HomeMy WebLinkAbout2013-00491 - addn/remodel/repair � CITY OF ORONO * z 0 1 3 - 0 0 4 9 1 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 680 MINNETONKA HGLD LA
PIN : 06-117-23-44-0004
LEGAL DESC : MINNETONKA HIGHLANDS ESTATES
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 4,000.00
NOTE: DECK
APPLICANT pERMIT FEE SCHEDULE 103.25
SOBERG,PAUL&KARI STATE SURCHARGE(VALUATION) 2.00
680 MINNETONKA HIGHLAND LANE
LONG LAKE, MN 55356- TOTAL 105.25
OWNER
SOBERG, PAUL&KARI
680 MINNETONKA HIGHLAND LANE
LONG LAKE,MN 55356-
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 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 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
�at any t for due cause.
� ��� � / f '� / �
Applicant ermitee Signature Date Iss e y ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Q CITY OF ORONO
BUILDING PERMIT APPLICATION �05-�-
FOR NEW STRUCTURES OR ADDITIONS
�O�O Mailing Address: Permit number: '
PO Box 66
Crystal Bay, MN 55323-0066 Date received: � !3
StreetAddress:' Received by: �_-�
y� G� 2750 Kelley Parkway Plan review fee:
��
Orono, MN 55356 ��J�r_�� q�
�'�ESH� 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. (P/ease print)
GENERAL INFORMATION: '
Job Site Address: (� ����� ���;� ���� i�Gt ���� �1 �GtV1G�:�� � �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 approval 60 days prior to the event. Shuttle 6us service wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �'da� ��je��-
State License# Expiration Date:
Phone: cell Fi — � office
Mailing Address: �'O i fv�l� i �+ c /.t z Cit : /D�t o ZIP: " � 6
Contact Person: � ; ,/,�( ��r�� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: - ��-,����/�i����-r},u�;^"
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�; PROPERTY OWNER INFQRMATION: � �)(?��
Name: �;�; , �
Phone (day): �,_ �� - `�� � 3�: 5 �
Address: '� ,^ "f�j �� �� ���.�; ���/,'�= Cit �'; � �;; ZIP: �
Email and/or Fax ;� � � �� � � 7-;�yc7. ;;:�;rv�
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ARCHITECT/ENGINEER INFORMATION:
Name: �� j � ��, i� G'�<. 1���t r c�
Phone (daY)� ���a..� �G 1 �� �3 6l , � "' ,, _-.
Address: G��'�G ��/�J�n r�J✓� �'✓ City: "` ��� �e I� ZIP: S�G��;�
Email and/or Fax: � �i.;--���'�
PROJECT INFORMATION: Description of pro�ect:
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 eck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
'�Other: (specify) ;r�`��C .���, ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial �rivate Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.min nehahacreek.or
$ =--�'�. . „ ,.
Estimated Construction Valuation (excluding land) .J__�' �. _- ,'
1
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. 1 S`Story =
❑ On-site Prefab
e.2"d Story= ❑ Off-site Prefab
f. '/z 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
a�' ❑ ❑ Access Permit
a;. ❑ ❑ Wetland Buffer Im rovement Plan
?'�j:' ❑ ❑ 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 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 temporary Certificate of Occupancy may be issued upon receipt of a $10,000
;t� escrow to ensure completion of the as-built survey and all site improvements.
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Applicant's Signature: �f�� '� � �=`��'� Date: �' ' �' "� � � ` --�
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Owner's Signature: Date:
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDiTIONS
Address/Permit Number: G�� �INN�-r-C�N►c,Ri ►-���L�1 s+.nro S
Description of work: � 2uc
Septic review by: 1� Date Approved:
Zoning review by: `�_C��• Date Approved: G-/3- � 3
Building review by: Date Approved: b - 13 - ?�o�3
Grading review by: /1i/i4 Date Approved:
Zoning District: LR-/�3 Zoning File#: N A Reso#: — Reso Date: —
Zoning: Lot Area:j/2,s�-f v SF/AC Width: i Avc Lot Coverage: SF _%
Survey Submitted: 0 Yes 0 No Date of Survey: S-Z - t 2 Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S � W ) ( N S E � ) Other Buildings Wetland
Side Side
t i 2 � ;�,�z � ' , r? �4rn4Glf� N i►Q
Defined Height: N/1't Peak Height: — FFE: � FFE minus 6 feet= — (Existing Contour)
Perimeter(linear feet) = r 50% _ � #of Stories Ok? � YES
FO ILDING WITH A BASEMENT OR CRAWL SPACE:
��
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATIO�I:�`"'`
START WITH proposed floor(of the basement or crawl
ce)and the highest point of the roof. START WITH Th tance between the top of slab and
If you ha e highest point of the roof.
If you have a...
• GABLE OR ED ROOF(no �.�-"' . GABLE OR HIPPED ROOF(no
windows): Subtra the --'` windows): Subtract half the distance
distance between the high int � between the highest point of the roof
of the roof to the low point of the �� to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with
NPE) windows): Subtract half the OOf TYPE) windows): Subtract half the distance
distance between the top e �. between the top of the highest
highest window an ighest �'''ie window and the highest point of the
point of the ro roof
• ALL O R ROOF TYPES(flat, • LL OTHER ROOF TYPES(flat,
sard,etc):No subtraction. m rd,etc:No subtraction.
ADDITION Add the distan etween the top of slab
SUBTRACTION tract the distance between the (BASED ON and the highest exi ' rade adjacent to
(BASED ON EXI G basemenUcrawl space floor and the EXISTING the foundation.
GRADES} � highest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined building height
ALS De�ned building height
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
0 Yes 0 No � N/A � Yes ,� No
J21 Yes � No � Yes � No � N/A
� Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
� Yes � No 0 Yes No
� 1S- `� � y. q TYPe(S)� �YPe(S)�
Updated: January 2013
v:\forms�plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES NO
Permit ' �� �'��
b��; ��
Plan Review t�
State Surchar9e ���� '��.��-� �;t;,_ � �z,�.; ,,� �� �
Investigation Fee �-- ""
SAC-Number of SA��n�fs`��'� � �.n . �����,. ��� �� ; ,�,.-� y �,;�
Other(specify) �
Square Foota e $per S uare Foota e
Basement X = $
1 St Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ `�i c�0 O `'°
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing � Grading/ Filling 0 Well
0 Hardcover Removal � Mechanical 0 Fire 0 Electrical
�t Footing � Septic 0 Water Connection
0 Poured Wall � Fireplace � Sewer Connection
� Foundation Survey � Masonry � Lawn Irrigation
� Radon Rock Bed � Mfg.
�Framing O Other(specify)
� Insulation
0 As-Built Survey
�inal
� Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: 0 YES 0 NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms�plan review checklist 2013.docx
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Building Permit Survey �R� O �
Prepored fo�: �'
Pou/ Soberg ��
e�
Leamd ��,��. .
%• Found/ron Monument �
O Set/ron Monument (LS 14700) /�- �
•000.0 Existing£levution .
(000.0) Proposed E/evofiwr \�t1 �
� Proposed Droinoge `Q , "
QExisfing Wafl 0� . -
�Manhole ! �'�9
—�ZG Contour Line (existrng) O� ` - � $q
-,'S2Gj-—-Confour Line (proposed) rt1 ...
�� oa�
C� - `ro
_- o 0
5"f�
SCALE �
5 .-
30 0 �s ao so a�
i i
�v
1 inch = 30 feet '\-�s�� �
J O
�`` .-fretaining Wal! q
�` `
� �
\ Grovel � � . � � . - O
D�ivewoy � �< � \ - �
\ (to 6e�epMced by �l �. - \.v�as � �
qro5sj �; .���,� . 97�8�. 9]C.S��-.. ,. � WEIJ
� \ � "\
_ . �.�_ .pf` aW`� �� �qy \ ` ,--Prop. Stsps a
a�o:a �gt� . �� �..y� I h .^(47kxB.5ft.) o
sss.e� „� `0 � �
k%98 .. ��. "", 5 'o\ ,.
0 c�` m A'X-COnt �
� �/ Ret Woll ��) *�. � � �'• --
/� o �Q�o I I I � � . 7d0 ^
.'( .'- - �9'$� \ d'
\ 9720 .^i�l. y o .'1 ' g9 I I ��S GS 1 \ -
�,,� c9 m
\ �a o� l„Ss� p��woY/ �'yl�i � � �
`'c b� On f ,, ll � $eas �
87J.J a°-� _ � '4'� ' o
Prooertv Address: � . �" - � \ ( '�6 I ti6� i/ Zp 4 =
680 Minnetonko Hiqh/onds Lone � �-' _ � ��.. m� o � -
Orono, MN 55356 r� l� 9� . 4oy��\ �� -
� i �, i _ '� g9 .-..����� ��.�� _
Plp ,8: 06-117-23-44-0004 ,�, �'e� .� � ;� . � � `��f+o �
't.� ryo�_��� i' . ,Sr�oo
�o m
0
Hordcover Ca/cu/oGons (so ff): � `� �
Existing House/Goroge 2,367 ����,� ��� :�2 ` � " `
Existing Grove/Drivewoy 4,252 �l p . �
Refoining Wol! 21 T�\� � a� : _
Stoop &Sfeps ___gQ � cP. � �
Exisfing Hordcover 6,724 �. ��y _. �
rorol lor oreo 42,sao �� � � � . �
Percent Hordcover 15.Bx f�1,y � �p
�\ �
s '��
Proo. Hordcover Colcs. (sa. k): �
fxisting House/Ga�oge 2,362 �' q .
Retoining Woll 21 Q� � �p
Stoop &Steps 89 - � � .
Prop. Conc�ete � 168
Remaining/Prop. Oriveway 2,065 ��� A� 0
Prop. Londscoping � �
(incl. �et. walls) 1.279 r
Prop. Oeck/Steps �. � SiTE�Pt.A#o1 �rl/� . �
Proposed Hordcovrr 6,356 �
7ofo/lot areo 42,540 �pppp{���p p ��K
Percent Hordcover 14.99 n 1��a�o�/��� �.hf'1�� �� �?��fflNS � �r
� � 1't'� � �l Q f�
ALL HAROCOVFR/S IN 250-500FT. ZONE i �
Lgqol Descriotion (suoolied bv client) � D����� M! `1
Lot 2, B/ock 1, MfNNETONKA HlCHLANDS fS7A , �Y
occording to the recorded plot thereof, Hennep ---"
County. Minnesota. Sub�ct to any ond al! p�TE �( „ � 3� ' 2 �
easements of record. .J
� 995.9 �
Beo�ings bosed on ossumed Oatum. `� � .'� �� �N �'��il see.s x
Job N�mbe�: 7358
SCHOBORG f hereby cerUfy that fhis certiicate of survey wos
prepo�ed by me or under my direct supervrsion ond Book/Page: 74/62
thaf l om o duly Registered Lond Survayor undar the
LA D SERVICES ,�WS o�tn �e o�M; �o�o. �,��,.Dot�: ,0-20-„
/ Drowing Nome: soberg.dwg
'NC. / Orown by KLB
oul B. Sehoborg Reyisionx 2-24-12(add prop. contaurs)
763-972-3221 8997 Co. Rd. 13 SE �/��/Z�ZOl2 R 5-02-12(prop. ref. wolf, steps&contours)
www.SehoborgLond.cam Delano, AfN 55328 Date: egist�otion Na 14700
`� — � �� DATE TIME V
CITY OF ORONO CALLED IN -/ "�.3
INSPECTION N T CE SCHEDULED � - •� �
PERMIT NO.��� '�d�� COMPLETED �� � ti
ADDRESS
OWNER ELEPHON NO -'g y ��
CONTRACTOR
� DESCRIPTION -�"" ^ S
� ❑ FOOTING ❑ PLUMBING FI L ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
y COMMENTS:
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W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W�O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
Owner/ConVact 't :
Inspector.
White Copyllnspector's File Canary Copy/Sfte Notice
��'"� � � TE TIME ✓
CITY OF ORONO CALLED IN 1� I
INSPECTION OTI ,/ SCHEDULED — - �
PERMIT NO. '�j`"9 O PLETED
ADDRESS Q
OWNER ELEPHONE ' ' �-S
CONTRACTOR �
a DESCRIPTION ��
� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS
v3 ❑ FRAMING ❑ MECHANIC L FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS
� �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J 'LJ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �
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� O WORK SATiSFACTORY:PROCEED �OJECT COMPLETE
W O CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OR�ER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor on site: ��7'-
Inspector: �'
Whi e Copyflnapecto►'s File Canary CopylSite Noties