �j � �, _.J� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appiication form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: JobSiteAddress: �"7��t� j��+�� ,� ti�E ExCC�� SIa��- � Ir�.ii/ .s; 3� 1 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �.us�.�l State License# Expiration Date: Phone: (cell) - (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��.� >` ��NS7FT./ Phone (day): -nj S z- ZZ� _ 7��( �f ) Address: Z�G� lCF��-y ,.d VE City: �SCC.FL.Sy/ 6 ;E'- ZIP: 5 S-?3 I Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): 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 ❑ 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 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) $ ��t� U �� 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. 15i 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 ❑ ❑ 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 hislher 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 ctassified 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 $10,000 escrow to ensure com tion o the a�-built survey and all site improvements. ApplicanYs Signature: ' Date: � Owner's Signature: Date: ' � ` PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDiT10N5 Address/Permit Number: 2�1017 K�C.�-`f /�tV� Description of work: L 0 ac I� ��-'1� Septic review by: N!K�► Date Approved: Zoning review by: Date Approved: Building review by: Date Approv�d: '7 ` Z�{ - Za� Grading review'by: 1'v/A Date Approverl; Zoning District: LR-1� Zoning file#: N ( � Reso#: — Reso Date: � Zoning: Lot Area: Z2,3 2 M SF/A£ Width: !SU Lot Coverage: No c i-�-�+.wc,SF _%o Survey Submitted: � Yes O No < Date of Survey: .S�,OT (o. �°t9$ Revised date(?): Pro osed Setbacks: front(Lake) Rear(Stfee� ( N S � W ) { N S E W� Other Buildings Wetland Side Side (03 � } �6� �1 �� ` a�u�-» nr �r4 De�ne ' t: I�! /1� Peak Height: r- FFE: � fFE minus 6feet= —' (fxi ' <�ontour) Perimeter(linear#eet - 50%= #of Stories Ok? '� Y FOR A BUILDING WITH ABASEMENT OR WL SPACE: The distance betw the lowest- FOR A BUILDIN A SLAB FOUNDATION: START WITH proposed'floor(of the b ent or crawl space)and the highest point e roof. rSTART WITH The distance bet�nre,en the top of slab and If you have a... the highest poiM of t�e roof. • GABCE OR HIP?ED ROOF(no :you have a... GABLE OR MIPPED ROOF(no windows): Subtract half the windows): SubVact half the distance distanoe between the highestpoiM between the hi hest of the rooi to the low point of the 8 Po�rn�N�e roof corres ndin able or hi ed to the low poirrt of the corresponding SUBTRACTION Po 9 9 PP TRACTION gable or hipped roof CBASED ON ROOF . GABLE OR HIPPED RO with (BA N . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract e ROOF 7Y windows):Subtrect half the distance distance betwee e top of the bet�veen the top of the highest highestwind and the highest window and the highest poir�t of the point of roof f • THER ROOF TYPES(flat, • ALL ER ROOF TYPES(flet, mansard :No subtraction. mansard,etc):No subtrection. ADDITION Add the distance en the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existin de adjacent to (BASED ON iNG basement/crawl space floor and the EXISTING 3he foundation. GRADE highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building hefght UALS Defined bullding height Shoreland District MCWD Permit Received Avera e'Lakeshore Setback Met? Bluff � Yes 0 No N/A � Yes No � Yes 0 No � Yes 0 No �N/A Rermit Number: Setback: Stormwater Quality Existing Proposed yariance Required CUP Required Overla District Tier Hardcover Hardcover � Yes �''No � Yes .� No 2 � � .� (7. '3 TYpe(S)� TYPe(S)� Updated: January 2013 v:\forms�plan review checklist 2013.docx i . . . REMARKS (in-house): Fees to be Cha ed ��k `� Plan Review -_ �/ Investigation Fee Other(specify) S uare,Foota e S er S uare Foota e Basement � X = $ . 1�Floor X = $ 2nd FIooT X - $ Garage X = $ Estimated Construc�fion Value: S 1.b d c7°� '' Orono fnspections Required Work Requiring Separate Permits 'Required State Pe�rnits ' G Site 0 Plumbing O Grading/Filling � Well � Hardcover Removal � Mechanical O Fire � Electrical ,�Footing 0 Septic � Water Connection � Poured Wall � Fireplace 0 Sewer Connection G Foundation Survey � Masonry � Lawn lrrigation G Radon Rock Bed � Mfg. ,Ia'Framing � Other(specify) G Insulation � As-Built 3urvey �inal G Wetland Buffer � Other(specify) REMARKS{in-house): Other Review: Reviewed by: Date kpproved: Access: Existing: G YES 0 NO New: � YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE scHe�u�E� PERMIT NO. a?o/3-0070� COMPLETED /��o� 7-�' ADDRESS oQ l OWNER � ELEPHONE NO. CONTRACTOR � DESCRIPTION _ /� �X�o' �4ec.� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a _ C�r.K.� `lO�e� t 4.1� <o G t tl Fo✓ � � , . � ��L �KS�cc�`to� _ � � o - /'1Q l�n 2 Li�.y[� — ex�s�K �ec..� �4.c.� / t � ! QeI t•� 7�/1s•2 /G'X t0` `� .,,��QI�f w�o/e y�/�.t.� / �•- d�- Q � yxv �.��.. wa�� te ,� 0 6 L� o� �y�. � �1e4 S� /�!� ecL�-- � d raxd � � C/a��'y ��4�c.f � A�osi� � �u r .� s S o� f �S � �er.,�.i� j d W� ❑WORKSATISFACTORY:PROCEED O PROJECT COMPLEfE ❑CORRECT WORK$PROCEED 4� ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in a ance. (952) 249-4f10 OwrterlContractor on site: Inspector. � � �— White Copyllnspector's File Canary CopylSite Notice ! DATE " TIME CITY OF ORONO CALIED IN INSPECTION NOTICE SCHEDUIED y�� PERMIT NO.�6✓�'�T�/ COMPLETED ADDRESS_,� � �Cs/Ir J��Q • . OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �� `' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �FO`LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL Q OWNERICONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: Pc�✓wt�t �lDt� -��1e.0 !L G4!l� 2 a r�i"�G ��oe�tr,r�-. o� - o � Q�v�..� �l�e�- ��z�cJ ��-''` c�e�� GJ4� '' �2a� 6w• �.�- `- � ° �" /1� d�e �✓�3� -r' Q �? �'s a lra �s� �i� 41v z ;� - Q� rt�/��rel� i.� �D�!< rrr�c c� . � . c � G9/ /��an — r'Ofi G '�i9ewl c k //t @a�lo� jor A.0 � - /?ccv �`e - 3r�..se.� -- 4 t! a r�Se � rxwS� � w �r�� Q er4 W ❑WORK SATISFACTORY:PROCEED D L ,/ PROJECT COMPLETE�(�(�� W ❑CORRECT WORK 8 PROCEED �" �ea/5�< <�u �ISSUE CERTIFICATE OF OCCUPA�CY � ❑CORRECT WORK,CALL FOR REtNSPECT101��LKv TEMPORARY /yf j�• V BEFORECOWERING GCL 1 � PERMANENT �K — ❑CORRECT UNSAFE CONDITION WITHIN HOURS ❑pHOTO TAKEN ��r� INSPECTOR WILL flETURN '� C�,�if p�u/f "�t'�CITATION ISSUED�� ❑STOP OROER POSTED.CALL INSPECTOR `��d� __QP ❑INSPECTION REQUIRED.CAII TO ARRANGE AC ESS. 9'�$��dJ i Ca11 for the next inspection 24 hours in adva . (952) 249-46�� Owner/Cor�tractor on site: Inspector: F-- White Copyllnapector's File Canary CopylSite Notice CERTIFICATE OF $ R � �oo U VEY , . �� fior KEN WUERTZ � �� /Z'� I�o�1 P�PE (Fou►.�D, ��2" =Qo►1 P�PE 14�.3�(r,�t� ISO.00 (R� 589� Sco'22 "E (FoUNU� LOT 8 � � zs `---- _.....__ _....._...--.-�...w � �� C1T�' OF ��OH4 • ;�f z� ' '� S1TE PLAN aRADING PLAN -' ,�t APPF�OVED i u x �u �e u� � � �`$" �9�c� ' n AF'f'RQV�D b'VITH R�V'iSIONS � 8 331� �_ � DI�APWR '� � � , ;`' �°Pos�o ,4 B Z — 30 � - -- �� DATE �- zy• � �3 . 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Q.`E A = Z 2 3 2 4 S, �• . , A��\Pv.Y�L, N�AiZUCd�E(� �4bSF� •- �I �Orq ��O ) EKI.`�T, �' 1t0�10 '� NoTE : LO-f' � S L.v �.AYED 'g��"'�UEEi.J Zso - SOO FEE'T FR.or.n LEGAL DESCRIPTION �-p` �E (Vl I f.1 N E T OIJ �/� Lo t � VERN - MAR MANOR Hennepin County� Minnesota a ?�a l Date W�h�r�by certiN tfi�t thl�lt r tru��nd cotnct npr�wnt�tbn of��urv�r ot th�bound�rih ot th�u'�+ow dncrib�d I�nd snd o9 tt��locatlon of�N bubdln�, KILA & ASSOCIATES, INC, it �ny, th�r�o� md e(I rlilbh mcro�chmmt� 19 enY, i�om or on u!� Imd, ENGINEERS, SURVEYORS, SITE PLANNERS Book-Page � M wrwy�d th� � 7—/� }—day oF 5�PT , 18 g�, 8401- T3rd Ave. N. • E 63 • Brooklyn Park, Mlnnesota 55428 �� ) / � yy� Telcphone� (612) 533-7595 File No. �� , �/ M�• R �, yor Job No.�B �� Sook.• ►pe