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Home My WebLink About2012 - 00582 - attached deck CITY OF ORONO II 1 1 111 111 1 II II 1111111111 202 - 00582 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2012 ORONO, MN 55356- (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 : $ 1,500.00 NOTE: NEW DECK • APPLICANT PERMIT FEE SCHEDULE 57.50 VANPATTEN,MICHEAL&NICOLE STATE SURCHARGE(VALUATION) 0.75 2875 WEAR CIR LONG LAKE,MN 55356- TOTAL 58.25 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 goveming 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 revoked at any time for due cause. Afp\CJS vC c//) 7/ / / Z Qyv / 9 // 2-. icant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. T M _ City of Orono Building Permit Application , �5 for New Structures or Additions Mailing Address: ab/a PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: Lo / 2_24 / •"�'"• Received by: -L //__D�, Street Address:' G , • 2750 Kelley Parkway Plan review fee: 37 . 3.2/ latt.gvog� Orono, MN 55356 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: 2575 IA/ea r L' v 62 QYD»o, MN 3 5 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 INFORMATIO Name: ?cc-LA-CAI State License# Expiration Date: Phone: SZ "'1/3 532.b (office) (cell) Mailing Address: cvn-\i2._ �vQ Cit : Contact Person: �-�kCao� Applicant is: Contractor / omeowner (Circle One) Email and/or Fax: e evc,Th .-4Q n Ca' -(c.v-\OD ,C-0 N_ PROPERTY OWNER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: \). , De C (� 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction 01§ingle Family with ❑ Residence LlS.Bddition attached garage ❑ Garage/Accessory Bldg. 0 Public Sewer ❑Accessory Building ❑ Single Family with 'eck ❑ Relocation detached garage ❑ Office/Commercial /:1 Private Sewer 0 Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water "Any earth movement may 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.o g Estimated Construction Valuation (excluding land) $ 1 OO 1` STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction a.Length (ft.)= 2Li Number of be rooms= ❑Wood Frame b.Width (ft.)= Lp Number of gara stalls: ❑ Mason Areas in square feet Attached = 0 Metal 0 Pole Bldg. c. Basement= , I Detached= ❑ ICF d. 1st Story = 3`ic—f ❑ On-site Prefab e.2nd Story= 0 Off-site Prefab f. 1/2 Story = 0 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 Pr 0 Pro osed Buildin Plans ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ Survey(meeting all requirements) ❑ Stormwater Pollution Prevention Plan ❑ !� Hardcover Calculation(s) ❑ Septic System Site Evaluation Report ❑ d Access Permit ❑ Wetland Buffer Improvement Plan ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ Plan Review Fee ❑ ❑ 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 $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: \\A *p �Ni \ ��t v� Date: /— Owner's Owner's Signature: ��Gt1Z,\irve'011 Date: Plan Review Checklist for New' Structures / Additions Address/ PID/ Legal: 2—D�iWO ( G �r,Pe Description of work: 4--., Septic review by: wf UDate Approved: �J� r� • Zoning review by: _ . i i, ,i v/'A Date Approved: 0 Ci'f l' Building review by: t �1 . \,..cu-- Date Approved: 1 - - 2-3 12 Grading review by: A] ,A Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Kg—c3 _ Zoning: Lot Area: (131(611 2.15 SF/AC Width: I'Lb Depth: 41510 Survey Submitted: Age's ❑ No Date of Survey: 02 --(q - I 2-- Proposed Proposed Setbacks: Front e) Rear($,t' et) ( N S E 6 ( N S E W ) Other Buildings Wetland Side Si IZ ' 2i1 i //0 / 651 Building Defined Height: N Pr Building Peak Height: NA-- #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: N-0- SF Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff ❑ Yes ❑ No ❑ N/A ❑ Yes 'No 0 Yes ..):1-'&-C; 0 Yes 0 No N/A Permit Number: Setback: Hardcover Zones Existing Proposed Variance Require CUP Require 0-75' 0 Yes o 0 Yes No 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 StateSurcharge 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: $ if 5 0 0 Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical , a- Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace D Sewer Connection ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. _aming 0 Other(specify) O Insulation O As-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 E- ( E TIME CITY OF ORONO CALLED IN / INSPECTION) O_TIQE_ �Sg.. s�HEDULED 19— /.'3 PERMIT NO. COMFLETED p` ADDRESS 0Z E.3 SliL/.(°., �---C�[�tyJ OWNER TELEPHO J NO b1-5/3-53W CONTRACTOR 4 " (�-- • DESCRIPTION /I/ /�L AP4 t t ❑ FOOTING 0 PLUMBING FINAL . ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL I=1 TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: cc Q. CC O CC O U- W CC W W CC d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ 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 4 hours in advance. (952) 249-4600 Owner/Contractor on site Inspector. r/ J White Copy/Inspector's File Canary Copy/Site Notice 5"' T TIME 1/ CITY OF ORONO CALLED IN INSPECTION NOTICE scHH DULED 'Z7 I Z /0:01) PERMIT NO.O�D 102 --Ca5I OMPLETED ADDRESS 975 Gv'SL GU OWNER V14 - - "-'TELEPHONE NO. Q5z 9/3 6562. CONTRACTOR _ /�'ttie DESCRIPTION �C c / r W 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 1L ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL LI INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc O a cc O LL W CC W W O WCC ❑ K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 Copy/Inspector's File Canary Copy/Site Notice p4TE TIME t/ CI NO CALLED IN Tn�, INSPECTION TIC �_�4 p SCHEDULED Q-i- '- 9—fN PERMIT NO. r�I 5 0"COMPLETED ADDRESS 28'IS U.}e ic- G-rci-12 OWNER \1c L TELEPHONE NO.qtS- cl i 6'3 2O CONTRACTOR im DESCRIPTION 1J2C lr\o--� LL, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING h ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB LI WATER HOOK-UP ❑ PROGRESS Is ❑ FINAL ❑ SEWER HOOK-UP LI COMPLAINT ✓ ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP LI4 ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL LI FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO te)• COMMENTS: CC W CC n r nA0 re - Ps 1 �— „. r (4 A A 6 r A — cc 0 cc w CC RK SATISFACTORY:PROCEEDOJECT COMPLETE CT WORK&PROCEED ❑IS UE CERTIFICATE OF OCCUPANCY C5 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED LISTOP 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: It'd° Inspector. White Copy/Inspector's File Canary Copy/Site Notice