HomeMy WebLinkAbout2014-00249 - attached deck ' � CITY OF ORONO * 2 0 1 4 — 0 0 2 4 9 *
2750 KELLEY PARKWAY pATE tssuEn: 09/09/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4325 CHIPPEWA LA
PIN : 31-118-23-42-0009
LEGAL DESC : CHIPPEWA
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,200.00
NOTI?: AFTI�;R THr;NACT Df_:CK
APPLICANT PERMIT FEE SCHEDULE 47.75
PLAN REVIEW 31.04
RICHARDSON, DALE&TAMARA STATE SURCHARGE(VALUATION) 0.60
15405 NORTH EDEN DRIVE
EDEN PRAIRIE, MN 55346- MISC FEE 47.75
TOTAL 12714
Payment(s)
CHECK 22663 127.14
OWNER
PETRUSA,JOSEPH &JANELLE
4325 CHIPPEWA LA
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
"The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
Sta[e Building Code. This pennit is for only[he work described and does
not gran[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 no[specified herein."I'his 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 peiiod of 1%b day�a[any time after work has commenced.
The applicant is respons e for,,�ssuring all required inspections are
requested in con�orm ce w� the State Building Code.'Chis permit may be
�evoked at any x�me or cause.
l" , .� �
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App ican ercniteA.�Si�n ture Date Issu By Signature Date
/
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City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: �� '��
.�O A TO PO Box 66
�V Crystal Bay, MN 55323-0066
Date received: �� �"
StreetAddress:' Received by:
y � 2750 Kelley Parkway Plan r '
F ��,� Orono, MN 55356 - /
11KESH04 Main: 952-259-4600 Total Fee: / �, ��,L
Fax: 952-249-4616 www.ci.orono.mn. �
This application form must be completed in full and all required in�formatron bmitted.
- Incomplete applications will be returned. (Please print) � �
GENERAL INFORMATION;; < <-/� / �
Job Site Address: Z } C.._/�-•' �-�%J•-- � �--
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes, a specia!event permit is required with Police Department and Ciry Council approva160 days prior to the event. Shuttle bus service ill be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICA T I ORMA /
Name: _r,e�Gc-��- � G�t u r��r�. <
State License# Expiration Date:
Phone: cell � ' office
Mailing Address: p S . .i Cit : � ZIP: .���
Contact Person: � AppliCant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �. � /J �r �
PROPERTY OWNER O MATI� /
Name: l� � - `G4 <� l'`.�
Phone (day): / Z - 7 a �S-�o �' S —
Address: � 7 ZS�� C� ���'�� � ��-- -� Cit : c�.%.��v ZI P:S~S:S��
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
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 f��� detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
*"Any earth movement may require ❑ Commercial ❑ Other(specify)
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
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) �
�Z:s�t� �_
Packet Last Updated: 04/19/2013
Page 22 of 23
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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 square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1 S`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 A licable
❑ ❑ 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
❑ ❑ Minnehaha Creek Watershed District Permit s
❑ ❑ Plan Review Fee
❑ ❑ 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 generalty 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 to ensure completion of the as-built survey and all site improvements.
, /
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ApplicanYs Signature; i� " Date:
Owner's Signature: � � ' %r _ - Date: �"' �� ����
Packet Last Updated: 04/19/2013
Page 23 of 23
;
' PLAN REVIEW CHECKLIST FOR nIEVl1 STRUCTURES / ADDITIONS
Address/Permit Number: ''"i � V[ le
Description of work: �� � p-�C�C.�--
Septic review by: � �� Date Approved:
•' Zonin� review by: �. Date Approvec�: q''�"��
�
� Building review by: ����� ----- Date Approved: y- 9 - /�
Grading review by: ��� Date Approved:
Zoning District: " �� Zoning File#: '' eso#: Reso Date: ���d' 0
- Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _%
�( Survey Submitted: �Yes � No Date of Survey: � � '�,� ' � � Revised date(?):
Pro osed Setbacks:
n: `�,
Front (Lake) Rear(�et) ( N S E '��IV�Jj ( N S E W ) Other Buildings Wetland
� Side Side
,` �� , E
n
�� Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour;
Perimeter(linear feet) = 50% _ #of Stories Ok? � YES
FOR A BUILDING VIlITH A BASEMENT OR CRAWL SPACE:
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 Oj3.}iIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windoH�sj Subtract half the windows): Subtract half the distance
distance between the highest point beh�rserrt�ie highest point of the rool
�csf the roof to the low point of the '�t6 the low point of the corresponding
SUBTRACTION . corresponding gable or hipped roof SUBTRA�TION gable or hipped roof
� (BASED ON ROOF '. GABLE OR HIPPED ROOF(with (BASED O� . GABLE OR HIPPED ROOF(with
ry' TYPE) windows): Subtract half the ROOF TY 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 distance between the top of slab
SI,I�TRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
�ASED ON EXISTING basemenUcrawl 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 Defined building height
{'
Shoreland District NEE9C1lVD Permit Received Avera e Lakeshore Setback Met? Bluff
� Yes 0 No � N/A � Yes No
0 Yes �No 0 Yes � No N/A
Permit Number: Setback:
Storrnwaa�er Quality Existing Proposed �ariance Required CUP Required
Overla District Tier Hardcover Hardcover
Yes ❑ No 0 Yes 8 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 ��, � d- P��re�,� �
SAC—Number of SAC Units
Other(specify)
Square Foota e $ er S uare Foota e
Basement X = $
1 g`Floor X = $
2nd FIoO� X = $
Garage X = $
Estimated Construction Value: $ �„ �°� �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing 0 Grading / Filling � Well
� Hardcover Removal � Mechanical � Fire � Electrical
0 Footing ❑ Septic � Water Connection
� Poured Wall 0 Fireplace 0 Sewer Connection
� Foundation Survey 0 Masonry � Lawn Irrigation
� Radon Rock Bed 0 Mfg.
❑ Framing 0 Other(specify)
0 Insulation
0 As-Built Survey
Final
� Wetland Buffer
0 Other (specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES � NO New: 0 YES ❑ NO
OFF{CIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
,;
3
Updated: January 2013
v:lformslplan review checklist 2013.docx
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Open g�ardrails mus;have int�rrnedi�te :�iis or an ornarnental
pattern so that a sphere 4" in diameter cannot pass through.
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DATE TIME �/
CITY OF ORONO CALLED IN
INSPECTION I�O�SCEp���4 SCHEDULED
PERMIT NO.��� -��'�' � COMPLETED �-�-!`� �° ��
ADDRESS Y/.3Z 5 C/3i�'P�`✓� GgNC
OWNER �A�4 rz ��'a ►��5�^'TELEPHONE NO.
CONTRACTOR c�wr.��
� DESCRIPTION f�Fn=R "r�it= r�� D�c.K
�
� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS
� ❑ 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 O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac r on 'te:
Inspector.
White Copylinspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED
PERMIT NO. �l`{�' �d�`E g COMPLETED �`1-� ��t9�1
ADDRESS �3 2� G N�P C�w�}
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �� �'�'
�
� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ,P�NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� �WORKSATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOA
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (J52� 249-460�
OwnerlConVactor o site:
Inspector.
White Copyllnspector's Flle Canary CopylSite Notice
CRRTIFICATE OF SURVEY FOR ��3 Z 5 �,��ew�
DALE RICHARDS4N �
O F LOT 1 , B LOC K , C H I P P EWA RECEIVED
HENNEPIN COUNTY, MINNESOTA NOV152013
CITY OF ORONO
N 89°26'00" W 149.01 '
City of Orono 0���� ��
Planning&Zoning Plan �ev�.��v _`�
Site Plan Review Date: 4r
�ROVED _
❑APPROVED WITH�EVISIGN (seE notes)
O DENI�D •
Staff: �
1
2
PROPOSED -;o:o"
SHED o
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DECK �
DECK M
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� ........28:2_..---1. M � 22.1 •------••--•-•-•-•55 3-•••--••--•--...---- �
o � EXISTING HOUSE �, �
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0o ROAD EASEMENT SHOWN � ON COUNTY MAP �
r�z ���2�'^�" �Y' 1��.�1
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`�' CHIPPEWA LANE `�
LEGAL DESCRIPTION OF PREMISES: �
�
Lot 1, Block 1, CHIPPEWA �
� : denotes iron marker found O
o : denotes iron marker set
This survey shows the boundaries of the above described �
property and the location of an existing house, deck, and �
driveway thereon. It does not purport to show any other �
im rovements or encroachments.
I hereby certify that this survey, plan, or report was prepared by me
sr_r.L�
GRONBERG & ASSOCIATES, INC. or under me direct supervision and that I am a duly Licensed Land Surveyor 1" = 30' q�
CONSULTING ENGINEERS,LAND SURVEYOf�S, under the laws of the State of Minnesota. ��,1��""`�" �
SITE PLANNERS '���_�-{;4 �
445 N.WILLOW DRIVE ��_�?��•=i-� �
LONG LAKE,MN.55356 �%�y""_`-'� ,10� ��'�. m
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952-473-4141 i���+��� /./_ ____�_ �_ ?
13-412 Mark S. Gronberq Mi� nnesota License tJumber 1�755 13-�'�'�' �
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