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Home My WebLink About2015-00625 - addn/remodel/repair , CITY OF ORONO * z 0 1 5 - 0 0 6 Z S * 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2595 LYDIARD CIR PIN : 20-117-23-11-0004 LEGAL DESC : APPLE HILL : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,500.00 NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) (EXISTING DECK REPLACEMENT) APPLICANT PERMIT FEE SCHEDULE 92.93 PLAN REVIEW 60.40 LEUPKE,JOHN STATE SURCHARGE(VALUATION) 1.25 2595 LYDIARD EXCELSIOR, MN 55331- TOTAL 154.58 Payment(s) CHECK 219 154.58 OWNER LEUPKE,JOHN 2595 LYDIARD 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 permi[s. All provisions of laws and ordinances goveming this rype 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 l80 days at any time after work has commenced. The app'cant is responsible for assuring all required inspections aze reques in conf ance with the State Building Code.This permit may be revok at ti d for due c use. / � / � ��5� �� ; � d5 � ,� Ap cant Pe i e Si ature Date ssued y Signature Date l • � � ' �. � CITY OF ORONO BUILDING PERMIT APPLICATION % � ' �; �� , �,. FOR NEW STRUCTURES OR ADDITIONS '%' �O�O Mailing Address: � Permit number: � ;`��--� � "�',`-, � � PO Box 66 I Crystal Bay, MN 55323-0066 Date received: -� 1Cl— (S � C �� StreetAddress:' � vj �� Received by: �'� � y�, G` 2750 Kelley Parkway Plan review feg: �- �qk�SH��, Orono, MN 55356 JS{ Main: 952-249-4600 Total Fee: �� 5',/� �-l-"� Fax: 952-249-4616 www.ci.orono.mn.us 7`' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) � �e � � NVe — GENERAL INFORMATION: �. i �, -, � NP " -�"- Job Site Address: �� (Ct1' • �,(� Will this be a Parade of Homes, Remo elers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 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/A PLICANT INF RMATION: � Name: �;� �;(�, State License# � Expiration Date: Phone: cell - 5 �(�� (� office Mailing Address: ZS�15� i ✓ ��,�� Cit : ��Yo ZIP: 3j Contact Person: J v� � Applicant is: Contractor / omeowner (Circle One) Email and/or Fax: ' <1c� " y a; , �DI/�. PROPERTY OWNE INFORMATION,: Name: (��v� U Phone (day): -��(� � � 5 r� � Address: � "�� L i' �� (,��r�;t� Cit : (,r�Ij/� • ZIP: S 5 �.� � Email and/or Fax i �� . � ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Description of project: i! �i✓► I � �� 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction �Single Family with Accessory Bldg./Garage ❑Addition attached garage �Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer (� Other: (specify) �I � ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water *'Any earth movement may also require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ V� �� Last Updated: January 2015 � • � ' � 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 sauare feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15t 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 O ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ Com leted A lication Form ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size, to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form 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 femporary CertiFcate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. � � ApplicanYs Signature: / i Date: Owner's Signature: '�� Date: C�/ I��/ �� Last Updated: Janua 2 15 �� _ _ 3 ��F �Y��"'��U`' �! L�S`a�lr��\.E'� �V'■8 �io4U. .� ! Y`�.��6��►iLF.1��.i � �i./�Vf�lV�l�� . AcSdress: �5 9 5 �Y�s/� C'i/t.C.Lc: Permit Ko.: 'Zd�y�-dt!¢;ZS Description of�rork: cr�C t�"�� Lltt �L�c.Fc�c�a.R� Oate F2ec'd: � ~f�,--e S . Septic revievv by: _�` � �ate Approved:. ; Zcning'review b�+; N�� . . Qate Approveci: � Buildjng revieHr bY� Date ApProved:_I-��-^2.5"- �, - ' Gradfing revie�nr by: �� Date Apprcved; or�ing District: Zoning File#: Reso.#: lZeso Date; � Zo ing: Lot Area SF/AC Width: LotCoverage: 8F % ` Surve Submitted: f]Yes L7 No Date of Survey: : Revised date? : Pro as etbacks: . : ; _ Frant(.Lak Rear(Strestj (: � S E W ) ( N S E i'V ) Other B�#idin Wetiantl � Sitfe Side ; . , - _ , . . � . . - , ; '_ . ` � . Defined Fteight: Peak f�eight:=,� FFE:: FFE minus g fie = (��st�ng Contuu � Psrimeter linear feet = 50°k= � ) . b�tow_gratie #of Stories I : FOR R.BUl1.DIHG 1aVITH A BASEMENT OR__ WL SPACE: FOR A.$UiLDiNG O A 3LA��pi1NDAT10N: � The distance tvueen the lo�st proposed TheA(star�ce b¢tween�he iop of � ' .. START WITH � floor(of the bas ent orcreWl space�and .; �T11R'f WIT�F1 , slap�ntl.the t�igh�`st�siiintdi the � �� .��..� �- ;, � tthe hgh�est pWni ,, roof. �. . � �� ecaof.� ' ; � If you have a... ; � �" ` `.. � ` ff�+ou have a'. . -'j. ` � � � • GABLE O.R k9IPP � ��OOF(no: � � • ��' �ABL£'OR-H1F?PEfl�fO.OF � windows): �ubtr8ct ha e disEance ' (�o��J St�bVect haif ( ' < nehnreentne i�lgnest pb)n tn�_roor .. ' ��Q re � , tM e dista � , � � � . � �_�lii�he�t.p0iht o� e: . fo�- ( , to the low�oiM of the corres ding the,low int SUBTRAGTION 9able a hip�roof ; � • � , � °��?� corrisspontlin�gable or :. , (Bi4SED�ON ' . GABLE OR Flli'.P�D ROOF(wlth= 5UBTRACTION hi�ped Toof :. YtOOFIYPf) windows): $ubtract�half�e�distance (�E�ON : .. . GAB�'E`01�EiipP��iQ�J�. ; . betvysen tne t�ip of tne higf�eat..: `- RQaF�'1rPE) � � twl�t,:tivindcws� aS�ib�ct � . roofpwaAdthe"highesi�pointof� � rialftAe�cllstanCe:betvl�en�� , _ ` #ie top`�o�:th&high�st',,, � • . ALL QTW�R ROO�fiYPE fl�t- -: �nndt�inr.$�id tFie fiigliest ::�� ; - �.. mansard.;etca:No sia, on. ' P��nt�bf:tl�e roof` � � ' SU T CT10N� �SubVact'fihe dista�t�be,� n��e . � AtC�O7HER}2�QF�YRFS , k spat� arsdthe .,-- ;"{�.mansSrd,�tcy No � 4�11�D 1)N �asement/crawl -3u�tr� 0 : � �X'IS71N6 'h�gAest exlsting grade djaceot to f}ie. . ADDITI(5N. Add tfi�tlist��ce b@�wee�the top , SB ' �� GRitDES) foundaUon OR 90 (wF�iohever is less) , . . , r ; N b�slab an�fhe i h�st eidsH �S11S�D� f �y g � " t , �� Qu �� ned bUudin",e�ght. ��,� _ � 15��N� �; �' eda�e aaJacei�#o°�t��ourftlaatf�on: . G . - ,� .. � . � .� . . . , . �' , , � �� . .� ' � �7 ..., '�� _' : � , « ... .. . . . . .�. ., . , �. - � �+� A �osflnea ni�iarn9 hai�iit � , � Shoreiand DEstrict = 14iC1ND Perinit �Aver�ge 1:�k7ssht� ��ettxa ,..��#f. �' ' . � ' � Nfet?.- - ; -` �. eRnit Number: Q Yes � 1Vo - .D�N/R Yes'' 13 No . 4 0 Yes � No: - � �0 N/A-s�e attaahed� _ '- ;Set�aEk. =' � � Storr�v►+ater Quafity' Existing Hardcover Proposed ' , . ; Oveday Distrfct o - Hacdcover I/ariance Regulred CUP . Tier cifcle one (.�'o and s� , . , F�equir , /oands � ; � Yes G` No G Y�s` . C! No � 1 2 3 4 5 TYp�(S)� Type(sj: Updated: anuary 2015 z:lform lan review checklist 2015.docx REf�iARK� (in-house): Fees tm 6e Ch�c ed YES N� Permit : :: Plan Review �#ate Surcharge : lnvestigation Fee ' SAC—Num�+�r of 5AC Ufif#s - ; � . Other(specify) � S uareFoota e S r'S uare.Poota e Basement X = $ , 18�F1oor X _ _ $ 2"a Floor X _ $ Garage X = $ Estimated Construction Value: $ ��v � Orono lnspections Requirecf 1Mork Requirin8 Se�ara'te Permits Required State Perrriits G Site 0 Plumbing �'] Grading/FiUing G WeN Q Silt Fence/Erosibn Control � <Mechanical II Fire I� Electrical C� Hardcover Removal C� Septic Q W�ter Connection Footing tJ Fireplace �-Sewer Cor�nection � Poured 1NaH - fl Masonry - ; �7 Lawn ir�igation Q Foundatian S�rvey � Mfg. �I iandscaping L7 FQundation Waterproofing � Other{specify) � Radon.Rock,Bed , �,G"Framang Q Insulatior� , . [] As-Buiit Surv.ey �., ' ' �, ,. �Final � Ct Other(s�ieCifY) � : _ REMARKS(in-house): � . ,.. . 0ther Rsview: Revie�ived,by: � Dat�Approved. . Access: Exis#ing: t7 YES C6 NO New: � YES' Q NO OFFlCIA!REMARKS-TO BE I�tOTEQ 0[� PERMtT At�D iN(TIALLED . � ` ' � Updated: January 2015 z:\forms�plan review checkiist 2015.docx � � � �� ' 'l��G�d�ar��r � A �v�� - UR��I �� RESIDENTIAL G�JARDRAILS Unenclosed floor and roof opening, c_^en and giaz_ed sides of landings and ramps, ba'coni�s, de�ks or porc��:s w,�i.r,;� �� mcr�than 30"above gra�e cr floor bei��v, require a �;uard••::i;;i a ;��i�in�ur��3G°.hei�ht. Open guardrails must ha �e interr,��diate rails or an omamental pattem so that a sph 4"in diameter cannot pass through. � 1 � � __.__.�._---�.___ � --i--- - �� it �x�� Z �Q� G�a� � _ .. P�s� � � �° ._.__�_u...�.w.�_�� - . �r . �.� �� -��,`�l,l� `�" � G�t�r�� b��`��'` � htai'�d � , �, �t �� „XI D�� x , _ ��ol�t� ��►rk b�a�� ' _ � � G _ _ _ : _ �s ,�° , . _ - - _ , , _ , _ J\� s _ . _ _ � '�n� ,� 1� J , I�� \I ��. / d�� J�J� , L— L x ,srrNc� �,o �,�v � --f-a /� L v��A-�-� �jQ7`�7� CON��^� �jpG/�S �/ REVl��dE� $or COi��E ��'�e��l�NCE PLAN �HECKED BY DATE 5 Z�„s -��5,., ,. � i ��V� ��2Qi ' �°IS(�,iar�Gr � ��U� ; . _ ; , _ , _ _ _. : - _ ; _ �� ,1e� __ �. �� _ � 2`'x8�� IZ' ,� � � � J %`jC l�`' � � � ,, k�� ,�- �� ° �� _ ; _ _ _ ; . r _ _ , _ _ . _ .__ , : _ : _ ` � � ��w\ � � ' � Z�q� d��r �r Y 1 � I� r �� / � �/v � t 1` �-- - — --� ��,. �s�r , Q�✓�� /-�rfi-��s � � x8 ��,� � �� , � � �� r�� .d � DATE TIME CITY OF ORONO �,�LLED IN � INSPECTION NO�� Gf��`-'sC:HEDULED PERMIT NO. U `� COMPLETED ADDRESS Z S qS LLfd i��/ �-,� • OWNER�D�'lf'� TELEPHONE NO.��-3.�/� l�3�z CONTR TOR !v � � DE RIPTION �G�' �� T�� FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL OURED WALL ❑ PLUMBING RI ❑ EXCAV/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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE PTIC INSTALL ? OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � � � J O ). o� O W � Q � 2 � W � j O W RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � RRECT VYORK 8 PHOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECaNERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i dva 2 -4600 OMrnerlContractor on site: Inspector: White CopyMnspector's Flls Cenary CopylSMe N _;1� ��= ✓ � • DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � , , �-SCHEDULED �'�---�" � " PERMIT NO.�.-�.iz� , �� '��COMPLEfED ADDRESS � �'--,c � �l - � .�/"�� Cr�- OWNER � ��y� �"� �`�� ELEPHONE NO. ��j��1��=�'� CONTRACTOR � DESCRIPTIO �� ` � �.� ' f ��' C 1�--- � 4� ❑ FOOTING - DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q '�F6AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ TIC INSTALL i OWNENCOIdTRACTOR TO MEET Y�0 ' YES._NO «� COMMENTS: W ra�r n-Q- !�e tr, '� -�r�4� � ora v ` ! cct�,� /� ` � �' r�o r � i — � 0 W � � 2 G �� r �� , � W � j W ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE � ❑CORRECT WORK d.PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑(�RRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR NSP ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 or on site: Inspector: WhiM CopyAnapecMr's File Gnary CopyfSit�Notke E-�� S� DATE TIME CITY OF ORONO cnLLED IN �� INSPECTION OTIC �7 .&eF�EDULED � —�� - PERMIT NO. /� ��0 ETE " ADDRESS OWNE ELEPHONE NO.7�3 �l� �� CONTRACTOR � DESCRIPTION �� +�� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT `� �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERICOKiRACTOR TO MEET Y�IJ:_YES_NO y COMMENTS: � � ✓ � ` j 0 � 0 � W aC Q � Z � � oW`c �/�A�l�i � , � ❑WORKSATISFACTOHY:PROCEED �C�ROJECT COMPLETE W ❑CORRECT YMORK d�PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C04/ERING PERMANENT ❑CORRECT UNSAFE CONIDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOH ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cail for tl�e next inspection 24 hours in advance. (952) 249-4600 OMmerlContraator on site: Inspector: WhiN CaPYAnspecMr's Fil� Cmary CopfdSlM NotM�