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HomeMy WebLinkAbout2017-00344 - attached deck li 111111M CITY OF ORONO * 2017 - 00344 * l 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 �Pd r4 is 4�P�r�s--f• 612 � 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: .922 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 v 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 � !4 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 OMMENTS: � � S O �r►�f � ,1Oyice/rK� 51. - So,L" GIGS Qads �45�s �rovcr, t2 W CO✓ra c b .� Qk 7k W cc j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W P�6QRRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 ,✓ 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 ' 11 COMMENTS: AP(Iff 11 4.✓4�5 �Dj�cc cc •!s.D,DraNcs2 0 W Q _ Z OF Gq<� ✓ rc. �s��cZrid�� W 3 W ❑WORK SATISFACTORY PROCEED ❑PROJECT COMPLETE ac D CORRECT WORK 3 PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY o^ RECT WORK,CALL FOR REINSPECTION TEMPORARY ORE COVERING PERMANENT ❑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 a - �rkss2s �✓ �r� - d� j - o � ��r r✓tt ,®,ro�lt��► �✓ /Vl L pct ��rtb C, h_oa rzc W ccQ z a of ecaG nm Ce ce-c�s 4-7,r—,06L-its W O 3 �♦rc�c/-m e ewt erc� rJ /gr2,K'+j I n w,tveo,r ilglc�' ❑ K SA SFACTORY:PROC EI �rG O PROJECT COMPLETE cc RRECT WORK 6 PROCEED r«,tom,_ ❑ ISSUE CERTIFICATE OF OCCUPANCY O El CORRECT WORK,CALL FOR REINSPECTION��+ /7/4^ TEMPORARY V BEFORE COVERING PERMANENT ❑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 sej- ,/ 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 COMMENTS- ZYf 2'._,"e- of ti /1Dl79GOy✓he/' G�D•e7Q 0 . )L7& G6r►+.17�o► 2 W Lm QC j LU )(WORK SATISFACTORY.PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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