HomeMy WebLinkAbout2011-01005 - attached deck „ CITY OF ORONO PERMIT NO.: 20��-o�oos
� 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/06/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3050 SUSSEX RD
PIN : 04-117-23-32-0010
LEGAL DESC I� : FOX BEND
: LOT 004 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TY E!i : RESIDENTIAL
CONSTRUCTIO Y : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION , : $ 6,100.00
NOTE:
REPLACING DEC G LINGS ON EXISTING ATTACHED DECK
PLICANT pERMIT FEE SCHEDULE 147.50
COMPREHENSI E,H E SERVOCE PLAN REVIEW 95.88
505 HANLEY RO I� STATE SURCHARGE VALUATION) 3.05
GOLDEN VALL , 55426- �
(763)807-5887 TOTAL 246.43
Minnesota State L e�se :20132602 �
WNER
FEUSS,CHARLE L DA
3050 SUSSEX
LONG LAKE, 53
AGREEM D SWORN STATEMENT
The work for which s erm is issued shall be performed according to
the approved plans an s eci tions,applicable City approvals,and the
State Building Code. s pe it is for only the work described and dces
not grant permission r dit nal or related work which requires sepazate
permits. All provisio la and ordinances goveming this type of work
shall be compied with ethe r not specified herein.This permit will
expire and become nu 1 d v if construction authorized is not
commenced within 18 ys the date of issuance,or if consWction is
suspended for a perio 0 180 ys at any time after work has commenced.
The applicant is respo si le f assuring all required inspections are
requestediri co`n c�wi e State Building Code.This permit may be
revoked at any me,�' e c e.
/ / / /
Applicant Permitee i nat e Date Issued By ature Date
S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. ; City of Orono
• Building Permit Application for Internal Work
;
(windows, doors, siding, re-roof, etc.) ?�
Mailing Address: Permit number: �p//—��j �
�v 0 PO Box 66 �
Q � Crystal Bay, MN 55323-0066 Date received: -(p-��
a ��� �!� s, Street Address: Received by: � �
�'�� ' '� ����' 2750 Kelley Parkway Plan review fee:
�ESHO Orono, MN 55356
Total Fee:
ain: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
his application form must be completed in full and all required information must be submitted. �
Incomplete applications will be returned. (Please print)
GENERAL IN ORMATION: �
Job Site Add ess: ��: =�Z� �� ` � �'.�� � �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a spe �al event permit is required with Police Department and City Council approva!60 days prror to the event. Shuttle bus service will be
quired unless app(icant demonstrates sufficient on-site parking is available. Non-permitted events will not be aflowed.
CONTRACT R/APPLICANT INFORMATION:/ e
Name: LCh^,;1 f'N:� �-{�vL`�i�C ��-k�►r .���t✓, � ;
s�
State License �{':} ���i ��, ��•Z_ Expiration Date: - �3 j - / Z
Lead Certifica ion Number: �,�� ��� �L .-� Expiration Date: U, - z I - � �
(for work o es that were constructed prior to 1978
Phone: � � 2� - ����7 - La��� (office) (cell)
Mailing Addre s: Z�� �-}��G_ i� City:(,} � 1,�, ZIP: ��,'"��� �.
Contact Perso : -T� w-� Applicant is: Contractor Homeowner (Circle One�
Email and/or ax: T; wt Tc'�21C � �t�IV` � c+c`�w'1
PROPERTY WNER INFORMATION: �
�;h ��/� �✓�C
�
Name: _S
Phone (day): � .�
Address: ��) >?' -�c, �j �� � �/ City. ��t.J ZIP: ��� ��
Email and/or F x ��
�
PROJECT I FORMATION: �
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
❑ Re-roof �� �a - ,y<< Phone: 952-471-0590 ,�
❑ Fire Damage GC/ ,1 Fax: 952-471-0682
www.minnehahacreek.or4 �
Overall Proje Description:
Estimated Co struction Valuation of Project(excluding land) $ '��G7
��
APPLICANT CKNOWLEDGEMENT: $�
• Agrees 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 sole responsible for submitting a comptete application being aware that upon failure to do so, the staff has no alternative �!
but to re ect it until it is complete; �
• Some o all of the information that you are asked to provide on this application is classified by State law as either private or �
confiden ial. Private data is information which generally cannot be given to the public but can be given to the subject of the
data. C nfidential 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 �
re uired b law. If ou refus mation, the a lication ma not be issued. �
Applicant's Sign ture� - Date: �/� (� `�
Last Updated: 03-0 -2011 �
:w
t
� ' n i�e�iew Checkl:is�t for �Iew Strwctures / Addi#i�n:s
Address l P D ' egal: 3dS 0 �tJSSC;�c �ZDA/�
Descripti n fi<, rk: rtCw OCGkiNa, 14Nr0 (���5 0� C �Sr7'ivb dCUG
S }�tic view'by: N//-� Date Approved:
.Z r�in e�rie�nr'by: _1V/A Date,Appravetl:
iMdi review by: _c���Q�nr1..--- Date Appra�ed: �i-6 -7�01 (
aldi rediew by: N ( � Date Approvetl:
Zoning-Fi �#: Resolution#: Resolutian Date:
in District Fire De artment Post OfiFice School ' trict
�oning: ! ot:Area; SF/AC VNidth: pth:
Survey S ti�ni �Yes CI �Jo Date of'Survey:
Pro osed' etb ks
Front L k r{:Str�et) ( 'N S E 'W ) ,( N S E W ) .pther'Buildings aNetland
Side Side
'Building e in Height:_ Building Peak Height: #of Stories Dk?: � YE5
FOR A BUI L�1N TH A BAS�MENT.�R`CRA SPACE: F R�4 BUILDING�AJ A SLIkB F.OUNDATION:
°START , 1 H ' the distance:between#he:base ntfloor/.crawl START •tMe di5tance:between the slab and'#he fiighest'
space'-floor and'the highest caof p k,#he top of UVITH roof peak;the top of the:comice of a flat<toof,"
#he eornice of a'flat roof;the deck lin fi-a the deck line of a mansard�roofi, flrt#�e `
mansard roof,or the uppermost pointo rou uppermost poi�t on a-round or other arch-type
or other arch- e roof roof
SU.BTRA haff the distance.between:the t�ighest,win nd 'S.UBTRACT halfthe distance befinieen:the hi:ghestwindovu
hi hest roof eak of a: itched-roof and hi hest roof eak of a: itched:roof
`SUBTRA the distance:between th:e basernent: oN crawl ADD the distance between.�the:slab.and:the:highest '
space floor antl'the highest existin grade within existin rade wixhin�the foundation
the foundation or 10#eet,which er is'less. QUALS Defined builtlin hei ht
EQUALS Definetl buildin hei ht
Lot Co�e e: SF °lo
Sh r 'la District YIfD Permit Reaeived Avera e:L eshorE Setback ` Biuff
Yes � `No 0 'N/A � Yes � No _
� e � 'No 0 Yes � N � NIA
Permit Number: Setbaek:
Har ve Zone "Existin, P:r� osetl �/�ariance Re. uired �UP Re vired
-7 � � Yes '� 'No � Yes D No
7 2 � TYPe(s): T e(s}:
50- 0' _
0 -1 0'
REMAR �(in ouse): NO G i-�ii�G e
Updated: 0 / 1/2 9
z:�formslpla vie checktist.doac
Fees to be Cha ed '�ES ': :ND :' . +
_ . . . . ,
Plan Review
, .
In�estigation Fee
,.w.,,.,
':S�wer.Connection - . ..
Park F�e _
.Other�specify)
�aicala#ec1;By.: �
S uare.Fc�ota, e ,�' er'S uare Fnota e
$ .
Basement � _
'1�Fioor X = $
2"d FlOor . �
_ $
' Garage x �
Estima#ed Construction Ualue: $ 6d0O�
�ron�'Inspections Required INork Requiring Separate:Permits Required'State Perrnits
fl -Site � :Rlumbing � Grading/�'illing � Well
� Hardcover Removal G hllechanical :� Fire <:G Efectrical
-� `Footing Cl :Septic D Water Connection
fl Poured Wall` � ,Fireplace � Sewer Connection
� 'Foundation�ur�vey � Nfasonry � Lawn Icrigation
G Radan Rock Bed a IVlfg.
� :Frarning � �ther(specify)
fl lns�lation
0 As-Built Sur�►ey
Final
� flther'(specify)
f�EA�AF��C� (in-fiouse):
O.ther R�arieanr: Re�iiewe�!bY; Date�Appro�e�d:
Access:Exisfing: +� 3�ES � NO NBw: '� YES 0 ND
REM�4itF("S (TO�BE NOTED ON PE#�MIT AND!INITIALLED BY-PERSDN PULLINGPERMIT)
Updated: 09/11/2009
z;\formslplan review checklist.docx
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