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Home My WebLink About2016-00480 - deck repair ` CITY OF ORONO � 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 4 S 0 * DATE ISSUED: OS/06/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1300 SIXTH AVE N PIN : 26-118-23-31-0004 LEGAL DESC : LTNPLATTED 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK REPAIR(REPLACE BOARDS) ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,000.00 NOTE: REMOVE AND RESTORE FRONT PORCH FACING APPLICANT PERMIT FEE SCHEDULE 43.30 PLAN REVIEW 28.15 COFFINDAFFER,CLARENCE STATE SURCHARGE(VALUATION) 0.50 1300 SIXTH AVE N LONG LAKE,MN 55356- TOTAL 71.95 Payment(s) CHECK 7665 71.95 OWNER COFFINDAFFER,CLARENCE 1300 SIXTH AVE N 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 separate permits. All provisions of laws and ordinances governing this rype 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� P �r � � 'rj � �.,l�C,`� C.� / / A i ant Permitee Sig ature at Issued By Signature Date w Cit of 71� Z� y arono Buildtng Permit App(Ication for Maintenance/ R�placerrtent/Remodel - � (i.e. windows, daors, siding, re-roof, etc. - NO STRUCTlJRA� EXPANSIQN) � Mailing Addrass.' ` " r' "� ^ J �!a1�T� �e►mr�, ��f�►� ��? Po sox 66 `�1�� ` � C►ystal Bay. MN 55323-OOB6 I�ate xe�tved � `r.��, !, „ , - .�. StreefAddress: Re�a�#��r '.,,, '�F � 275Q Kelley Parkway a� ` '` ', � �S��S�Q�.E�' Orono,tV�N 55356 �� '�� , � TOxa#� . , ^ � _ Main� 952-2491t640 Fsx: 952,249-4616 w4yw,ci.orQ�,Q mn us . �;� � This appliCation form must be completed fn full and alf required infiarmation m t b submitted, lncomptete applic�tions wilf be�turned. (Please print) GENERAL INF�Ftl1AATlON: y�P�E7�-� , Job Site Addrsss: I�_�._��-�, L 1� – Will thfs be a Parade oi Homes, R�emodelerg Showcase Home dr other Display Hame? ❑Yes No lf yes,a specla/eve�perm�t rs r2t7uired wdh Police D@pertm�nt dnd Cify Cpu»cil epprova160 days pnor to fhe event, Shutt�e bus Service w!!!he requfr�d unless applicsnt demonsb�tas s�cient on�ite parfcing is availabl�. IVon-permilted evertfs will nof be alloweq, CON7RACTOR!ApPLICANT 1NFORMA710N: Name: St�te L.icense# �xpiration Date: Lead Certfficafion Nurnber' �xpir�tion Qate� (for work on homes#hat were construc#�d prlor ta 7978 Phone: (cell) �4�� '' Mailing Address: City: ��p: Contact Persan: plicant is: Contractor / pmeowne tCIr410 One) Em�il and/pr Fax: i PRQPE�'tTY OWNER INFORMA,TION: Name. LD�� e ., d � �� ' Phone(day): (� � I; --��Q��. �� Address: C��; {�' S� Emaif and/or F'ax; _ � PRQJ�CT lNF�RMA"CION: Overail roject descri tion� 5' � �, �, II �'ype of ProjeGt' ' !'y9 Any earih movement m y also requlre � ❑�oor(s) �Remod@I �]Fira Damage MCWp reveew&p�rmits: ❑ Re-roof,asphaEt 0 Repair ❑$�orm DBmaga Minnehaha Creek Watershed District(MGWp) ' ❑Re�-roof, cedar Restoration 't5320 Minnetonka Blvd P � ❑Water Damage Minnetonk�,MN 55345 , ❑Re-roof,other(sp�cty) [„]Siding �p�,��;�sp��;�� Phona: 952-1t71-0590 Fax: 95�-a71-0662 I .,,. ❑Window(s) — inne ereek � �stimated Const�uCtion Valuation of Projact(excluding f�nd) $ � ... �p I APPLlCqNT ACKNOWLEDGEM�NT: ! � Agrees to provide alf informstion required or requested by the BuiMding Department; � `� Certifies that ihe information supplied is true and correct to the best of his/her knbwle�dge. 'fhe applicant recognizes th�t they are • sofety responsible fnr submitti�g a complete application being awsre that upon fallure to do so, the staff has no alternativ� but to � reject i#unti!It is complete; �F- • Some ar al! of the intorrnation that you are asked to provide on this applicafion is ciassified by State law gs either pnvate or confidential. Pr€vats data Is information which generally cannot be given to�hg publiC but can be given to the subject of tha data. , Confidential data is informa�ion which generaUy cannot be gfven to eiiher the public or the subject af the dat�, Our purpose and jf intended use of this information is to annually update our r�cords and records of other govemm�ntal agencios sequir�ed by law, tf ou r�fuse to su I the in ation,the a lication ma noi be issued. � IAppllcanYs Slgnature: ��"�'""'""�' � � Date' �� 'IOwrzer' 9 . , _. , �._ , s Signatura: Date: ' �I.ast Updeted:January�1g i ! i � �LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ��='IV (1� � �""f�C,' /V Permit No.: Description of work: �i'� 7"CE'� c��7 � fS�'`� Date Rec'd: 0 ' ce ��c� Septic review by: ��C � G'l/ ( �/ Date Approved: Zoning review by: �K /1T Date Approved: / � Building review by: � Date Approved: � Grading review by: Date Approved: Zoning District: Zoning File#: Reso . Reso Date: Zoning: Lot Area: SF/AC Width: L Coverage: SF % Survey Submitted: 0 Yes ,0 No Date of Surve . Revised date(?): f Landscape plan submitted? � Ye's 0 No Landscap : Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 0°/a= L.F, below grade Basement? � Yes 0 No, S ries FOR A BUILDING WITH A BASEMENT OR CRAW PACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance etween the lowest proposed Slab at or above grade— START W ITH floor(of the sement or crawl space)and measure irom hiahest existina the highest oint of the roof.`, START WITH �to the highest point of the roof even if fill was brought in to elevate home. If you ha e a... SUBTRACTION • ��ABLE OR HIPPED ROQF(no Slab below grade—measure (BASED ON �windows): Subtract half tf�e distance from highest existing grade to the ROOF TYPE) � between the highest pointbf the roof hi hest oint of the roof. � to the low point of the corr�sponding If you have a... /' gable or hipped roof �� • GABLE OR HIPPED ROOF � SUBTRACTION .' GABLE OR HIPPED ROOF��with (BASED ON (no windows): Subtract half windows): Subtract half the istance ROOF TYPE) the distance between the � between the top of the highe�t highest point of the roof to window and the highest pointbf the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(fla, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined buflding height subtraction. Defined buflding hetght '1 EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? � Yes 0 No Permit Number: � Yes � No 0 N/A � Ye No � � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required � CUP Required circle one %and s %and sf 0 Yes 0 No CI Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review 1/ State Surcharge (/' Investigation Fee �/' SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 15t Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ /�� Orono Inspections Required Work Requiring Separate Permits �Footing � Site � Plumbing � Grading/Filling �a'Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire 0 Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing � Other(specify) 0 Fireplace 0 Sewer Connection Framing � Masonry � Lawn Irrigation � Insulation 0 Mfg. � Landscaping 0 As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits O Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 v\fnrmc\nlan raviow rhor4licf 1(1_9MF rinrv Reviewed for Corle � �� _ Compliance.Ciijr of Orario .� �� ° _ .� �� . . � . Date: � . - , � . Reviewer ' � . . � � � � ` ,' � � U �-- ` � �w -,. �� . � `\ �� C��s �� = �- r ��}� � � ��-� � �n��. �� .. . . � i �� y.0 3�L� +y�br�,f� "J_ �C��.�'�� I` : .��, � �� .. ��r/�� T�` �� d � ,� `��,f�'' .�i.a s ,� '�,sa� �-.�7-�, . . ��Qr � � � ,�v y"'�_ j.t 5��6i�'r" �5 ��'Wi}f !^.�G� � U �i � ! � , b.� Q��T�� ad -e- � � � ��r a��. . � � � � tr� �� d . � �,,,;-�-�..��nrc.�.;�c�� :!-� e��,�p�-�- �' ,•� � . - ,. �?� n-�-�?--� �.�..� �r, j .��- �b �,� � � � �� ' ��v� �-t'l3IV ��e� �I�� .� �� ► �� ` � �6�3�^� dz� �a�-,�.. LZ r�z i�r o�v . _ - �--- --��-��}-�----- — �� —� \`GC�I A E TIME CITY OF ORONO CALLED IN 7�� INSPECTION NOTICE �,-/� SCHEDULED 7-�9!� � PERMIT NO. eL0 �"' COMPLETED ADDRESS I �� OWNER TELEPHONE NO. �Z-y ��7 CONTRACTOR � DESCRIPTION �� ll� �Q FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q�❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 CGWNE HTRACTOR TO MEET YOU:XYES_NO ��., COMMENTS: aP�'o�,�� •=� � �i '' ��,� f,-�s� o �L`�5. �a ✓ �oo�ch .do.�s — � -- - �o�' �_�� "�� o _ �� 6�� s-��r � i�r'sa. Q - ��r�c c � � /l �r re..K-s/cc��a... � , W � W � J O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑COFiRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O bCCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V '� B�`FORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor on site: ��C�^CP� Inspector: �1 1 w,. `�"� c White Copyllnspector's File Canary CopylSite Notice /\ C`=?��/� � DATE TIM� CITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED —l (.o [o: o-� PERMIT NO. O/ '�' v co �E� • � ADDRE l��C/(/ -��/�'C OWNE _.LIiY`G�1CC � /�'IUQ��LEPHONE NO. �0��' �/�--�5� CONTRACTOR � DESCRIPTION G� �� r ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SIT ❑ EPTIC INSTALL 2 OWN ONTRACTO MEET YOU:�YES_NO c�., COMMENTS: � W C j O �. � O Q W � ' i Q � W � W � J d • W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑ RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4lL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATiON ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ��Q9-46QQ OwnerfContractor on site: inspector: White Copyllnspecto�'s File Canary CopylSite Notice ��( j 6 � r; �'� p � � '� � . �,., '� ; � ' ` \. �