HomeMy WebLinkAbout2013-01321 - addn/remodel/repair • CITY OF ORONO ,
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* 20 1 3 - 0 1 32 1
2750 KELLEY PARKWAY DATE ISSUED: 01/29/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1389 ORONO LA
PIN : 02-117-23-34-0005
LEGAL DESC : HOMES ON BROWNS BAY
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 40,000.00
NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE)
12 X 20 ADDITION ABOVE EXISTING FLAT ROOF/
APPLICANT PERMIT FEE SCHEDULE 574.25
STATE SURCHARGE(VALUATION) 20.00
MIDWEST EXTERIORS PLUS TOTAL 594.25
6451 SYCAMORE CT.N.
Payment(s)
MAPLE GROVE, MN 55369- CHECK 26222 594.25
Minnesota State License#: BUIL-BC010277
OWNER
BYARS, BILL& BONNIBEL
1389 ORONO LA
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.
Ji / 29//<?/Applicant itee ture Da Iss t!• By Signature Date
CITY OF ORONO 24( 3
`� APPLICATION' •
?��
v�\ BUILDING PERMIT / � a ��
FOR NEW STRUCTURES OR ADDITIONS ,.
�O • Mailing Address: Permit number: a04a04-3� - 0/301 I
�j PO Box 66
Crystal Bay, MN 55323-0066 ' Date received: /,P -36-/3
Street Address:' Received by: 666 .
yF 2750 Kelley Parkway Plan review fee: d0I 3-613 20
�' Orono, MN 55356 2.�0
l�kFSH°� Total Fee: �3
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.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: _
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 7 Yes No
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: rel w,-7-f x-e kr f-,--:› G045
State License# Z r r, - Expiration Date: C33/, //-/
Phone: (cell) -76 j " a-21f-/6-00 (office) "7-T3, 20-7 - it76.
Mailing Address: 5 ' , -e,,,,uc. ok,r-1- Al Cit : Av_ter �,,,c ZIP: 5,5 '3 42
Contact Person: - 6:77 Applicant is: - •ntract•r Homeowner (Circle One)
Email and/or Fax: 3'o,sh ,. ,A---K-It-,e--,-11 P/usc, ( -r 1 ~761 76• - # 4Jo2i✓
PROPERTY OWNER INFORMATION:
Name: c_c.(-flyV t I s'CI
Phone (day): (:f2 9 9v- -6-- 5'7
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: Fzc.M - /7/5-e/ci-z/7
1. Type of Project 2. Proposed Use �/ 3. Structure Type 4. Sewage Disposal &
Water Supply
E New Construction [' Single Family with .❑Tesidence
,2rAddition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
E Accessory Building ❑ Single Family with ❑ Deck
E Relocationdetached garage ❑ Office/Commercial ❑ Private Sewer
CIOther: (specify) k,2_1(_. ‘,vi--. El Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage [' Public Water
""Any earth movement may also 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
www.minnehahacreek.orq
$
Estimated Construction Valuation (excluding land) � 61
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction
a. Length (ft.)= Number of bedrooms=
E Wood/Frame
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = . ❑ ICF
d. 1st Story = E On-site Prefab
e. 2nd Story=
❑ Off-site Prefab
f. 1/2 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 Applicable
❑ 0 Permit Application
❑ 0 Proposed Building Plans
O 0 MN State Energy Code Calculations and Mechanical Code Requirements Form
❑
0 Survey(meeting all requirements)
O 0 Stormwater Pollution Prevention Plan
O ❑ Hardcover Calculation(s)
O 0 Septic System Site Evaluation Report
❑
0 Access Permit
❑ ❑ Wetland Buffer Improvement Plan
❑ 0 Engineered Plans for Retaining Walls 4 feet or above
❑ ❑ Plan Review Fee
O ❑ Application Escrow&Agreement
❑ 0 Other:
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 $10,000
escrow to ensure completion of the as-built survey and all site improvements.
Applicant's Signature: Date:
/2/30//
Owner's Signature: Date:
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS
Address/Permit Number: I%lb l d Ci 1t/L�
Description of work: / ax 20 ,�to,01,�o /1 go�P c-,?'t Sr'—t �f�F; A
Septic review by: /u/4 Date Approved:
Zoning review by: -C. c ,,�°a Date Approved: £-• : .Z��
Building review by: G� _ Date Approved: .,:' ': y
Grading review by; : -(/1 Date Approved
Zoning District: ;NQ e1./lt Zoning File#: Reso#: •Reso Date:
Zoning: Lot Area: /Ye SF/AC Width: Lot •Coverage SF '°/9
•a
Survey.Submitted: Yep No Date of Serve : a-t?7"a
y Y . f eiiised date(?)•
Proposed Setbacks:
' Front(Lake) Rear(Street) ( N S„( vii ( ;N S E
) Other titidings ` wetland
Side Side.
Donne('Height: 19.t .• 1 -Peak Height: <EF : Pi=i:.rtninus:6 fee (Existing
Contour]
Perimeter(linear feet) 50%0 #of Stories Ok?'i0 YES
FOR A BUILDING WITH A BASEMENT OR litAWWL'SPACE:
Tfile stance between tt�e lowest AOR A BUi DING ON A SLAB
START WITH proposedfloor(ofthe°basement orcrarrl 1JNOA7I JH
space)and the highest point-ofthe roof. - START WITH coat' and
tf you have a.:. the of e
If You have
•, GABLE OR HIPPED ROOF(no • GABLE O iIPP blip
windows) Subtiaettialfttie s` windows) Su�falfthe i
distance between�hit '', between-the highest point of the roof
e of the motto quo • M .,lntttth
SUBTRACTION, corresponding ga a or hipped roof SUB RA TION '€ + ding
(BASED ON ROOF GABLE<OR HIPPED ROOF(with ":(BASED ON • -GA A HIP ED'ROF.(•
TFPE) I meows); Subtract half he >'K ROOF B) in a btract
distance between the top of the "41 .be(wvee the,top,of " �if +
-highest window and dre highest w indowand the highest lit of the r
. afte
. ,_- fit 'hof~�� . • _ �i
-
t
• z ALL O ert i boF riPis(flat, • ALL O ER ROOF 1` PF1$ ,
mansard etc) No subtraction} L iada�etc) oBii oh
' S u` stn the adistaince between the ,SED ON r d ab
2 r F
v�'usTR,ACTION a ! $iii ittt #
a : t/cra ivl space floorand the IS TNG ' f Und
G{►SED ON EXISTING ,higtexisnng grade•adjacent to the. - DES
GRADES) foundation'OR-10 feet(whichever is less). €� t fiDefined buildl'g height w 5 ` `r"
h ebuALS '� Defined'building height " r , a
Shoreiand District ' MCWD Permit Received ' ' Average Lakeshore Setbac •Met? ff
Yes' ® "No ill N/A • • 0 Yes Blu, rrf Ci No,
iii Yes Ci NoYes i t;No N/A
Permit Number ick: ;
Stormwater Quality Existing Proposed
Variance Required CUP Required
Overlay District Tier Hardcover Hardcover y
/ .ry Ci Yes • ,0'No 0 Yes No
G trevikt Type(s): Type(s):
Updated: January 2013
v:\formslplan review checklist 2013.docx
•
REMARKS (in-house):
Fees to be Charged YES NO
Permit ✓�
Plan Review
_
state
surcharge
f charg .. G ..;x
raves igatton i=eB — -
SAO'-.Ntlrriber of S C.Units ,; , r ' t
Other(specify)
Square Footage $per Square;Footage
Basement X = $
1°`Flo $
Floor =X =
2nd"Floor X = $:
Garage. X = $
• .Estimated Construction Vafue: $ 'U).tOD. -
1=
Oro inspection Required Work Requiring eparate Parnas 1 ' , Required Stade Permits
U Site ® Plumbing 13 GradingWeil
G Hardcover Removal ,'Mechanical D Fite 'Electrical
Ci Foobnc _ t3- Septic tI Water-Connecfivn
CI Pbu d Wall CI Fireplace 0 Sewer Connection
fl Foundation Survrvey Q Masonry 0 La i+taimgati'n'`
ti I adon Rock Bed fl Mfg
,F Lt'Fxaming U Other spec y),
''insulation e
Built Suzy
0 Other(specify)
. tEMARF S,(in house)
Bete Approve =tiw• Rvewed.eher Review. by:
Access: Existing: Cl YES ® NO New: O Y>"S ._a NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND iNtTtAt.l:ED
Updated. January 2013
v.1formslplan review checklist 2013.doac
/ 5 i TE TIME II
C11�RONO CALLED IN —J
INSPECTION NOTICE7i SCHEDULE u — 1/.le
PERMIT NO. =2(45-0;54 4 COMPLETED
ADDRESS j -b n (1 irdnb 4d /,1i -!// I/: AP ,
OWNER _ tEL • ONE NO. - . ...'
CONTRACTOR litfe 0/� 1 - . CiA'Y )
i DESCRIPTION jri 4,
Ar) #'
❑ FOOTING ❑ PLUMBING FINAL • ❑ EXCAV/GRADING/FILLING
4.
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
C 'FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
✓ ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
y COMMENTS:
W `
a. rr4*4 ii , /4+r /�c ..,0,11e..,‘ d4,
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IQ 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CC
IQ
0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
8
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ B ORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owners tractor on site A-4 pet
Inspector.
Whity/Inspector's File Canary Copy/Site Notice
D
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
TIME V
- `Ale
PERMIT NO. .2043 - �`3 COMPLETED
ADDRESS /389 Orme L~,
OWNER TELEPHONE NO.74 3 z.go-13 Z Z
CONTRACTOR rn (ClUla7 /f
DESCRIP ON4/04i00- Er
tAi ❑ FOO G ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
❑ P RED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS
y RAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z I SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
✓ ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
SI COMMENTS: C a r J 7' - Lent �/
_J
Q.
CC
cC
CC __„2
tu_a
0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
OO 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
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ��,,��
Call for the next inspection 24 hours in advance. (952 2 -4OUO
OwnedContractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site otice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO..2O/3-0/3.2/ COMPLETED .2-d 3-%5"'-
ADDRESS /3 89 £ ecot .1,1
OWNER TELEPHONE NO.
CONTRACTOR 117,4/'✓-ee: CX6c✓c•rs
j DESCRIPTION /�"'2o 4,4eJ'42"h •14re'e 042e .
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL El TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
_ 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
is _INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
�-t L 0 WATER HOOK-UP 0 FOLLOW-UP
_`e 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
a22 COMMENTS: 1// s1.42I c { %- C/e ' "oho .a
I r c
R. Spc470
44,04,e2i/ c/si ern.// ler-ay -{oE..
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W0/40, /"K`04; roowe GAO/001Sva.ts -V 4 scJ
kik s t ^at edgel Oro.c.o ce of AA, // k'17,0<4Ve.
LU0 WORK/SATISF4 la ACTORY:PROCEED ROJECT COMPLETE
W ❑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. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ..••• •
White Copyflnspector's File Canary CopyISite Notice
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CITY OF
ONO ,
\`• _ _ SIIE PIAN — ORS^.i,'NG PLAN
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ING `, 0 '??PROVE WITH REVISIONS
0 DISAPPROVa
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1
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5 N
; PROPOSED
, iDRIVEWAY 1 I .
N • \ U R 26.0
�' x
-7 N rf PROPOSE GABA
1 RETAINING FLOOR ,�.,..-----"m-
/ 1 WALL aC "'"`^.y..,, .,.._•
i N . � ,
O `1,, , q PROPOSED o W L
o ,' d 4 GARAGE N ,
LOWER
GARAGE •
0 �O TOWEPL = 1 FLOOR N ---
(i)
Z Atb 047.5) \` 6.53 a;�`►T _ _
' tit / HOUSE r--- : -- 13.55N
�7
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TO BE --...1.3,.. o, b
r f REMOVED 1 ro I.••9.4...., '>�
tii O
i7 14.2 12yLn 8.9/
', ' b(* <u\ PROPOSED A Q 0-Pe ._-...0
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HOUSE 42 26.4
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N 4.a',� �� DECK i.
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.5 ` NSURVEY 3:5: ----
`9 LINE _
1-a• ,• ,�,h 9�6., c• � •
- ,x'32`_'-. __ ____,_.._._-__--____._-_Y__ _____ �.+,
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4�41111 w � �''.P RAP INNETONKA � -� ,� : �_ _ _ ,,
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•••929.4 CONTOUR LINE .
I HEREBY CERTIFY THAT THIS PLAN, SPECIFICATION, OR REPORT SCALE
.cD GRONBERG & ASSOCIATES, INC. THAT PIRAMPARED
DULLY LICEN ED E OR UNDER
ROFESSIO PROFESSIONAL DIRECT
ENGINEER SUPERVISION
AND LAD 1'�-20'
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATE
. _
CONSULTING ENGINEERS, LAND SURVEYORS, SITE PLANNERS 4-13-04
VIP 445 N. WILLOW DR. LONG LAKE, MN. 55356 -
952-473-4141 711,--0-/,./ JOB NO.
DATE 1-2/-4'4 MN LICENSE NUMBER /Z7- ,f 04-113
/3 Y' OY�o Ofee-'r)e,_
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