HomeMy WebLinkAbout2010-00079 - addn/remodel/repair ' CITY OF ORONO PERMIT NO.: 2oia000�9
• � 2750 KELLEY PARKWAY
t ORONO, MN 55356- DATE ISSUED: 06/07/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3200 NORTH SHORE DR
PIN : 08-117-23-41-0001
LEGAL DESC : LJNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 85,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
ADVANCED PLAN REVIEW PERMIT 2010-00078-PAID WITH CREDIT CARD-$628.39
THE DECK THIS SUNPORCH REPLACES WAS CONSIDERED STRUCTURAL,NOT A GRADE LEVEL DECK WHEN IT WAS APPROVED
BY A VARIANCE.
VALUATION WAS CHANGED FROM$87,265 TO$85,000-NEED TO RETURN$14.63 OF PLAN REVIEW CHARGE TO CUSTOMER.
WILL TAKE THAT AMOUNT OFF THE REMAINDER OF WHAT IS OWNED FOR PERMIT FEE.
APPLICANT pERMIT FEE SCHEDULE 929.62
FIRST STREET CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 42.50
417 E 1 ST ST.
WACONIA,MN 55387 TOTAL 972.12
(952)442-4602
Minnesota State License#: BC-4141
OWNER
HALPER,BARBARA
3200 NORTH SHORE DR
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 oniy 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 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
revo at any time for d ause
6/� � �/� l i
pplic ermitee Signature Date Issued By i ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO
4
4 Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: 3 Z.�� I`�Gt/Tri ��(�� �-�YIII�
Description of work: (' ('M�'IY(/�' 1Y1 f(�c�C'�(V� ��� (pCQ�.-�Cj �/3�.�,g �( �{��
Septic review by: _ /V/� Date Approved: Z `�'`�
Zoning review by: e- Date Approved: � ' 3`�(�
Building review by: Date Approved: ,h ' 3'/U
Grading review by: Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
L2 - ( f3
Zoning: Lot Area: � — SF/AC Width: �P C�� Depth: S 2 G �
Survey Submitted: Yes 0 No Date of Survey:
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S �W ) ( N S E � Other Buildings Wetland
Side Side
s ' a-(h�c�.�� (�-� � O ` Z 2 '�
�� �aQ t�t��� ✓la nh�
Building Defined Height: � lL Building Peak Height: # of Stories Ok?: 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
� Yes � No /A � � Yes ❑ No
es � No �'Yes ❑ No � N/A
Permit Number: Setback:
Hardcover Zones Existin Proposed Variance Required CUP Required
0-75' � Yes ❑ No 0 Yes 0 No
75-250' ��v� Type(s): Type(s):
250-500'
500-1000' '
REMARKS (in-house): �. �f.. Vv� c^, : �pC2 C c.v�s �c�a.v
s ��1.�r�,l v��- �- G r�cle �.� d�,�.�. c.. vuh�..� ►� �..�
Updated: 09/11/2009 ��Y V�� �� �V�I����
z:\forms\plan review checklist.docx
Fees to be Char ed YES NO R
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per S uare Foota e
Basement X = $
1 St Floor X = $
2nd FIOo� X = $
Garage X = $
� �r�,,� O�
Estimated Construction Value: $ ��i W 0
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� 6ite ❑ Plumbing 0 Grading / Filling �ell
0 Hardcover Removal � Mechanical ❑ Fire Electrical
,,13' Footing � Septic 0 Water Connection
� Poured Wall 0 Fireplace ❑ Sewer Connection
0 Foundation Survey 0 Masonry ❑ Lawn Irrigation
� Radon Rock Bed 0 Mfg.
�Framing � Other(specify)
�nsulation
❑ As-Built Survey
,�Final
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES � NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Th�s ��,m��C ►s c� -1-h� g�,r�,r h �CU . ��r��� -�
d e� s be ss �� �
rov�e d� • c� crt��- x �s�
5 z-me.. scu � �x�shhe.� s�s . , �
Updated: 09/11/2009
z:\forms\plan review checklist.docx
City of Orono
Bui{ding Permit Application
�or New Structu�es or Additions
�`� MaitingAddress: permit number. - � G�/�'" ����/ �
//:�,Q 1����,. PQ B.nx�a6
�Y Crystal Bay,MN 55323-Ofl86 Date received: ��/ �/G�
�O� "':. O� [�;,��t/��,/�/ � •_ � Received by:
,. ,j:'-,�- � tii:Ct3}".SJ'.7A'-'yy...S.
�`�'.�,t �' � $�ti 2750 Kelley Parkway IPlan review fee: . ��%
�„���� Orono,MN 55356 I
� _-`' � �at$i�e�t: '�Cl l G� � �'�L� � � �
Main: 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
tncomptetQ appitcations wii�De returned. (t�lease printj
GENERAL INFORMATION:
JobSiteAddress: 3200 North Shore Dr.
Wi14 this be a Parade of Homes, RemodeSers Showcase Home or other Disp4ay Home? Yes No
!f ye�s,a speciaf event permit is required with Police Department and City Couna/approval 60 days pnor to the event. Shutt/e bus service will be
required unless applican2 demonstrafes su�cient on-site parking is a�ailab/e. Non-permdted events wil!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: First Street Const . , Inc .
State License# 4 14 1 Expiration Date: March 3/31 /10
Phone: 952-442-4602 (o��e) 612-597-8661 (celp
RAailingAddress: 417 F_ 1Gt STrPPt Clty:Gta�nnia ZIR: �,,"�R7
Contact Person: Jerrv Applicant is: Contractor ! Homeowner (CircleOne►
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: Barbara Halper
Phone(day): 760-468-5468
Address: 3200 North Shore Dr. City:Orono ZIP: 55356
Email and/w Fax �
ARCHITECT/ENGINEER INFORMATION:
Name: _ Autumn Design of Mn. Inc .
Phone jday): 952-873-4311
Address: 19422 Whitetail Lane City:gellePlaine Z�P: 56011
Emai{and/or Fax: �
PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8�
New Construction Water Supply
❑ �Single Famify with �'Residence
�Addition attached garage ❑Garage/Accessory Bldg. (�Public Sewer
❑Accessory Building ❑ Single Family with ❑Deck
❑Relocation detached garage ❑Office/Commercial ❑ Private Sewer
❑Other:(specifyj ❑ Multiple Family!Condo ❑Warehouse
❑Public ❑Storage ❑Public Water
""Any earth movement may require ❑ Commercial ❑Other(specify)
MCWD review 8�permits. ❑ Industrial ❑Private Wel�
Minnehaha Creek Watershed District(MC4VD) a Other:(SpeCify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
min r r
Estimated Construction Valuation (excluding iand) a
Last Updated: 9/292009 _ 17_ � �-. Q�Q Op
,�/
�
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure QimensiQns(continued) 2.Type of Construction
a. Length(ft.)= . : � Number of bedrooms= �Wood/Frame
❑Maso.n.ry
b.Width(ft.)= �t�"� Number of garage stalls: ❑Meta!
Attached= ❑Pole Bldg.
Areas in sauare feet Detached= ❑ ICF
❑O�►-site Pretab
c. Basement= ❑Off-site Prefab
d. 1�Story = ..1 '��
�Other(please specify):
e.2"°Story=
f. '/:Story =
g.Total Area= �y�'
REQUIRED SUBMITTALS:
All of the infonnation must be submitted in order for your anplication to be processed:
Nat
Enclosed A iicable
� ❑ Pei*=:i! licatioa
❑ 0 Pro osed Buifdin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve �ti ali r uirerri�rtts
❑ ❑ Stormwater Poftution Prevention Pfan
❑ � Hardcover Calculation s
0 ❑ Se tic S stem Site�valuation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Qther
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all infoRnation 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 tinforsnafson supp4ied is true and correct to the best of hts/her know4edge. T4�e appl'scant recagnizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative
b�t to reject ii until it is complete;
• Acknowtedges 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 give�to either the public or the subject of the data. Our purpose and
intended use of ttlis information is to annually update our records and records of other govemmental agencies required by law.
If you refuse to supply the information,the application may not be issued.
ApplicanYs Signature: Date:
Last Updated: 9/29/2009
- 18-
D2J03l10 '4:25 SCOTTfRACHEL HAR�Z 9528734311 p.01
FtE�check Software Version 4.1.3
Compliance Certifcate
Report Date:a2�oatso
C?8te filenar�:c:lPtopram fileslchacxwEsa�dcu64r1.tGc
Enerpy Cado: 2000 MMMsof�Pn�rpy Cod�
�ocatlon: Carvs�'Cow►�r�MMnqota
Conaaudion Type: SMQis FattMiy
Gletktq Mea PercenGape: 9�'Ar
CQ�fuMa 2one: 2
Conatn�tion SNe: OwneNAge�tt: DesignerlConhsctor:
MN 46/R-1 4st Street C.drobuodott
Cort�ptfenQa;11.096 9�tbr Tfian Code Ma�nun'�UA,43 Your UA:82
.
CeiGnp t:lq�t Ce�lin+0 or SGMsor 7ntas 288 38.0 0,0 9
ww�:wooa��nu►,te•o.c. sm �s.o 2.� zs
Wk�dvw t:Akrovwl3rsde'Wovd Fn�ms:Dasble Pans wi�►Low-E l0@ 0.3W 37
Fbo►1:At9-Wood JoisVTrutt:Owr Oukid�A!r 298 �.Q O.b 10
F�nacx 1:Fomed Mot AIr92 AfUE
Comp�s�os Steterr�sM,' Th�proposed buMdfnp da�pn Oe�odb�d hara ia aonqo�ont with tha butkfing ptrns,�ia�s,and o1�
cx�vieidons subrrtktad vv�fd�M�e psrtrit eppl�atlo�.?he P►aPossd bu�+p t�s been dealpnad N�meet the 2000 MAfnnewta 6�wrpy Goda
req�In RESchec*Vaslon 4.1.5 and�comdY wIM tt►�msndaeay►equ�romeMs li�ed in RESohedr Inapec�bn qwdAhet.
�.,S�Tr,� -` ���
Nartw-Tiqo •-- ta ----- D�e
.......... ...... _,..,..._..,�.�...�_.. .........._ ......,_.._.. . .. _..................... .,...... ...,.....,
,... ..__. .. _..__. . . ,...._._. ..............� ...... _
.. . , _..................
ProJect Title. RepoA dede.02f0311tl
Dafa Alename:C:iProOrarn File�Chedc�RESch�ck4�B�tH,rek F�aps 1 of 1