HomeMy WebLinkAbout2017-00344 - attached deck li 111111M
CITY OF ORONO * 2017 - 00344 *
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2750 KELLEY PARKWAY DATE ISSUED: 04/21/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 1180 TOWNLINE RD
PIN 30-118-23-32-0001
LEGAL DESC UNPLATTED 30 118 23
LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 22,878.00
NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE)
VALUATION CHANGED,OWNER WILL HAVE TO PAY THE DIFFERENCE IN PLAN REVIEW FEES OF$130.89
NOTE:A FINAL INSPECTION MUST BE COMPLETED AND APPROVED. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 402.69
PLAN REVIEW 130.89
JOHNSON,CHARLES&CARLEY STATE SURCHARGE(VALUATION) 11.44
1180 TOWNLINE RD
TOTAL 545.02
MAPLE PLAIN,MN 55359-
Payment(s)
CREDIT CARD 1996 545.02
OWNER
JOHNSON,CHARLES&CARLEY
1180 TOWNLINE RD
MAPLE PLAIN,MN 55359-
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 1 days of the date of issuance,or if construction is
suspended fora peri of 180 days at any time after work has commenced.
The appli t is res risible for assuring all required inspections are
request in on fo ance with the State Building Code.This permit may be / g�
revok d at I or due cause. `�y✓
Applicant k5yMitee Signature Date Issued By Signature Date
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4�P�r�s--f• 612
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CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
,1O A, Mailing Address: Permit number:
r VO PO Box 66
Crystal Bay, MN 55323-0066 Date received: — _ 1 -7
a Street Address Received by:
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tiF L� 2750 Kelley Parkw 2,�� ' (� Plan review fee: c�(D
�gKfsHOR�` Orono, MN 55356
Main: 952-249-4600 Total ee:
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. L 'IlZrJ
Incomplete applications will be returned. (Please print) //7
GENERAL INFORMATION:
Job Site Address: 0 2�p Townl!In6 Xcelcl
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/AP LIC,ANT INFORMATION:
Name: .rl.t5 <2LAS0�.
State License# Expiration Date:
Phone: (cell) 763 3,EeG, 3q% (office)
Mailing Address: 11.60 0 „l, c Rocca City: 0"V
Contact Person: (?�rke, Applicant is: Contractor. Homeowne (Circle One)
Email and/or Fax: �;e.l.�s�r�ft� nt;cdl �.nick
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PROPERTY OWNS JINFORMATIOI�:
Name. eS fa „sow
Phone (day): _IG03 9-SC. SySi.
Address: 11,C0 -rGL,r bn-c -.d City: OrICA 0 ZIP: JIN y
Email and/or Fax ns� /!t1{Ul�i� ,,flpt-
J �
ARCHITECT/ENGINEER INFO�?.MATION:
,� L. ,
Name: /( I 't,r\,
Phone (day): 00-Y• 11%qq
Address: � c i; City: zip:5S573 �
Email and/or Fax: ,td , eo,,,,_
PROJECT INFORMATION: Description of project: � ---
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
ElNew Construction [Z Single Family with ElAccessory Bldg./Garage
1?-Addition attached garage N Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence Q9 Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
* Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ® Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land)
Last Updated: January 2016
r
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued)
a. Length(ft.)= Number of bedrooms= ��//� 2. Occupancy:
ri 1,_�
b.Width(ft.)= L Number of garage stalls:
AA 3. Occupant Load:
Areas in square feet / Attached= 1114
c. Basement= J Detached= 4. Type of Construction:
d. 1 st Story =
e. 2nd Story= .! 5. Code Edition: 0�fl l 5—
f. '/2 Story = �V
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Buildinq Permit Escrow Agreement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Completed Application Form
❑ ❑ Proposed Building Plans–2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements
❑ ❑ Survey–2 full size, to scale(meeting ALL survey requirements)
❑ Hardcover Calculations 1 ac &,, f P,i
❑ ❑ Septic System Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or
Documentation from MCWD stating no permit is required
❑ ❑ Landscape Walls and/or Retaining Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• 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;
• Understands 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 given 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.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is Aequested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure co Iti of the as-built survey and all site improvements.
Applicant's Signature: Date: 97 l
Owner's Signature: Date: l Z _�
Last Updated: January 2
PLAN 11%0 TOM
FOR NEW STRUCTURES / ADDITIONS
Address: 1` oy TOM U yle- I�L� Permit No.: .2a-7 004
Description of work: DKK Date Rec'd: '
Septic review by: Date Approved:
Zoning review by: Date Approved: �• 131-1
Building review by: Date Approved:
Grading review by: NA _ Date Approved:
Zoning District: Zoning File M
Resolution? Yes Reso M Reso Date: Signed: Yes No Resolutio(.r>
Zoning: Lot Area: 6.qj_SF/AC) Width: Structural Coverage: SF %
Survey Submitted: /P'Ies ❑ No Date of Survey: ' �3 "�� Revised date(:
Landscape plan submitted? ❑ Yes Landscaper: ❑ No/None proposed
Proposed Setbacks:
Front Rear(St et) S E W ) ( N (P E W ) Other Buildings Wetland
Side ide
Crzpo ' 75' Z57 ' o
Building Height Analysis:
Distance Between First Floor and defined Top of (a)
Roof* See "building height" definition
First Floor Elevation (from buildingplans): (b)
Highest Existing ground levef(per survey) or 10' (c)
above lowest ground level, whichever is lower:
Difference between b and (c): (d)
Defined Buildin Height (a) - (d): (e)
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
/No Met?
Permit Number: PA_ 13 Yes ❑ No N/A ❑ Ye
13 Yes � No
❑ N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and s
❑ Yes MNo Cl Yes Af No
1 2 3 4 5 G —' Type(s): Type(s):
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Fees to be Charged YES NO 777
Plan Review
She Surcha
Investigation Fee
SAC—Number of SAC Units
-Other(specify)
Square Footage $ per Square Footage
X 7 7 = $ 2
1st Floor X = $
2nd Floor X = $
Garage X = $
,r� 9
Estimated Construction Value: $ Z, �rT�
Orono Inspections Required Work Requiring Separate Permits
Footing 0 Site 0 Plumbing 0 Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
0 Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
0 Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
0 Waterproofing/^--'-"'- 0 Mfg. 0 Lawn Irrigation
0 Foundation Watei Va - on Cr� 1 Other(specify) 0 Landscaping
xFraming
0 Insulation
0 As-Built-Survey
Final
0 Lathe Required State Permits
0 Other(specify)
�' • �� ] Well Electrical
REMARKS (in-house
30 , �9
OFFICIAL REMARKa - i v or- my i r-u vm rr-mmi i mmu im i ir►L-&-ED:
0 See Builder Acknowledgement Form
0 PriortP release of escrow money -
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the application will NOT be accepted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
Completed Application
Plan Review Fee Paid
Signed Escrow Agreement & Escrow Payment it
C
Building Plans (to scale) x2
Certificate of Survey (to scale) showing the proposed project & �Q(i
meeting all requirements x2
ElHardcover Calculations (if applicable) (�o /,«alt q a cr 0s
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stati
the proposed project does not trigger their permitting Coyl
requirem s). I will contact the MCWD at 952-471-05904�lvvc-'
,�
reg r i is project.
Signed by: V
Address: f g1 �L� f r YV- Ad
Permit #: l --7
Last Updated: January 2016
t
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 1 7
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PERMIT NO. Y_7- �3yL/ COMPLETED
ADDRESSU
OWNER Lia dfS 7764rK0tELEPH6NE No. -2 -3
CONTRACTOR
3: DESCRIPTION
FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
LJ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
.t ITE ❑ TIC INSTALL
2 ovm CTOR TO MEET YOU:: DYES_NO
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C t BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. •�-�
White Copyllnspectoes File Canary CopyrAe Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONI!d)� SCHEDULED
PERMIT NO. l `gam \ COMPLETED
ADDRESS �`l�-"'JQ -
OWNER ELEPHONE NOO tel 3�
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q AAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
rrrrrr❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:—YES_NO '
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
D STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConftctor on site:
Inspector.
WMte Copylinspector's FIN Canary CopylShe Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TJ� J3 SCHEDULED
PERMIT NO. ;COMPL EQ
ADDRESS
OWNER TELEPHONE NO')(6 3�
CONTRACTOR
� DESCRIPTION
❑ FOOTING []- O-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
QJdFRAMING ❑ 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
zI:v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENT'S: eG RZ-- L- G -17
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. '
White Copyllnspector's Ffle Canary CopylSite Notiee
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DATE TIME
CITY OF ORONO CALLED IN �JR--), 7
INSPECTION N TICEHEDULED 7 /-17 L30PERMIT NO. 6 G c0 PLETED
ADDRESS
OWNER ELEPHONE NO.ZIa_Z9_40 -5456
CONTRACTOR � QQ
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO // 1
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C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
(11 CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
contractor on site:
Inspector. --,**"2ArA 4'
White Copyllnspector's File Canary Copy/Site Notice