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HomeMy WebLinkAbout2013-00464 - attached deck e 1111111111111111111101111 1 11111 111011111111 1) CITY OF ORONO * 2013 - 00464 * 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4490 WATERTOWN RD PIN : 31-118-23-21-0005 LEGAL DESC : N/A : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,000.00 NOTE: DECK ,kDV PLAN REVIEW PD 2013-00463 $162.99 • APPLICANT PERMIT FEE SCHEDULE 250.75 CHELBERG, GLEN&MICHAELA STATE SURCHARGE(VALUATION) 7.00 4490 WATERTOWN RD MAPLE PLAIN,MN 55359 TOTAL 257.75 PAID WITH CC# 4417 OWNER CHELBERG, GLEN&MICHAELA 4490 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 conformance with the State Building Code.This permit may be r oked at any time for du cause. .p icant 'errtnitee Signatu Date OVe te3Issignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A' • / s1 4, 17-i3 AAS CITY OF ORONO BUILDING PERMIT APPLICATION '04-. 57 7S FOR NEW STRUCTURES OR ADDITIONS � Mailing Address: Permit number: 4:26/3-D D (p 7 �CI*..4 T PO Box 66 Crystal Bay, MN 55323-0066 Date received: 7-7- /3Street Address: Received by: 66-5 2750 Kelley ParkwayPlan review fee: /(oZ �1g kFSuov-- Orono, MN 55356 2D/ -0,`f&,3 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: iir,97 a r- ;e,J'k- /? 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: .>el State License# Expiration Date: Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: / / • Name: �/e r -�/17�cha..e_4 eif c_- el - Phone (day): • - •,• Address: zrno CEJ /er ,r✓., /2 � City:/hr/e,4,-� ZIP: 6313 S 7 Email and/or Fax cfrP/hec y / 4r-in ni�� r hits-/ ARCHITECT/ENGINEER INFORMATION: Name: i/'- Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1. Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ►'i Addition _')cz:k attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building IE Single Family with Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ /t`000.00 STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = El Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1st Story = ❑ On-site Prefab e.2nd Story= ❑ Off-site Prefab f. 1/2 Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ 0 Permit Application ❑ 0 Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan O 0 Hardcover Calculation(s) ❑ 0 Septic System Site Evaluation Report ❑ 0 Access Permit ❑ 0 Wetland Buffer Improvement Plan ❑ 0 Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee O 0 Application Escrow&Agreement ❑ 0 Other: 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 requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: Owner's Signature: Date: • PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 99 i 0 W A'T t 2'z-a.wlN 12-0A0 Description of work: ,I1 e cK Septic review by: Date Approved: 4- f 0 - 13 Zoning review by: an/ Date Approved: 6- 1-1 - (3 Building review by: a'�: / _ Date Approved: to- 11 - l 3 Grading review by: I\ A Date Approved: Zoning District: 22.-1.A Zoning File#: Reso#: Reso Date: Zoning: Lot Area: 2-z-2 /AC Width: 8i-C/1 Lot Coverage: /Vita SF _% Survey Submitted: 0 Yes 0 No Date of Survey: X-"V-'- 9 'd Revised date(?): Proposed Setbacks: �•DN Flt/ 8 . 3- 2.0 - c1S Front(Lake) Rear(Street) ( NS Side W ) ( NSSide EW ) Other Buildings Wetland - med Height: Peak Height: FFE: FFE minus 6 feet= (Existing Col _ . ) Perimeter(linear - - = 50% = #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR -.' L SPACE: The distance betwee •-lowest FOR A BUILDING ON A S c FOUNDATION: START WITH proposed floor(of the base - t or crawl space)and the highest point of - •of. --T WITH The distance between the top of slab and If you have a... the highest point of the roof. //. If you have a... • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hip.-.foof -:TRACTION gable or hipped roof (BASED ON ROOF • GABLE OR HIPPED -•OF(with (BAS = •N • GABLE OR HIPPED ROOF(with TYPE) windows): Su• -ct half the ROOF TY•- windows): Subtract half the distance distance.- een the top of the between the top of the highest high,, window and the highest .indow and the highest point of the •nt of the roof roo ALL OTHER ROOF TYPES(flat, • ALL 0 R ROOF TYPES(flat, mansard,e;•No subtraction. mansard,etc):No subtraction. ADDITION Add the distance be ,=-n the top of slab C '. Subtract the distance between the (BASED ON and the highest existing g =•e adjacent to SUBTRAC C EXISTING basement/crawl space floor and the EXISTING the foundation. (BAS � •ES) highest existing grade adjacent to the GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes 0 No AlIVN/A 0 Yes %No 0 Yes _,Er No - 0 Yes 0 No , 'N/A - Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover 0 Yes ,I'No 0 Yes , No L)/CE/hPT N fa N A Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged iES NO Y � Y Plan Review Investigation Fee Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ I''I 000 6-$2 Orono Inspections Required Work Requiring Separate Permits Required State Permits O Site 0 Plumbing ❑ Grading/ Filling 0 Well O Hardcover Removal D Mechanical In Fire 0 Electrical -0 Footing 0 Septic In Water Connection O Poured Wall 0 Fireplace ❑ Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. Framing 0 Other(specify) O Insulation O As-Built Survey Final O Wetland Buffer O Other (specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES D NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx G�J � DATE TIME CITY OF ORONO CALLED IN 7 l.5—43 INSPECTION NOTICE /SCHEDULED 7-1'-/- /30 NO PERMIT NO. #96 �'"COMPLETED /�ADDRESS / ' /t� OWNERO?n iale-T TELEPHONE NO.05 '1° `� CONTRACTOR //, / 3:: DESCRIPTION „9- 4__4_,L 0 - / 4., ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING yLt. 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS O ❑ FRAMING 0 MECHANICAL FINAL El TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP _ 0 DEMO-FINAL 0 SEPTIC INSTALL ElHARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO �? COMMENTS: 1) ' A A'''fZ e 6 & r V, +1A 5c W a CC P-4 ae P .*) Aa , -024. o N. 5 x..e....1- .-^3 / scre4.4)1'01 4. W ( I) c.,-- S 4 SJ rt?) ril Q 3 ci 6.9 „ e Cr 'A 8e So i — S-1-e7 L, No A-karr 11ALA N 7 3fci " LU ❑WORK SATISFACTORY:PROCEED DROJECT COMPLETE W CORRECT WORK�iollorEEIf LI ISSUE CERTIFICATE OF OCCUPANCY O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR [11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 OwnerlContractor on site: �� r. InspectoigE White Copyllnspector's File Canary Copy/Site Notice