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Home My WebLink About2011-00234 - attached deck � CITY OF ORONO PERMIT NO.: 2o�i-oo23a 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE 1sSUED: OS/OS/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 1350 REST POINT LA PIN : 07-117-23-32-0039 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 021 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DECK ATTACHED ACTNITY : 434-RESIDENTIAL VALUATI01�1 : $ 3,000.00 NO"I�G: REI3UILD A1�"CACHL:D DGCK APPLICANT PERMIT FEE SCHEDULE 88.50 JON PEASE CONSTRUCTION PLAN REVIEW 57.53 9470 DUFFNEY DR ROGERS, MN 55374- STATE SURCHARGE(VALUATION) 1.50 (612)202-5372 TOTAL 147.53 Minnesota State License#:20637530 PAID WITH CC# 7407 OWNER HOXIE, MIKE ' 1350 REST POINT LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT "I�he work for which this permit is issued shall be performed according to the approved plans and specifications.applicablc City approvals,and the State Building Code. This permiC is for only the work described and does not grant pennission for additional or rclated work��hich requires separate � permits. All�rovisions of laws and ordinances governing this type ot�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 conf nce with the State Building Code.This permit may be re �ed at any me f r due cause. / / ' �/ �/ � p licant Permitee Sign ure Dale Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. l t City of Orono ,I`�a �� Buiidin Permit A lication �1 g pp for New Structures or Additions Mailing Address: Permit number: o?D//— O��y ��,�. PO Box 66 Z,_ / / �� Q Crystal Bay, MN 55323-0066 Date received: `�" j�t a �"'�''�t�-:` �,�, Street Address:� Received by: d ��`�' � � ti� 2750 Kelle Parkwa x�,a, Y Y Plan re�iew fe : \'�'Esi�io4�/ Orono, MN 55356 I --`f Total Fee: G �Z, � 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 �- �- �L,� ��_ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No lf yes,a specia/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,oermitted events will not be allowed. CONTRACTOR I APPLICANT IIV�ORMATION: ` r - Name: ��,,� J'''.k.a,�sL ��K l��\ State License# 'Z�,37,5 3 G Expiration Date: 3 - 3 i - �Z Phone: Z - 7�52 - J� Z office cell Mailing Address: -t City: _i �-� ZIP: �S 3'1 Contact Person: ��,� �,�Q Applicant is: Contract / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION Name: i/V�� (y,� Phone(day): Address: Cit : ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: Cit : ZIP: Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction �ingle Family with ❑ Residence ❑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 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 3,� _ � , . x \ ; STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width(ft.}= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bidg. Areas in sauare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = ❑ Other(please specify): e.2"d Story= f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin 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 consultant review costs in excess of$500; • Certifies that the inforrnation 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 altemative 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 agreement to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: i � , r Plan Review Checklist for New Structures / Additions . �_ _ , Address/ PI D/ LegaL �.� � �- ��C � �' � Y�� , -1��(- / l� - ``�' <<'._ Description of work: (J ec,l� �,n�a,c�� Septic review by: (�-�� Date Approved: �1 ' �/ � ( � 1 Zoning review by: /��/� Date Approved: � � Building review by: Date Approved: � -2�i- ( t � Grading review by: Date Approved: i Zoning File#: Resolution#: Resolution Date: 9 � � Zonin District Fire Department Post Office School District 1 i � Zoning: Lot Area: SF/AC Width: Depth: Survey Submi d: 0 Yes ❑ No Date of Survey: r � Pro osed Setback . i, Front (Lake) ar(Street) ( N S E W ) ( N S �'E W ) Other Buildings Wetland ' Side ide ,\ Building Defined Height: `� Building Pea eight: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the base ent floor/ rawl START the distance between the slab and the highest �' space floor and the highest roof p k, t top of WITH roof peak,the top of the comice of a flat roof, � the cornice of a flat roof, the deck lin f a the deck line of a mansard roof, or the mansard roof, or the uppermost po' t o a round uppermost point on a round or other arch-type or other arch-t e roof � � roof SUBTRACT half the distance between the t�tghest windo ,and SUBTRACT half the distance between the highest window hi hest roof eak of a itche roof and hi hest roof eak of a itched roof SUBTRACT the distance between the sement floor/crawl ADD the distance between the slab and the highest space floor and the high st existing grade within existin rade within the foundation the foundation or 10 f t, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei t '� ,. Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e L eshore Setback Bluff � Yes � No � N/A � Yes � No � Yes � o � Yes � N 0 N/A Permit Number: Setback: Hardcover ones Existin Proposed Variance Required CUP Required 0-7 � Yes � No _ 0 Yes 0 No 75-250' Type(s): Ty (s): 250-500' 500-1000' REMARKS (in-house):____t'V 6 C��Q Updated: 09/11/2009 z:\forms\plan review checklist.docx � . . Fees to be Char ed YES NO Permit Plan Review � State Surcharge Investigation Fee ! SAC— Number of SAC Units � Sewer Connection Water Connection a Park Fee � Site Inspection f Other (specify) Miscellaneous Fees Calculated By: Square Foota e $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ 3,doo °=' Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading / Filling 0 Well ❑ Hardcover Removal 0 Mechanical � Fire 0 Electrical Footing 0 Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. Framing � Other(specify) � Insulation 0 As-Built Survey ' Final � Other(specify) REMARKS (rn-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES � NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\ptan review checklist.docx DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTI�E SCHEDULED � l.;�A PERMIT NO.0�0 i � L�� COMPLETED ADDRESS f� � �!1 S� 1�� L AN� OWNER TELEPHONE NO. CONTRACTOR �Z��/� ' PQ�'S� � DESCRIPTION �'�C �C '�^l f A �'�` S � ❑ FOOTING ❑ PLUMBING FINAL ' ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q�.FRAMING ❑ MECHANICAL FINAL' ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIR�PLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FtNAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEEf YOU:_YES_NO c�n COMMENTS: � a � � O � >. � O � W � Q � 2 W � W � � � ,�WORKSATISFACTORY:PROCEED ❑,PROJECT COMPLETE w '�coRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFECONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CffATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. ' White Copy/InspectoPs File Canary CopylSite Notice �� DAT�,�j� � TIME V �CITY OF ORONO C ED IN G� � INSPECTION NOTICE�-y� /, SCHEDULED _�� I t � PERMIT NO.��L� wZ3"t COMPLETED ADDRESS I �_S O (�.eS t �� t �{- ��,`-�. OWNER TELEPHONE NO.��l a `c�'�O� " ��`�' CONTRACTOR `�� '�1�) r�fe C�;►�f-�- �: DESCRIPTION ` " �- �� r� I I��-p�1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S T C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU� YES_NO � COMMENTS: � W a � J O a � O � W � Q ti Z W � W � � � ❑WORK SATISFACTORY:PROCEED !P�2ROJECT COMPLETE W ❑CORRECT WORK&PROCEED �G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECT�OtJ REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 24J-4�� OwnerlContractor on site: � , > . , Inspector. � �✓� � �r � � White Copy/inspector's File Canary CopylSite Notice