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Home My WebLink About2013-00884 - deck attached Il CITY OF ORONO * 2 0 1 3 - 0 0 8 8 4 ! 2750 KELLEY PARKWAY DATE ISSUED: 09/05/2013 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 450 WILLOW DR S PIN 03-117-23-32-0012 LEGAL DESC UNPLATTED 03 117 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: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) DECK APPLICANT PERMIT FEE SCHEDULE 88.50 BOWMAN, WILLIAM&CYNTHIA STATE SURCHARGE(VALUATION) 1.50 450 WILLOW DR S LONG LAKE,MN 55356- TOTAL 90.00 PAID WITH CC# 4187 OWNER BOWMAN, WILLIAM&CYNTHIA 450 WILLOW DR S 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 80 days at any time after work has commenced. The app icant is respons' ing all required inspections are requ n c fQwrce kith tate Building Code.This permit may be vokec at time for d se. / / / / Applichrit Permitee ig ature D&C Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOW. CITY OF ORONO Q� BUILDING PERMIT APPLICATION �Q .� FOR NEW STRUCTURES OR ADDITIONS Com' �0 Mailing Address: Permit number: PO Box 66 p 2 Crystal Bay, MN 55323-0066 Date received: Zb Street Address:• Received by: 2750 Kelley Parkway Plan review fee: S 7 3 ce__, `gKl:SHO � 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: zk; ( Jl Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes NNo 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# 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: LU — . Phone (day): Z _ Address: City: Cy ,nf'J ZIP: 5 S5 Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: 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 ❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ 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.or Estimated Construction Valuation (excluding land) $ STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction 4 a. Length (ft.)= Number of bedrooms = KWood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 151 Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/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 ❑ ❑ Permit Application ❑ ❑ Proposed Building 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 ❑ ❑ Access Permit ❑ ❑ Wetland Buffer improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ 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. Applicants Signature: - Date: Owner's Signature: - Date: PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 95-0 ('Low 10121 tie Description of work: 110 1 cGK Septic review by: (A Date Approved: Zoning review by: Date Approved:Z,�-?1D►3 Building review by: Date Approved: V)-2-e)-Z41.3 Grading review by: ,VIA Date Approved: Zoning District: R e_-1iQ Zoning File#: 13-3(ol ) Reso#: Reso Date: 9•Lb- I 25Ifob 116 Zoning:Lot Area: SF/AC Width: Lot Coverage: SF Survey Submitted: All Yes 0 No Date of Survey: 11-3-)Z Revised dateM: 7-9- Q Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side N' C 52.3 n/ /c- Z s Z A1114 NM efined Height: Peak Height: FFE: FFE minus 6feet= (Existing Contour) Perimeter r feet) Al 50% #of Stories — :Ok? 17 YESFOR A BUILDING WITH A BAS T OR CRAWL SPACE: The di between the lowest FOR A BUILDING ON A OUNDATION: START WITH proposed fl the basement or crawl space)and the hig int of the roof. S WITH The distance between the top of slab and If you have a.,. the highest point of the roof. GABLE OR HIPPED ROOF If you have a... • windows): Subtract half the • GABLE OR HIPPED ROOF(no 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 hipped SUBTRACTION gable or hipped roof (BASED ON ROOF GABLE OR HIPPED R (with (BASED ON GABLE OR HIPPED ROOF(with TYPE) windows): Subtra f the OOF TYPE) windows): Subtract half the distance distance be the top of the between the top of the highest highest ow and the highest window and the highest point of the poi the roof roof ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, • mansard,etc):No subtraction. mansard,etc):No subtraction. ADDITION Add th' nce between the top of slab SUBTRACTIO Subtract the distance between the (BASED ON and the hig existing grade adjacent to (BASED 0 ISTING basement/crawl space floor and the EXISTING the foundation. GRAD highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever,is less). EQUALS Defined building height QUALS Defined building height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff Yes G No a NIA G Yes No ? � Yes No � Yes D No � N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover ;rYes G Yes o /✓�R- — — Type(s). Type(s). se-r�3 p c 1�- Updated: January 2013 v:\forms\pian review checklist 2013.docx t REMARKS (in-house): Fees to be Char ed Plan Review Investigation Fee Other(specify) Square Footage $per Square Footage Basement X = 1'd Floor X = $ 2"d Floor X = $ Garage X = $ 3,000 Mar�J4�Aas 3voo U B a Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits • Site 0 Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal 0 Mechanical O Fire 0 Electrical Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection • Foundation Survey 0 Masonry 0 Lawn Irrigation G Radon Rock Bed 0 Mfg. ,RIframing 0 Other(specify) 0 Insulation s-Built Survey 0 Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docc F 1 5(�t— Q D TE TIME CITY OF ORONO CALLED IN ` INSPECTION NOTICE SCHEDULED PERMIT NO.fid!3-0 4 diCOMPLETED ADDRESS X50 4VL4/074) �Y OWNER BW Q6'0&)M a4,A4ELEPHONE NO. `5z 2-/7 751(zZ CONTRACTOR J� DESCRIPTION 4 ❑ FOOTING El PLUMBING L [_1EXCAV/GRADING/FILLING tL Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a O O cc O LL W cc Q Z W W rz O � ��WORKSATISFACTORY.PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED El 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: y� Inspector. 'L White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTIONTI E SCHEDULED PERMIT NO LL 'Q COMPLETED ADDRESS T50 OWNER ,&m&&2ln�'�ELEPHONE NO!SZ 2/7 7$4ZZ. CONTRACTOR �` �[ DESCRIPTION T ee(m 4 16. — ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: cc W cc J O O W cc Q 2 W z W cc J LU �~RKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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/Contractor on site Inspector. L White Copyllnspector's File Canary CopylSite Notice I _e_4� �27- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT,IC�3 HEDULED PERMIT NO. ��••OO YCMPLETED ADDRESS OWNER TELEPHON NQ. - 02/7- 7V22- CONTRACTOR V2Z CONTRACTOR >; DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W 0- cc cc O O O U_ W CC Q Z W z W d WLU ❑WORK SATISFACTORY:PROCEED hOJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED 11STOP 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 si Inspector.- t White Copyllnspector's File Canary Copy/Site Notice