HomeMy WebLinkAbout2009-00609 - attached deck . ' CITY OF ORONO PERMIT NO.: 2009-00609
� 2750 KELLEY PARKWAY
ORONO, MN SS356- DATE ISSUED: 09/29/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2108 SUGARWOOD DR
PIN : 34-118-23-21-0024
LEGAL DESC : SUGAR WOODS
: LOT 005 BLOCK 004
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 20,000.00
NOTE: SEPERATE PERMITS REQUIRED:FIREPLACE(MASONRY)AND WELL
PLAN REVIEW PD. $220.51
APPLICANT PERMIT FEE SCHEDULE 339.25
DOVETAIL RENOVATIONS INC. STATE SURCHARGE(VALUATION) 10.00
3503 HENNEPIN AVE. S.
MINNEAPOLIS, MN 55408- MISC FEE 0.00
(612)377-3071 TOTAL 349.25
Minnesota State License#: 20099046
OWNER
RICKS, MICHEAL&JACQELINE
2108 SUGARWOOD DR
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 addi[ional or related work which requires separate
permits. All provisions of]aws 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.
Thea�lican fis responsybl2'for a�ssuring all required inspections are
request�i it�confor nce with the State Building Code.This permit may be
reNoke��any:d e,for due cause.
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�kppl�` n ermite � nature Date Issued By S' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
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City of Orono �.�
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'U��� Build�n Permit A I�cation �
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for New Structures or Additions �
Mailing Address: Pe�rrfit numb+�r. �v g���
�,O�. PO Box 66
O � O ; Crystal Bay, MN 55323-0066 �ate receive�: �
�, Street Address:' R����' ���
2750 Kelley Parkway Plan review fee: ����
l.q�.��og�� Orono,MN 55356 . : ad�-�p���
�'otal�ee;
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 b .
Incomplete applications will be retumed. (P►ease prinf)
GENERAL INFORMATION:
Job Site Address: U � rZ
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes o
If yes, a special event permit is required with Police Depa►bnent and City Counal approval 60 days prior to the event Shuttle bus servi wi11 be
required urtless applicant demortstrates sufFiaent on�ite parlting is availab/e. Non-permitfed e►rents wr71 not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �o��r� L�� �
State License# �r v„�' Expiration Date: 3/3r f?O�v_
Phone: �5 -� office Z� S/U —2 S�vi cell
Mailing Address: �5U�' Ch/ C' - E�4 ZIP: 5`S 3� �
Conta�t Person: ��2iZ L o �LE Applicant is: Contractor / Homeowner (CircleOne)
Email and/or Fax: 2f 2 �' � I .��►'i--
PROPERTY OWNER INFORMATIO •
Name: �L'�/ � �c�vQ�n� ���5
Phone (day): �'
Address: 2/O 7/3�l,c/U�� City: �,�U�d ZIP: Sj���
Email and/or Fax
ARCHITECT/ENGINEER INFO��ON:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
7.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. ❑Pub19c Sewer
❑Accessory Buil�ng ❑ Single Family with fa'beck
❑ Relocation detached garage ❑Oifice/Commeraal ❑ Private Sewer
�Other: (specify) ❑Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage ❑Public Water
"Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha C�eek Watershed Distric�(MCWD) Other.{specify)
18202 Minnetonka BNd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
Estimated Construction Valuation (excluding land) S �O .Gn
last Updated: 6/7212009
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STRUCTURE INFORMATION:
1.Structure Dimensions 1.Shucture Dimensions(oo tinued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms=� �Wood/Frame
❑ Masonry
b.Width(ft.)= Number of gara e stalis: ❑ Metal
Attached=� ❑Pole Bldg.
Areas in sauare feet Detached= ❑ ICF
❑On-site Prefab
c. Basement= ❑Off-site Prefab
� ❑Other(please specify):
d. 1 Story =
e. 2"d Story=
f. 'h Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not:
fnclo icable
0 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
❑ Hardcover Calculation s
❑ Se 'c S tem Site Evaluation Re rt
❑ Access Permit
❑ Wetland Buffer Im rovemerrt Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ Plan Review Fee
0 Other
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering c�nsultant review c�ts in excess of 5500;
• 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;
• 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�ven 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
intended use of this information is to annually update our records and records of other governmental agencies required by law.
If you refuse to supply the information,the application may not be issued.
� ._..
ApplicanYs Signature: Date: ��
Last Updated: 6/22/2009
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License lookup Page 1 of 1
License/Certificate Detail
Here are the details for the license/certificate you are currently looking for:
License name: KARLEN RALPH G
License doing business as: DOVETAIL CARPENTRY
License address: 362 JUNIPER ST
City state zip: ST PAUL, MN 55115
License number: 20365381
License type: RESIDENTIAL BUILDING
CONTR
Company structure: INDIVIDUAL PROPRIETORSHIP
License status: ISSUED
License original issue date: 1/13/2003
License expiration date: 3/31/2010
License print date: a�2o�2009
Qualifying person: RALPH G. KARLEN
Continuing education hours required to renew 7
license:
Contractor's phone number: 651-3406692
Enforcement action: rvo
Another Lookup? RBC Renewal Form
https://secure.doli.state.mn.us/licensing/licensing.aspx 2/18/2010
. �
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: ,�. � � � S� f%�,'�1�c; c{ � <� �E--
Description of work ��� � �/�J���
Septic review by: Date Approved: ��2- ��
Zoning review by: Date Approved:
Building review by: Date Approved:_ Q'Z- �r — n �j
Grading review by: Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office School District
Zoning: Lot Are 2J SF AC Width: l � 1 Depth: �
Survey Submitted: s 0 No Date of Survey:��s l(� �
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E ) ( N S Other Buildings Wetland
Si S' e
�
Building Defined Height: Building Peak Height: # of Stories Ok?: 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet, 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 0 No � N/A � � Yes Nc
0 Yes o � Yes 0 No 0 �N/A
•� Permit Number: / Setback:
�� Har ver ones xistin Proposed Variance equ' CUP Re ired
� - 5� 0 Yes o � Yes
�
- 50' � Type(s): Type(s):
J -500' ,
J�
�
REMARKS (in-house):
Updated: 09/11/2009
z:\formslplan review checklist.docx
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Fees to be Char ed YES NO
Permit �/
Plan Review
State Surcharge s/
Investigation Fee
SAC— Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per Square Foota e
Basement X = $
1 S' Floor X = $
2nd FI00� X = $
Garage X = $
Estimated Construction Value: $ ZQ�,Uoc> �`'
Orono fnspections Required Work Requiring Separate Permits Required State Permits
0 Site ❑ Plumbing � Grading / Filling ,�Well
� Hardcover Removal 0 Mechanical � Fire 0 Electrical
0 Footing 0 Septic ❑ Water Connection
0 Poured Wall ,�Fireplace � Sewer Connection
� Foundation Survey ,0' Masonry 0 Lawn Irrigation
� Radon Rock Bed ❑ Mfg.
,�Framing � Other(specify)
� Insulation
� gs-Built Survey
�Final
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: 0 YES ❑ NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\forms\plan review checklist.docx
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CITY OF ORONO CALLED IN �� �� �.�-
INSPECTION NOTICE SCHEDULED � d� -z��
PERMIT NO. �d '� COMPLETED
ADDRESS �OS� S/iL�.[���'/ll.
OWNER CONTR.
TELEPHONE NO .��- 9�.�4�- � �1-�D J�O���_
� DESCRIPTION ' � �r`'
� �F90TING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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. ❑ FOILOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERf NTRAC�TOR TO� YOU:�YES_NO
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W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR FiEfNSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on sit :
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
�w � C— — E TIME �
CITY OF ORONO CALLED IN � 6
INSPECTION NOTIC SCHEDULED ! �/f�00
PERMIT NO. COMP ETED
ADDRESS ` �
OWNER TR. �
TELEPHONE NO.s��Li,��������`v� ��J�'`
� DESCRIPTION —
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q �FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA�
Z ❑ WALI BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR 1MLL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. l�: i',�_��
White Copyllnspecto�s File Canary CopylSite Notice