HomeMy WebLinkAbout2017-00514 CITY OF ORONO * 2 0 1 7 - 0 0 5 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3960 BAYSIDE RD
PIN : T000186
LEGAL DESC : AUDITOR'S SUBD.NO.203
: LOT MB BLOCK MB
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 12,000.00
NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE)
DECK ADDITION
APPLICANT PERMIT FEE SCHEDULE 232.30
MODERN CONSTRUCTION OF MINNESOTA PLAN REVIEW 151.00
621 MAIN ST NW STATE SURCHARGE(VALUATION) 6.00
ELK RIVER,MN 55330- TOTAL 389.30
(763)200-6376 Payment(s)
Minnesota State License#: BUIL-BC648528 CREDIT CARD 2135 38930
OWNER
LOVELESS,CHRISTOPHER&KATIE
3960 BAYSIDE RD
MAPLE PLAIN,MN 55359-
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 pertnit is for only the work described and dces
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 l SO 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 con rmance ith the State Building Code.This permit may be
revoked at an me for cause.
�J.� / �-- �-� � � �3 � �7
App icant Pe itee Signature Date Issued By �gnature Date
c��r oF oRoNo
BUILDlNG PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�,Q� Mailing Address: �
Q PO Box 66 �:il Permit nwi�er: — �[1
� � T
Crystal Bay,MN 55323-0066 � Date r.eceived: --- –� –J'�
Streei Address:' Receiyed by' ` (
y� L�� 2750 Kelley Parkway �����`I � `' l
� t1'rf S H O��' Orono,MN 55356 n reyiew fee: –y�-;`�f�,� .
Main: 952-249�60Q � � i
Fax: 952-249�616 •Total•Fee;, � �g� �./�
www.a orono mn us ' c�v
ThisYapplicaUon fomi must�be completed+�n'fulf and all°Cequ�red informatronfmust be sutimitted;
K' Y �°a A i a�:�.: P .-
Incomplete,app icadonskw Il;be retu e „ (Plea pri f)
GENERAL INFORMATION: � �a j� � � �� / �
Job Site Address: I 6 � �1 j � ��,� I� S ��'�
Will this be a Parade of Homes, Remodelers gh wcase Home or other Displa Home? Yes
Nyea,a special event pemiit;$re�Wr��h paice DepeKm�r�l end City Coundl epproval BO days prlw to the e�rent. ShutNe bus service � NO
�equired unless applicarrt demonstrates suR'icient on-site parking is availa6/e. Non.perm/hed events wip not be aHowed.
CONTRACTOR/APPL INFORM ION:
fVame: r� ,�.S /Lt. ��
State License#
Phone: •��N Ex 'ration ate:
Mailirtg Address; L,/ 2/ �Ce �C��(
�`` Ci :
Contact Person: - �
Email and/or Fax: ' `� ApP���nt is: Contractor Homeawner (Cireb Ons�
�l.. n/.
PROPERTY OWNER i RM TION�
fVame: ? (�,j j
Phone(day):
Address: � /� �
Email andJor Fax ��t � � �r � ZIP: �� ���
M�.;
ARCHITECT/ENGINE INF RMAT ON;
IVame: w
Phone(day):
Address: L(p � .
Email and/or Fax: � C�t � ; /�f,iJ Zlp: .� ! f C'
� ,
PROJECT INFORMATION: Descri tion of ro'ect; � / 1� �
1.Ty�e oi Project � �"�
2.Proposed Use 3.St►ucture Type 4.Sewage Dlsposal&
❑ ew Conshuction ❑Single Family with ❑ c�s 9 9 Water SupP�Y
Additlon attached garage Deck �B� �Gara e
Accessory Building ❑Public Sewer
❑Relocation ❑ Single Family with ice/Commercial
❑Other.(specify} �� detached garage ❑Residence ❑Private Sewer
❑Multipae Family/C�do ❑Retaining WaN(s)
"'Any earth rr�ovement ma also re uire o�b'�c 4feet or greater ❑public Water
Y 4 ❑Commerciai ❑Storage
MCWD review$permits, ❑Industriai
Minnehaha Creek Wetershed pisMct(MCWO) ❑Warehouse �p�jys�yy�
t532o Minnetonka Blvd ❑a�er: (specify) ❑Other(specify)
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minn . r
Estimated Construction Valuation (Qxcluding land) s (�Q(�
Laat llpdeted: January 2016
STRUCTURE INFORMATION:
1•Struclure D)manslons f.Structure Dlmensions(continued)
a.Length(ft.)= Z�� Number ot bedrooms= ��
2. OccupancY: ,� /"
---�----
b'W���ft-1- IVumber of garage staAs:
t
Areas in sauare feet 3• �cCupant Load:
Attached=
c.Basement= Detached= 4. Type of Constniction:�i /�
�
d. 1 s'Siory = •
e.2��Story 5. Cocfe Edition: _��� ��_
f. Y:Story =
g.Total Area= � f
REQUIRED SUBMITTALS:
AU of the informa�on must be submitted in order for our application ta be processed:
' � ^Not` ' • • ,
Enclosed.� _Icable . .
, ,•.
� 0 Buildin Permit Escrow A �eement and Fees
� � Plan Review Fee
� 0 Com leted licstion Fortn
� � Pro sed Buildin Plans-2 full size sets to scale and 1 reduced 11 x 17 or 8'�x 11 set
� � Minnesota State Ene Code Calwlations and Mechanical Code Re uirements
0 � Surve -2 fuif size,to scale mee0n ALL surve ►e uirements
� ❑ Hardcover Cs�ulatfons
� � Se dc S stem Cert�cation
� � Minnehaha Creek Watershed Disfrict(MCWD)Permit or
Documentati�from MCWQ sfatin no emiit is re crired
� 0 Landsca e Wafls and/or Retainia Wall Plans
� � Stormwater Pollution Preventlon Plan SWPPP
� � Aocess Permit
� ❑ Data Privacy qdvisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
� Agnees to provide all informaHon required or requested by the Building Department;
• Agreas to pay tha City of Orono for englneering consultant review costs in excess o!5500;
• Certifies that the infortnation supplied is true and correct to the best of hisR�er knowledge. The applicant recognizes that they are
solely responsible for submitting a camplete application being aware that upon failure to do so,the statf has no aRemaGve but to
reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the infortnation that you are asked to provide on this applica6on is classified by State Isw as either
private or confldential. Prfvate data is infom�atlon which generally cannot be glven to the public but can be gNen to the subject of
the data. Co�fidential data is information which generally qnnot be given to either the public or the subject af the data. Our
purpose and intended use of fhis infoRnation is to annually update our records and r�ds of other govemmental agencies
required by law. It you refuse to supply the information,the application may not be issued.
, , . ,
�.::�Agxrees'tthatsln,;tha event�that�westher or othar conditlons pre�$M;tFie conq�ledon"�ofran�ias.jwlk,sunrey"jat,,the.time;Uie
C�tffcste�of Occu'�n, Is rsauested;�alterripoiary Ce�dficate ofyOccupancy may,'be,,issueil�pon:roeetp!'of,a�S10;000
Ai �,.r� af r.E'���L.»b.iF "'TxL� �y Cry',• k� ..i�.. Y.\.;r�
eacrow to ensuro oompletlon of the as-buiR�survey`and all'sl�;lmprovements:
ApplicanYs Signature: pa�: ,� � l
Owner's Signature: Date: � �
Lasf Updated: January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ��V �h�(1L I�tJ� Permit No.: ��� "'��T'
Description of work: �X�.1� Date Rec'd: �'�7���
Septic review by: Date Approved:
Zoning review by: ^ Date Approved: J `�� "��7
Building review by: � Date Approved: �� l
Grading review by: Date Approved: ��
Zoning District: ��'�l� Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /N
Zoning: Lot Area:_��SF/AC Width: Structural Coverage: SF %
Survey Submitted: � Yes �lo ate of Surve : Revised date ? :
� � h�
Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed
Pro osed Setbac :
Front(L e) Rear(Stre � ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
��
Buildinq Heiqht Analvsis:
Distance Between First Floor and defined of �a�
Roof See "buildin hei hY' definitio :
First Floor Elevation from buil�l+ri� plans : (b) �
Highest Existing groun vel (per survey) or 10' ���
above lowest rou evel, whichever is lower:
Difference be en b and c : (d)
Defined Buildin Hei ht(a -(d : �e�
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
Permit Number: l �...I a� � � Yes 0 No N/A 0 Yes
0 Yes No t No
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and s % and s
� � Yes No 0 Yes No
1 2 3 4 5 � Type(s): Type(s):
Updated: October 2016
v:\forms�plan review checklist 10-2016.docx
, Fees to be Char ed YES NO
- .. Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement � X = $
15' Floor X = $
2nd FI00� X = $
�ege-� X � _ $
/ � /
Estimated Construction Value: �
Orono Inspections Required Work Requiring Separate Permits
Footing � Site � 0 Plumbing 0 Grading/Filling
0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire
� Foundation Survey � Hardcover Removal 0 Fireplace 0 Water Connection
� Framing � Other(specify) � Masonry � Sewer Connection
� Waterproofing/Drain tile � Mfg. � Lawn Irrigation
0 Foundation Waterproofing 0 Other(specify) � Landscaping
Framing
0 Insulation
0 As-Built Survey
Final
� Lathe Required State Permits
� Other(specify)
� Well 0 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 2016
v:\forms\plan review checklist 10-2016.docx
ao
• r�t?3wf�TEO �i.gT -- Iki o^--L,I D i5i,�� -� �.xL-r�'uf.Dl`��r�.��b.�p,K�� ..�.,.__�
� A Ib7(G✓t i _�-�. ���fiJo jfisF
���r Rv�'+�"r�•+-; �'�!r C��v Ir��c,.,���iGti � ?'��. 'fL ' B�.o' �ve,�� bsfAf 1- �'�.
Qf�'f°iJ�a �''�'�2�c..k ' ida�.<, "'�
C..:�piiance GatY �.�.�,, >� _ � �s��.����
C 'a:�:� �` ,—� —,� ,I (�tid 4h or,tP�
drd q^ 0� � '_��=#--
'� � '�f�., 'J: ,+ �3)Lf�?'f l/Y�O. , � ���L�ZK io' �� �I I
Date r ' , � h , � � .� ; � ���Tr�i�. :i �4+c�.�. .
�� a, , � ; � � ocn.� � ; I i .� .
_ +- �'", ,i�: I .�I
��viEwsr„_ � �P�::��;� � ; , �; $ � :� -�
` Wf� r�.:�i� i ,� '� i
9 .l0�� 9 � . ,O !� � �O-fM1�L'v�Df!!-N r(
� ,, ' ' �. ,V '� �I`:ili�!(s
, �I �1...r�F5 _
�.�...._.,____'-�.�-_---.�--^. -_.- �. .�-.�.-• I
� �DE�K «!� `s..i I
���� � ,
���� ' _ '- ' �
� L�-�'-- --— '"8
___�,�.o_-----,_-.._.._.--.15'-h�_ - �r ,
f i _ h .
`f+/.fLi F ��.si� ���R I-!� � � "
j �sH�.�.� o��7 �-- . �
� � :
; �---_---- _ . �_� - � � i � :
S'! �� �.�r�,u�:::f= _ � f o
S; (I Fr�r�!��+b -- f I 7
I =- -– , � :z: I
' i---I' crocr-�!h � _ - :5.:t
�_�_� � o� �,;'t i
.�:,�:ip{r(�Tr-v.� ' c .:?i i �
�-o^ __ _=./ fl w!,�.tat� � � � I Zz I
I� I f �
--- � ' ��e I
_-�_-- � ---'4- ��W]•.
��'�
1 1 � N�
I ,' .. ..., I�O Z�•
/� ��� q�4' � . �Ol�. '.
� / u .
s �.� �-�- ,
� � , � ;
�
�
� ��� � � �
City of Orono ,�� � . �
Planning&Zoning Plan Review � �
(� J ,�, �"7 ���
Site Plan Review Date: / "�—W � / z�� �
Z�dna
�PPROVED �
O APPROVED WITH REVISIONS(see notes) �����,
❑DENtED �q���
StafF �,y� 2 � � :
�.,.. �
;��.swoun..w.�..ww u,n�..,;.
"'�'m�wi^."`o'�w�o.�.w. -�
i . .�...�...e,.�....e ^""'°�.m.o.s d a�_��s
�+w Mr w....o a��.�°"....w
� - �f _� tl'w"'..s.m�m++:,"'e,""do.:�""` "_ .
Urenciosed floor arc�-roc`opening, oper and g!a:,�d sides of landir.gs and � �y��y
ramps, balconies, decks or porches which are more t�an 30" above �
grade or floor belovr, require a guard with a minimum 36" height.
Open guardrails must have intermediate rails or an orr,amental
pattern so that a sphere 4"in diameter cannot pass through_
i Yr�:� �.` _'�_-�`-�.. ./'� .- f��. - . -" . .. - .. .. . . _.. '"_ ' _. -•
-. . � . •.'� •�ri...� �.. �,-.. ' ' _ .. ._'
�r .. .s.�-•.,�ti•-.�.w�..:_.'.,'. �'�i< �:�. ,� -i_.r�
..�...�-�!._^.IL�_r_ �-+�*`��:L.•�:a.�
� . ST/7�A079Wp -��I_..�.....� •••w'•••N01J011tlL6N0J ••.- . ����i�l JI�Vd Yll�'7 LVItl�M .
I ` an�.a� �-�.. �..�;,�..;_.?ni a�a o w n.« ..a�,•>���:. ��� ��
� I+ ..::, aK a+:•�.�+.r,w�an ,.-t.. z
i '�� `�•��1L.-- -'"�..:»::,: ��y 'J11p ti�1V1�OS8V fN{IINMt7d 3YIlOH "Oa f'�
� I `_
� ���,'j��
► � �Ilillf
� �
� y 1
I ��� ��a
� ��l��'�
� P � �
r a�} �
I s
� �► a
; ��.�•;�.. ��:�t�
� �i�N',! � la�����
„ : ; � �:���
,:I : � I t�� l r
�. . ` ��.� ��4;;,�1 �
+ b i � � f ,,
I � � ��
�' i .� ��I !�, �
I � ��� ��,li ��
�._ ; ! � °
; � �:�
► �.. , '� ,� ,f,��� �A
�, ,
i ; . � ; ;,;; i �;i � ,��li��'
JI aJ1I__]� � �� :� � �::�
1 . _ ,I,r, !I I 1 �!���
I �
I � ' .i" �
( � ��
i �� �� jll
�
�
� �� �
� ,; � .�= a
; , ; .� s
� � � � �� � :; � �;,�;•�:
f � 8 � � .. o � ::.,,; � . ' `�''��i'�1�
I � J � � . ���j���p ?r/l'i�!'����ii� � ,� ,'.�,I,� .
� � 7 ': I�' �'p j.i���'il!!r. �� "I!I7''�� ��I
t F''� ;I,�;�y �„ �; ,;�.f�, �
� � _� ,,,,� ,.;���,�,.t.�: , �:� ;��1
. r�'' w thii ,i ,,;1�
i . ° �p:; �� ''��r'u�ry.i; '','���;�
i ' • ''� '� �� �� � ���;`'�' !�
� 3 .;iAp .I��� .'i��!��'it 'r h��1''�'�� �j.�y i'�:� (�f
1 � r�f �j:(!P.,�`.II '� •I.•�;.� '
� � I 1 .1���►%� �', .
.����� � � �Ii .r�w�l�.l�� � itil�+��i'�'�; .p1����'�i�� �A
,�I' i�r �i�,.l' � � tf'�M�� I;i';°,
,.�p,..y. I�., It�„�
_ ' >�.,, ;j • �i,,;,.:,� , , ,� �.,;;,;,, .,,�
� ; �,; o.
�.� i�,�:�I N�„,,�� +�.��i�� i
.�MYi'i�.,. . j ��fi eo.��.� •. I: 1
�.,� .�! ., t��l���II�L���.ilii .'���r�h�'�1'^! � I i�jit��.±l�•
' �i�;,:�;�j+�;� ;i i"r �".I?;� � � !lr� �!M,`� � � I .'�;:r d
i riiJ' � y��4��'� ;�� , , � :���lil;, � ��� ;����� ��
I � �� �� ' ,jiP�� O a } PI I�:� li�� �� i I .i�i
I i . � �b i i �• i II 3 i' i d ��
!y ' i f,�ti' ,'�.I f(��I �� , '�,i�N I��, '� � :�"����� '� � I� '� '�?iI+l�I
h �.�,r..�l����i�7�:y;. � �j -�S.f� ��i,i;�'� ,�� i � ':�I:�:�i �
) � ��, ;�� �s�: ,�i �„�� � ;�:,�;�
, , �� r I.:r. '�, r
! �4.",yi�;�•d�;',tiy�ff � j'�,` i i�e;;'{ii`�;f! 'i'�q ;�� �'�!,I`y?il
f II'1'..:,}',y'';�wii!��I�l��� i�i !I�� � �qI�'i�� M,��I ��I!��i�,
� I i!I'I:��'', •u'i'r ,� � �'I �i'i`'j"�i�i �Si I I �� !`�iiii I� .
11 i': ��J!{'�':, 1 ,� I:Ii.�I,;I,I
I �;�i il; �"��`�
4 �!� �' I; �.I�: ,'i:i
_� � � i � , ,
�,�i� II �J.; , ' �, ,; , . i �, i�i I!�
! a
j . c � �
� � ����� �
� � � �� �, �1
. ' ���
��
��a
1 I
, I
. � ��� (�. --� n� _
�v"'���'�'� ChrZ�s
Permit A lication: Self-Checklist for Com leteness �� `-F�
Please note, the applicant� initial in the boxes below to acknowledge the minimum required� !�--
information is included with the submittal. If not, the annlication will NOT be a rPpted CaN _ r���
952.249.4620 to schedule a meeting with staff if you have questions on application submittal � V�
requirements. � �s
Completed Application
�d�
Plan Review Fee Paid v�� �
�
,
Signed Escrow Agreement & Escrow Payment
�C�,(�
Building Plans (to scale) x2 �(p� �°
� + ,,,� sC��
Certificate of Survey (to scale) showing #he proposed project & �
. meeting all requirements x2
Hardcover Calculations (if applicable) �0�'
Y am aware that Orono will not issue a building permit without a �- , ��
co p y of M C W D p e r m i t s (o r d o c u m e n t a ti o n f r o m t h e M C W D s t a t ing ��-}�..�''''`
the proposed project does not tri g ger their p e r m i t t i n g
requirements). I wi contact the MCWD at 952-471-0590
regardin is pr ' ct.
Signed by:
Address: 31�b ��. I,� C �� l -� l�/1 /V �f���1
Permit #: 2p (� - bf� S! �
Lest Updated: January?016
-----=��--`tti- .► e
; i �655n N gp�6'09--€-- _.+''
� 4 �--------------- „
i
il
� � , �
. i � � \ � �% i � ., .
� ! � ______________� � ;� ; ONO COPY
` OR
� ,�_ S 89°39'14" E 75.00 __1 �--------- I' \ � wet nd ;� ) � �
! I j ____---1 \ i' I
I � ' � I
� I � PRIMARY SEPTIC FlELD i� � � j
3 � I � �
� � �� � � i
3 � �� I \ i I
I ��
II � ------ ��� � / j -� �
I _J � � ' I
i � � --- � j �i I
3 L---------- � !� �
m ^ I
N i u � j \ ; �
� u (
� � � � � i I
� � I
\ I � ALTERNATE SEPTIC FIELD j \ � I
� 3 � I \ � I
� I ' �
'�t
� � 3 0-0-0-O-p_p_ _ _ _ _ p O O p � � 1 ��and g�ass '
/-- 0 0 0 0 � � � 940.5 � Proposed l�ardcover
W � � o °—O—O—�—o—o—o—o— — — — � / �
u� 1� 9�2.i � � � Lot area = l; l 36,062 sq ft
p W � ° �` � Detached Garage = 627 sq ft
/`P � \ 1 � r�� � Detached Garage = 489 sq {t
� �N 1 ee� z<o 972.3 � � Il � I Gra vel 4,40/ s ft
0 o I o - 9
W N � i^ h Garage o 973.2 ' �o j �•� � Bu�Jdmg = 3,048 sq ft
� O 2.�v ry � I �.� � Porch = 2/8 sq ft
p � o ,: �4p o o X,� � `JI ��- � � .,. I Driveway = 2,434 s9 ft
,� Z 1 � ti' s�s.� D� �52� �`�. I Walk = 90 sq ft
? 9�4.s Garage n��' �o / � �•. � 9 = 27 s ft
� 44.0 gf wel/mh I ` Land�n
q
� I � . = 974.7 ?4.9 ryry 974.6 �o - "�.� � Total = l l,334 sq ft
� � ` IO/.5t- ?� � \ � �•..` � Percenta9e = /%f
0 974.8 \ �•1
I i FOOTINGS ONLY � � � ����.
I �.�
� � � ,� ` ;� �� \ �–�_ W L � .�` 978.5 Proposed First Fbor
o � �c`� - � � I � ��`•�. 97�•8 Proposed Top of Foundation
Detail I `=� ;' � f \o � i � �\ 976.5 Proposed Garage Floor
/"=30' � _ Z � L i 9 6 8. I Proposed Lowest Floor
�� �� - � � — _ _ _ Type of Building
; - �� �\ � � Full Basement Walkout
\� � 1 �I
0
� I \\'\\\ 3 >" gl 9x � I I � \
i S 6so312 „ ��p,�e���Ste� � i � Denotes Proposed V1
���, i � � i Buffer Monument Po:
i
�`� I ` ��^�t�4'�e � i w `—'"`�- Denotes Edge of DeF
\�� � 3 3J ` � Wetland located 5-4-
-� � �` ' � WALL TO BE REMOVED O I
� j' . � oJ � – ' – - Denotes 25' Wetland
i � '� � � � �°� i o^ Buffer Setback Line
� � �' ' °��—�—°—o—o—o_�_�_0— �/o i �°�o/ o\�\°� Denotes Proposed
� I � i °—o�o� /a/
ii � I ��o—o—o—o—o—o—o—o—o—o—o—o—�° � Silt Fence
I
� i ' ' Po%r Denotes Gravel
� � � � m " i --
i � i Driveway
� � � 5 i
i �:�
, i � � � � i
i � �. I � i
i , i v_i . �