HomeMy WebLinkAbout2009-00370 - porch , CITY OF ORONO PERMIT NO.: 2009-00370
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 07/07/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 60 STUBBS BAY RD S
PIN : OS-117-23-12-0022
LEGAL DESC : BETZ ADDN
: LOT 001 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : PORCH RESIDENTIAL
ACTIVTTY : 434-RESIDENTIAL
VALUATION : $ 14,000.00
NOTE: REQUIRED STATE PERMIT: ELECTRICAL
RESTORE EXISTING PORCH
APPLICANT PERMIT FEE SCHEDULE 250.75
KROLL, CLEMENT PLAN REVIEW 162.99
60 STUBBS BAY RD S
MAPLE PLAIN, MN 55359- STATE SURCHARGE(VALUATION) 7.00
TOTAL 420.74
OWNER
KROLL,CLEMENT
60 STUBBS BAY RD S
MAPLE PLAIN,MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 cequires 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 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
req in conformance with the State Building Code.This permit may be
vo at any time for due cause. .- , �, .
� � . _ ; . �:
7/ � l d'� �� � �_�,L_ + .''ji`l�'° �'� � '��
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE.
City of Orono
� Building Permit Application
` for New Structures or Additions
Mailing Address: Permit number. ��� 'd d� (�'
O.�D,�.O PO Box 66 �
Crystal Bay, MN 55323-0066 Date received:
a� ���� �, Street Add►ess:� Received by:
'�, 4 Y%. �titi 2750 Kelley Parkway Plan review fee: '
�.q�.�Ho.¢*Y Orono, MN 55356 ,
= Total Fee: �%�f , ��.j
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us /Lx� ,
This application form must be completed in full and all required information must be submitted. �, i�+ i,�,�`Y'� �� '�;'��i
Incomplete applications will be retumed. (P/ease print)
GENERAL INFORMATION:
Job Site Address: � �v�/�S {Zo�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a specia!event permit is�quired with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be
required uMess applicant demonstrates sufBcient on-site parking is available. Non-permitted events will rrot be allowed.
CONTRACTOR/APPLICANT INFO TION: ���
Name: <�;�.�'. �'`��',t' �"�/ ��,C�
State License# --� Expiration Date:
Phone: � - '"'� office cell
Mailing Address: �"' ` Ci • ZIP:
Contact Person: � � Applicant is: Co tor / Homeowner �ci�a,e�
Email andlor Fax: �; � � -
PROPERTY OWNE NFORMATION:
Name: " 7` ��-�-
Phone(day): , �— -3-� --�
Address: Ci �. �.. ZIP:
Email and/or Fax �L
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 Construction ❑Single Family with Residence
❑Addition attached garage Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building , �Single Family with ❑Deck
❑ Relocation detached garage ❑Office/Commercial �Private Sewer
f�Other: (specify) � ❑Multiple Family/Co�do ❑Warehouse
❑Public ❑Storage ❑ Public Water
**Any earth movement quire ❑Commeraal ❑Other(specify)
MCWD review 8�pertnits. ❑ Industrial � Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391 .
Phone: 952-471-0590
Fa�c: 952-471-0682
.minn h k.
Estimated Construction Valuation(excluding land) � /lf���
��
Last Updated: 5/21/2009
-20-
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a.Length(ft.)= �_ Number aF bedrooms= �Wood/Frarr�e
_�; Masonry
b.Width(R.} �� Number of garage stalls: ❑Metal
' Attached= ❑Pole Bldg.
Areas in sauare feet Detached= ❑ ICF
❑On-site Prefab
c.Basemerrt= ❑OfF site Prefab
d. 1'`Story = ❑Other(please spec�fy):
e.2nd Story=
f. %z Story =
g.Total Area= ,�G� -
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your ap lication to be rocessed:
Not
Enclosed icaWe
0 0 Permit lication
0 ❑ Pro Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code R uirements Form
1� ❑ Surve meetin all r uirements
❑ 0 Stamwater Pollution Preverrtion Plan
O � Hardcover Calculation s
❑ 0 Se 'c S stem Site Evaluation R rt
0 ❑ Access Permit
O ❑ Wetland Buffer Im rovement Plan
� ❑ En ineered Plans for Retainin Walls 4 feet or above
0 ❑ Plan Review Fee
❑ ❑ Other
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Departmerrt;
• Agrees to pay the City of Orono for engineering cor�ultaM review cos�s in exc�ss of�500;
• Certfies that the information supplied is true and oorred to the best of his/her knowledge. The applicarrt recognizes that they
are solely responsible for submitting a complete applic�tion being aware�at upon failure to do so, the staff has no aftemative
but to rejed it urttil it�aomplete;
. Adcnowledges the Escrow Agreemerrt is completed and signed;
• Some or all of the informatia� that you are asked to provide on this applic�tion is dassified 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 subjed of the data.
Conf"idential data is iMormation which generally cannot be given to eRher the public or the subjed of the data. Our purpose and
i�ended use of this information is to annually update our reco�ds and�ecords of other govemmental agencies required by law.
If yoou refuse to supply the infom►ation,the application may not be issued.
ApplicanYs Signature: Date: C�
Last Updated: 5/21/2009
-21 -
� Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: (� C� STv4�35 Ati (2,oq,�
�escription of work: ��0�4 t�c Yo/iu-t .A�,/� r�
Septic review by: N t A Date Approved:
Zoning review by: � 0 . Date Approved: ?- 6•oS
Building review by: ��. Date Approved: "7-6 - d g
Grading review by: N / /� Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office School District
Zoning: Lot Area: nra ��.�� SF/AC Width: Depth:
Survey Submitted: �Yes � No Date of Survey: 3-►ti-o�
Pro osed Setbacks:
Front(�al�ty Rear(Slreet) ( N � E W ) ( N S (E'� W ) Other Buildings Wetland
lr-� �1 Side Side
zu So i $S �.5� io
Building Defined Height: c�. k- Building Peak Height: rv f�
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START the distance befinreen the basement floor/ START the distance between the slab and the
WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard
line of a mansard roof, or the uppermost roof, or the uppermost point on a round or
oint on a round or other arch-t e roof other arch-t e roof
SUBTRACT half the distance beMreen the highest SUBTRACT half the distance between the highest
window and highest roof peak of a pitched window and highest roof peak of a
roof itched roof
SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the
crawl space floor and the highest existing highest existing grade within the
grade within the foundation or 10 feet, foundation
whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: /�/•� SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
� Yes No � Yes � No � N/A p Yes � No � N/A � Yes No
� Permit Number: Setback:
Hardcover Zones Existin Pro osed Variance Re uired CUP Re uired
0-75' 0 Yes 0 No 0 Yes 0 No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house):
Updated: 07/01/2009
z:\forms�plan review checklist.docac
Fees to be Char ed YES NO '
`Permrt �''
Plan Review �/
St���rr.c#aa .� �,/ .
Investi ation Fee v ,
5�4�—:N�r�'ber o#S!#C linil�s
Sewer Connection
�I�ts�=;C?�n r�e cti bn
Park Fee
��te=1ns ec��an
Other s eci
:�IAisc�l���ai�s�F�ees
Calculated B :
UBC: 2 Construction Type: �/
S uare Foota e $ er S uare Foota e
Basement X = $
1 Floor X = $
2" FIOOr X = $
Gara e X = $
Estimated Construction Value: $
Orono Inspections Required Work Reauirinq Separate Permits Required State Permits
� Site � Plumbing � Grading/ Filling � Well
� Hardcover Removal 0 Mechanical � Fire �Electrical
�d Footing � Septic � Water Connection
� Foundation Survey � Fireplace 0 Sewer Connection
�f Framing � Masonry � Lawn Irrigation
�' Insulation C Mfg.
O Wall Board 0 Other(specify)
� As-Built Survey
�' Final
� Other s eci
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: 07/01/2009
z:\forms�plan review checklist.docx
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DATE TIME ✓
CITY OF ORONO CALLED IN �� '� �
INSPECTION N TI SCHEDULED " ' ��
PERMIT NO � ���:OMPLETED
ADDRESS� � ���� � � . vC],��—� C .
OWNER CONTR. � �ra�j� ��
TELEPHONE NO. � � � �' ��� �`t��
� DESCRIPTION �� � �C� r
� ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEP IC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAI
� OWNERICONTRACTOR TO MEET YOU: YES_NO
c� COMMENTS:
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTtON TEMPORARY
V BEFORECOVERING PERMANEW�T
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
O STOP ORUER POSTED.CALL INSPECTOR
❑INSPECTION REQUIREO.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 taurs in advance. (g52) 249-46�0
OwnedContractor qn sit�:
Inspector. ��
.,. �
WhRe CopyAnspector's Rle Canary Copy/SHqNotice
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO.��-DD 37o COMPLETED °S
ADDRESS '' ��'u"'��`
OWNER / CONT .
TELEPHONE NO.
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Cail for the next inspection 2a hours in advance. (952) 249-4600
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Cail for the next inspection 24 hours in advance. (g52) 249-4600
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Inspector. �
White Copyllnspector's File Canary CopylSite Notice