HomeMy WebLinkAbout2009-00653 - replacing detached deck � CITY OF ORONO PERMIT NO.: 2009-00653
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 09/30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2965 CASCO POINT RD
PIN : 20-117-23-31-0063
LEGAL DESC : REG. LAND SURVEY NO. 1470
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NO"I'E: PLEASE FILL IN Tf-IE FOLLOWING:
VALUATION OF PERMIT: $ 1500.00
TYPE OF PF,RMIT THIS PAYMENT IS FOR: REPLACING DETACHED DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00654
APPLICANT ADVANCED PLAN REVIEW 37.38
SWENSON, CLIFFORD TOTAL 37.38
2965 CASCO POINT RD
WAYZATA, MN 55391- PAID WITH CC# 3039
OWNER
SWENSON, CLIFFORD
2965 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORIv 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. Ail 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 applican[is responsible for assuring all required inspections are
re `�d in conformancel the State Building Code.This permit may be
r d at an ue cause.
``_ ' ��� /2 D / O '
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Applican ermitee Signature Date Issued By Si ature e
RFPARATF PFRMTTC RF(liilRFll F(lR UVf1RTl 11TUT7u n1.i nGcrnTQcr� nonc
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: �"i �� � (`�i� �� �j�
Description of work: ���,q(j ��, �Q �(_ � , �j,-('��� -� �C� �����
Septic review by: � � � Date Approved:
Zon�ng review by: 41�'l Date Approved: 5 • L(p �[�
„
Building review by: '-�- Date Approved: � '2 i �< <%
C�ading review by: Date Approved:
Zoning File#: �a ��� Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
—��-
Zoning: Lot Area: � 4� SF/ C� Width: Depth:
Survey Submitted: I�Yes Z��Z D No� Date of Survey: 2�(��~��
Pro osed Setbacks:
Front(Lake) Rear(Street) ( � S E W ) � N `� E W ) Other Buildings Wetland
Side Side
2�� �'I�hb' �/� t�+ �.. , N+,.� ti,,�
Building Defined Height: �(�r Building Peak Height: �+�' # of Stories Ok?: � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
STRRT WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof, the deck line of a the deck line of a mansard roof, or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
0 Yes 0 No 0 N/A 0 Yes No
�Yes 0 No Yes 0 No 0 N/A
Permit Number: Setback:
U tb�N�%
Hardcover Zones Proposed Variance Required CUP Re uired
0-75' �(� 'aj Z�y �� Yes 0 No ❑ Yes 0 No
75-250' Type(s): Type(s):
250-500' �-'���'
U
��T� �
500-1000'
(� 4V�
REMARKS (in-house):
Updated: 09/11/2009
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Fees to be Charged YES NO
Permit
C-'"--
Plan Review
State Surcharge -
�..�
Investigation Fee
SAC— Number of SAC Units (
Sewer Connection
Water Connection
Park Fee �
' 'Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per Square Foota e
Basement X = $
1 St Floor X = $
2nd Flool' X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separ•ate Permits Required State Permits I
�1
�
� Site ❑ Plumbing 0 Grading / Filling 0 Well
❑ Hardcover Removal � Mechanical 0 Fire 0 Electrical
,�Footing ❑ Septic 0 Water Connection
� Poured Wall 0 Fireplace � Sewer Connection
0 Foundation Survey ❑ Masonry � Lawn Irrigation
0 Radon Rock Bed ❑ Mfg.
�Framing � Other(specify)
� Insulation
0 As-Built Survey
�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES � NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\forms\plan review checklist.docx
f . . , �� 1 t'�� ��� � �
, ' ,4�� City of Orono FOR C[TY USE ONLY ��O
O y` Q P.O.Box 66 Date Received: �3p�0� Permit# Zvv-� -
�,,1 2750 Kelley Parkway
� ,11���t�r- � Crystal Bay,MN 55323 Amount: $l/S�� C.U.P Filed:
��`��y� (952)249-4600
$ Approved By: Site Plan:
Recommends: A roval ❑ Denial ❑
ZooR-ooc� -�Pt�n nev►ew r-eQ. �3��3g
CITY OF ORONO - USER DEFINED/GENERAL PERMIT � b� ��t��
(All permits must be approved by the Building Official and/or Zoning Department) a,'�•Qq
Job Site/Owner Inforrnatian: ;;��m�,� „� �.:
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Site Address: �1 E '� �--f�S CQ �i/ /V')� ��
�'F�c� ��a�r(o�v� S��erv�v �� �c� ,�.
Owner: � I V(� Mailing Address: �q�O � � `� fi ����
City: �� 1^�R l� Zip: � �.��
C.('/�
Home Phone: ���=�" ���/� �"���� Alternate Phone: ���, �,��� � (� ��
Contractor/Applicant Information: �� � � ��
Contractor/App.: �'��� Contact Person:
Address: State License#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
TYPES OF USER DEFINED PERMITS
�Stairway to Lake ❑ Retaining Walls ❑ Temporarv Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) � * (Per UBC) *$30.00
*Estimated Co t: ��J -C�7 *Estimated Cost: $
�=-�.ic f uC1P C��'%�c�"�� — ;'i�Q.CJC $I,000
❑ Docks-One Time�No�-Lake Mcka) ❑ Land Alteration ❑ Zoning Review
General—User Detined Surcharge General—User Defined General—User Defined
❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards *For 0-75'Zone-$30.00
*EStlmated CoSt: $ $50.00(Needs Site Plan)
General-User Detined ❑ 501+CublC YaTds
❑ Residential- $30.00 $50.00(Needs C.u.P.)
❑ Tree Removal
General—User Defined
*Within 0-75' -$30.00
I herby apply for a User Defined Permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the Ordinances and Codes of the City and with the State
Building Code;that I understand this is not a permit and wark is not to start without a permit;and that the wark
will be in acco�arice"vvith-the-a��x.c�ved plan.
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Ap�J,ic % Date
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City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: ,�D6�-
/��,��� PO Box 66 Permit number:
/i Q �` ��\, Crystal Bay, MN 55323-0066 Date received: g��—Q
'I '�r �I
��� ���✓��s-;;; a,�; Street Address:� Received by:
'��'.�c, %�}:;� �;�'.� ��ti ' 2750 Kelley Parkway Plan review fee: � —QD 5.3
�L `"��Yt�'��r�� Orono, MN 55356 3 • � �,�
?fEsxoi 7 3 ��,3�.
�——� 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. /'�o!
Incomplete applications will be returned. (P/ease print)
GENERALINFORM O • , , /�
Job Site Address: �� J (_,��� SC� ��l N�- /\C�c?' �
Will this be a Parade of Hom , Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required witls,Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates suffici�qt on-site parking rs available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMQTION:
Name: �e( �
State Lir,snse# Expiration Date:
Phone: (office) (�ell)
Mailing Address: Cit : ZIP:
Contact Person: Applicant is: Contractor ! Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION1:
Name: C� � FFC�v_�D � �a r'�0 c�b`� ��,�)�/�l SO/'Y,
Phone (day) �j S,�- y��/� ��j ai'� �
Address: a, �.� CF�S�b j.�r���T Z�'� 1
� `f' /��C� City:C,U�`Y � ZIP: S_S .���
Email and/or Fax C�� , FF SW eNs��'V ' S� COf��
ARCHITECT/ ENGINEER INFO�ATION:
Name: ��-_(�
Phone (day):
Address: Cit : 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 ara e Gara e/Accesso Bld
9 9 � g ry g� ❑ Public Sewer
❑ Accessory Building ❑ Single Family with Deck
[�Relocation � detached garage ❑ Office/Commercial
�ther: s eci ,,v ❑ Private Sewer
( p fy) ❑ Multiple Family/Condo ❑Warehouse
�j'[� ❑ Public ❑ Storage �Public Water
'`*Any earth mov ent may require ❑ Commercial ❑ Other(specify)
MCWD review permits. ❑ Industrial
Minnehaha Creek Watershed District MCWD ❑ �ivate Well
( ) ❑ Other. (specify) �
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ��j,�
Last Updated: 9/29/2009 , w
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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
c. Basement= ❑ On-site Prefab
❑ Off-site Prefab
d. 15t Story = ❑ Other(please specify):
e. 2�d Story =
f. '/z Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed Applicable
� ❑ Permit A lication
� ❑ Pro osed Buildin Plans
� ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
� ❑ Surve meetin all re uirements
� ❑ Stormwater Pollution Prevention Plan
� ❑ Hardcover Calculation(s)
� ❑ Se tic 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 i
� ❑ 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;
• 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.
_ _,____�`
ApplicanYs Signature: Date: g 3C� �
� � a�� � �'/ 3��� ��
Last Updated: 9/29/2009 " l
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