HomeMy WebLinkAbout2010-00730 - attached deck r �
CITY OF ORONO PERMIT NO.: 2010-00730
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/18/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1650 SHADYWOOD RD
PIN : 17-117-23-21-0014
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTI V ITY : 434-RESIDENTIAL
VALUATIOIY : $ 6,000.00
NOTE: REPLACE DECKING-CEDAR-NEW RAILINGS
APPLICANT PERMIT FEE SCHEDULE 132.75
SHORELINE BUILDERS STATE SURCHARGE(VALUATION) 5.00
2184 SHADYWOOD RD
WAYZATA, MN 55391- TOTAL 137J5
(763)506-0629 PAID W[TH CC# 4377
Minnesota State License#: 20630814
OWNER
KRE[SLER, JERROLD& BARBARA
1650 SHADYWOOD RD
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 no[specified herein.This permit will
expire and become null and void if construction authorized is not
co enced within 180 days of the date of issuance,or if construction is
susp nded f�r a period of 180 days a[any[ime afrer work has co enced.
The a plica is respo sible for assuring all required inspe ns aze
reque d in nforma e with the State Building Co . his permit may be
rev t an me for e cause.
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Applic t P it Signature Date Issu d y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: ��C�"�/�
'¢�.� PO Box 66
Q �; 0 Crystal Bay, MN 55323-0066 Date received: � / ��/c.�
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� '4;�=, � Street Address:' Received by:
� � ' �'�'��, � 2750 Kefley Parkway
Plan review fee:
�rgkESH04�'~ Orono, MN 55356
Total Fee: �3�. ���
Main: 952-249�600 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 wi be re rned. (Plea pri )
GENERAL INFORMATION: --� '
Job Site Address: -�
Will this be a Parade of Homes, Remodelers Showcase Ho ' r 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 rs available. Non-permrtted events will not be allowed.
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CONTRACTOR/APPLICA T INF MATION: / �
Name: � �
State License# � Expiration Date: —
Phone: �� • t ffi (cell
Mailing Address: Cit : ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One�
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:
Phone (day):
Address: City� ZIP•
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City� ZIP�
Email and/or Fax:
PROJECT INFORMATION:
1. Type of Project 2. Proposed Use 3. Structure Type 4, Sewage Disposal 8�
Water Supply
❑ New Consfruction ❑ Single Family with ❑ Residence
❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with � eck
❑ Relocation detached ara e
❑ Other: (specify) g 9 ❑ ffice/Commercial ❑ Private Sewer
❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"*Any earth movement may require ❑ Commercia� ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) �-
18202 Minnetonka Blvd �iG �(y� ����(� ' -
Deephaven, MN 55391 M
Phone: 952-471-0590 � �� /�'�(,V f U ��i
Fax: 952-471-0682 � ,�J
www.minnehahacreek.or �°
Estimated Construction Valuation (excluding land) $
Last Updated: 9/29/2009
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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 Bldg.
Areas in square feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15i Story = ❑ Other(please specify):
e. 2"d Story=
f. '/Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
E closed A plicable
❑ 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
❑ CI 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 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 unfil it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• 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 pubfic 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.
i' If you refuse to supply the information, the application may not be issued.
�� �
ApplicanYs Signature: Date:
Last Updated: 9/29/2009
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�—� C _//� � DAT TIME ✓
CITY OF ORONO CALLED IN �v
INSPECTION NOTICE SCHEDULED �
PERMIT NO.� � Q COMPLETED
ADDRESS��D- av 73 ���� S�l aG�U/1?t�9� _
OWNER - TEL N NO.
CONTRACTOR � �' �
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� DESCRIPTION S�
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� ❑ FOOTING ❑ PLUMBING EXCAV/G� / LLfNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETIANDS
Q �"FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. � J`"L
White Copyllnspector's File Canary CopylSfte Notice
D TIME ✓
CITY OF OROl�D- �� �
CALLED IN �
INSPECTION IYO�TI�ED���D SCHEDULED l
PERMIT NO. Q� � f COMPLETED
ADDRESS SD S � F�Y
OWNER TELEPHONE NO. 763 SOlO 46�
CONTRACTOR S
�: DESCRIPTION �1���
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU__YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED `��PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. ��c 1 r� �l � �
White Copy/inspector's File Canary CopylSite Notice