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Home My WebLink About2010 - 00800 - attached deck CITY OF ORONO PERMIT NO.: 2010-00800 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/14/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1130 WILLOW DR S PIN : 10-117-23-24-0033 LEGAL DESC : UNPLATTED 10 117 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: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) DECK ADDITION APPLICANT PERMIT FEE SCHEDULE 88.50 BOWMAN,PAUL E&BARBARA D PLAN REVIEW 57.53 1130 WILLOW DR S CRYSTAL BAY,MN 55323- STATE SURCHARGE(VALUATION) 5.00 MISC FEE 0.00 TOTAL 151.03 PAID WITH CC# 4254 OWNER BOWMAN, PAUL E&BARBARA D 1130 WILLOW DR S CRYSTAL BAY,MN 55323- 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 revoked at any time for due cause. / / �/ Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB �E. City of Orono Building Permit Application for New Structures or Additions _O Mailing Address: Permit number: c D/0-A OQ C) PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: 9-7-/0 A,*,^(r ' Street Address:' Received by: `�A �� '�� ' �' 2750 KelleyParkway -- . . ,- Orono, MN55356 Plan review fee: I?D e LOI�eG�fC�(f� L� �Esxo4`' Total Fee: I5I 03 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: /1'30 Wi I10-y./ S, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [ZI 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: State License # OtoN Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: $4-(4,1- gOr•✓M AD/ Phone (day): Cott- 2_ E- (m3 .9 Address: g212- cieiv, PL- City: 04, hass-e4A ZIP: X31../ Email and/or Fax e,6enninna.4. ^ tin G h5; - Ccrivx 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 El Residence l'Addition (bt_c k) attached garage ❑ Garage/Accessory Bldg. E 1'Public Sewer El Accessory Building [}Single Family with Ijill5eck El Relocation detachedara e ❑ Other: (specify) g g ❑ Office/Commercial El Private Sewer ❑ Multiple Fq.mily/Condo El Warehouse ❑ Public El Storage ❑ Public Water **Any earth movement may require ❑ Comme ial El Other(specify) ,�� MCWD review&permits. ❑ Industrial LK 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) $ 3 OM , 00 1 Last Updated: 9/29/2009 - 17- i STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= NIA p'Wood/Frame ❑ Masonry b. Width (ft.)= Number of garage stalls: ❑ Metal Attached = 0 Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= 0 Off-site Prefab d. 15`Story = ❑ Other(please specify): e. 2nd Story= f. '/Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ 0 Proposed Building Plans ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form O 0 Survey(meeting all requirements) O Stormwater Pollution Prevention Plan O .—Elm Hardcover Calculation(s) ❑ .>� Septic System Site Evaluation Report ❑ „Er` Access Permit ❑ Wetland Buffer Improvement Plan ❑ �r Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee O ❑ 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. ft Applicant's Signature: "4 '14 Date: Last Updated: 9/29/2009 - 18 - • Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: / / 30 ( j C 10 L 7(, S Description of work: Septic review by: !V A Date Approved: Cr-- I 0 Zoning review by: U 4- M - Date Approved: C7 - / S."/ 0 Building review by: Date Approved: 9 -i3- J O Grading review by: /\-1 (A Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: 0 Yes 0 No Date of Survey: Proposed Setbacks: Front(Lake) Rear(&tfeet) ( N S ( W ) ( N S E W ) Other Buildings Wetland Side Side /U6 ' + () o 91 7/ N/4 IV /if Building Defined Height: /if/A Building Peak Height: # of Stories Ok?: 0 YES FOR A BUILDING WITH A BA - ENT OR CRAWL SPACE: FOR A B ILDING ON A SLAB -O NDATION: START WITH the distan e between the basement floor/crawl STA the distan.- be een the slab and the highest space fl..r.nd the highest roof peak,the top . WIT roof pea the t•• of the cornice of a flat roof, the cor'ice .f a flat roof,the deck line of a the dec line of. mansard roof, or the mans.rd roo , or the uppermost point on a ro,nd upper r ost point V n a round or other arch-type or of er arch type roof roof SUBTRACT half he dista ce between the highest wind. and UBTRACT half e distance b tween the highest window hi• est roof•-ak of a pitched roof an. highest roof perk of a pitched roof SUBTRACT t - distance •etween the basement floor/ rawl ADD t - distance betwee the slab and the highest -•ace floor a • the highest existing grad: within : isting grade within he foundation he foundation or 10 feet, whichever is I;_s. EQUALS Defined building heig t EQUALS Defined buildi g height Lot Coverage Shor and District MCWD Permi- Received Average akeshore Setback Bluff ❑ Yes 0 o ❑ /A 0 -s ❑ No ❑ Y s ❑ No ❑ Ye ❑ No ❑ N/A Permit Numb- : Setbac I H rdcover Zones Existing Prop ed Variance Required CUP R quired 0-75' 1:1 Yes 0 No 0 Yes 0 No 75 250' ype(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 Plan Review 'StateSurcharge • / Investigation Fee SAC +lember;Df.SAC:knits Sewer Connection 1AIater;Connection, Park Fee =Site Inspection Other(specify) ^M�sceUaneeusFees<: Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 3,Od0 °—° Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing 0 Grading / Filling 0 Well ❑ Hardcover Removal 0 Mechanical 0 Fire ❑ Electrical ,Footing 0 Septic 0 Water Connection ❑ Poured Wall 0 Fireplace 0 Sewer Connection ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. Framing 0 Other(specify) ❑ Insulation ❑ As-Built Survey Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ 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 Se>(-- D. r TIME \/ CITY OF ORONO CALLED IN • '/ INSPECTION NOTICE SCHEDULED i I , v PERMIT NO.=. 0/D-DO WO COMPLETED ADDRESS D a)/ La c/ OWNER _ LEPHONE NO. CONTRACTOR DESCRIPTION lU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL��/// ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W cc 0 cc 0 W W W d WCC 0 WORK SATISFACTORY:PROCEED C PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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. r< �1 S White Copy/Inspector's File Canary Copy/Site Notice q_qpT� TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICEnSCHEDULED 9-21-/0 1/;JQ oC PERMIT NO. OlO—0O�O' COMPLETED ADDRESS /130 S • OWNER PALO. 16eW71C4x TELEPHONE NO. 763 CONTRACTOR �f� DESCRIPTION P44711 ? - �� '`"" ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE El SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc CC pcg)0 u..cz (01CC GW/p•WQlRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑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 CISTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on ' e: R Inspector. 1 j0 White Copy/Inspector's File Canary Copy/Site Notice /� ✓L- D TIME CITY OF ORONO CALLED IN r C�7//0 //U INSPECTION NOTICE (`� SCHEDULED /C/57/ f PERMIT NO. C/ -0 L, � )COIy1PLETED ' .I ADDRES _ _7 _ D OWNERS a tt. ( fl 1(/? TELEPHONE NO. `7673 477 //� CONTRACTOR DESCRIPTION D'PL'fc-- / ma/ W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ti ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS /W FRAMING CI MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP C FINAL ElFOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W a CC AlAJL5 —f-o E c)--eN, cc z c S r 1—�►�NC�E(ZS W W CC W ❑WORK SATISFACTORY:PROCEED Li PROJECT COMPLETE CCRRECT 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 ❑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/Contr o on Inspector. White Copy/Inspector's File Canary Copy/Site Notice