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Home My WebLink About2010-01084 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-01084 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2530 OLD BEACH RD PIN : 21-117-23-22-0008 LEGAL DESC : SHORE HILLS : LOT 023 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,800.00----1 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ADVANCED PLAN REIVEW PAID-CASH-$134.23 BY HOMEOWNER. APPLICANT PERMIT FEE SCHEDULE 206.50 GERHARD,MARTIN&CHRISTINE STATE SURCHARGE(VALUATION) 5.40 2530 OLD BEACH RD TOTAL 211.90 WAYZATA,MN 55391- (952)258-3028 PAID WITH CASH 211.90 OWNER GERHARD,MARTIN&CHRISTINE 2530 OLD BEACH RD 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 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 r oked at time r due anse. 11 i Ite / ►o //i /vZl /d Applicant Pe a ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: D Q•d14 0,1 PO Box 66 — ;i� Crystal Bay, MN 55323-0066 Date received: D O li a IT11t �. Street Address:' Received by: 2750 Kelley Parkway Plan review fee: L'�xEs;o¢ Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 lwww.d.orono.mn.us Total Fee: 15w ?o 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: ZiG3 o 0 L�D B f:AC O RO'\%> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes allo H 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: State License# Expiration Date: Phone: 9$Z 15a 3- (fob Z (office) R 5'L] 2 S 3 - 3 o 2.8 (cell) Mailing Address: 2,53o a --AC r2_9 City: WR 'a-TA4 ZIP: $S 9 I Contact Person: OA42-T i*-I e rz G RQA S Tl f-� (fEei-1Arz9Applicant is: Contractor / omeown (Circle one) Email and/or Fax: Marf;n8erkardI� ��,; I•cam PROPERTY OWNER INFORMATION: Name: MA6E-zRHAi`,0 Phone(day): QqS-2) ZSS- 3 o 2 9- 5Z) zSg -330 Address: 2�3o 6L-o F3,�-/rC H 20 City: WAY-2^--76 ZIP: Vyl Iy" S Q3 Email and/or Fax Mart,,. .c v V�\a J I c_vn� I -c cel ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply ElNew Construction 91 Single Family with ®Residence g'Addition attached garage ❑Garage/Accessory Bldg. ® Public Sewer ❑Accessory Building ❑ Single Family with ❑Deck ❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer ❑Other: (specify) ❑Multiple Family/Condo ❑Warehouse ❑Public ❑Storage ® Public Water '*Any earth movement may require ❑Commercial ❑Other(specify) MCWD review& permits. ❑Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 llwwwminnehah cr a .or Estimated Construction Valuation (excluding land) $ STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft)-- L- Number of bedrooms= CgWood!Frame ❑Masonry b.Width(ft.)= 18 - ` Number of garage stalls: ❑Metal Attached= ❑Pole Bldg. Areas in square feet Detached= ❑ICF ❑On-site Prefab c. Basement= ❑Off-site Prefab d. 1st Story = ❑Other(please specify): e.2nd Story= f. %Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to beprocessed: Not Enclosed Applicable Ir ❑ Permit Application E' ❑ Proposed Building Plans ❑ ff- MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ar Survey(meeting all requirements) ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calculation(s) ❑ Se tic System Site Evaluation Report ❑ Access Permit ❑ Wetland Buffer improvement Plan ❑ Er Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information required or requested by the Building Department: Agrees to pay the City of Orono for engineering consuitsnt reviser 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; 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. Applicants Signature: Date: /1 03 20/D Plan Review Checklist for- New Structures / Additions Address/PID/Legal: 42 Co V 1 � T3 e-AC-4 rZ 4 Description of work: 7 _< _ /4, 0,1,� Pok--nocj (5+ 6AAA6e Septic review by: Date Approved: i 1— O Zoning review by: -U. f `. Date Approved: 1 1, 1 'Z-1D Building review by: Date Approved: l 1 - 1'L-ID Grading review by: 1 Date Approved: Z ing File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitte ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front(Lake) R r(Street) ( N S E W ) ( N S W ) Other Buildings Wetland Side Si e Building Defined Height: Building Peak He' ht: #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL CE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basemen oor/crawl START the distance between the slab and the highest space floor and the highest roof peak, 9,top f 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 ro d uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highes 'ndow and SUBTRACT half the distance between the highest window— highest roof eak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basem t floor/crawl %EQLS the distance between the slab and the highest space floor and the highest exi ing grade within existingrade within the foundation the foundation or 10 feet,whi ever is less. Defined building height— EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District CWD Permit Received Average Lakesh a Setback Bluff Yes ❑ No ❑ N/A 13 Yes 13 No ❑ Yes ❑ No ❑ Yes 13 No N/A Permit Number: Setback: Hardcover one Existing Propose— Variance Required CUP Required 0-75' ❑ Yes ❑ No Yes ❑ No 75-25 ' Type(s): Type(s). 250 00' 0-1000' REMARKS (in-house):_ /Vo Chsv&tr� Updated: 09/11/2009 z:lforrnslplan review checklist.docx -- - - - Fees to be Charged YES NO s. Plan Review '�ta'te�urc�arge -- . ... ` IIn�vestiig`ation Fee y Sewer Connection Park Fee t ltOt � �.. Yn... t_:':. . . z+`. t r Other(specify) ,,9y�S S7Sk� raNxArV `Y .x.x,.anN:. w a._. I. a..,X r•'✓,i`tt.4cs ..Y'h Jt. ;S•,•, Calculated By: Square Footage $ per Square Foota e Basement X = $ 1�Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading/Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire F1 Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. Framing ❑ Other(specify) ,Insulation ❑ P-Built Survey Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/1112009 z:\forms\plan review checklist.dom � ' ... HU., Certificate of Sunyey S� for Scott S. ?oweli s of Lot 23, Shore Hills Hennepin County, Minnesota 'S%< �s FS'� X09.0 I hereby certify that this is a true and �c correct rearesentation of a survey of the boundaries of 1,ot 23, "Shore Hiils", the location of all existing buildings, if ^> q any, thereon, and the proposed location of a nrorxmsed building. It does notORW t other improvements or c a AM 405J ti 0'R CITY 1r x SITE PLAN GRADIN® PUN ::.. :....; 9APPROVED Ro0 s-MAIA o.,-P— '�L4T- A"0 ti D APPROVED VWTH REVISIONS. C1 DISAPPNow OV , BY DATE— N h �, ro sa 0 N on 6V� � s o 50.35' �PQ JV /P=y5.81 T. 30.35 Scale: 1" = 6C" Gordon R. Coffin iteg ,c. 6064 Date 5-21-82 Land Surveyor and Planner o Iron marker Long make, Minnesota otS30 c�lc� 8egch p-�l DATE CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.__�0�0-f)VQ24 COMPLETED ADDRESS Z c c�, C(c� __�C_k, OWNER �� ' `^ � d TELEPHONE NO.GSA' ?Q3v CONTRACTOR r �.c�✓" ICI > DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q El POURED WALL ElMECHANICAL RI El LAKESHORE/WETLANDS yFRAMING ❑ MECHANICAL FINAL Q E] TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ElPLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W W CC J O CC O W CC Q Z W z W j d W AO�4(GRKSATISFACTORY.PROCEED F, PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector White Copy/Inspector's File Canary Copy/Site Notice