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2013 - 01013 - attached deck
CITY OF ORONO 11111111111101111111111 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2014 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 945 WILLOW VIEW DR PIN : 28-118-23-44-0009 LEGAL DESC : WILLOW VIEW : LOT 008 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 21,000.00 NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) THE SURVEY DATED 1/30/2014 SHOWS ALL IMPROVEMENTS ARE LOCATED OUTSIDE THE CITY'S EASEMENT. THE CITY ENGINEER WILL VERIFY THE AS-BUILT SURVEY SUBMITTED AT THE TIME OF PROJECT COMPLETION AND WILL VERIFY THERE ARE NO CHANGES OR IMPROVEMENTS INSTALLED WITH THE CITY'S EASEMENT. PLEASE BE AWARE IF ANY CHANGES TO THE APPROVED PLAN ARE MADE OR IMPROVEMENTS INSTALLED WITHIN THE CITY'S EASEMENT,WE WILL REQUIRE AN ENCROACHMENT AGREEMENT PRIOR TO THE RELEASE OF ESCROW. /A— INITIAL APPLICANT PERMIT FEE SCHEDULE 354.00 STATE SURCHARGE(VALUATION) 10.50 OUTDOOR EXCAPES, INC. TOTAL 364.50 2345 DANIELS STREET Payment(s) LONG LAKE, MN 55356- (952)926-6899 CHECK 56430 364.50 Minnesota State License#: 20630819 OWNER HUBBARD, TIMOTHY&AMY 945 WILLOW VIEW DR 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. -/ L '/y Applic. t Permitee tgnature Date Issued By Jnature Date 4. CITY OF ORONO X01 ` Lk' ' , , �� BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O A rO Mailing Address: Permit number: ©2013'C/0/3 <V PO Box 66 Crystal Bay, MN 55323-0066 Date received: �v�7 �� Street Address:' Received by: /iit" .--AS G� 2750 Kelley Parkway Plan review fee: A,. a/O �i �� Orono, MN 55356 �O/3_6/0/y kt?S H O 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: 9 L s ii,s qo1/4,.. Q:e.a '1Nnvte-- on,y,0 1"tr'� s S 3 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes g 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: L C cam. State License# p. _(1,,S 383 Y Expiration Date: `3/31 I Phone: (cell) '7(43-242(4-2.41.51 (office) 9S2--91.l0-lo$9g Mailing Address: 2311S n;JS S-7".. City: 1-49A. L,At'_ — ZIP: SS 3St4 Contact Person: „ Applicant is: t fri1C1 N(.T• / Homeowner (circle One) Email and/or Fax: i., eS e_..0, 0c'2-x.‘, fIeS.c c,AA— PROPERTY OWNER INFORMATION: Name: A,n1..1 A. T.,-_ Phone (day): 9 S2--t-1 rt 3-2 L b Address: C7LI'S- W 4lc 11i`t.,-- "hn _ City: .rot At. ZIP: SS 3S-Lo Email and/or Fax rrfA ARCHITECT/ENGINEER INFORMATION: Name: - t Phone(day): 9S2-9?t0-(,5<c't C\ Address: 23ctS 1�,--�Ig „S4,-=-�- City: £.o� Lake_ ZIP:.SVage Email and/or Fax: al ti4-- Q.,.3,,.. 4vtti PROJECT INFORMATION: Description of project: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction a Single Family with IS1 Residence E Addition attached garage ❑Garage/Accessory Bldg. ®Public Sewer ❑Accessory Building ❑ Single Family with 0 Deck ❑ Relocationdetached garage 0 Office/Commercial ElPrivate Sewer 'Other: (specify) 1 ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage 0 Public Water **Any earth movement may also require LI 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 c7 Estimated Construction Valuation (excluding land) 2_1(d re 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 TI Areas in square feet Attached = ID Metal ❑ Pole Bldg. c. Basement= — Detached = U ❑ ICF d. 1st Story = ❑ On-site Prefab e. 2nd Story= ❑ Off-site Prefab — f. 'A Story = Cl 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 O ® MN State Energy Code Calculations and Mechanical Code Requirements Form ® 0 Survey(meeting all requirements) ❑ ® Stormwater Pollution Prevention Plan ® 0 Hardcover Calculation(s) O ® Septic System Site Evaluation Report ❑ ® Access Permit O ® Wetland Buffer Improvement Plan ❑ ® Engineered Plans for Retaining Walls 4 feet or above ❑ ® Minnehaha Creek Watershed District Permit(s) ❑ 0 Plan Review Fee ❑ 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 $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: 71-1, Date: / -2ru-/ Owner's Signature: ��„srS Date: �7z��.3 • C-A{ II CI a- c C O> `- ' CC 'c4.-9", Ory (---(----- 51 QU ° W mO oi v Niot6rnoi`tetne0 2 t �„ C N .V OoN� �No+i� O 0 C.jnni ilb °o-h"1 v. o) 3 • �t1 t O� rn ci ^O1ro�N �o� cd ',Z ` 5 r4 O o k Q U$. ' + .0 a .1,,tz. N- E 4. y Q ti C ` c L u) W (.5 v. � cnc� ao �� Ct 0 O C O a ov,� a �- in a� C C ___CS v,�3voi 2 �,� oQc� od = o - c -�. c� 3lb U Q ti �ZQ `% Q �~ � 2Q � 4 W � • 0 4 O �oWOQWo oaroWOQWoo o 0 oaooa�� ao� ooa ��� E z I a � L U 4:...._co N I V CC o U) Co-e-. Ri °� i K. I L.,, - N I toomN , °pC O O a � 1 °�wo aie -(0 � 8 �° 1 0)CCI a o ct CO (13 C_ _ - a'-- 0 (I) vi liaL i-- t U O Ctl ... i L. S .56-7 00•00F=2/ .£'Z,01 .9I=D 1 e °5 coLg o y / / - (§C� Lu . o .. 3 / I �- ,� O _� LLi cx / m,s..._.) g Icz,, Q In ) cb / 1 03 i O' (21 i / U t. in doD)s .3u00 U / -� r-- ' In o LO u / /.0O / rq1 O+ I013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: ! •-(S" U ,J1 JO U`e_,u) • Description of work: De C K `lr' t AM scapila POO` 201 —6001 g Septic review by: /J A Date Approved: / 0 / ) -�/kr ,�A Zoning review by: . . ti. AL(.c4! Date Approved: Z'/ ' I 1 Building review by: i ,,.�•,_,... .(A' Date Approved: Z— - 2-011 Grading Y review b : 4 ' (9,7 e Date Approved: f Zoning District: Zoning File#: Reso#: I Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage:91. (1k C F 5 Survey Submitted: /es ❑ No Date of Survey: 1 X33' 111"' Revised date(?): Proposed Setbacks: Front(Lake) Rear(S et) ( `� S E W ) ( N S E W ) Other Buildings Wetland Side Side r t Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = #of Stories Ok? ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START 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 /I windows): Subtract half the distance distance between the highes nt between the highest point of the roof of the roof to the low Pgia of the to the low point-of the corresponding SUBTRACTION corresponding nbl or hipped roof SUBTRACTION ....-- roof (BASED ON ROOF • GABLE 0 HPED ROOF(with (BASED ON • _GABLE OR HIPPED ROOF(with TYPE) windowt) IPSubtract half the ROOF TYPE) /✓windows): Subtract half the distance distance between the top of the �--, between the top of the highest !highest window and the highest / window and the highest point of the /: point of the roof // roof ALL OTHER ROOF TYPES(flat, / • ALL OTHER ROOF TYPES(flat, V mansard,etc):No subtraction. � mansard,etc):No subtraction. / ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BAS ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. G DES) 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 Yes 0 No 0 N/A 0 Yes �No 0 Yes No 0 Yes 0 No N/A Permit Number: ` . -- 2.9 9 Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover ❑ Yes o 0 Yes 9.4) \ lik-- Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit (/ Plan Review State Surcharge Investigation Fee SAC-Number of SAC Units Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ 04.4 Estimated Construction Value: $ 2 t)000 Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading/ Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical rleFooting ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. Framing ❑ Other(specify) ❑ Insulation i .As-Built Survey fg-Final O Wetland Buffer O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES ❑ NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED The survey dated 1/30/2014 shows all improvements are located outside the City's easement. The City Engineer will verify the as-built survey submitted at the time of project completion and will verify there are no changes or improvements installed with the City's easement. Please be aware if any changes to the approved plan are made or improvements installed within the City's easement, we will require an encroachment agreement prior to the release of escrow. Update. v:\forms\plan review checklist 2013.docx DATE TIME ✓ CITY OF ORONO CALLED IN 6:2_ 2 INSPECTION NQQ��TcIIC� E /� HEDULED 7- -t'-f c/,CIZJ PERMIT NO. c /. 'v��� OMPLETED ADDRESS7145 l-0/1/w) (Jif' ,?)7/1/-e_ OWNER EPHONE ND?1 - ,--, CONTRACTOR U 4W [-6 jJ 2 /�,., r a DE RIPTION '✓�'-) 4ti' tai FOOTING ❑ PLUMBING F4L 0 EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICA RI ❑ LAKESHORENVETLANDS " 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 1, 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT ✓ ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP li tai ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL r 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO LI COMMENTS: cc a Ct o It 00 7 LiJ CC .0/14 /2ra/ W Z W Ci i40( W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY QO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 s: ' ' ,00 Owner/Contractor on site: )11, ;14 Inspector. White Copyllnspector's File Canary Copy/Site Notice V.....f---- DATE TIME Vr TY OF ORONO CALLED IN INSPECTION N I SCHEDULED la! /A( 11 au PERMIT NO. ` 11 3COMPLETED ADDRESS f v/ 4, OWNER TELEPHONE N67'3 2F/ 2 Va� CONTRACTOR &/JjUOf (C((2 4'S DESCRIPTION ree..fc itai` W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING cc ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS y /W O ❑ FRAMING ❑ MECHANICAL FINAL LI REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 1, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP IQ ❑ DEMO-FINAL ❑ SEP IC INSTALL ❑ HARD COVER REMOVAL v• ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL 5 OWNERICONTRACTOR TO MEET YOU. YES_NO 2 G COMMENTS: '45 ` .c. See'iv e-y -- cc W < a CC Steps - bK 76,4ge-d3,44..., _ o‹ IQ et i PieV�t)a , p67e eb�4n.�45 h4/,z,A-4f Y re-6 r N. . e'seaok zf�i.•- 5g' rr6lti- 41, i 1.f desc-,,, ...mia,f, W O CC J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN D.CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CA J C. •r the next ins• - ', i 24 hours in advance. (952) 249-4600 Own Contractor on site: • " Inspecto . j White Copy/Inspector's File Canary Copy/Site Notice 4DDAT= 'TI (--t�+�s is ME CITY OF ORONO CALLED IN Sj INSPECTION T,Jcc_O1of3 SCHEDULED 1-!r� V-15 ' 'c PERMIT NO.17c ) V COMPLETED ADDRESS is L)I�) V I-e3-) , OWNER TELEPHONE NO.T ' Lyt, Z'42"S CONTRACTOR (3_a--4dcx. ' al-13-- .;:. DESCRIP ION beC<<- r P t"0--i lu 0 FOOTI ElPLUMBING FINAL 0 EXCAV/GRADING/FILLING 4. Q ❑ POU D WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FR ING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ I SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS • FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP vL 1-14 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v CIPLUMBING RI CISEPTIC FINAL CI FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: a Q. IP .....,_ CC Occ O 4..W Ct Q W Z W CC W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW CI CORRECT WORK&PROCEED CI I UE CERTIFICATE OF OCCUPANCY O LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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 adva --. ' '49-4600 j Owner/Contractor on site: / / Inspector. ! White Copyllnspector's File Canary Copy/Site •tice