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Home My WebLink About2012-00809 - screen porch , CITY OF ORONO * 2 0 1 z - 0 0 8 0 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 � ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2900 DEER RUN TR PIN : 04-117-23-24-0013 �— LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN �. : LOT 008 BLOCK 004 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 120,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) SCREEN PORCH * AS-BUILT SURVEY TO SHOW ALL IMPROVEM INITIAL) * SILT FENCING IN AREA TO BE RE-GRADED ( * ESCROW 2012-0025 WILL BE HELD tJNTIL CO LE I (INITIAL) APPLICANT MITTELSTAEDT INC PERMIT FEE SCHEDULE 1,176.75 P O BOX 454 STATE SURCHARGE(VALUATION) 60.00 WATERTOWN,MN 55388- TOTAL 1,236.75 (612)716-9595 Minnesota State License#:20012394 OWNER KACZKE,ROBERT&JILL 2900 DEER RUN TR 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 permi[is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 d s at any time after work has commenced. The applicant is re s' le ass � I required inspections aze requested in rth t at 't n Code.This permit may be revo / /�4 / / ic te i re Date Issued By S' ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO r � , �� . �.-� �� city of Orono ��' 3 �� ' 'n Permit A lication �/� Bu�ldi g pp for New Structures or Additions Mailing Address: Permit number: � / a— �/� $ � O.��,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: g^�� .. � a Street Address:� Received by: G�' 2750 Kelley Parkway Plan review fee� c�O lo� —��d ��o�,� Orono, MN 55356 � Total Fee: �� $�'f Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �g� �Gr wv� r-a i, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: .. Name: � �fi c. State License# L Expiration Date: d 1 Phone: � b� S office - Q s cell Mailing Address: .O, o + Cit : �. GrTd�r� ZIP: 5''S �`4' Contact Person: ,�' Applicant is: ractor / Homeowner (Cirocle One) Email and/or Fax: �y��•-�y-� s ta,,c . �z PROPERTY OWNER INFORMATION: Name: B�b a-'S t 1t��z � Phone(day): ( - - Address: �2k�0 �.'}�Gr K�r'r-�o►-�\ Clty:��/-�v�-O ZIP:rj 53�.� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: ��ame: e, �c� . Ptrme(day): — Addnss: City:�o'�� r^� ZIP: Email end/or Fax: PROJE�T INEORMATION: 1.Typs of p:oject 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Constnction � Single Family with ❑ Residence �Addition attached garage ❑Garage/Accessory Bldg. ❑ Public Sewer Accessory Bulding ❑ Single Family with �Deck ❑ Relocation detached garage ❑Office/Commercial �Private Sewer ❑ Other: (spec�fy' �r�-�� +�� ❑ Multiple Family/Condo ❑Warehouse , ❑ Public ❑ Storage ❑ Public Water """Any earth move�neM may require ❑ Commercial �$Other(speciiy MCWD review 8 peRmits. ❑ Industrial S'C�cc'� �r.�K-� ❑ private Well Minnehaha Creek Wate�shsd Distrid(MCWD) ❑ Other. (SpeCify) 18202 Minnetonka Blvd Deephaven,MN 55391 � Phone: 952-471-0590 Fax: 952-471-0682 www.m i n ne h a h acreek.or $ 02 O�p�0. .� Estimated Construction Valuation ��xcluding land) � Packet Last Updated: 03-06-2012 -21 - Y � r�. � STRUCTURE INFORMATION: • 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= � Number of bedrooms=,� �Wood/Frame b.Width(ft.)= 3 D� Number of garage stalls: ❑ Masonry Areas in spuare feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF � d d. 1g�Story = -]n' - ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/z 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 ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for enginee�ing 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 th:y are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altem�tive 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 la�v as either private or confidential. Private data is inforrnation which generally cannot be given to the public but can be given b the subject of the data. Confidential data is information which generally cannot be given to either the public or the subjed ofthe data. Our purpose and intended use of this information is to annually update our records and records of other govemncental 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-buik survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issusd upon rsceipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. � ApplicanYs Signature: Date: ��? � l� Owner's Signature: Date: Padcet Last Updated: 03-06-2012 -22- . �lan Review Checklist for New Structures / Additions Address/ PID/ Legal: � c�� U �-' ��f� � �� `�� "`� �� Description of work: �C ��'� �'L ��% ��"�� /.(-�� C j� Septic review by: �,C.��f' Date Approved: i v� �i ��- 1� Zoning review by: �i�C-��f Date Approved: ��Z7 / ! � Building review by: Date Approved:� � � — I� Grading review by �� Date Approved: � � r' Z-- Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: � ,- , ; Survey Submitted: es ❑ No Date of Survey: �� !�"—r' i �� -(—vG� d7�1 ��'I�Gt�1/� Pro osed Setbacks: " Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � .-�� ' � / � = �.--, �_,�- �" � Building Defined Heig�: �� "`Building Peak Height: �� /��--�` #of Stories Ok?�,E� YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA� FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of 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 a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit ReCeived Avera e Lakeshore tback Bluff , ❑ Yes � No ❑ N/A 0 Yes No 0 Yes � No ❑ Yes 0 No N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance equir d CUP Re 'red 0-75' ❑ Yes � No 0 Yes o 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): ��,�(J�'LU7i�-� -�/1 � `-L',� �.� ��2;��i(JYL �� '/, ) �/'�C:�� E� LL� L �� Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit - Plan Review � State Surcharge � Investigation Fee SAC—Number of SAC Units Sewer Connection � Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: Square Foota e � $ per Square Foota e Basement X = $ 1 St Floor X = $ 2nd FIoO� X = $ �arage X = $ Estimated Construction Value: $ ( �O, n o� �` Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing � Grading / Filling 0 Well � Hardcover Removal 0 Mechanical 0 Fire Electrical .�Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry ❑ Lawn Irrigation � Radon Rock Bed ❑ Mfg. �'Framing � Other (specify) �nsulation -Built Survey Final 0 Other(specify) � REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ NO New: � YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT� ' � �� +%�t�7 >rtil� fij t�t..p� �(l � r�� ► � :�!:~ L � �� ,'� �2 �' %,;,, � ��C�c�v�� z=�-0—�—�'--_- -� l�� ( f�� L�� c� ��-� .� Updated: 09/11/2009 z:\forms\plan review checklist.docx �� .�('�� AT TI M E �� CITY OF ORONO �, CALLED IN ��-„�,_ INSPECTION NOT/ICE �*y�J� SCHEDULED �� PERMIT NO._�l�1 a ��l/�U , COMPLETED ADDRESS �G/ C�G �C��%� �/Q° OWNER TELEPHONE NO. ��a� 7�� r %��s CONTRACTOR / !/l l��[I ��5�� ' � DESCRIPTION �w��/ V�`7 � �� / Ur�'�iJ � ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � � � �fi . a " � � L�� .�'�_-�'�'�.S" 0 � � 0 � W � Q � z W � W � � d W ,�p(QSKSATISFACTORY:PROCEED C:� PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnedContractor on site: - Inspector. �r� White Copyllnspector's File Canary CopylSite Notice �j �� (� TIME ✓ CITY OF ORO O CAILED IN "l f�'�2" INSPECTION NOTI� SCHEDULED �/ —� _�� PERMIT NO.�d� �g� COMPLETED ADDRESS �� /C �-� �� OWNER — EL HONE NO. ��1�7�� CONTRACTO � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W 0. o b1L vU/ � � � e 1.� ��S 0 � W � Q � z W � W � � � �OfpRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on s' e: Inspector. i White Copyll�spector's File Canary CopylSite Notice � � �� DATE TIME � CITY OF ORONO �InLLED w 1�' �S-/ Z INSPECTION NOTICE SCHEDULED /D /7-%Z ��_ PERMIT NO.�hi_�2 - � ��yCOMPLETED ADDRESS �% �� ' �C-�-�%'� �2� � � d S`TELEPHONE NO. ��/a ' 7��a��j CONT ACTOR �`�fc�Ic�%�� >; DESCRIPTION �r��N -�-� � �O/"C` �'1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVA� 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 � ❑ PLUMBING RI ❑ SE�C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � w e � � O � � O � W � Q � Z W � W � � d � �ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIO►V TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p 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 Owner/Contractor on si Inspector. �/ ��^�-��5 White Copyllnspector's File Canary Copy/Site Notice �� •� �'`{ � . � K. ` .DATE TIME CITY OF ORONO � CALLED IN �I �� I� INSPECTION NOTICE � SCHEDULED ► I �- �eG PERMIT NO. -�C,I�� C.�.'��I COMPLETED ADDRESS _„ ��I C�'C L��' ( �u�'� � OWNER �-�C1-�i j f��1CIcI I��'S"�c rtTELE HP ON� �C' l� 1 l(�- �tS�� CONTRACTOR �1i� �� If'��11�-I �-�i'�r , �: DESCRIPTION � ;"{ L� C C` �� C�� '1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W��VORK SATISFACTORY:PROCEED C:, PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETIJRN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: � Inspector. .'f I � � �I 1', - White Copyllnspector's File Canary Copy/Site Notice �� Ct>� I�, ATE �I2. TIME ✓ CITY OF ORONO CALLED IN / INSPECTION NOTIi E _c�„/y SCHEDULED IZ� PERMIT NO. ��rL �r� COMPLETED ADDRESS � � � • OWNER TELEPHO N^Q. � �' � ��SqCJ. CONTRACTOR l l� L E'St��' j: DESCRIPTION �r�-� ( � ��r � � �� r�/�v) � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRA�CTO_R TO MEEf YOU�YES_NO � COMMENTS: � W a � r ,, 0 � � �� l�/' ^ '�_� �� t��t !,� �U �f� � r��c�� Y�. �1 `� � n � �_" }��/ C�S • O � � ti � ��>.� �I�c'� S .7-- ^� � � /.,� �t .l-' Q z � ' ��G" W � W � � GW f�l'CNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN 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. �95Z� Z49-46�� OwnerlContractor on site: Inspector. ''�� f_� �J S White Copyllnspector's File Canary Copy/Site Notice