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HomeMy WebLinkAbout2009-00557 (Deck) a CITY OF ORONO PERMIT NO.: 20o�-ooss� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1185 ARBOR ST PIN : 10-117-23-24-0031 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,500.00 APPLICANT pERMIT FEE SCHEDULE 132.75 PRECISION DECKS PLAN REVIEW 86.29 1120 COVE CIRCLE MINNETRISTA,MN 55364 STATE SURCHARGE(VALUATIOI� 2.75 (763)228-4429 TOTAL 221.79 Minnesota State License#:20583025 OWNER CARLSON, STEVE&RANDI 1185 ARBOR ST WAYZATA,MN 55391- AGREEMENT AND 5WORN 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 Buildin Code.This permit may be revoked at any time for due ca / - ��� i i A plicant Permitee Signature Date Issued By ature te SEPARATE PERNIITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . Y ♦ �l��� City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number. ��•� O.g,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �,13� �, StreetAddress:' Received by: �,�, ���' 2750 Kelley Parkway Plan review fee: �.q�E�o¢w Orono, MN 55356 Total Fee: aa/, 7 9 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: ����' �r ho�` sf WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No ff yes,a special event pem►it is requir�d wifh Police Department and Ci(y Council approval 60 days prior to the ever►t Shuttle bus service will be required�nless applicant demonstrafes sufficient on-site parking is available. Non permitted ever►ts will not ba allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �rPcr°s�°o v� J�C�''S State License# a0��'63�oZS F�cpiration Date: 3-3! -aa � Phone: ��A 3- a a g-y y a y (office) (cell) Mailing Address: a0 Co� ��� Ci : r�►e fr,'sf ZIP: SS �/ Contact Person: � v�v�'� Applicant' : Contractor / Homeowner �ci�i�o�e� Email and/or Fax: ha��'J p5 t�ee/C� Cn� PROPERTY OWNER INFORMAT{ON: Name: ��„� �h�� �h��' �arJs o� Phone(day}: �°�a- Y7S-o�o� ' Address: ll 4f S y-r+be,r S t City: 6rpc�o ZIP: 55 3 c/ / 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 8 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 OfficelCommercial ❑ Private Sewer ❑ Other: (specify) ❑Multipfe Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water ""Any earth movement may require ❑Commercial ❑ Other(specify) MCWD review 8 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 wuwv.minnehahacr�k.o Estimated Construction Valuation (exciuding land) $ ��5 p� Last Updated: 6/22/2009 -19- _ -«�— �.e:_,_r �.�,�. ___.1 y I STRUCTURE INFORMATION: ' i 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction � a. Length(ft.)= �_ Number of bedrooms= ❑Wood/Frame ❑Masonry ' b.�dth (ft.)= � Number of garage stalis: ❑Metal , Attached= ❑ Pole Bldg. � � Areas in sauare feet Detached= I ❑ ICF ' � c. Basement= ❑On-site Prefab ' ❑Off-site Prefab � d. 1�Story = ❑Other(please specify): I � e.2"d StOry= � f. '/z Story = � i g.Total Area= i � REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A ficable ❑ ❑ Permit A lication � ❑ ❑ Pro osed Buildin Plans � ❑ 0 MN State Ener Code Calculations and Mechanical Code Re uirements Form � ❑ ❑ Surve meetin all re uirements I ❑ � Stormwater Poliution Prevention Plan � ❑ ❑ Hardcover Calculation s i ❑ � Se tic S stem Site Evaluafion Re ort � ❑ 0 Access Permit � ❑ ❑ Wetland Buffer Im rovement Plan � ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ' ❑ ❑ Plan Review Fee � � ❑ 0 Other i APPLICANT ACKNOWLEDGEMENT: � � i • 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 i are solely responsible for submitting a complete appfication being aware that upon failure to do so,the staff has no altemative � but to reject it until it is compfete; � • 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. i 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 govemmental agencies required by law. If you refuse to supply the information,the application may not be issued. ; i � Applicant's Signature: Date: � ' 3"�� i I i Last Updated: 6/22l2009 � -20- � � I i 1 • Plan Review Checklist for New Structures / Additions Address/ PID/Legal: �,��� a 2�(�� Description of work: �CLi� ��pcA� 1>iVvt�'i" Septic review by: -� Date Approved: Zoning review by: -- Date Approved: ^' � Building review by: ���� Date Approved: �i-8-c�9 Grading review by: � Date Approved: — Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: S� ey Submitted: 0 Yes � No Date of Survey: Pro ose�etbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side , � Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING I A SLAB FOUNDATION: START the distance between the ba ment flooN START the distance between the slab and the WITH crawl space floor and the highe roof peak, WITH highest roof peak, the top of the cornice the top of the comice of a flat roof, e deck of a flat roof, the deck line of a mansard � line of a mansard roof, or the uppermo roof, or the uppermost point on a round or oint on a round or other arch- e roof other arch- e roof SUBTRACT half the distance befinreen the highest SUBTRACT half the distance between the highest window and highest roof peak of a pitched window and highest roof peak of a roof itched roof SUBTRACT the distance between the basement N A the distance between the slab and the crawl space floor and the highest isting highest existing grade within the grade within the foundation or feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF °o... Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff 0 Yes p �0 0 Yes 0 No � N/A p Yes 0 No � N/A � Yes 0 No Permit Number: Setback: Hardcover es Existin Pro osed Variance Required CUP Required 0-7 0 Yes 0 No 0 Yes � No -250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Stil K,+� ��D VJc.a r�-�.��'" Updated: 07/01/2009 z:\forms\plan review checklist.docx s Fees to be Char ed YES NO • Pertni� ,/ Plan Review v- State��rchar e ✓ Investigation Fee S�C�Al�amber of SAC Units ' Sewer Connection �la#e'r�onr�ection Park Fee �ite�lns ection Other s eci Mfscel�aneous F�ees Calculated B : UBC: �Z Construction Type: Y S uare Foota e $ er S uare Foota e Basement X = $ 1 Floor X = $ 2" Floor X = $ Gara e X = $ Estimated Construction Value: $ Orono Insaections ReQuired Work Reauirina Separate Permits Required State Permits � Site 0 Plumbing � Grading/ Filling � Well � Hardcover Removal 0 Mechanical 0 Fire � Electrical 0 Footing 0 Septic � Water Connection 0 Foundation Survey 0 Fireplace � Sewer Connection � Framing � Masonry 0 Lawn Irrigation � Insulation 0 •Mfg. 0 Wall Board G Other(specify) 0 As-Built Survey Final � Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:lforms\plan review checklist.docx / � � �D TE b TIME CITY OF ORONO CALLED IN ,� 7 S' INSPECTION OTICE SCHEDULED aJ o�:3 D PERMIT NO. O 'DD co PLETED �ADDRESS I � S OWNER CONTR. TELEPHONENO. � - S`- � DESCRIPTION �c���E� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION �� ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC IMSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � � O � W � Q � W � W � � � � ❑WORKSATISFACTORY:PRQ�EED �OJECTCOMPLEfE W ❑CORRECT WORK E�PROCEED ❑I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,GALL FOR REIIdSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURPI O STOP ORDER PdSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next ins�Ction 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. `�-�t �,,1� � � White Copyllnspector's Flle Canary CopylSfte Notice DATE TIME � CITY OF ORONO CALLED IN � /�� INSPECTION NOTI E SCHEDULED PERMIT NO. -UVSS�7 COMPLETED �� `� ADDRESS !/�� ��"��' S� OWNER CONTR. /�C/5�47� ��,C�e�S TELEPHONE NO. 7(O 3'—�-�`a -� �'L�'1 � DESCRIPTION ���' -�=- r���'- ,. �IIJ¢���i � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FIWNG Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O a � O � W � Q � 2 W �C W � � W/�D110RK SATISFACTORY:PRQCEED ❑ PROJECT COMPLEf E � � CORRECT WORK 8 PRQCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUPISAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR 1AlILL RETURPI ❑STOP ORDER POSTED.CALL lNSPECTOR �CITATION ISSUED 0 INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OuvnerlCa an Inspecto VYhite CopyMspectoPs Flle Canary CopylSRe Notice