HomeMy WebLinkAbout2015-00621 - addn/remodel/repair ' � CITY OF ORONO * 2 0 1 5 - 0 0 6 2 1 *
2750 KELLEY PARKWAY DATE ISSUED: 05/19/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 4380 NORTH SHORE DR
p� : 07-117-23-42-0040
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 016
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 10,000.00
NOTE: REPLACE EXISTING DECK
APPLICANT PERNIIT FEE SCHEDULE 20136
STATE SURCHARGE(VALUATIOl� 5.00
WII�LETTE BUILDING CO. TOTAL 206.36
6074 COiJNTY RD 6 Payment(s)
MAPLE PLAIN,MN 55359- CHECK 12824 206.36
(952)472-4332
Minnesota State License#:BUIL-1804
OWNER
SCHOEI�iING,WILLIAM
4380 NORTH SHORE DR
MOLJND,MN 55364
AGREEMENT AND SWORN STATEMENT
1'he 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
pemrits. 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 bewme null and void if construction authorized is not
wmmenced 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.1'his pertnit may be
revoked at any time for due cause.
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l9' / v ► � l/�'ZI�S
A ic ermitee Si ature Date ssue y Signature Date
Cit of Orono � Z�
y ��- �g
Building Permit Application /
for New Structures or Additions
Mailing Address: Permit number: � � ` ��
�A,. PO Box 66
� `v0 Crystal Bay, MN 55323-0066 Date received: —
Street Address:� Received by:
2750 Kelle Parkwa
ti�, � y y Plan review fee:
c,` Orono, MN 55356 ��, ��
`q'�fSHO�� Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 v�v✓�n.ci oronu.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: C� ? �� ,�v�.� ,���� �
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 approva160 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: fi(.�, j �fi fi �u�'
State License# �„ (�, ��/ S}a Expiration Date: �,,.�,■� _�%�;/i�
Phone: cell ��• � _ � � p _ �cf � office �j ,4
Mailing Address: C Cit :'yyj • IP: —
Contact Person: � � Applicant is: Contracto / Homeowner (Circle One)
Email and/or Fax: '7t�,3- -z� 7 y- (p [ !t� �3 /-/�k" ��-`�'�
PROPERTY OWNER INFORMATION: ,
Name: . !L ��. � v � N � � �
Phone (day): ,2 - 7 - 3' �3
Address: ;3 $D O S l o � � � Il� Cit :� O�(it/ ?� ZIP:sS 3� �
Email and/or Fax /�// �
ARCHITECT I ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
Water Supply
❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage �Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) G, ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review 8 permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other:(specify) ❑ Other(Specify)
15320 Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreeh or
` . c��
Estimated Construction Valuation (excluding land) $ 6 v� ���
Packet Last Updated: January 2015
Page 20
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 Sl Story = ❑ On-site Prefab
e.2"d Story= ❑ Off-site Prefab
f. '/2 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 Ap licable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans–2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve –2 full size,to scale meetin ALL surve re uirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
� ❑ Access Permit
❑ ❑ Data Privac Adviso 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.
A IicanYs Si nature: � ��(/ Date: � l�•—
PN 9
Owner's Signature: Date:
Packet Last Updated: January 2015
Page 21
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MsEe�iaLvl)miahase 1527
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Descrip�3on: Member Type:Joist AppGption:Floor
Top Latieral Brace�g:Contiawous
Bot�m Latieral Brac�g:Contmuous
Shandard Load: Mois4ire Cond�on:Dry Bu�d'a►g Code:IBGIRC
Live Load: 40 PSF Deflec6on Cr�eria: U480 6ve,L240 fiotal
Dead Load: 20 PSF Dedc Connection:Glu�&Nailed
Faenarr�:Beam1
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Bearings and R�tions
1� Nin Gravtby Gravigr
Locatton rype Ma6e�ia� Lengtl, �red Reactlon lq�ltflt
1 0' 0.000" WaA Not Chedced 2.000" 1.500" 17� —
2 6' 0.000" Wa0 Not Chedced 3.5Q0" 1.500" 318#
Nl�mmun LrOad Case Rea�iOtls
u9�e nmr�sa���au���ro��e�
Lfve Dead
1 118�11� 52tl(52p1f)
2 21 21 1 1
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s�o.e�s 2 o.aoaP(ri�n c�a�
Produc� Spr�e�ine`Fir(P'f)#2 2 x 6 12.0" O.C. PASSES DESIGN CHECKS
Design a�urnes coMinuais lateral hraElnB alag the bop clwrd.
Design assum�cordlrwo�lataral brac6g alag U�e baltom chad.
Ailowable Stress Design
n�i aro�n�e ca��ny �a� �m�
Pos�ive Moment 242.# 824.# 29% 3.05 Odd 5pans D+L
Negative Moment 120.# 824.# 14% 6' Total Load D+L
Sheer 170.# 742# 22% 5.7' Totel Load D+L
Man.Readion 170.# 1275.# 13% 0' Odd Spans D+L
LL Deflection 0.0376° 0.1477" U899+ 3.05' Odd Sparns L
TL Defleclion 0.0512" 0.2953" L1999+ 3.05' Odd Sparis D+L
LL Defl.,Rt -0.0408" 0.2000" 2U999+ 8' Odd Spans L
TL DeR,Rt -0.0484" 0.2000" 2U971 8' Odd S ns D+L
Cordrd: Poeni�e Marne�d
DOLS: L'11�100% S11oMr115% Ro0F=125% WI11�1�%
Desi�assiarres a repetitive man6er use irc�e in bar�rg stress:15°h
This rt�rnb�I�as been designed M a�e with NDS 2005
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Weelces Forest Produds
c�m�m cc�zms ey��suw��ne c�y i�o.au wc�rs r�ser�n. 2600 Como Awe
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� DESCRIPTiON " "`' �`'�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j BEFORE COVERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN
IPISPECTOR WILL RERIRN
�STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
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Owne ctor on sit • v�— � '
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� `�` J5T5. TO BEAM � 6074 Co, Rd.�
I Ma�le Plain,Mi�55359
O – – – —$ – – _ _ _ � I icense#BC684380
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.1 (952)456-9974
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