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HomeMy WebLinkAbout2009-00823 - attached deck FP CITY OF ORONO PERMIT NO.: 2009-00823 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11119/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4040 WATERTOWN RD PIN : 31-118-23-41-0001 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,500.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) ADVANCED PLAN REVIEW PERMIT#2009-00822 APPLICANT CREAR,ERIC PERMIT FEE SCHEDULE 103.25 4040 WATERTOWN RD STATE SURCHARGE(VALUATION) 1.75 MAPLE PLAIN,MN 55359- TOTAL 105.00 OWNER CREAR,ERIC 4040 WATERTOWN 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 .rovisions of laws and ordinances governing this type of work shall be c• p rd with whether or not specified herein.This permit will expire . d bec.me null and void if construction authorized is not comm ced thin 180 days of the date of issuance,or if construction is suspe ded fe a period of 1:! .. s at any time after work has commenced. The a.plic.. t is responsi.e for.•.uring all required inspections are req . n conformanc; with th,State Building Code.This permit may be rev P a any ti•• e for•. e caus . 0 t Permit:. Sig ature Date I d; yg e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. It . _ d, 05 . 6-0 City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: .2009)-41,-02,3 cv, O� Crystal Bay, MN 55323-0066 Date received: /� �W O 9 ` Received by: A 4 , Street Address:' int efl;i , .,o~ 2750 Kelley Parkway Plan review fee: 1 40 7 // 9kESHd4Orono, MN 55356 o2ro9— 000Pz� Total Fee: 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 be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ����hh//////��, Job Site Address: `7tJ�7iJ hi 4/-6-k1-674/4/ geQ4 Q, ©fid\0 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/APPLICANT INFORMATION: Name: PV/LL, /C CMZ 7 /Z f- A .7: k-/ State License# --- Expiration Date: Phone: 2-01- 4vs ©Qc/(&Jf s��(office) cell) Mailing Address: BCK ecf City: /(O J/I(L10 (AkZIP: 55- Contact Person: W t(,L1 (,, Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: W I(.0 a i.1 a cpp gVF)0h%1c I/'CD'YVI PROPERTY OWNER INFORMATION: Name: Eierc.. ce k Phone (day): (a i Z. • -1-q 0 • 23 -' ` Address: 'feyp fnfFl--c}2--Oki0J ILOAO City: OROWO ZIP: /VI.N Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: No/Uc Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with 0 Residence 0 Addition attached garage 0 Garage/Accessory Bldg. 0 Public Sewer 0 Accessory Building tot Single Family with -at Deck Relocation s detached garage 0 Office/Commercial Private Sewer Other: (specify) 1- -(O(L- ` e_cle_❑ Multiple Family/Condo 0 Warehouse ❑ Public 0 Storage 0 Public Water **Any earth moveme may require ❑ Commercial 0 Other(specify) MCWD review& rmits. 0 Industrial Private Well Minnehaha Cre atershed District(MCWD) ❑ Other: (specify) 18202 Min onka Blvd Deep en,MN 55391 P ne: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ 3,5 o - Last Updated: 9/29/2009 - 17 - t STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= 2q / Number of bedrooms= Wood/Frame b.Width ft. _ ���`�— Masonry ( ) Number of garage stalls: D Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = 7 0 ICF J 0 On-site Prefab c. Basement= 61 S40R Off-site Prefab d. 1 S`Story �o- R.'D "bQ..a ' �, _ 61. 6, (�©SOther(please specify): / e. 2nd Story= - M---I-jr, / too2'r!r St De ; 5>(?2 f. �r�Story = (s - side _ /a x 26 g. Total Area= 19 72 REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable tea 0 Permit Application a 0 Proposed Building Plans ❑ 91 MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ tili Survey(meeting all requirements) ❑ 61. Stormwater Pollution Prevention Plan ❑ g Hardcover Calculation(s) ❑ ®. Septic System Site Evaluation Report ❑ Access Permit ❑ tia Wetland Buffer Improvement Plan _ ❑ - Engineered Plans for Retaining Walls 4 feet or above ❑ 0 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 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; • 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 inform- 'i n,the application may not be issued. / / - i..2,,,,,, , , Applicant's Signature: Date: „ /6 ZOO/ Last Updated: 9/29/2009 - 18- Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 4 f0(A7 (,L),C\ 4 tI ficL JAJ Description of work: l r `,e,Le i lam- C Septic review by: (J Date Approved: 1 1- / Y.-p qr I Zoning review by: Date Approved: 1 1 bjl C� q Building review by: Date Approved: 1'!- f� - O Pp `Z Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: leYes ❑ No Date of Survey: Proposed Setbacks: Front*OS) Rear('SUM) (C) S E W ) ( N Q E W ) Other Buildings Wetland Side Side Building Defined Height: l- Building Peak Height: #of Stories Ok?: ❑ 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-type roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched 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 existing grade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF ok Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No CI Yes o ❑ Yes 0 No 0 N/A - Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checktist.docx Fees to be Charged YES NO Permit Plan Review ✓ State Surcharge Investigation Fee SAC—Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 3 50 O °o Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing 0 Grading / Filling 0 Well ❑ Hardcover Removal 0 Mechanical 0 Fire 0 Electrical ,EFooting 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. Framing 0 Other(specify) O Insulation O 4s-Built Survey Final O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx r • ♦. r_ m C !!1 , o � ," � 'f ":#1"9: \ EC .... :— ) 7:_,..; f}:.., ..,‘: ,,-Lti L ,-; : ''':-.1.- ..1‘-':• : '-` '';-:zi)'.-* ib CM V' tii C'^ J i'' 7 1 TI '.'. '- - = .."r *Lo71 l� I ,7' o �I 2 1 oa. - w I V 1y to o ` .2i�_llall y � N., ... . ....... ......... Illoiyiakeg,.. .,:., , .f) ,21r 3 ' I,Z k _ ___ .4 3.., al I..) gy-44g 1 11 \-n I axzixlo 07 ..0/4144t /2, , lb.§,,. 11...... try 2)1-AY.X1.2 %i. Ac- 0ct :1 I - '6'4) 1,1 F - E f PXt.�04, - 2- 2)vb - —I 1 .-1 r (,i- (, c--S a . . 1 . i { a ; N y 3 I - CPC 4 . M Iv I i i9- �� )D t 4g-t, ig a —tom _.- `r a'� = Af, -- frr TIME [ OFORONO CALLED IN INSPECTION NOTICE SCHEDULED ��f C 7� PERMIT NO. Z —C-'05.2 3COMPLETED ADDRESS . I Ltt I iJ(' .t C� 'r ' I l`'j/ Pd OWNER S Yr i k --CONTR. TELEPHONE NO. ( (� �(L) DESCRIPTION C /_ h�� / uj ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ti ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: J YES NO o COMMENTS: cc W Q. cc O cc O W cc W W cc O LU 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE 0 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit-: Inspector. White Copyllnspector's File Canary Copy/Site Notice °?e— DATE TIME CITY OF ORONO CALLED IN /l G a i INSPECTION NOTICE SCHEDULED // O A2/14. PERMIT COMPLETED J , ADDRESS �.�laf�e��%'U��c� / _ OWNER alI`4a/n (/� a-/CONTR. TELEPHONE NO. E DESCRIPTION Lt_- • -eck- (44-RIMING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA / ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIR 'LACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Lu ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL - OWNER/CONTRACTOR TO MEET YOU: YES NO COM NTS: ccGze eth/rziu.. „, z • kWORKEl SATISFACTORY:PROCEED PROJECT COMPLETE CC W 11 CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: -��,(1`l I C--C White Copy/Inspector's File Canary Copy/Site Notice i__, �� `2 / °'T TIME CITY OF ORONO CALLED IN ( r7'� / 0/ INSPECTION NOTICESCHEDULED • _ q''00 PERMIT NO.`y �°- cc-)6 2 3 COMPLETED Jl ADDRESS LID burr-� ) rJ)P) / OWNER iii Cit if- F,7 i eJ TELEPHONE NO. TfJ ( 1 - /15 to - / `I 3 L, DESCRIPTION 1-raryvl o 4, ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS (13 ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS Z ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Lu El PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: cc W C cc 0 L-- 7-0 ritbc ce_ cc 0 W cc Q k. W z W cc LUORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORR CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site- Inspector. l White Copy/Inspector's File Canary Copy/Site Notice