HomeMy WebLinkAbout2011-00374 - attached deck CITY OF ORONO PERMIT NO.: 2011-00374
. 2750 KELLEY PARKWAY
` ORONO, MN 55356- DATE ISSUED: 06/OU2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2240 SHADYWOOD RD
PIN : 17-117-23-42-0001
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 008 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,500.00
NOTE: WORK STARTED WITHOUT PERMIT
REPLACE DECKING-ADD JOIST PER PLAN AND REDO STEPS TO CODE
APPLICANT pERMIT FEE SCHEDULE 103.25
MCDONALD REMODELING PLAN REVIEW 67.11
6015 CAHILL AVE
INVER GROVE HEIGHTS,MN 55077- STATE SURCHARGE(VALUATION) 1.75
(651)554-1234 MISC FEE 103.25
Minnesota State License#:20205832 TOTAL 27536
PAID WITH CC# 6218
OWNER
FREEMAN,CHRISTINE
2240 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 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 aze
requested in conformance wit e State Building Code.This permit may be
revo t any time for due use.
��lu�. ���� ,� � / lZo/� ,a� , `
.Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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;
RECEIVED
, City of Orono �'�� MAY 2 p 201�
• Building Permit Application for Internal Workcin•oFORo�o
(windows, doors, siding, re-roof, etc.)
Mailing Address: Q(�� 7
� � �� � PO Box 66 Permit number. o2Dl�"
�Q� �Q� Crystal Bay, MN 55323-0066 Date received: �� � `,
� �'�� � � II ��� Received b
,a � •;� �� Street Address: Y�
�'�.�, 'z �� �,.� �I� 1' 2750 Kelley Parkway Plan review fee:
�t�ssxo4`'�/ I Orono, MN 55356
\�_�� Total Fee: ��,j �r�,
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: ���a �'jt}�tD�W�DIZ 1C.CI,C✓
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/APPLICANT INFORMATION:
Name: '�'�l��,rtl.� �.E'�tY1D�e�,1,�
State License# S� Expiration Date: ��3�-�Z
Lead Certification Number: N�T�29$$!- Expiration Date: �.'���s"
(for work on homes that were constructed prior to 1978
Phone: — �� (office) (cell)
Mailing Address: (��S CAe1��,L, I�N� E City: � oJ�s IP: ,�(n
Contact Person: C4„E,�� W�U� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: G�L\E� yVIC.ADIJV�I-URS�cW�DQ1/�.CDv1A
PROPERTY OWNER INFORMATION:
Name: �N�15T'INE Q�EtM11�f.�
Phone (day):
Address: ZZt+ �.��p�� D�p�,� City: �p�p ZIP: �j3�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) �Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.ora
Overall Project Description: 'QL� 'd'�y�� • I�p JO�ST L1/�0� � �E� S 'ia �Q�
Estimated Construction Valuation of Project(excluding land) $ $�S�i°
APPLICANT ACKNOWLEDGEMENT:
• 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 informatio ich generally cannot be given to the public but can be given to the subject of the
data. Confidential data is information,whi n generally cannot be given to either the public or the subject of the data. Our
purpose and intended use hi infotmat� n is to an ally update our records and records of other governmental agencies
re uired b law. If ou refu to s I' the ormatio , he a lication ma not be issued.
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ApplicanYs Signature: Date: �j-� '�-��
Last Updated: 03-01-2011
. Plan Review Checkiist for Nev�r Structures / Additians
Address/PID/Legal: ZZ`'�U St-1-�4�y w o�,p �p q�
Description of work: 1� �G C.1a � �:�L.
Septic review by: Date Approved:
Zoning review by: Date Approved: 5��1— O 1
Building review by: Date Appravetl: 5�3�' 1�
Grading review by: Date Approved:
Zoning file#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office Schoo!District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitt : � Yes � No Date`of Survey:
Pro osed Setback .
Front(Lake) ear jStreet) ( N S E W ') ( N S E ) Other Buildings Wstland
Side Sid
Building Defined Height: Building Peak Heig : #of Stories Ok?: � YES
fDR A BUILDING WITH a4 BASEMENT OR C WL SPACE: fOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the b ement floor/crawl STAR'f the distance between the slab and the highest
space floor and the highest ro peak,the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a fla#roof,the de line of a the deck line of a mansard roof,or the
mansard roof,or the uppermost p ' t on a r nd uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest ' ow and SUBTRACT ' halfthe distance befinreen the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRAGT the distance befinreen#he basement od c I ADD the distance between the slab and the highest
space floor and the highest existin grade witM existin rade within the foundatian
the foundation or 10 feet,whiche r is less. EQUALS Defined buildin hei ht
EQUALS Defined buildi hei ht
Lot Coverage: SF %
Shoreland District M D Permit Received Ave e Lakest�ore Setback Bluff
� es � No � N/A � Yss � No
D Yes 0 No � Yes G No G N/A
ermit'Number: Setback:
Hardcover Zones Existin Pro osed Variance Re ' ed CUP Re uired
0-75' � Yes � G Yes � No
75-250' TYPe�s)� TYPe�s)�
250 00'
0-1000'
R ARKS (in-house): /V v /f�N
Updated: 09/11/2009
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Fees to be Charged YES NO •
`,Permit .
Plan Review
:State Surcharge : ���,�
N p �a Investigation Fee w��L� S rwtlr� �,�1, l
`SAC-Namber ofSAC.Units
Sewer Connection
Water Connection
Park Fee
Site Inspecfion � .., ..._;,��
_
Other(specify)
'Miscellaneous.Fees
Calculated By:
Square Foota e $ er Square Foota e
Basement X = $
15t Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ 3� (�0 °`�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing � Grading /Filling 0 Well
0 Hardcover Removal 0 Mechanical � Fire � Electrical
� Footing ❑ Septic ❑ Water Connection
0 Poured Wall 0 Fireplace � Sewer Connection
� Foundation Survey � Masonry 0 Lawn Irrigation
� Radon Rock Bed 0 Mfg.
0 Framing ❑ Other(specify)
� Insulation
� As-Built Survey
Final
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: 0 YES ❑ NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\formslplan review checklist.docx
��� AT TIME V
CITY OF ORONO CALLED IN � �
INSPECTION N TICE �SCHEDULED �_
PERMIT NO. � —�� COMPLETED
ADDRESS <J
OWNER TELEPH E N . �s� 5 �d
CONTRACTOR � '
� DESCRIPTION ��/��L� �6��f�f�C�
�
� ❑ 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 ❑ PfiOGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ ItJSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. ,s,�_,
White Copyll�spector's File Canary Copy/SNe Notice