HomeMy WebLinkAbout2013-00629 - attached deck , ` CITY OF ORONO * Z 0 1 3 - 0 0 6 2 9 *
2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3150 RIDGEWOOD CIR
PIN : 04-117-23-23-0022
LEGAL DESC : ROUTSON ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 6,800.00
NOTE: DECK IN-KIND
APPLICANT pERMIT FEE SCHEDULE 147.50
HIGH MARK CONTRACTORS LLC STATE SURCHARGE(VALUATION) 3.40
24298 98TH STREET NW
ZIMMERMAN, MN 55398- TOTAL 150.90
(612)685-2732
Minnesota State License#: BC594272
OWNER
HERRERA, CARLOS
3150 RIDGEWOOD CIRCLE
LONG LAKE,MN 55356-
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 sepazate
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 assuri all required inspections are
requested in conformanc ith t tate Building Code.This permit may be
revoked at an e f d se.
// // i i
Appli t Pe m ee Si re Date Issue By ignature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
. � 5 ��-�� ��
�}������ CITY OF ORONO � D'
�,� 1�
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
O Mailing Address: Permit number: Q� � vv
� �O PO Box 66
Crystal Bay, MN 55323-0066 Date received: 7'"�—/
StreetAddress:' Received by: � _
� ` 2750 Kelley Parkway Plan review fee: �J�. (�
`� � � Orono, MN 55356 O!3�� � ry
�
A'rESH� Total Fee: �\-
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: �f � �
Will this be a Parade of Homes, Remo lers Showcase Home or other Display Home? ❑ 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 availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMAT ON:/
Name: ��.��. �,,-� �.���.r�1�i� 1,F�
State License# �`;C S"9�t2�� Expiration Date: ��-�I-/�
Phone: (cell) �',�� _�Lrj.,�73� (office)
Mailing Address: _„� Cit :� ZIP: �;
Contact Person: A plicant is: ont / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �..�sa�;C�� � �
Phone(day): <�5� - ��� -oiy�
Address: �S�r, ;�'raC .� -�..��n CitY� ��f�,�L� ZIP: �i'��'�
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZI P:
Email and/or Fax:
PROJECT INFORMATION: Description of pro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal &
Water Supply
New Construction ❑ Single 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 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.or
$ � i-
Estimated Construction Valuation (excluding land) �L��
, `
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction
a. Length (ft.)= �� Number of bedrooms=
�Wood/Frame
b.Width (ft.)= �;�.t7 Number of garage stalls: ❑ Masonry
Areas in square feet Attached= ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1s1 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 A licable
❑ Permit A lication
❑ 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
❑ ❑ Application Escrow&Agreement
❑ ❑ 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
Certifcate 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.
ApplicanYs Signature: Date: �—��%�
Owner's Signature: Date:
F
� ` PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number:
"� r 5 L j� . c�5�' c:�(.�� cJ C�-r f
Description of work: L_) �� � 1 � S� ��' '� ���� ��'`�"�
Septic review by: �'� Date Approved: � � ��` l 3
Zoning review by: �U• Date Approved: `�- I� ' �3
Building review by: Date Approved: —1 —� S ' � 3
Grading review by: ` I'v f� Date Approved:
Zoning District: �� �` .'', ►' Zoning File#: Reso#: Reso Date:
Zoning: Lot a: SF/AC Width: Lot Coverage: SF _°/a
Survey Submitte . � Yes O No Date of Survey: Revised da ? :
1
Proposed Setbacks:
Front(Lake) Rea Street) ( N S E W ) ( N S E W ) Other ildings Wetland
Side Side
Defined Height: Peak 'ght: FFE: FFE mi s 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% #of Sto ' s Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: ,f
The distance between the lowest FO A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement or cra
space)and the highest point of the roof. START WITH The distance between the top of slab and
If you have a... the highest point of the roof.
If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the highest point between the highest point of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped r f SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF J�vith (BASED ON . GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half th�' ROOF TYPE) windows): Subtract half the distance
distance between the to�of the between the top of the highest
highest window and tb�highest window and the highest point of the
point of the roof ' roof
• ALL OTHER ROOF TYPES(flat,
• ALL OTHER ROOF TYPES(flat,
mansard,etc}r�No subtraction. mansard,etc:No subtraction.
ADDITI Add the distance between the top of slab
SUBTRACTION Subtract the dis nce between the (BASED O and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation.
GRADES) highest exi�ng grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defin�tl building height
!�
Shoreland District� MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
0 Yes � No 0 N/A O Ye � No
0 Yes No 0 Yes � No � N/A
Permit Number: Setback:
Stormwat Quality Existing Proposed Variance Required CUP Required
Overla D strict Tier Hardcover Hardcover
� Yes � No 0 Yes � No
Type(s): Type(s):
Updated: January 2013 G�� G-� �� ��"
v:\forms\plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge'`
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Foota e $ er S uare Foota e
Basement X = $
1S�Floor X = $
2nd FI00� X = �
Garage X = $
c�J
Estimated Construction Value: $ �, �v� �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing 0 Grading / Filling 0 Well
� Hardcover Removal 0 Mechanical � Fire � Electrical
ooting 0 Septic 0 Water Connection
� Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey � Masonry 0 Lawn Irrigation
� Radon Rock Bed � Mfg.
�Framing � Other(specify)
0 Insulation
❑ As-Built Survey
inal
0 Wetland Buffer
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES 0 NO New: � YES � NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms\plan review checklist 2013.docx
� DATE TIME ✓
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE /n Z9 SCHEDULED --�� �
PERMIT N0. �Ol3—v� `�' t COMPLETED
ADDRESS 3/�O /1./�qP�"4oG� �
OWNER TELEPHONE NO. ��Z rOc��Z7�Z
CONTRACTOR ��2�2m C�^�C-
�; DESCRIPTION �d���� �'i
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR --'CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� AT TIME ✓
CITY OF ORONO CALLED IN ��
INSPECTION y I E SCHEDULED - !3/� �'/�
PERMIT NO � � COMP ED ' r
ADDRESS ` �
OWNER � TELEP E - � �a7 �
CONTRACTOR �
� DESCRIPTION
�
� 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGflESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED /�PROJECTCOMPIEfE
W ❑CORRECT WORK 8 PROCEED � IO SSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION RE()UIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on sit :
Inspector. �1 � �, �\
White Copyllnspector's File Canary CopyfSite Notiee