HomeMy WebLinkAbout2010-00592 - deck ,� . CITY OF ORONO PERMIT NO.: 2010-00592
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/2U2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 670 BIG ISLAND
PIN : 22-117-23-24-0011
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 18,000.00
NOTE: REPAIR/REPLACE EXISTING DECK AND FOUNDATION
APPLICANT
PERMIT FEE SCHEDULE 309.75
STRUCTURES UNLIMITED, INC.
5425 CLAYTON DRIVE PLAN REVIEW 201.34
MAPLE PLAIN, MN 55359 STATE SURCHARGE(VALUATION) 9.00
O TOTAL 520.09
Minnesota State License#: 20173396 PAID WITH CC# 4787
OWNER
BRYSON II&THELMA, WILLIAM
3082 WILLOW DRIVE
MEDINA,MN 55340-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approvcd 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 celated 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.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 wnstruction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with[he State Building Code.This permit may be
revoked at any time for due cause.
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Applic t ermi e Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: ��/d — D0s9ot.•
4v�,� PO Box 66
� � � Crystal Bay, MN 55323-0066 Date received: 7�/Lo U
�"•"'m'" Received b 2
a ��w�a�� �, Street Address: y� •
�'� ' �� Gtii4 2750 Kelley Parkway Plan review fee:
��kESKo�� Orono, MN 55356
Total Fee: t5 �(� (��
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 applications will be returned. (P/ease print)
GENERAL INFORMATION: " �� /
Job Site Address: � �� ��l �-�/`�hc
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
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/APPLI T INFOR ATIO : ('� •
Name: ►-, ' J`l-r �, ��h j � �-
State License# 5� - Expiration Date: il1 `/�
Phone: -. � office � r cell
� Mailing Address: � Z=" ,",,.� Cit : ' Z : �
Contact Person: Applicant is: actor / Homeowner (Circle One)
Email andbr Fax: � �r �'it[�u0 c%n /����C���
PRQPERTY OWNER INFORMATION: , ' /
Name: / �" /'1r{� .jc��-,
� Phone (day): - .- � -- �
Address: ' pB'Z ttiv/pcy D�^!v Cit : �i�Gt ZIP: � 5��0
Email and/or Fax �
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8�permits
❑ Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.min hahacreek.or
Overall Project Description: L� ���
Estimated Construction Valuation of roj t( cluding land) $
APPLICANT ACKNOWLEDGEMENT: �`'���
� � ,f� f'`�-�e� .�l�r-� �S c3,r-��;.-,�c l�,
• Agrees to provide all information required or requested by the Building Department; �
7�"' re�c°PSS ��%/y'��"
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recogni�.'es 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 can be given to the public but can be given to the subject of the
data. Confidential data is in a i which generally cann be given to either the public or the subject of the data. Our
� purpose and intended use this inf mation is to annuall update our records and records of other governmental agencies
re uired b law. If ou refuse to su the informat' n, th a lication ma not be issued.
F
ApplicanYs Signature: Date: ������
Last Updated: 05-04-2009
� � � Plan Review Checklist for New Structures / Additions
�l S �
Address/ PID/ Legal: �� l,� s �-- � ( �1/�
Description of work: /� ����� ��� � ��7�l � ,��h�
� �r2c,�
Septic review by: Date Approved: � — (� �` �O
Zoning review by: Date Approved: �/ ��a �� b
Building review by: _ � Date Approved: � `2-� �� d
Grading review by: �//4' Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zonin District Fire Department Post Office School District
I
,
Zoning: Lot Are�. SF/AC Width: Depth:
Survey Submitted: ❑ '�es ❑ No Date of Survey:
Pro osed Setbacks:
Front(Lake) Rear(Stre� ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
�
Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES
`,
FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC ' FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement flo r/crawl START the distance between the slab and the highest
space floor and the highest roof peak, th 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 r und uppermost point on a round or other arch-type I
or other arch-t e roof roof
SUBTRACT half the distance between the highest window a d SUBTRACT half the distance between the highest window II
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
❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No
❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A
Permit Number: Setback:
Hardcover Zones Existin I Propos d Variance Required � CUP Required
0-75' ❑ Yes ❑ No j ❑ Yes ❑ No
75-250' Type(s): Type(s): I
250-500' �
500-1000'
REMARKS (in-house): �/��C� CiL'! �{'1�U �(/� Gi� f - �Z � (S
S � �iYI- 'G�1 - N�1�t ' S h�c.c.Gz-�-� - � �'
Updated: 09/11/2009 ���J� ��/�/ x �
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Fees to be Charged YES NO • , •
Permit :f
Plan Review �
State„Surcharge ,/
Investigation Fee
SAC=Number of'SAC Units
Sewer Connection
Water`Connection
Park Fee
'Site Inspection
Other(specify)
Misceilaneous Fees <
Calculated By:
Square Foota e $ per S uare Footage
Basement X � _ $
1 S' Floor X = I �
2nd Floo� X = $
Garage X � _ $
Estimated Construction Value: $ 1 4�,�nv ��
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical
,�Footing ❑ Septic ❑ Water Connection
❑ Poured Wall ❑ Fireplace ❑ Sewer Connection
❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation
❑ Radon Rock Bed ❑ Mfg.
,�Framing ❑ Other(specify)
❑ Insulation
❑ As-Built Survey
�Final
❑ Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/1 1/2009
z:\forms\plan review checklist.docx
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /o-�'�v
PERMIT NO. �OID--doSgz• COMPLETED
ADDRESS ��� �t� �S�^^"'>
OWNER TELEPHONE NO.
CONTRACTOR
�: DESCRIPTION
�
Ll� ❑ 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
��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OW NER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WfTHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
Owner/Contracto n ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice