HomeMy WebLinkAbout2013-00576 - stairway to lake CITY OF ORONO * 2 0 1 3 - 0 0 5 7 6 *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2080 SHADYWOOD RD
PIN : 17-117-23-31-0016
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 000 BLOCK 000
PERMIT TYPE ; ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STAIRWAY TO LAKE
NOTE: STEPS TO LAKF
APPLICANT STAIRWAY TO LAKE 50.00
CARLSON,JOAN ENGINEERING REVIEW COSTS
2080 SHADYWOOD RD
WAYZATA, MN 55391- TOTAL 50.00
OWNER
CARLSON,JOAN
2080 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 sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified hereia 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
reques[ed in conformance with the State Building Code.This permit may be
revoked at any time r ue cau
� � �� � 3 ��l �a,�`
Applica ermrt ' n � Date Iss By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
- � City of Orono '
���
Building Permit Application for Maintenance / Replacement / Renovation $ �x
(No structural expansion. Only windows, doors, siding, re-roof, etc.) ��
�
Mailing Address: Permit number. �3-'� x�
��� PO Box 66 �;�
� Crystal Bay, MN 55323-0066 Date received: �02 ��� _
Received by: � b� '�
� Street Address: <
y� �' 2750 Kelley Parkway Plan review fee: �
�,L Orono, MN 55356 �
��KESHO4 �
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: � � �t� C�����a..+.�DDi� � �
��
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 ;i"
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPUCANT INFORMATION: k&
Name: �1��Ar1 �f�'tL�S[��� �;
r-,< State license# Expiration Date: 5
Lead Certification Number. Expiration Date: Ca
'P
(for work on homes that were constructed prior to 1978 "ss
Phone: (cell) (office) r:�
:;N
Mailing Address: � � �jU 5���,�,�o,�� City: _ ZIP_ �
Contact Person: }� .� Applicant is: Contractor / Homeowner �(Circle One) ��
Email and/or Fax: �/@ �� -� a -�� y� �- � /.
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� PROPERTY OWNER INFORMATION: �
E• Name: �r�a.v� ��.� So►-�
Phone (day): �
�
Address: �, �j(� j���u�� �c�- City: �('pr�� ZIP:
Email and/or Fax: �-�
'��
PROJECT INFORMATION: Overall pro'ect description: =�
Type of Project: Any earth movement may also require ;
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: `:
Minnehaha Creek Watershed District(MCWD) ���
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage `;
,., 18202 Minnetonka Blvd ,�;
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �'
❑ Re-roof, other s eci Phone: 952-471-0590 ^�
( p fy) ❑ Siding ❑ Other: (specify) �
Fax: 952-471-0682 �
❑Window(s) ��S � j--a�e-- www.minnehahacreek.orq {,
Estimated Construction Valuation of Project(excluding land) $ 9S'GU�
APPLICANT ACKNOWLEDGEMENT: ri�
:�:,;
• Agrees to provide all information required or requested by the Building Department; :'�
• 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;
�
• 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 ti�
intended use of this information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the information,the lication ma not be issued. �
� � 9 � �;
ApplicanYs Signature: � - �' -��F��ro,� Date: � ��v f ;
�. �
Owner's Signature: Date: $�
�
Last Updated: 03/06/2013 �
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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES/ ADDITIONS
Address/Permit Number: Z-� L3 V SN-A yJH v.�oo� �
Description of work: (,�(c� ✓�-��9� S%�°r�/�
Septic review by: /'V �� Date Approved:
Zoning review by: Date Approved: � �Z6 -i �
Building review by: Date Approved: 6 -2� '�,�
Grading review by: � ��" Date Approved;
oning District: Zoning File#: Reso#: Reso Date:
Zon' g: Lot Area: SF l AC Width: tot Coverage: _%o
`Survey ubmitted: �Yes 0 No Date of Survey: Revised d ? : '
Pro osed tbacks:
Front(Lake� Rear(Strset) ( N S E W ) ( N S E W ) , Other �idings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE mi s 6 feet= (Existing Contour)
Perimeter(linear feet)= 50%_ #of Stor s Ok? � YES
,
�
FOR A BUILDING WITH ABASEMENT OR CRAWL SPACE:
The distance be�iieen the lowest f OR BUILDING ON A SLAB FOUNDATION:
START WffH proposed floor(of�he basement or crawl
space)and the highest poiM of the roof. START WITH The distance between the top of slab and
If-you have a... the highest point ofthe roof.
If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract ha e windows): Subtract fialf the distance
distance between the high t point between the hi8hest poiM of the roof
of the roof to the low point o e to the low poiM of the corresponding
SUBTfiACTION cqrresPonding gable or hipped f SUBTRACTION gable or fiipped roof
(BASED ON ROOF . r,A$�E OR HIPPED ROOF(with (BASED aN . GABLE OR HIPPED ROOF(with
T�E) windows): Subtract halfthe ROOF TYPE) windows): Subtract half the tiistance
distance between the top of th between the top of the highest
highest window and the high t window and the highest.point of the
point of the roof �
• ALL OTHER ROOF TYPES(flat,
• ALL OTHER ROOF TY S(flat, mansaM,etc:No subtraction.
mansard,etc):No su cGon. qDDITION Add the distence between the top of slab
SUBTRACTION Subtract the distance een the {BASED ON and the highest exiating grade adjaceM to
(BASED ON EXISTING basemenUcrawl space r and the EXISTING the foundation.
GRADES) highest existing grad adjacent to the GRADES
foundation OR 10 (whichever is less). E4UALS Defined bullding heigM
EQUALS Defined bulldin height
Shoreland District MCWD Permit Received Avera e Lakeshore S ack Met? Bluff
G Yes G No G N/A D Yes � No
� Yes � N 0 Yes 0 No � /A
Permit Number: Setback:
Stonr�wate uality Existing Proposed Yariance Required CL�P Required
Overla ' trict Tier Harticover Hat�icQver
G Yes 0 No Yes � � No
Type(s): Type(s): �
Updated: January 2013 /�/0 G���,�/
v:\forms�plan review checklist 2013.docx / �" a
REMARKS (in-house):
� Fees to be�Char ed - �� '� �� � � �
Plan Review �/'
lnvestigaticn Fee
Other{specify)
S uare Foota e � r S uare Foata e
Basement X = $
1�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ /So 0 0�
Orono Inspections Required VYork Requiring Separate Permits Requiretl State Permits
0 Site G Plumbing G Grading/Filling 0 WeU
� Hardcover Removal G Mechanical G Fire 0 Electrical
G Footing G Septic G Water Connection
D Poured Wall G fireplace 0 Sewer Connection
� Foundation Survey � Masonry � Lawn Imgation
� Radon Rock Bed G Mfg.
G Framing � Other(specify)
G Insulation
O As-Built Survey
p'Final
G 'Wetland Buffer
G Other(specify)
REMARF�S (in-house):
Other Review: Reviewed by: Date Approved:
Access; Existing: � YES C NO New: � YES G NO
. ,
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND 1NITIALLED
Updated: January 2013
v:lformslplan review checklist 2013.dopc
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itw�ys 7��4" maximum nse;_10" minimum run, Install a handrail
on one side of the stair 34" to 38" liigh;contir�uous ar��-u�inter�upted -
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Parcel 17-117-23-31-0016 A-T-B: Abstract Map Scale: 1"=50 ft. N
ID: ' Print Date:4/3/2013 �
Owner �oan L Carlson Market $$34,000
Name: Total: !
Parcel 2080 Shadywood Rd Tax $10,164.04 '
Address: Orono, MN 55391 Totai: (Payable: 2013) �
;
Property Residential Lake Shore Sale ,
Type: Pf7Ce: ,'This map is a compilation of data from various
'sources and is furnished"AS IS"with no
Home- Homestead Sale representation or warranty expressed or ;
stead: Date: ' impiied,inGuding fitness of any particular
' purpose,merchantability,or the accuracy and
!completeness of the information shown.
Parcel 0.68 acres Sale
Area: 29,489 Sq ft - "1,�:�� COd@: COPYRIGHT�HENNEPIN COUNTY 2013
. ' � - • �r�rr:
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http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=451468.3441470032,4976550.9... 4/3/2013
� C ,3'//l DA TIME �/
CITY O RONO c J�� — ��
INSPECTION N SCHEDULED � " �B'�
PERMIT NO. �� C PLETED
ADDRESS D '
OWNER __ LEP ONE NO.�-/�'�D3 ����
CONTRACTOR
� 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 ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �PRAdECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOH REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP OHDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice