HomeMy WebLinkAbout2011 - 00425 - attached deck r
CITY OF ORONO PERMIT NO.: 2011-00425
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/26/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2875 WEAR CIR
PIN : 33-118-23-34-0004
LEGAL DESC : UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,000.00
NOTE: ADV.PLAN REVIEW PD$57.53 ON PERMIT 2011-00424 CONTRACTOR DOING DECK-RAILINGS BY HOMEOWNER
IN ORDER FOR THE ESCROW 0,43E REFUNDED,THE FOLLOWING MUST BE COMPLETED:
-DRIVEWAYS REMOVED / INITIAL)
-VEGETATION ESTABLISHED P (INITIAL)
-AS-BUILT SURVEY SUBMITTED / (INITIAL)
-FINAL CERTIFICATE OF OCCUPANCY ISSUED (INITAL)
APPLICANT PERMIT FEE SCHEDULE 88.50
R ANDD DECK BUILDERS&CONSTRUCTIO STATE SURCHARGE(VALUATION) 1.50
6220 178TH LN NW TOTAL 90.00
ANOKA, MN 55303-
OWNER
GUIMOND ET AL, SHARON R
2875 WEAR CIR
LONG LAKE,MN 55356-
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
requeste• ' c. .rmance with the State Building Code.This permit may be
revok.• any, :for due cause. Age/ / _..r. -� 7/.2-b1i(
(at
Appli :. '• itee Signature Date IssuBy Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono $ i,, leo
l
Building Permit Application dam . 3O2°
for New Structures or Additions
Mailing Address: Permit number: 020//01 To2r
O,j� PO Box 66
Crystal Bay, MN 55323-0066 Date received: t -6 - //
(4‘',1 • fyStreet Address Received by: S�L +� o~ 2750 Kelley Parkway Plan review fee: 57.53
\\ zso4� Orono, MN 55356c,,,,,,__-.00./.2_
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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: 2-ct<-15 ( A Iati CA�lJob Site Address: VV
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: ° - ► 1 ACL G k '01 r L. ,.C,
State License# a 0• C �`� Expiration Date: 3-3 - `7-,
Phone: -7 - • G I (office) SAM F. (cell)
Mailing Address: -�Q - 1---Vii I ti LA MU Cityg if ( ZIP:55303
Contact Person: •i f^� - ►1;)�c) Applicant is: o rac d, / Homeowner (Circle One)
Email and/or Fax: . Pty 'V( 1150 L/\-OL o Gfl/'►
PROPERTY OWNER INFORMATION:
Name: SHOO/0 GO WI ON
Phone(day). - .k p
Address: 1.1q--7 - WEAg C-I2(.1,(: City:02 O ZIP:6'6356
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 &
4 New Construction Water Supply
❑Single Family with ❑ Residence
❑Addition attached garage 0 Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with 0 Deck
❑ Relocation detached garage 0 Office/Commercial ❑ Private Sewer
[ Other:(specify) (=C.�� 0 Multiple Family/Condo 0 Warehouse
❑ Public ❑ Storage 0 Public Water
"Any earth movement may require 0 Commercial 0 Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) El Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ `A/ 000 r
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= i� Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Width(ft.)= Number of garage stalls: ❑ Metal
Attached= ❑ Pole Bldg.
Areas in square feet Detached = ❑ ICF
0 On-site Prefab
c. Basement= 0 Off-site Prefab
d. 15t Story = ❑ Other(please specify):
e.2nd Story=
f. '/2 Story =
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
❑ 0 MN State Enersy 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
❑
0 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;
• 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 agreement to ensure completion of the as-built survey and all site improvements.
Applicant's Signature: Date: b —6 _ I/
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: 2-K1'5 V V U2.( 0 11 Pe-
Description
Description of work: I)
Septic review by: 'WA Date Approved:
Zoning review by: • k/ C4 Date Approved: 7 1 J' .I I
i Ai
Building review by: VA._ Date Approved: 7 ` ZS - I
Grading review by: A /V//4 Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zoning District Fire Department Post Office School District
Zoning: Lot Area: I _s/ SF lig Width: 2.2, ' Depth:
Survey Submitted: 0 Yes 0 No Date of Survey: uv-IUW Y"
Proposed Setbacks: bra\/,)V\ Dr1 - NTS
Front(Lake) Rear(Street) ( N SOW ) ( N S E ( W ) Other Buildings Wetland
Si• - Side
2-33( f N15 ' ' h NT 113` 1\11_5
Building Defined Height: NA- Building Peak Height: #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: SF
Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff
0 Yes �'"" 0 N/A 0 Yes ----a-No
0 Yes C�IVo - 0 Yes 0D No 0 N/A
Permit Number: Setback:
Hardcover Zones Existing Proposed Variance Required CUP Required
0-75' 0 Yes 0 Yes
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house):
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge ye'
Investigation Fee
SAC,-_Nuinberof 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: $ , 0 DO
a.�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
O Site 0 Plumbing D Grading/ Filling 0 Well
O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
ooting 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.
O Framing 0 Other(specify)
y,ulation
-Built Survey
/ErFinal
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) YV1t�S I
Irl 0(Ger -6( A-he_. e CI'QVV -to re_-- fr i -` -
e Cc : beive. S ire.,mc kd
Vecpcitic»'- esk blisl'te
166._wi[ - surek-) 5L11111( Nom!
Updated: /2009 j 1 rO
z:\forms\plan an review checklist.docx I�Jx- C -1F (OLQ-) CCCY111U1
5- -, - DAT TIME
\,/
CITY OF ORONO CALLED IN //2-
INSPECTION NOTICE SCHEDULED 7l» 3 :3 U
PERMIT NO. 030/!DO� COMPLETED
ADDRESS 3'75 �.L t'L C cX
OWNER T LEPHONE NO. p--7ie—� F- `3Sf/
CONTRACTOR G •
>: DESCRIPTION # 1 Lr_./
1-
144
❑ FOOTING ❑ PLUMBING FIN4 El EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O El TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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W ORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W ❑C ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
c?:,
9 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U 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 - _
Inspectos r
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN p d-/,?)
INSPECTION NOTICE / SCHEDULED oZ 9-�y
PERMIT NO. a 0!/- D 0�� COMPLETED
ADDRESS X 37 5 14 /4,1
OWNER TELEPHONE NO.
CONTRACTOR /e-i r-fr
DESCRIPTION �LGLdC�
tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Ce) COMMENTS:
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W
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CC
0
W
CC
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W
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Lu ❑WORK SATISFACTORY:PROCEEDOJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP 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:4 /f/'
White Copylinspector's File Canary Copy/Site Notice