Loading...
HomeMy WebLinkAbout2010-00276 - addn/remodel/repair � CITY OF ORONO rERMiT No.: 2oiaoo2�6 ' 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 06/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3596 LYRIC AVE PIN : 17-117-23-43-0153 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 4,000.00 APPLICANT pERMIT FEE SCHEDULE 103.25 ONKEN,ERIK PLAN REVIEW 67.11 3596 LYRIC AVE WAYZATA,MN 55391- STATE SURCHARGE(VALUATION) 2.00 TOTAL 172.36 OWNER ONKEN,ERIK 3596 LYRIC AVE WAYZATA,MN 55391- AGREEMENT AND SWORI�t STATEMENT The work for which this permit is issued shall be performed according to the apptoved 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 shali 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 a ' ant is responsible for suring all required inspections are requ ted i on ance ith State Building Code.This permit may be revo ed at ti e e se. � / �" / )'p / / Applicant Permite ignature Date Issue y nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED AB r ' . ^ . �J� �� City of Orono Building Permit Application for New Structures or Additions Maifing Address: Permit number: O/�- 00 7 �,L,0,� PO Box 66 Q , �\ Crystal Bay, MN 55323-0066 Date received: � /O la �4�'��:��^1� 1 ��:4,:;`;� �,j� StreetAddress:' Received by: ��� '����� �� 2750 Kelley Parkway Plan review f : L � ��,�' Gti 9'kESH�g'� Orono, MN 55356 , Total Fee: � `Za ,?j(p 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: `�j5 1lo L.�,��� ��� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �c] No !f yes, a specia/event permit rs required with Police Department and City Councrl approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permrtted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circte One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 'Er�k �r��,e„� Phone (day): ta 1� Sa� - o��� Address: 3S�i� ►-�Q,� �,� City: p�c�v�� ZIP� SS 35 � Email and/or Fax _ �r, C�1tie,,� ��,;� �o�-,•ti.�;\_ ;,,,,� � ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: Z�P� Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� ❑ New Construction Water Supply ❑ Single Family with ❑ Residence ❑ Addition attached garage ❑ Gara e/Accesso Bld ❑ Accesso Buildin 9 rY 9• ❑ Public Sewer ry g ❑ Single Family with � Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer [� Other: (specify) '�C.� ❑ Multiple Famity/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '"`Any earth movement may 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) $ ` , 0 Last Updated: 9/29/2009 - 17 - . � � • . STRUCTURE INFORMATION: � 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 15'Story = ❑ Other(please specify): e. 2"d Story= f. 'h Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed A licable � ❑ Permit Ap 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 � ❑ 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 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; • 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 annualty 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. ,` ApplicanYs Signature: Date: �/a�/�� Last Updated: 9/29/2009 - 18 - : Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: .���o ��Y't� Description of work: q I(� ,�p� ���t +�_�,�Q,G�, ('JI/L f(���n/` ����� Septic review by: S 2.W 2�✓��P„� Date Approved: Zoning review by: Date Approved: '�'/Z.� J ��L Building review by: Date Approved: � • Z� - ) O Grading review by: 1'V (� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District L + Zoning: Lot Area: Z��LdO SF/AC Width: Zd6 Depth: (��# ,� Survey Submitted: �es 0 No Date of Survey:�S �vi��- � ���� Pro osed Setbacks: O 1C, - c��'�cte. �eu.I dccks �1q�t,� � �pf�+c� b� 1.�.�L„ Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: n/� 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- 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 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 % Shore nd District MCWD Permit Receive Avera e Lakeshore Setback Bluff es O No � Yes � No N/A p Yes � No 0 N/A � Yes 0 No Permit Number: Setback: Hardcover Zones Existin Pro osed Variance Re uired CUP Re uired 0-75' �—. ---• � Yes 0 No � Yes � No 75-250' --- � Type(s): Type(s): 250-500' -- --- 500-1000' �(j(o , REMARKS (in-house): Updated: 07/01/2009 z:\forms�plan review checklist.docx Fees to be Char ed YES NO • :Permit �/" � Plan Review �#a�ee�r�r e , Investi ation.Fee 'SAC—�i�r�aber�fi��►C�ln�i�s Sewer Connection 11�Lat�r�nra'e�tio� , ; : : Park Fee �ite�has ectic�n Other s eci °��isc�lla�r���s°�es Calculated B : UBC: Construction Type: S uare Foota e $ er S uare Foota e � Bassment X = $ . � 1 Fioor �� , X = $ 2" FloOr " ' X = $ Gara e • X ' ' � _ $ • Estimated Construction Value: $ �, d�d °'�'? Orono Inspections Reauired Work Reauirinq Seaarate Permits Required State Permits � Site 0 Plumbing 0 Grading/ Filling � Well � Hardcover Removal 0 Mechanical O Fire 0 Electrical p'Footing � Septic 0 Water Connection � Foundation Survey 0 Fireplace 0 Sewer Connection �rT' Framing 0 Masonry 0 Lawn Irrigation 0 Insulation 0 Mfg. � C Wall Board 0 Other(specify) � As-Built Survey ,F"Final G Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\formslplan review checklist.docx �y� �y � � �/� L 35�1 C.� �� �i C �/-e.� � ��� ��' �� �l� �' ��' l� 1�=`!V P r �. � ��✓�v � S 3 � � , N `�' I HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 76-250' 250-500' S00-1000' �XISTING HARDCOVER!N ZONE A. House Z"",� x ' � = 9� S.F. Length 1+l�idfh X = S.F. x - S.F. B. Garage �.�_ x � �,_ _ ��_S.F. � C. Driveway � x `7 L� = I_��� S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. � � ' � 1 E. r� � x �L"��. - � "T v S.F. x - S.F. F. Landscape �—U x �, 1 = `T�� S.F. Underlain x = S.F. By Plastic x - S.F. G. Retaining x -- S.F. Walls H. Other ��_ x = S.F. TOTAL HARDCOVER IN ZONE - �,b�1� ��aS.F. A TOTAL PROPERTY REA ZONE � - �i�S.F. B A + B x 100 = I �0�0 % ��� `S� �-���DO PROPOSED HARDCOVER W ZONE A. House x = S.F. Length Width x = S.F. x - S.F. B. Garage x - S.F. C. Driveway x - S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. � E. atio/Dec ��- x ,�L = ��� S.F. � x S.F. F. Landscape x = S.F, Underlain x = S.F. By Plastic x - S.F. G. Retaining x = S.F. WalEs ' H. Other x = S.F. TOTA�HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A T B x 100 = % J /� �� DATE TIME V Y CITY OF ORONO CALLED IN 2- O INSPECTION NOTICE SCHEDULED � -'30 PERMIT N0.����.��COMPLETED A�RESS � CJ� Lo ��,�rl C ��- OWN�R��_�E�f� TELEPHONE NO. ' '" CONTRACTOR �� � � � DESCRIPTION ��1� �-��'� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE TI FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � GW/�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � � W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTIOtJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice '� - � DATE TIME ✓ CITY OF ORONO C�CALLED IN /l� INSPECTION NOTICE SCHEDULED _����_�Jef� PERMIT NO. o`ZD 1 n"�X-��7�' COMPLETED ADDRESS � � ��= OWNER -���� 1`� ���-'P/1 TELEPHONE NO. �t�b� ��� � CONTRACTOR ��1'Yi �TZ){'1 f�S�Y� �: DESCRIPTION �� �' � ����� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAYL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES/>NO � COMMENTS: � W a o C'�1� t tG S � �� �� t� � g� e� '� �t r��_-; �.. �3 e...��e �r � � 0 � �: ,��� .� � Q � z W � W � � GW WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on si#,e� Inspector. � /' `r�.� White Copyllnspector's File Canary Copy/Site Notice " ' ' . . '.'1. ' . . . �`' � ., . .. - . . . . �. � , �r. � , . . . , rc. . ' , . . .. �S , .� . � . . � � . �� . , . . . f �.��� . �� .. , i1. . � � . � . i ' . .� .. f � . . r� , � � '' � , 3596 L�rlc�4r� ,i� � � , . � . . Ci�y of Orono _.. � , ; � ; �:; Plaianing&Zohing Ptan Review-� ��� . , Sit�Flan Review Date: :`� Q Q�,,.;: . , � '�P���� "5"� _�,,r�- , C'��=` �-�� f 5 ,��/l..v� : � D'I�PPROV�D� , � ��� ` '` � . , � � ,. f,;, . r. ��..Q.�.,!<. ` Q'J�P, PROVED�WITH REVISIONS(see not��) ' ���NIED , 1�.�, ,� �, ��,.r� . `.;` � �"� L?- I�'✓1�Q ✓' �.. .. c:,;;/� St��f: _ . � � � Certificate o�' Survey ' � l.'' ; '.:;; for Michael E. & Laura S�lanson �� of Lots 13 and 14, alock 4 , Navarre lieights Flennepin , � rERi IFICATF OF Si.1RVEY FOR �VERARD A. GrYCN OF LOTS 15 & 16, aLOCK 4, NAVARRE HEIGIITS � FIENNERIN COUNTY, MINNCS�TA \ �s' � �', ,� ,�,, � � ' � i;, � ' 10 .00 � � , � - - /oa.00 -.. -� 'rJ�.�� . 034�_� � ... ' I '_s' �.a :'o.zo ' So.00 --� o.io i a}7' � � ..-����� � � ,- - .,t1�+ ii.+ � � �r;3{,�.,9 ,�.o � ; '� "-1 � 1 �� Sh�� �. � N , � I _ , � m !.D a.avxs on yn�ayo. I � l.�(�a.nd ovs.� pro/�a��.y Iii n y.o� l , � �n.o�a�ec9 ��� � ��) 1 i�' � ��'� � il t>, �r i 2 x� ) �� 'i . i � G ( '�� �- '� � I ' � ` C �'� I i ti 36.y � o ` r , � '���_. � , i � � � � ry Exis�,'n9 6.co . . " � I � :�� T f/ousC � � . I �I ,� � n • � � r- �.�.� �(Y� � - --`-. � I � t Mi �....,���,� I � ( ,, I u , I �i •� � � � � i � ' � i Lf � � , I m �� � ; ,. � . � � �b I I / 1 I 1 I � I � � J , i I � ' � I Pt. � �� � �� �: ' �� _ �c.s - -- 50.00 , 50.00 - . 1;.�q,:,:F iao.o0 ;��>%�k�,,� v ^ .-=-- d- . i o o.o�- �� � - � � -,�v . . . � 1�YR I C AVENUE ,� �, �,__ �.y, � , \C\� . �T � �s� � �` ! hereby certify that this is a tru� and correct representation of a survey �e boundaries o{ Lots 15 and 16, alock 4, NAVARRE IiEIGNTS, and the lacatio. � all existing buildings, if any, �:hereon. It does not purport to show otl� ��rovements or encroaci�ments. COFFIN & GRONl3ERG, IP1� ^ .—___. __ . ��/. �L.vy�: ark S Gron erg �2eg. ' � te : 10-£3-85 C�r�lon R. Coffin Rey . ';` � � �� � Fngineers & Land Surv� � i::,: ' a1e: 1 = :30 � . : Iron marker Se�k Long Lake, htinr►esota �;� . . �: . rron mar�Car feund _....._--qww�*++� �� 3 :1� '" �r...�......�....�.....� . ` �. _ CITY Q� �R��� , . . � SIT ,N G��a[�iNG PLA - , :, � 1�E'F�F;�1iC[J � � ��!_� -� APf'Fit�'�1�:� �'��i�V-� � _'' �, �fi,��;, �� _ �, .,�,_;;.. , ,-. . � , : ,. � � J .. ;Y, � ❑ G.l.��aF� , , .r ' � �; � � BY 6�i-9/ ___—__ - <i� • ' , , ' ' , -"�..�..__...�<_..._.,...�.._...� ' ,. ?� , � ,;�,. , �� - � ' ''r! � � . • - � .. � ' � . . . � . . ,�}�,I. . . . �. � - � . �... . � . . . . � - � .. '`�� � . . {��' � . � _ � .. . � .. . . .,y. . . . . .. . � .