HomeMy WebLinkAbout2010-00158 - attached deck , ,
CITY OF ORONO PERMIT NO.: 2010-00158
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUE�: 03/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2165 COLIN DR
PIN : 03-117-23-21-0017
LEGAL DESC : KELLEY GREEN
: LOT 002 BLOCK 002
PERMIT TYPE : ADD[TION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACT[V[TY : 434-RESIDENTIAL
VALUATION : $ 8,000.00
NOTE: ADVANCED PLAN REV[L'W WAS YAID WI"fH C�[L;CK#6440 FOR$]0�.46-PGRMIT
REPLACE EXISTING DECK WITH LAR NE WITH PGRGOLA OVER IT.
SEY"C1C UPDATE��12��/20 ([MTIAL)
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APPLICANT PERM[T FEE SCHEDULE 162.25
EARLING,JOHN
2165 COLIN DR STATE SURCHARGE(VALUAT[ON) 4.00
LONG LAKE, MN 55356 TOTAL 166.25
OWNER
EARLING,JOHN
2165 COL[N DR
LONG LAKE, MN 55356
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[3uilding Code. This permit is for only the work described and does
not arant permission for additional or related wark which requires separate
pemiits. 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 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 are
requested in con orn•n� i State Building Codc.This permit may be
rev � at a t f cause. �
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plic ermitee Signature Date Iss By Signature Date
S TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono � ��
Building Permit Application
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for New Structures or Additions �
Mailing Address:
�� PO Box 66 Permit number: tL� -L�Ul 5
j Q �, �1` Crystal Bay, MN 55323-0066 Date received: � 8 ��
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i a t'�'j�. -`:s�;;�, • R e c e i v e d b
��� Street Address: Y� T
\�c� � ;'��f�'�, ��/ 2750 Kelley Parkway
`t�g ` �'�� Orono, MN 55356 Plan review fee: pZ0 l U - ('(J/
Esx� �/0 5.�/!�
Iota�Fee: �-
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� �/��p, ;�
This application form must be completed in full and all required information must be submitted.
fncomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �((p� Cv�i� ���� di/'Ot�O , �'�'1 l�l ��J�,�
Will this be a Parade of Homes, Remodelers Showcase Home o other Display Home? ❑ Yes ❑ No
If yes, a specia!event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus seivice wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: City� ZIP�
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �i��'1.1/� �a�r� ✓la
Phone (day): C��'a_y,-���. p �`C--
Address: r ' j Cit : C��p ZIP: 5��3��
Email and/or Fax � �
ARCHITECT/ENGINEER INFORMATION:
Name: _
Phone (day):
Address: City� ZI P�
Email and/or Fax:
PROJECT INFORMATION:
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 eck
Relocation detached garage ❑ O ice/Commercial ❑ Private Sewer
ther: (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) $ t7 -(�
Last Updated: 9l29/2009
- 17 -
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 square feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 151 Story = ❑ Other(please specify):
e. 2"d Story=
f. 'h 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 Ap 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
� ❑ 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: � I � � �
Last Updated: 9/29/2009
- 18 -
�� D� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE p SCHEDULED
PERMIT NO.����—O� I�.F7 , COMPLETED
ADDRESS a�6� �"���
OWNER �JO� ���� TELEPHONE NO.�O�Z 96� 3�Iz-
CONTRACTOR °Z 9�Z ��� �3�5
>; DESCRIPTION ��DT� hq ` �e(�-�
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTIOtV REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site-
Inspector. ' , � -�
White Copyllnspector's File Canary Copy/Site Notice
t/ � � ��� DATE TIME �
CITY OF ORONO � CALLED W `�-�" �
INSPECTION NOT� E�h L SCHEDULED � �
PERMIT NO. �� U WI J� COMPLETED
ADDRESS � / L% �� � �'� � i � ��
OWNER �L�'1 i� LS�-�1�(Yl TELEPHONE NO.`"c�a ��3���
CONTRACTOR � � �� �° i2-`��3 337�
>; DESCRIPTION �jC� ��' � � n� I
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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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ P IC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU. YES_NO
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� ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
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. �952� 249-46�0
OwnerlContractor on site:
Inspector. �.< /,�� �
White Copyllnspector's File Canary CopylSite Notice