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HomeMy WebLinkAbout2018-00232 - addn/remodel/repair IiI ' 11 CITY OF ORONO I' 11111 * 2018 - 00232 * 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 430 BROWN RD S PIN : 03-117-23-42-0011 LEGAL DESC : STRONGHOLD : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 32,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 512.70 STATE SURCHARGE(VALUATION) 16.00 MCGOWAN DESIGN BUILD INC TOTAL 528.70 11180 33RD CIRCLE NE Payment(s) ST MICHAEL,MN 55376- CHECK 5655 528.70 Minnesota State License#:BUIL-BC642682 OWNER BREHM,EDWARD&KRISTEN 430 BROWN RD S 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 revoked at any time for due cause. , (c /e7.' cf: P1<-17 (2/17 ., .3 /I /!S" App li /Icant Permitee Signature Date ssue• .y Signature Date CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS ,�l MailingAddress: Permit number: ��Wt's<lict PO Box „VT-0041.30'2 Crystal Bay, MN 55323-0066 Date received: 3 ---/-/3" 1‘))')v'�" Street Address:' Received by: 11,_~` �" #333.010 � 2750 Kelley Parkway Plan review fee: sH0Orono, MN 55356 c9018-0033 Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us This application fonf1 must be completed in full and all required information must be sub `R d. Incomplete applications will be returned. (Please print) I 0 GENERAL INFORMATION: �� o p' Job Site Address: y3 0 B,' ii fl c d S', Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? E 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 ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO ATION: p Name: /NCGOecc7'/Z @Srh .DCI ike... c, State License# QC 6 Y. 4$-2. Expiration Date• 3-3/-/7 Phone: (cell) 7S--2 - z/� - 966' (office) ( „rR dr CP/ Mailing Address: 1303.3 R, c6, hi' tk J2r City: P , ZIP: 5---s--30s- Contact Person: a , ,c,c,., Applicant is: ontrac / Homeowner (Circle One) Email and/or Fax: Ai., c Ate rz oC.aori 1- ,/,1 , i i japes c 0,". PROPERTY OWNER INFORMATION: Name: %dY7r9-- AM-AZ/ 44044/0/„.<7 cr Phone(day): 7(:) - $� 9 -o-s6 Z Address: 5'3 O Bibi....)/7 /Q ace a1 ,,S, City:k 75' .7 ZIP: Sj S 3'` Email and/or Fax indit/O tJ/rkyry,`n CD rQ/,oo , c Os,- ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): / J n Address: 4///�// 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 Ea Single Familywith 0Accessory Bldg./Garage ❑Addition attached garage 0 Deck ID Accessory Building, ❑ Public Sewer 0Single Family with 0Office/Commercial ❑Relocation ih detached garage ,! Residence 0 Private Sewer ig.Other:(specify)/EQ.#w ,cq 0 Multiple Family/Condo • -etaining Wall(s) 0 Public 4-feet or greater 0 Public Water **Any earth movement may also require 0 Commercial 0 Storage MCWD review&permits. 0 Industrial 0 Warehouse 0 Private Well Minnehaha Creek Watershed District(MCWD) 0 Other:(specify) 15320 Minnetonka Blvd ( p �) ❑Other(specify) Minnetonka,MN 55345 Phone: 952-471-0590 / Fax: 952-471-0682 www.m i nnehahacreek.orq Estimated Construction Valuation(excluding land) $ .3_ , DOC' Last Updated: January 2016 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 Construction: 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 ❑ 0 Building Permit Escrow Agreement and Fees ❑ 0 Plan Review Fee ❑ 0 Completed Application Form ❑ 0 Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8 1/2 x 11 set ❑ 0 Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ 0 Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations ❑ 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 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. • Aghees 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: ��ii�%� �� Date: 3 / - 78 Owner's Signature: Date: Last Updated: January 2016 PLANT REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: q-3 D gj ,),w1/1. /gm ctd Permit No.: Z&78 ' (Omz-Q Description of work: Date Rec'd: 3/r/78 Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: crJ �, _i.A..‘ Date Approved: ,5/? /g Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/ A C Width: Lot Coverage: SF Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 Ye 0 No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland Side Side I Defined Height: Peak He ght: F E: 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 S'ACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance betwe:n the/owest proposed Slab at or above grade— START WITH floor(of the baseme t or rawl space)and measure from highest existing the highest point oft - r•of. START WITH grade to the highest point of the roof even if fill was brought in to If you have a.., elevate home. SUBTRACTION • GABLE OR PP D ROOF(no Slab below grade—measure (BASED ON windows): btra t half the distancefrom highest existing grade to the ROOF TYPE) between th highe.t point of the roof highest point of the roof. to the low oint oft e corresponding If you have a... gable or pped roo SUBTRACTION • GABLE OR HIPPED ROOF GABLE R HIPPED ROOF(with (BASED ON (no windows): Subtract half • windowit): Subtract alf the distance ROOF TYPE) the distance between the betweji the top of th- highest highest point of the roof to windoy✓and the high:st point of the the low point of the roof/ corresponding gable or hipped roof • ALL OTHER ROOF T PES(flat, • GABLE OR HIPPED ROOF marj�hlsard,etc):No subt action. (with windows): Subtract SUBTRACTION Subtract a distance betwee the half the distance between (BASED ON basemen crawl space floor a d the the top of the highest EXISTING highest a fisting grade adjace to the window and the highest GRADES) foundatio OR 10 feet(whiche er is less), point of the roof 1 • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined wilding height 1 subtraction. Defined building height i EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? • Permit Number: ❑ Yes 0 No 0 N/A ❑ Yes 0 ❑ Yes ❑ No No 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 Plan Review (/1 State Surcharge t:/` Investigation Fee tom' SAC— Number of SAC Units V Other(specify) C.-- Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ m0 Estimated Construction Value: $ 3 , 9O Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site Plumbing 0 Grading /Filling ❑ Poured Wall 0 Silt Fence/Erosion Control )3[ 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 5Et" Insulation 0 Mfg. 0 Landscaping ❑ As-Built Survey 0 Other(specify) yft Final ❑ Lathe Required State Permits ❑ Other(specify) 0 Well 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 r\fnrmc\nlan rouicIni rharklict 1n_9n1c rinry 41( s ke fo 1-n-5, a/'e45 detector /y(eeSY-SPA 8a rA ' Carbon monoxides UkbJ SMOKE DETECTOR CONNECTED TO A SOUND- requited within rooms. t of d �- 7`t(st- 3 '�2 � i g8i' 7c�y� ' S iNG DEVICE GR OTHER DL7EC 7 GR AUDIBLE IN ail sleeping SLEEPING AREAS. Se�/�? S�'- �'�" Reviewed f®r Code Cclyr be- .&# Y m�4eraf l r `i'�-�i Compliance City of Orono Date • „�s � ` � 3'� ' 3068 2630 Reviewer 41 Ar -Sit- I ef>,)10 4540 ' •.1 ✓ • F.80..(7-56$ tub 6040 2868 "� �i��� Master closet 0 0 111. r T- 15'-1 1!2"~ _ 1s. • Master Bath carpet 8 j (carpet) Foyer , / ' -5'-6 314"-� l cr ••,� • �< —1r— _DN_, ( " 4 ag� 2068 `�►'�, < 17'-4 114" r c° '/` '( / t 6'-2"-2 o steam `° j( Kitchen / a / I / tikshower ,; side entry room —DN— —4-- N3 1,0 0 16'-5' ?sr _ »--" -— 7'-3' Master Bedroom &e yyL©� 'I hardwood R (carpet) /J ao S 3068 I aaYrzv a, . /. II- 131-2. ,, tAe3.42._ (to �aC�S $ Dining Room ,» 18'-3 1!2" r " � I o? i u v co Efl �! � ° iri ----9,-9 1!2" Family Room I i — Porch 1 16'-10 3/16" I; 1 ;` " cv .----.111011111111---- 68-1-111111111111 8 s 1 , LR I U 1 68=- —�8068--- 4- FrhiSA o 2840 2840 2840 2840 22'-10" t---•.1 0 0 I $j a v 4048 4048 4048 4048 RECEIVED MAR 01 2018 CITY OF ORONO c:::::0 —t{ _, a—____ D E TIME CITY OF ORONO CALLED IN fc!/ INSPECTION N DULED 4, / i r PERMIT NO. �� C LETED ADDRESS , a/ —.5 OWNER TEkEPHONE NO._ 1 5-6f1 CONTRACTOR 1 \ £e 4- 4 --"ge.Atg DESCRIPTION � /4 % erC� fm U FOOTING El DEMO-FINAL 4 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 ra ' MING 0 MECHANICAL FINAL 0 RATED WALLS Z ,iI 'LATION 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 ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: cc 4 / / C c r--C.Dc4'e- 2 '11.3orn , 6) W cc Q i i3aiAir-- 410g/l/L a W W cc ea O RK SATISFACTORY.PROCEED 0 PROJECT COMPLETE W eC ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 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 then, " • = ion 24 in advance. (952) 249-4600 Owner/Contra • • . = e: Inspector: White Copy/Inspector's File Canary Copy/Site Notice