HomeMy WebLinkAbout2017-00556 - addn/remodel/repair CITY OF ORONO * 2 0 1 7 - 0 0 5 S 6 *
2750 KELLEY PARKWAY DATE ISSUED: 05/30/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1220 LYMAN AVE
PIN : 35-118-23-34-0016
LEGAL DESC : LYMAN WOODS
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 20,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING
KITCHEN AND BATHROOM REMODEL AND CHANGE OUT 3 WINDOWS INTO EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 71.19
KNIGHT CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00
2989 WATERTOWER PLACE TOTAL 81.19
CHANHASSEN,MN 55317 Payment(s)
(952)361-4949 CHECK 28777 81.19
Minnesota State License#: BUIL-BCO22883
OWNER
BENSON, SEAN&ALISA
1220 LYMAN AVE
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 the 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 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 time for due cause.
� _l � � i �i �
App ' t e itee Signature Date Issued B ignature Date
City of OronQ � t�
Building Permit i4ppl�cation 6��
for New Structures or �ldditions
Mailing Address:
QA,. PO Box 66 Pe��t number: o�'�I�UOSS�O
� �vQ Crystal Bay, MN 55323-0066 Date received: c/r��j/�
G,�,y,�\�1 Street Address:' Received by: �/'
y ,� l��" 2750 Kelley Parkway �/�� (�,s7 �
�' G� Orono, MN 55356 � Plan review fee: Lj/
��kFSHo��' Main: 952-249-4600 TotalFee: ���—�5�+�
Fax: 952-249-4616 www.ci.orono.mn.us
This applic�ttEon form must be�ompleted in fulf and all required ir�#ormation must be submitted.
Incompfete applicattons will be retumecl. (Please print)
GENERAL INFORMATION:
Job Site Address: -�-j L �,,� ��}� �,
Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? Yes No
If yes,a special event permit is required wkh Police Department and City Counci!approval 60 days prior to fhe event. Shuttle bus seivice will be
required unless applicant demonsKrates sufficient on-site parking is available. Non-permitted events will not be aflowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �►n,�-.1h C�,�.��.r�,,�,v,
State License# � �_ r� L'Z¢?�'3 Exp�ration Date: . ry,-:��.
Phone: (cell) �/-z- ��q- -�%� Y (office) � 7
Mailing Address: ,,,��- /z,,,E� ��-c._ Cit : /�,,� Z�P: S. �5,
Contact Person: -e Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: � ���, �,���� � ���
PROPERTY OWNER INFORMATION:
Name: ��„� � ,,,�,,.
Phone(daY)� !01 Z `3 /7'— ���?c�
Address: /-Z-Z,�y t-,,,,,,,,..,�., y�v ��.,� -, � City p'�v,� ZIP. s-- 3`)�
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: _ City: Z�p•
Email and/or Fax:
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone(day):
Address: City. Z�P,
Email and/or Fax:
PROJECT INFORMATION: Descri tion of pro'ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Dlsposal 8
❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage Water Supply
❑Addition attached garage ❑ Deck
❑Accessory Building ❑ Single Family with ❑ Office/Commercial � Public Sewer
❑ Relocation detached garage ❑ Residence
❑ Septic
�J Other:(specify) � ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Complfance certificate
�-c� v�� �� S u w�_ ❑ Public 4-feet or greater may be required)
*"An arth movement may require�� ❑ �mmercial ❑ Storage
MCWD review 8 permits. ❑ Industrial ❑Warehouse ❑ Public Water
Minnehaha Creek Watershed DisVict(MCWD) � pther: (specity) ❑ Other(Specify)
15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ Private Well
Phone: 952-471-0590 / Fax: 952-471-0682
www.minnehahacreek.aq
Estimated Construction Valuation (excluding land) �;Q�$ �.,�
Packet Last Updated: January 2016 �
Pa.qe 21 �'7 G'G� _-�' �'—
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions(continued)
a. Length(ft.)= Number of bedrooms= 2. Occupancy: �C �/
b.Width(ft.)= Number of garage stalls:
3. Occupant Load:
Areas in sauare feet Attached=
c.Basement= Detached= 4. Type of Construcion: ��
d. 1 S'Story = ���J � `�l ��
e.2nd Story= 5. Code Edition: �
f. '/�Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our a plication to be processed:
Not
Enclosed licable
❑ D Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
O O Com leted lication Form
❑ ❑ Pro osed Buildin Plans—2 fuil size sets to scale and 1 reduced 11 x 17 or 8%z x 11 set
p ❑ Minnesota State Ene Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve —2 full size,to scale meetin ALL sunre re uirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S tem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no rmit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Landsca e Plan
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
O ❑ Data Privac Adviso Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
. Agrees to pay the Clty 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 altemative 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.
. Agroes that In the event that weather or other conditions prevent the completion of an as-built survey at the time the
' Certlflcate of Occupancy is requested, a demporary Cettlflcate of Occupancy may be Issued upon recefpt of a;10,000
escrow to ensure completlon of the as-bullt survey and all slte Improvements.
ApplicanYs signature: �ate: �=Z3 �� 7
Owner's Signature: Date:
Packet Last Updated: January 2016
Page 22
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ��.__� � Y v�+GL� ��� Permit No.: ��7� Q�(����0
Description of work: Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: y Date Approved: l
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC � Width: Lot Coverage: SF %
Survey Submitted: � Yes � N Date of Survey: Revised date � :
Landscape plan submitted? �Yes No Landscaper:
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland
S e Side
Defined Height: Peak Height: E: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50° = L.F. below grade
Basement? � Yes � No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPA : FOR A BUILDING ON A SLAB FOUNDATION:
The distance betwe the lowest roposed Slab at or above grade—
START W ITH floor(of the basem nt or crawl sp ce)and measure from highest existina
the highest point the roof. prade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a..
SUBTRACTION • GAB OR HIPPED ROOF(n Slab below grade—measure
(BASED ON wind ws): Subtract half the dis nce from highest existing grade to the
ROOF TYPE) be een the highest point of the roof hi hest int of the roof.
to he low point of the corcespon ing If you have a...
ble or hipped roof SUBTRACTION ' �`B�E OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distan ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corcesponding gable or
hipped roof
ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance behveen
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Average Lakeshore Setback
Shoreland District MCWD Permit Met? Bluff
� Yes � No Permit Number: 0 Yes � No � N/A � Ye No �
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf %and sf
0 Yes � No � Yes � No
1 2 3 4 5 Type(s):° Type(s):
Fees to be Char ed YES NO
Prarmit
Plan Review �/
State Surc�ar�e
Investigation Fee
6A�.=Nurr�ber of SAC Unit"s
Other(specify) (/
S uare Foota e $ er Square Foota e
Basement X = $
1�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: V �
Orono Inspections Required Work Requiring Separate Permits
� Footing � Site Plumbing � Grading/Filling
0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire
0 Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection
� Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection
�Framing � Masonry 0 Lawn Irrigation
�Insulation � Mfg. 0 Landscaping
0 As-Built Survey � Other(specify)
Final
� Lathe Required State Permits
0 Other(specify)
0 Well � Electrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
� See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
�•\fnrme\nlan raviAui rthor4lic}1(1_9f115 rinrr
BeamChek v2010 lrc�nsed to:J L Whire Ca lrtc Reg#2308-64395
Date:5/24t17
Selectlon W 10x 30 3S ksi Wide Flange St�el Lateral Support: Lc=6.1 �t mau.
___._._.___.___ __. .
Cor�itfons ACtUBI SiZE IS 5-3l4 x 10-1l2 in.
__.._---
Min RParina 1 enn3h R'I=!�4 in R?=!t A in I1 i11!�t I�fl= 3�45 in R�r.nm C'.amber—f1 fi7 in
...... ___...,a �_..a... ... _._ .... .._ _._ .... �.._� .�.��..... ... ._ ... .^_'^"' _--.._... --'. ...
Data Beam Spa� 18.33 ft
Beam Wt per tt 30_0# Reaction 9 TL 8QQ1# Reaction 2 Tl 8001 #
Bm Wt included 55D# Ma�cimum V 8001#
Max Mpment 3�665'# Max V{Reduced) NiA
T�Ma�c Defl L!240 TL Actuai Defl L t 490
i �
Attributes Seciion irt') Shear in2 T�Defl(in)
Actual 32.�40 3.14 0.45
Critical 18.52 0.56 0.92
Status Qt{ OK OK
Ratia 57% 18°l0 49%
_ __ _. ..
Fb si Fv si �tpsi x m�l�
Values Ref.Valus Fy 36flp0 �Of�O 29.0
ad`usted Values 23760 14400 29.0
Adiustments Yp factor, l.c 4.66 0.40
�-�d$ Uniform TL: 8d3 =A
Uniform Load A
�
Ri =80D1 R2=8001
SPAIU= 18.33 fT
Uniform and c�artial uniforrn laads a�e Ibs ner lineai ft.
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�� � �
DATE TIME
CITY OF ORONO (�,aLLED IN
INSPECTION NOT CE , �� SCHEDULED /''� �✓'
PERMIT NO. � COMPLETED
ADDRESS ��+ �C-�, �f� �
OWNER TELEPH NO�`a ��9r���
7
CONTRACTOR � ' '
� DESCRIPTION �
.� �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC INAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCA /GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
2 OWNERJCONTRACTOR TO MEET YOU YES_NO
� COMMENTS:, E�PG• �� � C�� Y ` ��
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W� �99�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector:
White Copyllnapector's Ffle Canary CopylSite Notice
- ldDATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED / - 3-17 ft DD _
PERMIT NO..i,40 " d5- COMPLETED
ADDRESS �r vZ^d Y/ � ive--- p
OWNER // / ` TELEPHONE NO. -9/9— 777541
CONTRACTOR l`1 i I, L7 ��l s f Jd
DESCRIPTION (/ '/
IQ 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C2 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
v FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
2 COMMENTS: /ec. r.,7,--z,- 1-/1/- /7
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UJ ❑WORK SATISFACTORY:PROCEED ,ROJ ECT COMPLETE
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /!v\-
White Copy/Inspector's File Canary CopylSlte Notice