HomeMy WebLinkAbout2014-00263 - attached deck • CITY OF ORONO * z 0 1 4 �0 z�
r . 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 100 CHEVY CHASE DR
PIN : 36-118-23-41-0030
LEGAL DESC : HILL O'WAY MANOR
: LOT 025 BLOCK 001
PERMIT TYPE : ADDITION /REMODEL/REPAIR
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 20,000.00
NOTE: SEPARATE PFRM1'I�S RF,QUIRF.D: ELEC"I'RICAL(STATE)
DECK& SCREEN PORCH ADDI"T[ON
APPLICANT PERMIT FEE SCHEDULE 339.25
STATE SURCHARGE(VALUATION) 10.00
CURT'S CUSTOM DECKS 1NC TOTAL 349.25
2935 194TH LANE NW
OAK GROVE, MN 5501 1- Payment(s)
(763)453-6063 CHECK 8083 349.25
Minnesota State License#: BUIL-BC217388
OWNER
BIERMAN, MICHAEL
l00 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issued shall be performed according to
the approved plans and speciYications,applicable City approvals,and the
Statc E3uilding Code. This permit is for only the work described and does
not,rant 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."I'his permit will
expire and become null and void if consiruction 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 aze
requested in conformance with the State[3uilding Code.This permit may be
rev ed t any time tbr due cause.
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Applicant Permitee S gnature Date Issu y Signature Date
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CITY OF ORONO y�-1 � _�
BUILDING PERMIT APPLICATION ��9 �-5
FOR NEW STRUCTURES OR ADDITIONS
q, Mailing Address: Permit number: �l�/ �- D7J �
��'Y �-a*y�� PO Box 66
�j, Crystal Bay, MN 55323-0066 Date received: -
� Received by:
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Street Address:'
\,\�,� �,1 2750 Kelley Parkway Plan review fee: o7vZd� ��
� ! `�' ' Orono, MN 55356 a���, ���
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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 submitt gv�7
Incomplete applications will be returned. (Please print) U
GENERAL INFORMATION:
Job Site Address: I L` �! C'lt a��.' V �E"�µ�� � �)�-
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-�fQ'o-
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/AP ICANT INFORMATION:
Name: ����� ��:5-��-� ��.�,5 �v�
State License# ���3 ,k� Expiration Date: �f 3� l ti,
Phone: (cell) 7�3-c���-- :S�/ � (office) "7�3� �TS 3 - �x���
Mailing Address: � �• ! � Li����,.J Cit : '� . ,,� ZIP: - -v!t
Contact Person: r ��,� �.•� Applicant is: ontrac� / Homeowner (Circle One)
Email and/or Fax: _�'��- 6,; �y S'� ( �c1 ��:-Cc,���� �i�0 3- ��3-3�'�3 �t
PROPERTY OWNER INFORMATION:
Name: r�we,,,c.( /3e Y�'/"L4rJ
Phone (day): 7'b,3- �V- frS��S
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect:
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 j r,�_ ❑ Public Water
"'Any earth movement may also require ❑ Commercial QOther(specify) �����y.
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
wtivw.minnehahacreek.or
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Estimated Construction Valuation (excluding land) $ -�Lr��C
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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
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in spuare feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1S`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 A lication
� ❑ Pro osed Buildin Plans
❑ fv1f�.State Ener Code Calculations and Mechanical Code Re uirements Form
f�7- ❑ Surve (meetin all requirements
❑ � ��tormwater Pollution Prevention Plan
I�- �tardcover Calculation(s r ,) �a; - iauw�'
❑ C�' S tic S stem Site Evaluation Re ort
❑ C3� Aecess Permit
❑ G3' Wetland Buffer Im rovement Plan
❑ CY ,En ineered Plans for Retainin Walls 4 feet or above
❑ L�' J�llir+r�ehaha Creek Watershed District Permit s s�-
❑ ❑ 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 pubtic 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.
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ApplicanYs Signature: - Date: y`�!/
Owner's Signature: Date:
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�:: - PLAtV F�EVIEW CHECFCLI�T FOR IVEVN STRUCTURES / ADDITIONS
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AddresslPermit Number: � � o
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Description of work: �Q.� �-���,,� �I�,� �(�,('��
Septic review by: ��� Date Approved:
Zoning review by: �, � Date Approved: ��-€ 'E�
Buiiding review by: � p.��1P-- Date Approved: "�'�' ��'(
Grading review by: N�,c Date Approved:
;
Zoning District: � "� ��l Zoning File#: Reso#: Reso Date:
3 �
Zoning: Lot Area: SF/AC UVidth: Lot Coverage: Og�� SF ��%
Survey Submitted: �es ❑ No Date of Sunrey: �� '�9' Revised date(?):
Proposed Setbacks:
Front(Lake) Rear(St�et) ( N S E :?��) ( N S � E�;W ) Other Buildings IOVetland
Side Sic�
, %` G' � - '
� 1¢,. �,._ ,�^�..�: �""�� ,.
ra�
Defined Height: Peak Height: FFE: FFE rninus 6 feet= (Existcng ContourJ
;,
Perimeter(linear feet) = 5Q% _ #of Stories Ok? � YES
FOR A�UILDING WITH A BASEMENT OR CRAWL SPi4C@:
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement or crawl
space)and the highest point of the roof. START WITH The distance between the top of slab and
the highest point of the roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the hiChest point between the highest point of the roof
of the roof to the low point of the tc ihe low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE QR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
. ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(Flat,
mansard,etc:No subtraction.
_ mansard,etc):No subtraction. ADDITION Add the dis4ance between the top of slab
SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation.
GRADES) highest existing grade adjacent to the GRADES
foundation OR 10 feet{whichever is less}. EQUALS Defined building height
�EQUALS pefined building height
�
Shoreland District IVICIlVD Permit Received �4orera e Lakeshore Setback Met? Bluff
� Yes ❑ No � N/A � Yes No
0 Yes �No � Yes � No N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Requieed
Overla District Tier Hardcover HarcEcover
� Yes No ❑ Yes No
�,� Type(s): Type(s):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
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REMARKS (in-house):
Fees to be Char ed YES NO
Permit �
Plan Review +�//
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 = $
Znd FIOo� X - $
Garage X - �
Estimated Construction Value: $ �sd'd00�'�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site � Plumbing ❑ Grading/ Filling 0 Well
0 Hardcover Removal 0 Mechanical 0 Fire �Electrical
�Footing 0 Septic 0 Water Connection
� Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey � Masonry � Lawn Irrigation
� Radon Rock Bed � Mfg.
�Framing � Other(specify)
� � Insulation
� As-Built Survey
�Final
0 Wetland Buffer
0 Other(specify)
REMARKS (in-house): ��. �� � �� � � ' •� �"`
�`� ltQ��= t� �.� : � t� 14- - Eq� ���•
�tt��+ !� � t Y �
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Other Review: Reviewed bp: Date Approved:
Access: Existing: 0 YES 0 NO New: � YES � NO
OFFICIAL REMARKS -TQ BE NOTED ON PERf�fIT APlD INITIALLED
� U dated: January 2013
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�3 � DAT TIME "
CITY OF ORONO CALLED IN 7 -�
INSPECTION N JI E SCHEDULED � / :O'fl
PERMIT NO. / �D`?63 COMPLEfED
ADDRESS l�D ���e '��
OWNER ELEPHONE NO. ��Z- �ZS Is�j
CONTRACTOR C�/J �e G�
� DESCRIPTION ��'n� r +�`�`�"'/ P��-�'v
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
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Inspector_ �1 G►�.�-
White Copyllnspector's File Canary CopylSite Notice
7 �TE TIME V
CITY OF ORONO �'� CALLED IN ��
INSPECTION NOTI E a SCHEDULED � ��
PERMIT NO.a � r� COMPLETED
ADDRESS �� C���Z,( �� �V
OWNER TELEPHONE N0.7�3 �3� S�/�
CONTRACTOR L� C�� T �"'� I�EC�S
� DESCRIPTION �I� — ��'l� `� ��e����
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ,
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWEF HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES�NO +
� CO M M ENTS: ����'Yt-C.� � ,��C��'i1D 4�'l� �
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OFDER POSTED.CAIL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
Owner/Contractor on site:
Inspector. � �0
White Copy pector's File Canary Copy/Site Notice
J� ���J DD 3 ATE T E V
V CITY OF ORONO �c�LLED IN �� ` �
INSPECTIO OTIC SCHEDULED �
PERMIT NO. —��S COMPLEfED
ADDRESS �� �'
OWNER ���-►"� TELEPHONE N0.�63' �'� ���
CONTRACTOR ��� �'�'1 �-C41
� DESCRIPTION �-��`'ti '� ����� ��I �e�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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. ❑ yy-�p
_ ❑ DEMO-FINAL O SEPTIC INSTALL REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/ OVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES
v�i COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 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. (9 2) 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
�.� � � DATE TIME ✓
CITY OF ORONO CA ED IN
INSPECTION OTI SCHEDULED �
PERMIT NO ' D� COMPLETED /�-�b � �
ADDRESS
OWNER LEPHON NO.��-3'�.�'���
CONTRACTOR
� DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y �RAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SlA6 ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor or�,site:
Inspector. ( �t�l a--�' -�-
White Copyllnspector's File Canary CopylSite Notice