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HomeMy WebLinkAbout2018-00010 - addn/remodel/repair CITY OF ORONO I*I I I I I I I I I I I I III 2750 KELLEY PARKWAY DATE ISSUED: 01/11/2018 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2695 COUNTRYSIDE DR W PIN : 04-117-23-13-0005 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) BASEMENT REMODEL APPLICANT PERMIT FEE SCHEDULE 490.12 STATE SURCHARGE(VALUATION) 15.00 LITE CONSTRUCTION (320)275-3677 TOTAL 505.12 Minnesota State License#:BUIL-1450 Payment(s) CREDIT CARD 2619 505.12 OWNER BICKETT, SCOTT&HOLLY 2695 COUNTRYSIDE DR W 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 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 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 revoked a y time for ue cause. 1 ‘- e , Applicant Permitee Signature Date Issued Signature Date City of Orono Building Permit Application for New Structures or Additions (111` -q-)g' Mailing Address: Permit number: 02[x!F-moi D QA? PO Box 66 l�'o Crystal Bay, MN 55323-0066 Date received: / - 1./-/S' Street Address:' h '1 Received by: �- 2750 Kelley Parkway �✓ Q � � � Plan review fee: 3i S,5 6� 0 Orono, MN 55356 `-lktsHo4- Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.rrin.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: CoJob Site Address: 2l0 95 CLAn-rilz-y‹ti E D-. t -' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YesNo 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/APPLICANT INFORMATION: Name: L i TE Cot.,s-crt-ocn o rte-' l 1v C • State License # l y So Expiration Date: 3 71 9 Phone: (cell) (o 12 - (a g 5 - 56 Z--7 (office) Mailing Address: too Bolt 38 City: i-/Aaoi€Ye ZIP: SS 3Y/ Contact Person: E 2t c. Applicant is: ntractor / Homeowner pp o (Circle One) Email and/or Fax: ER(c., Li TE C'o ria 5- -Gt C--rro,..L IVC . PROPERTY OWNER INFORMATION: Name: Sc 0 " T 4- 4-toL(..21 ' .(C.KrE-r-T Phone (day): 6012 -- 8108 -- 3c4 (q Address: .. 9 5 Cow�.r4 s,pE pr ltf City: Lo ZIP: 5- Email Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: (.. i TE CmfuS T �. Pc Cin 0 NJ /41-`7/A1 Al it1Et.(.02 'ate d— ASST Phone (day): Li S Z -- q p 41-. -7 ZZ 3 Address: City: ZIP: Email and/or Fax: ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: r2--tot..0 oc t_ gAS0Mi,JY 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& ❑ New Construction Sin le Familywith Water Supply 9 ❑ Accessory Bldg./Garage ❑Addition ttached garage El Deck ❑ Public Sewer Accessory Building 0 Single Familywith 0 Office/Commercial 0 Relocation detached garage 0 Residence ❑ Septic❑ Other: (specify) nENID-DE _ 0 Multiple Family/Condo0Retaining Wall(s) (Compliance certificate ❑ Public 4-feet or greater may be required) **Any earth movement may require 0 Commercial 0 Storage MCWD review& permits. 0 Industrial ❑ Warehouse 0 Public Water Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 'Other(specify) 15320 Minnetonka Blvd; Minnetonka,MN 55345 0 Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ '-- r o00 Packet Last Updated: January 2016 Page 21 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: b.Width(ft.)= Number of garage stalls: 3. Occupant Load: Areas in square feet Attached = c. Basement= Detached= 4. Type of Construcion: d. 1St Story = e. 2nd Story= 5. Code Edition: f. '%Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Building Permit Escrow Agreement and Fees O 0 Plan Review Fee ❑ 0 Completed Application Form O 0 Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'//x 11 set ❑ 0 Minnesota State Enerny Code Calculations and Mechanical Code Requirements O ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations O 0 Septic System Certification ❑ 0 Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ 0 Landscape Walls and/or Retaining Wall Plans ❑ 0 Landscape Plan 0 0 Stormwater Pollution Prevention Plan(SWPPP) ❑ 0 Access Permit ❑ 0 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 temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: I / 41 / / Owner's Signature: Date: Packet Last Updated: January 2016 Page 22 PLAN REVIEW/ CHECKLIST J_FOR NEW STRUCTURES / ADDITIONS Address: ZUc ql� �(�dl T�" ,S t ci er. v" Permit No.: d7g"o�Dor II // � J Description of work: Ada • �p..$7,9 1',J Date Rec'd: //9--/ /� Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: L ,v( Date Approved: 1/?//g Grading review by: Date Approved: (l Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade Basement? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from highest existing the highest point of the roof. START WITH grade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof highest point of the roof. to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON (no windows). Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the highest point of the roof to between the top of the highest the low point of the window and the highest point of the corresponding gable or roof hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? ❑ Yes ❑ No Permit Number: 0 Yes 0 No 0 N/A 0 Yes No 0 0 N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required (circle one) (% and sf) (% and sf) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit 1./.- Plan /'Plan Review V State Surcharge ✓r Investigation Fee ‘..-' SAC - Number of SAC Units U Other(specify) 1/' Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ 00 Estimated Construction Value: $ ,3©, CO Orono Inspections Required Work Requiring Separate Permits X❑ Footing 0 Site 0 Plumbing 0 Grading/Filling Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation 0 Mfg. 0 Landscaping ❑ As-Built Survey 0 Other(specify) ❑ Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well J 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 2015 v-\fnrmc\nlan roovinUi ncprklict 1(1_9(115 rinry CITY OF ORONO I I I 111 I 111111111 * 20 1 8 - 00009 * 2750 KELLEY PARKWAY DATE ISSUED: 01/04/2018 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2695 COUNTRYSIDE DR W PIN : 04-117-23-13-0005 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 003 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 30,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$30,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT REMODEL PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00010 APPLICANT ADVANCED PLAN REVIEW 318.58 LITE CONSTRUCTION TOTAL 318.58 Payment(s) (320)275-3677 CREDIT CARD 2619 318.58 Minnesota State License#:BUIL-1450 OWNER BICKETT,SCOTT&HOLLY 2695 COUNTRYSIDE DR W 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 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 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 Applicant Permitee Signature Date Issued By Signature Date R . � m .14c / \ REMOVE EXIST PARTITION\ i `4 40,----- 24'-0" I _ OD " i NOTE: REMOVE EXIST 2Xb BEARIN WALL ` 1 v AND REPLACE WITH 3-1 314"X14"LVL p WITH bXb WOOD POSTS AGH END '4 ON EXISTINF REINF CONC FOOTINGS 9 \ r ,:&,.. . ,6 00 \o \\ \\ 00 \\\ \ 14'-0" /2:\s/00. EXIST HEADER---4\\ /REMOVE 14'EXIST SEARING WALL ' `rte lir-. -e .Egl 3-1 314"X14"LVL HDR EXIST HEADER bXb SPF WOOD POSTS + 4'-b" + v ,k. 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X' N 0-U_I Lf) f11 ,.\\\\. &w :milk '111 :❖: .❖: O'W u_ Lu Q U- o1- O X p O 1— LU LL v z0 z c OI- Cr w z 0O w z 0 D Oz `t 9 Q w w H LU z Cr V —I a_ z z X 0 IL < 0 ll- O O X V Ca 0 v i--- v Q a z co w Z _ z Cr Cr LL ill X v m d v > 4m dm m R z Cr LU w uxi # # w z / LA �[�/�/g_U6009/ DATE TIME ll CITY OF ORONV `L/ V CALLED I INSPECTIONQ�T1 /a SCHEDULED /-c776 /7 1/ 3 0 PERMIT NO. oLU -000 COMPETED , 1 ADDRESS �CD 7� ��e i 51 & J t . l� OWNER TELEPHONE NO.�'/� 405-43-4427 CONTRACTOR L./ 1 e-- Col 5i-r' �/`lG- DESCRIPTION (-6_/14 11'4 41.7-19.-FOOTING 0 DEMO-FINAL V 0 SEPTIC FINAL ❑ Q POURED WALL IS1,PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE MECHANICAL RI 0 SITE INSPECTION Q"--"ELFRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: l-'.'c,wt d p t...1-c-etas VeP -�v] h� cr 'r+ y C�� cc a lie- 'I, he ram p1 C/-� U A .1 1 0i 1 4 �Q�/ cc JO .-f/'6M J Ii ►i 1 O k 1/v Aviie'rv k r"..0 1 J c O 02Qt L. . 7 add (e4-c,(Jr- h Tp 9M; /`l ,r0.)L.. W -�'/� c c / S/7c Cd bp a efurtii re (.... 47e.r I; -)eS W Z W CC a Lu ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ' W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. e/'4-5 .$'7 /( White Copyllnspector's File Canary CopylSIte Notice 1/ / DATE TIME ."(CITY O ORONOCALLED IN INSPECTION NOTICE /D SCHEDULED 3-i /Y" •`ee PERMIT NO,pd/$-D®eg C- PLETED 8�, // ADDRESS �D 9 _o _ i i e1� OWNERL_ TELEPHONE N . 4'.2 - 7 CONTRACTOR _ Lj 7/; / DESCRIPTION /--/4_40 W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL r ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: Tec. �� • -- 3' a - /4 L.4' een toje_.1 cc Lu S. D. c.0 . �e�. - 6. IQ. - OK 0 /� Q p t'bvto e / C d f.6 4. '� ,v.lr/ cc u L. o 06's.2. AfeM,. -1- 1 G.a 0 W 4P-e..-6C4 b l?f s...., L•l. ccQ fi a-sb- of car- Co mole e W cc 619 r f` c.O ci-- ebN- '{" rt ro 14 0 WORK SATISFACTORY:PROCEEDpleMalECT COMPLETE CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspect rs i nce. (952) 249-4600 Owner/Contractor on site: Inspector. 914" --' White Copyflnspector's File Canary Copy/Site Notice