HomeMy WebLinkAbout2010-00622 - attached deck CITY OF ORONO PERMIT NO.: 2010-00622
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/30/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4295 WATERTOWN RD
PIN : 31-118-23-13-0004
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 : $ 8,500.00
NOTE: ADVANCE PLAN REVIEW PD 7/26/10 $115.05 PERMIT 2010-00621
GRADE LEVEL DECK
APPLICANT PERMIT FEE SCHEDULE 177.00
TWO TEACHER CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00
2586 AVON DR TOTAL 182.00
MOUND,MN 55364
(612)598-2191 PAID WITH CC# 3619
Minnesota State License#:20073200
OWNER
KANG,RAYMOND&KIMBERLY
4295 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 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 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.
The applicant is responsible for assuring all required inspections are
requested in confo • .. ce with the State Building Code.This permit may be
revok-. :t.9 ti •e or due c.•s-.
�/.�/t /
A..' ant P. itee Signature Date I 13y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0 1
/ r
i 119$11,0
City of Orono
Building Permit Application
for New Structures or Additions iiM.00
Mailing Address: Permit number: 7O 16-D 64,2-2—
0,4 PO Box 66
Crystal Bay, MN 55323-0066 Date received: 7Q-2b —/D
�; Received by: !� �-S
A ;,\'fn< A, Street Address:'
1,4,.t"3,4,;10.' c�`S' 2750 Kelley Parkway Plan review fee: //5 .OS
ikessov-- Orono, MN 55356 ao/p -0062-/
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:
Job Site Address: W".G(_5 ,, '}z.)✓-&J fLD oro, P--i-A/
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Ro
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:
J L
Name: TWO f-0,•-\. (-C. z0-1 5 7t/
State License# YJ 75 ,cs�) Expiration Date: /1'IGfG 1
Phone: • office) 2 - � �,-- I till
Mailing Address: 2 41 * Cit : ' ZIP: -
Contact Person: ' f/jG ' 7,S .e,✓ Applicant is: • r- o / Homeowner (Circle o -)
Email and/or Fax: s
PROPERTY OWNE FORMAT,IQN:
Name: k / /-,
Phone (day): 6I 237 Sd f
Address: y 2, cis-- L-1-0`c.-^Je""ni ej C y: Or 0",c) ZIP: ,s5-35---c7
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
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 ❑ Residence
❑ Addition attached garage ��Garage/Accessory Bldg. 0 Public Sewer
❑Accessory Building ❑ Single Family with ( beck---
0 Relocation detached garage El Office/Commercial 0 Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage 0 Public Water
**Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) 0 Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ OCa)
Last Updated: 9/29/2009
- 17-
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction
detS
a. Length (ft.)= o Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Width (ft.)= ( "� 961Pry Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached= ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 1st Story = ❑ Other(please specify):
e. 2"d Story=
f. %Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Encrl Applicable
0 Permit Application
0 Proposed Building Plans
❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form
0 Survey(meeting all requirements)
❑
0 Stormwater Pollution Prevention Plan
❑ 0 Hardcover Calculation(s)
❑ 0 Septic System Site Evaluation Report
❑ ❑ Access Permit
❑ 0 Wetland Buffer Improvement Plan
❑ 0 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 information, the application may not be issued.
Applicant's Signature: `+fir Date:
Last Updated: 9/29/2009
- 18-
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: c"( l ) L. A - i i-e'"-/Nr R
Description of work: 1/ p IkP„ lx(-5149 c(e_c A bi/p C/car((
Septic review by: LJ - ( � Date Approved: / /27f(V r h
Zoning review by: r ,a/lam Date Approved: 7/z
Building review by: gkgo DLIV ,,,r- Date Approved: 1 - 2 '6- (0
Grading review by: <O� Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zoning District Fire Department Post Office School District
2 - llq
(
Zoning: Lot Area: *7 .8C SFC)��} Width: Z4--fi- Depth: 6O -
Survey Submitted: lies ❑ No Date of Survey: -5710 (4 ±xiiIII)
A i
Proposed Setbacks:
Front(6eke)_ Rear(Street) ( NS ( W ) ( N S E Other Buildings Wetland
Si e Side
120 ± 3 7° / 5 3 ' 5 3 1 /i.
Building Defined Height:_•11- Building Peak Height: /7 / #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-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: t1t SF 0/0
Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff
0 Yes 0 No 0 N/A 0 Yes ❑ No
IIit 'es 0 No 0 Yes 0 No ❑ N/A
Permit Number: Setback:
Hardcover Zones Existin• Pro•osed Variance Re•uired 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): Jf/S (S 9iC( /& / ei c/E
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit'
Plan Review
State'Surcharge
Investigation Fee
SAC- Number of SAC Units
Sewer Connection
`WaterConnection
Park Fee
Site Inspection
Other(specify)
Miscellaneous-Fees _ -
Calculated By:
Square Footage l $ per Square Footage
Basement X = $
15' Floor X = $
2"`' Floor X = $
Garage X = $
Estimated Construction Value: $ SOU°-62-
Orono
'ZOrono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site 0 Plumbing 0 Grading / Filling ❑ Well
❑ Hardcover Removal 0 Mechanical 0 Fire ❑ Electrical
Ja Footing 0 Septic 0 Water Connection
❑ Poured Wall 0 Fireplace ❑ Sewer Connection
0 Foundation Survey 0 Masonry 0 Lawn Irrigation
❑ Radon Rock Bed 0 Mfg.
,2' Framing 0 Other(specify)
❑ Insulation
❑ As-Built Survey
21 Final
❑ 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
TIME /
CITY OF ORONO CALLED IN
INSPECTION NOTICE ' r SCHEDULED ��
PERMIT NO. U 0-40 v COMP ED
ADDRESS -Z9� C� _, K4'1 el--
OWNER - TELEPHONE NO.Se/7--'59€ 9/
CONTRACTOR / LUZI /€QL
DESCRIPTION
4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
4
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
• ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT
J ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
cc
eg - 00 IC0 .
cc
f4AL
0
W
cc
Z
W
z
W
cc
IKWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP 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: ( Jk .,_`
Inspector.
White Copyllnspector's File Canary CopylSite Notice
TIME
CITY OF ORONO CALLED IN vfj �•��
INSPECTION NOTICE SCHEDULED 4IWMF
PERMIT NO. o_ _ O i/".6OMPLCD
/
ADDRESS
OWNER TELEPHONE NO.1'/�
CONTRACTOR LM)
D SCRIPTION
L wi FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
• ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v LiPLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
W
Q..
cc
V
cc
0
W
CC
W
W
CC
GW ►ALQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED El 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 ❑ CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. ( _At, 'T
White Copylinspector's File Canary Copy/Site Notice
1 t LEI I-6 TIME \/
' / CITY OF ORONO CALLED INtY
INSPECTION NOTICE S EDULED I I I ' I
PERMIT NO. *-3C. e‘-" CL -' SwrPLETEED
ADDRESS (."�� lel �� t c.( )to In l`d
OWNER TELEPHONE NO. a �`i�." ��A I
CONTRACTOR I WO 1—Cs (,r) Cuyy3t-
>: DESCRIPTION Dec--- P i ►mak
4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
oy COMMENTS:
cc
W
a
CC
O
CC
O
U.
W
CC
W
W
CC
IQ• ❑WORK SATISFACTORY:PROCEED iOJECT COMPLETE
W ❑CORRECT WORK&PROCEED O 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 ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: �d
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
0ReMO Carty
CERTIFICATE OF SURVEY
FOR ROBERT A. SINGER 1--- 9`j / -` -(_ - -ur) j d `i(_l
IN THE NE 1 /4 OF SECTION 31 - 118-23
HENNEPIN COUNTY , MINNESOTA
omrolp r171,4%;
Cit V ` .rono ,. IG
Planr. _onlng Plan RIMatsi
0
Site>
d eview Me: 7! z P//l d
,.,,„ ,, ,,,,I, etcuil vxs-rp,pmak,03
I ni 4 k k`" :t'4 [ ED WITH REVISIONS(see notes)
b� Staff.
4/4 tiACROFilliED
6 4, LEGAL DESCRIPTION
7
The West 245 . 00 feet of the East
741 . 6 feet of that part of the
�o / Southwest Quarter of the Northeast
Quarter of Section 31 , Township 118
/ North , Range 23 West of the 5th
/ Principal Meridian , lying South
/
of Watertown Road .
�b
/ This survey shows the location of
an existing house and shed in relation
to the East , West and South lines
cl,/\ , of the above described property .
�t\c, ' It does not purport to show any
other improvements or encroachments .
8-11,4-Deck-
,
32 _ I hereby certify that this survey
y was prepared by me or under my direct
•----52.8 / •./53¢- - supervision and that I am a duly
20
M.is:
Registered Land Surveyor under the
='wi - • xf�ny laws of the State of Minnesota .
T....... Y house 'n'
-----53.6._._ . ..-- moa
41
°° 26.5 . COFFIN & GRONBERG , INC .
+ . - (523-
•
Mark S . Gronberg Mn Li No . 12755
Engineers , Land Surveyors , Planners
Long Lake , Minnesota
•
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0
y Date : 6- 15-90
'BSNu Scale : 1 " = 50 '
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