HomeMy WebLinkAbout2015-01266 - replace decking and stairs CITY OF ORONO * Z 0 1 5 — 0 1 2 6 6 *
, 2750 KELLEY PARKWAY pATE [sSUEn: 1U13/2015
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 809 BROWN RD N
PIN : 27-118-23-34-0006
LEGAL DESC : UNPLATTED 27 l 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUAT[ON : $ 13,695.00
NOTE: REPLACE DECKING AND STAIRS-SAME FOOTPRINT,NO CHANGES
APPLICANT PERMIT FEE SCHEDULE 263.32
PLAN REVIEW 171.16
DECK CREATIONS&HOME REMODELING STATE SURCHARGE(VALUATION) 6.85
14120 37TH PLACE N
PLYMOUTH, MN 55447- TOTAL 441.33
(612)418-3677 Payment(s)
Minnesota State License#: BUIL-BC680948 CREDIT CARD 5988 44133
OWNER
HAHN,JERAD& LESL[E
809 BROWN RD N
LONG LAKE, MN 55356-
AGREEMENT AND SWORIV STATEMEHT
The work for which this permi[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 responsi le for assuring,all required inspections are
requested in conformance with the Sta �Building Code.This permit may be � 1��
revoked at an time for d cause. ,-, (
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Applicant er e i nature Date Issued By Signat� Date
City of Orono
.Quilding Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
O Mailing Address: Permit number: Ql Gl
��� � �� CrysBtal Bay, MN 55323-0066 Date received: 9�L�—
1 �
� �" Received b
� �, � � Street Address: g � y�
'y � ; 2750 Kelley Parkway �� '��� Plan review fee:
Ft �� Orono, MN 55356 • ���'�'� 2z
�Krsri���- � �`; L�� ✓J
__ 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 su itted. ���x„ n
Incomplete applications will be returned. (Please pnnt) � / �
GENERAL INFORMATION: � � �'1
Job Site Address: � � � ' ` ' � � r� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No
If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be
required un/ess applicant demonstrates su�"icient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: (�i__ � t �.�„ ? `�y:����.� ,� /t ,
�.. E � `,
State License# �.�,, . :- ..._�,�:-� � Expi ation Date: � - � r _
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) �`;�, _ (office)
Mailing Address: �-, , :,_.., .' , ' r i �J City; .' � , -; ZIP: ;� , '�'� ;
Contact Person: ` ,-;� (,,� ;,<, , (_ Applicant is_�ontractor � Homeowner �c�►�ie o�e�
Email and/or Fax: ^ '� ;,_ , <<_ . i,
PROPERTY OWNER INFORMATION:
Name: ;�1�_�; �- ��.�-
Phone(day): i..��:. -�s t. i_;.� r .
Address: � ;._�� . - � City: ZIP:
,
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
p ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District MCWD
❑ Re-roof,as halt 18202 Minnetonka Blvd ( )
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof, other(specify) ❑ Siding �f Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) ��:,��� ._ •n'.�, J" ' � • � www.minnehahacreek.orQ
Estimated Construction Valuation of Project(excluding land) $ ` _ � �
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• 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;
• 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
ou refuse to su I the informati n,the a lication ma not be issued.
Applicant's Signature: �- � Date: '�= -- �� =
� ..
Owner's Signature: Date:
Last Updated:January 2015
PLAN REVIEW CHECKLIST FOR NEI� STRUCTURES / AQDITIONS
�' Address: _ ��`�� �� ���� �'�'� �p�� Permifi No.:
Descr6ption of work: Date Rec'd:
Septic review by: i_�.��,�&^� � `'��'��/r� Date Approved:
Zoning review by: _�1��� .�., Date Approved:
`�_ <� �
Building review by. y,��:T� ,,��. Date Approved: ` 6�'� "� �
Grading review by: _ a '/�- Date Approved:
�
Zoning District: Zoning Fiie#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(�)�
Proposed Setbacks: `
,
Front(Lake) Rear(Street} ( N S E W ) ( N S E W ). Other Buildin�s Nlletland
Side Side
Defined Height: Peak Height: FFE: .-``FFE minus 6 feet= (Existing Contour
Perimeter(linear feet) = 50%= L.F. below grade #of Stories
FOR A BUILDING WITFi A BASEMENT OR CRAWL SPACE: y,FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed The distance between the top of
START W ITH floor(of the basement or crawl space)and : START W ITH slab and the highest point of the
the highesi point of the roof. � roof.
If you hav�a... If you have a..
• GABLE OR HIPPED ROOF(n¢`r • GABLE OR HIPPED ROOF
windows): Subtract half the di�tance (no windows): Subtract half
between the highest point o4the roof the distance between the
to the low point of the corre'sponding highest point of the roof to
the low oint of the
SUBTRACTION gable or hipped roof P
(BASED ON e corresponding gabie or
ROOF TYPE GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof
� windows): Subtract kialf the distance (BASED ON . GABLE OR HIPPED ROOF
between the Yop of,-the highest ROOF TYPE) (with windows): Subtract
window and the h(ghest point of the ' haif the dist2nce between
roof the top of the highest
• ALL OTHER ROOF TYPES(flat, window and the highest
mansard,ett):No subtraction. point of the roof
• ALL OTHER ROOF TYPES
SUBTRACTION Subtract the disiance between the (flat,mansard,etc):No
(BASED ON basemenUcrawl space floor and the subtraction.
EXISTING highest existiPig grade adjacent to the ADDITION Add the distance between the top
GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing
EQUALS Defined building height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building height
Shorelanc� D6strict MCWD Permit Average La6ceshore Setback B�uff
Met?
0 Yes ❑ No Permit Number: � Yes � No � N!A � Yes � No
� N/A—see attached Setback:
S�orm�nrater Quality �xisting Hardcover Pr°�����
Overlay Qistrict �o�a and sfl �ardcov�r Variance Required CUP Required
Tier circle one %and s
� Yes � No a Yes � No
1 2 3 4 5 TYPe�s)� Type(s):
Updated: January 2015 �
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' REMARKS (in-house):
i
Fees to be Char ed YES NO
�.
Perm it
Ffan Review f
State Surcharge ��
�; Investigation Fee
� SAC—Number of SAC Units °
Other(specify) �
S uare Foota e $ er S uare Foota e
Basement X - $
15'Floor X = $
2nd Floo� X $
Garage X $
F":('
Estimated Construction Value: � � '���' �� � �
Orono Inspections I�equired Work Requiring Separate Permits Required State Permits
; � Site Q Plumbing 0 Grading/ Filling � Well
� Silt Fence/ Erosion Control 0 Mechanical ❑I Fire ❑ Electrical
; ❑ Hardcover Removal � Septic � Water Connection
� ❑ Footing C] Fireplace � Sewer Connection
�; � Poured Wall � Masonry 0 Lawn Irrigation
''' 0 Foundation Survey � Mfg. � Landscaping
� 0 Foundation Waterproofing 0 Other(specify)
❑ Radon Rock Bed
..._ , ._.. �
_�Jammg �car��rc � .: ->r � , �F , _4 , � . <-t�- �� , , `-
_����.,��< �:� -trr�t �t� �,,,_ �� ��
� Insuiation
� As-Built Survey
'Final
� Other(specify)
' REN{ARKS (in-house):
9:
e
Other 12evievv: Reviewed by: Date Approved:
Access: Existing: ❑ YES ❑ NO New: 0 YES ❑ NO
< OFFICIAL REMAFtKS-TO BE NOTED QN PERMIT AND INITIALLED
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�TIC��r 7� SCHEDULED � ��
PERMIT NO. �-'� � COMPLETED
ADDRESS c�D � ����Lt.�l� /C_C� � � '
OWNER TELEPHONE NO. 1��� 7 ����7�
CONTRACTOR �� � ll ����T�,i
�: DESCRIPTION `r �C �- �� �� '
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL Rt ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC STALL
2 OWNERICONTRACTOR TO MEET YOU:_YES�NO
c�.� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED IS E CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 ho rs in adva . 9 2� 2 -4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice