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2012-00343 - attached deck
� � CITY OF ORONO * Z 0 1 Z - 0 P1 3 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: OS/07/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2835 CASCO POINT RD PIN : 20-117-23-31-0057 LEGAL DESC : SPRING PARK : LOT 114 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) REPLACE DECK APPLICAIVT PERMIT FEE SCHEDULE 191.75 LOCAL LAKES CONSTRUCT[ON STATE SURCHARGE(VALUATION) 5.00 1020 W. MEDICINE LAKE DR. 304 TOTAL 196.75 PLYMOUTH, MN 55447- (612)4l 8-4478 Minnesota State License#: BC473986 OWNER IVERSEN, ROSEMARY C 2835 CASCO PT RD WAYZATA, MN 55391- 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 l SO days of the date of issuance,or if construction is suspended for a period of I days at any time after work has commenced. The applicant is responsi e for assuring all required inspections are requested i onforma with the State Building Code.This permit may be revoke t ny � e due cause. 5 � � � �5� �7 / /v� l� a t e ite igna re Date Iss d E3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. C�ty of Orono � Buildin Permit A lication � � J pp f � ' for New Structures or Additions Mailrng Address: 3 �.(g ig,0,�.\� PO Box 66 Permit number: p la - �� �1 �� � �/ Q , O� Crystal Bay, MN 55323-0066 Date received: L -3 0 - � � �'z� L � Received by: � �� 1y'��'�'�;`-� � r StreetAddress:' ���'� ���%�•�,";�k'd G�� 2750 Kelley Parkway Plan review fee: o�DI o�2 - f�0 3 � �t�`��'-r-��/ Orono, MN 55356 �a y ���� \jfEs�os� � - � 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 appfications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �1"�' p �- �� � r 1�CG u�n � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o !f yes, a specral 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 I APPLICANT INFORMATION: Name: /�,c�.,I �c,!(.�� CL��•�r_<��fi�.� State License# �C.� '7 � Expiration Date: 3-�p�c� Phone: �� office) (cell Mailing Address: � ,;�/ ,,,,r , �p .s3 � Cit : / :,,���,f„ ZIP:�,5"y � Contact Person: [�., ;`�,�,�;..^ Applicant is: ont ac / Homeowner (Circle One) Email and/or Fax: �j_�;�,/�hC�iQ�'���f,;��%,�.,,,.u�.,•� PROPERTY OWNER INFORMATION: Name: �c5z,•,aCa .l�e,cs� � Phone (day): ���_ y j_ 7��, Address: ��_�y�d Cc+��- �,� City:(���� ZIP: ��s�y� Email and/or Fax ARCHITECT I ENGINEER INFORMATION: Name: �.:�� M���{.� ,(�eS+�. S{��v Phone (day): �'�-�5�,_�Gy� Address: �?y�' f�;�v�t,,, City:C�a�� 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 ❑ Office/Commercial ❑ Private Sewer ❑ Other. (specify) c r ❑ Multiple 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 www.m innehahacreek.or Estimated Construction Valuation (excluding land) $ �".pv�;l STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in spuare feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 S`Story — ❑ Other(please specify): e.2"d StOry= f. '/2 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 � ❑ Pro osed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Requirements Form � ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Septic S stem Site Evaluation Re ort � ❑ Access Permit � ❑ Wetland Buffer Im rovement Plan � ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ 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; • 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 agreement to ensure completion of the as-built survey and all site improvements. %�� � J ApplicanYs Signature: �' 2✓L.--' Date: �� ' /,� Y � ///j, V — T .rtu_yN k.._._� . „3.� ,....,M-.. ,. . .--�.....Y_, . :..�.,M,.-..W.:��rr��... - �._,� ,... ..rcm:.;.�s.r,r # . +,, ''; Plan F�eview �heck�is� for 1`ie� S�r��tures I Ac�di�i��s Address/ PID/ LegaL �� `'�� � �� - ���� "� '' , Description of work: "���,.'! , �_,, . ;;: �i��� �`'; �'t-�4 `��'����� r'�I���:z.�,,� -_ a r� � �°,�: Septic reviev�r by: � � �� �' L Qate Appeoved: � „ t <�� Zoning review by: � �° Date Approvecl: Building review by: ,��,�� �,����_-T- Date �pproved: "�� �� � ° ��d� � Grading review by: ���U��'�` �ate Approved: Zoning File#: Resolution#: Resolution Date: Zonin Distirict Fire �epartrnent Post�ffece Schoo! District Zoning: Lot Area: SF/AC Width: Depth,:=' n� Survey��bmitted: ❑ Yes Q No Date of Survey: Pro osed Setbac�ks: ��� � Fr�r�t (Lake� � `iRear(Street) � � � E � ) ( f� S E W ) 'Other Builciings �Ifet�land Side Side ! Building Defined Height: Building Peak Hei�h�' ,' #of Stories Ok?: 0 YES ,,> FQR A BUILDING WITH A BQSERrtENT OR CRAWL SPAC�. � FOR A�UILDiNG ON A SLAB FOUNDATION: START WITH I the distance between the basement floorl e(aw�' � START the distance between the slab and the highest � � space floor and the highest roof peak, the tc�p•pf WITH � roof peak, the top of the cornice of a flat roof, � the cornice of a flat roof,the c�eck line o#a the deck line of a mansard roof, or the mansard roof, or the uppermost poini an a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the hi�hest window and SJBTRACT half the distance between the highest window � hi hest roof eak of a itche�roof `� and hi hest roof eak of a itched roof ' SUBTRACT the distance between the�iasement flooN crawl ADD\ �-� � the distance between the slab and the highest space floor and the highest existing grade u✓ithin ��, existin rade within the foundation the foundation or 10#eet, whichever is less. EQUALS `",,pefined buildin hei ht EQUALS Defined buildin F��ight '� Lot Coverage: SF ���. � Shoreland Distri�t �IIC\IV� Permit�eceiv�d l�vera e Lakeshore Setbac`yc, B�uff 0 Yes � No E3 N/A �: f� Yes � No Q Yes � No ❑ Yes L� tVo Ct N/A ;—` Permit Number. I Setback: �fardcfiver Zones ! Exi�tin �roposec# Variance E�ec�uired CUP Re uired 0-75' � 0 Yes � No 0 Yes ❑ No 75-250' � Type(s): Type(s): 250-500' � 500-'i 000' REMARKS (in-house): ���'�` �� �'�����,, �z� Updated: 09/11/2009 z:\forms\plan review checklist.docx �, _ _ a . �. ..::._ , ,-.�£-��->:�:�.��--.-�....�. :�.�N � :�.�. E .._- ,,�,, ._ _,��.. - , ,, ..��s�. _ _.�. . ,,.� .._ . ::;. .... ,., .� .vt,.:.�. ,_ _ _ - - � � . � .,. �,�.. ��,-.; �,_�..- �-.- Fees to be Char ed YES NO Permit ����1 �lan Revievv ��'�' S�a�e Surcharge �,,3'� Investigation Fee Se4��f��r��er of SAC Units S��nrer Connection ` VIE`ater Co��e�tior� � Park Fee 'r:� Sife Insp�c�ion Othsr(specify) lViisceltaneous Fees � p Calculate� By: Square Foota e $ per Sc�uare Foota e Basement X = $ 15` Floor X = $ 2nd Floo� X = $ Garage I X = $ , ,. Estimated Construction Value: � � ` '` ' � � 4>' }; Orono inspections Required WorK Requiring Separate Permits 6�equireci State Permits � � Site � Plumbing 0 Grading / Filling a Well ❑ Hardcover Removal 0 Mechanical 0 Fire � Electrical �l Footing 0 Septic �7 Water Connection f� � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey 0 Masonry E'� Lawn Irrigation ❑ Radon Rock Bed 0 Mfg. �Framing 0 Other(specify) 0 Insulation 0 As-Built Survey Final � Other(specify) REMARKS (in-house): ; ; Other Review: Reviewecf by: Date Approved: f Access:Existing: � YES Q NO New: � YES 0 NO REMARKS (TO BE NOTED OI� PERMIT AND IN(TIALLED BY PERSOM PULLING PERMiT) + Updated: 09l11/2009 � z:\forms\plan review checklist.docx Hennepin County GIS - Printable Map Page 1 of 1 � Interactive PrOpe�ty � _ . � Maps �,�^� Map r _ _ � . � - _ ���-___ .�. = . -� _ . .� t �� "�;�"%, '° � ..�►.�,i''� �,. 1. ,�-� .��„��' ;� +� fi' ,�s - �` . � , t :� k,�• � y. � s� �� ��� _:.x- �� „ . � �. � •" . .� �'�. '�. - � '��,^�"" ,. . '�'. ey $�� �•� �� 1 �� „ .° � #_ � � „ � .,� . ��, ' � + �������'a� � �� �,��'��, ' "' t , ., 4 � . .. , w ^wr s•� � '.�`i`; ` �' # . *+'`. '� 4 �'� �4� + , �a ..� �"�4 � ,r, . _ � �j� � '`�� , a � � . �j..` �:� a�". ; - ���� # �x � ����'� ; �� �`�� , "'� '°`�� � �� # 4 � � ,•�: a.�- �.� '��� � M , _ �:k.�,� �e,��,� y�.. n�'� ^ �� �' . . ��i... �'�� , k% � . P.,a �� `"���# . ��.a._.k . �M�q � ' ` � � � 1a ft,�1, �!! �-3 •:�� * • �`� * 4 .,. � � +� � , � 1 e $ �� � yt� 4 �� +� �� ' .�... . ' �i4 � �i � � � f�.Y°. � �� .. ., s 1" v . � y� �.� .. � _ � �; ; }�� r� tt �� N�:...� d~� � ' � F �y f � � �y'/. ` . .jfl . �.,.... � �4.}�� .s<i5 " , ?. 1 '. r r Y� q � {j� � '�r". ,S�'+ S�a� ! •� 'e1 t . +J .B . . :ry�R. : a �., x w���� y � v ��} ��� �i: � � ���. 5 �f ,tiv�.f. #i � ..,Y.• ��. . �' �•�. '{� V� j �. �� ::�4- �� � ��� ��l� �f �t. e� ��.: � j�� �w . r � � �".L`.', y�� . � ;�� i i '�-- ��..�. t. /� Y•,.' � {�,': . � �; � S. ��' �., Po .. ' �N �. q� o� � y���� 'M �'� s ,�M' . �, $�,�i t'' �� {`�A . y?'�'`H - �, � . . " �'�pti � P'ti► - ;!4 ' ;,'�i }� � �' �a � f #S? �N ��'« � � , tLr'f" H�`z �R.� �'�., ,� `�.. '�� � s 14�.e°* # '..ia, , � .� ��'� _ e� g���'...�'. � t,A'd;ar�,A�:f�} � �`-.,. .� ���+?«i y, .� . '. .S '�.�.�; ��i.r "� a`< `4> '�., ` _ .. r ' ��. ��. . . . . �.^.., ,�� ,, �. ..�. Parcel 20-117-23-31-0057 A-T-B: Abstract Map Scale: 1"=50 ft. N ��' Print Date: 5/4/2012 � Owner Rosemary C Iversen Market $1,774,000 � Name: Total: Parcel 2835 Casco Point Rd Tax $22,059.62 Address: Orono, MN 55391 Total: (Payable: 2012) � Property Residential Lake Shore Sale $190,000 Typ@: PfICe: This map is a compilation of data from various sources and is furnished"AS IS"with no Home- Homestead Sale 01/1985 representation or warranty expressed or stead: Date: implied,including fitness of any particular purpose,merchantability,or the accuracy and completeness of the information shown. Parcel 0.84 8Cf2S Sale Contract For Deed COPYRIGHT OO HENNEPIN COUNTY 2012 Area: 36,428 sq ft Code: � ?'h��rk Gneem: http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=451120.36925,4974934.3 92300... 5/4/2012 � .� � � � � � • �.� � � � �� , � � JJJ T� ^ -:;::,���o�.�:a.bing.�om�rny��•;deYault 3sFu��'1�:�1=13&sryle=bEu�ir=03u=P=4�.9�a15'S502SSo�-a3.b1Q38�}3844,'•23 � j? i�C '����,�_�qle �,,,t • File Edit View Fa�orites Tods Help R'Windows Live �,_t_;in�a Q -1 � What's New ProFile Mail Photos Calendar MSN Share � � I� � a� I i� Sign in ; Favorites ', ,� ;�'Su:agested�ite= - `�,Free Hotmail �, Vt+e6�ii�_�Gailrr, � � - '; r?�; - Pa e- Safet Tools- " Bing Maps-Driwing Direckions,Traffic and Road Condi,,, � _.l ' 9 Y' '�'• �:'sEB If:IAGES 't'IC�EOS MAPS C�O�E ���� ;� Siyn in - I___ _ ._ __ _ ___ ---- __ ___ __ __ ______ _.� ' s 20 # �: - - - �. ,+ ��, _ . s� 4 . , „;;,: . „�,:sy', •"`+� , _ � � • ti' �•,. � -t-� �,� �. .`v„; . .,� ' � ,� x . . } �ry.-... � �.., r� �1Ci - Acr ... , . .. 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SCHEDULED �Z � ` PERMIT NO. aOl�'ODJ COMPLETED ADDRESS a�.�s _��C� CT � � OWNER TELEPHONE NO. �� L�18 �7 J' CONTRACTOR VD�� —L[�r.�.P L�-s C�'�.A-�— �; DESCRIPTION ���� �r�� — �e `"`� � / � ❑ FOOTING ❑ PLU N FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � 1 �� C�� �ac�+-J'��� �. ` � 0 � W � Q � Z W � W � � � �^ GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITH�N HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUEO ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �C.� � White Copyllnspector's File Canary CopylSite Notice �—� � DATE TIME /U�� ✓ CITY OF ORONO CALLED IN ,•�7 INSPECTION NOTICE SCHEDULED /�-d/-/ 2/ PERMIT NO.���� �� COMPLETED ADDRESS � g�� L� LO � OWNER _ TEL HONE NO. ��0�-Tl SJ���� CONTRACTOR �...�e�lit� �; DESCRIPTION ���""— �`'�-�`—' " ���G�� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALI ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � dc�- --� /�a 0 � - ��� l � 0 i ��� ��uf W � Q � z W � W �,� � '� � — � --- � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. I rf� White Copyllnspector's File Canary CopylSite Notice