HomeMy WebLinkAbout2010-01055 - attached deck CITY OF ORONO PERMIT NO.: 2010-01055
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE [SSUED: 10/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2565 COUNTRYSIDE DR
PIN : 04-117-23-11-0011
LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : ADD[TION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 8,000.00
NO"Il�;: REY�1[R EXISTING DECK
APPLICANT PERMIT FEE SCHEDULE 162.25
D. T. MEISINGER DEV. INC PLAN REVIEW 105.46
1242 OTTAWA AVE
WEST ST PAUL, MN 551 18- STATE SURCHARGE(VALUATION) 5.00
(612)366-1361 TOTAL 272.71
Minnesota State License#: 20634449
OWIVER
MICH, MR. & MRS.
2565 COUNTRYSIDE DR
LONG LAKE, MN 55356
ACREEMENT AND SWORN STATEMENT
I�he���ork f��r�vhich this permit is issucd shall be performed according to
thc approvcd plans and specifications,applicable City approvals,and the
State Building Code. 'fhis permit is for only the work described and does
not grant pennission 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 not specitied 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 requircd inspections are
requ d in conforman with the State Building Code.This permit may be
re oked t any time f duc cause.
� lc1 Y'' / l�G /�l l /[/
ApplicantPen tee Si ature Date I ,u d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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V���iv'" p ` �
City of Orono
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Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: �j0/O—�/0,5..�
�,�,�\ PO Box 66
0 �\ � � Crystal Bay, MN 55323-0066 Date received:
����� � Received b
� �°`�=x.� II
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s, Street Address:' Y�
�'�,n ��!'� �� � 2750 Kelley Parkway Plan review fee:
L�kEBH 4� Orono, MN 55356
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.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: — • , / / ,i�
Job Site Address: �S � S� ���� �ry s, �l c� ,l/r"��eL
Will this be a Parade of Homes, Remodelers Showcase Home or 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 service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLIGA�T INFORMATION: �
Name: Q� m��s. .� Pr c� :N�
State License# _ �?0 6 ,� �'yy9 Expiration Date: ,� ij
Phone: Co?�(,. Gi, �� (office cell
Mailing Address: /��! . �,,�,Q �e Cit : s� .% ZIP: J��
Contact Person: �;�,; ��,si�� �. Applicant is: n rac or / Homeowner (Circle One)
Email and/or Fax: ��f irr�;,l,i,g er e v � %Q ao . �e--^
PROPERTY OWNER IN�RMATIOQI� f
Name: �,..,-� .r'!�c ic
Phone (day): a � G (o
Address: �„�'G,f' ��>;,,, rys, � ,Q,E► City: O��X�' ZIP: �f�f�'
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name: �v�/g
Phone (day):
Address: City: 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 garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑ Accessory Building ❑ Single Family with ❑ Deck
�Relocation •- � l detached garage ❑ Office/Commercial
Other: s cif �P/��`r k' ?� �� ❑ Private Sewer
( p/��) ❑ Multiple Family/Condo ❑Warehouse
cY�t G�tS %S ❑ Public ❑ Storage ❑ PublicWater
"*Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. �Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) Other: �peCify)
18202 Minnetonka Blvd �x
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ��C�O , c�4
Last Updated: 9/29/2009
- 17 -
t
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. 1 St Story = ❑ Other(please specify):
e.2"d StOry=
f. '/2 Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed A plicable
❑ Permit Ap lication
❑ Pro osed Buildin Plans
❑ �9 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: /� '���d
Last Updated: 9/29/2009
- 18 -
Plan Review Checklist for New Structures / Additions
Address/ PID / Legai: Z-S!os �'��v n�Z-,R�, S i ,�,Q �2
Description of work: I N �c.��.� �,� ,(Z��J����- � � � 2�
Septic review by: /J �/� Date Approved:
Zoning review by: Date Approved: � �/ " 27 �� O
Building review by: Date Approved: / �- Z�-i�
Grading review by: _ N�/-� Date Approved:
Zoning File #: Resolution #: Resolution Date:
Zonin District Fire De artment Post Office Sc ol District
�
Zoning: Lot Area: SF /AC Width: Depth:
Survey Submi ❑ Yes ❑ No Date of Survey:
Pro osed Setbacks:
Front (Lake) Re (Street) � N Side w � � N S E W ) i Other Buildings � Wetland
Si
i
Building Defined Height Buildin eak Height:
FOR A BUILDING WITH A BASEMENT OR CRAWL SP E: FOR A BUILDING ON A SLAB FOUNDATION:
START the distance between the baseme lo START the distance between the slab and the I
WITH crawl space floor and the highest ro ak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof e d� of a flat roof, the deck line of a mansard
line of a mansard roof, or the u ermost roof, or the uppermost point on a round or
oint on a round or other arc t e roof other arch-t e roof
SUBTRACT half the distance between e highest S TRACT half the distance between the highest
� window and highest roo eak of a pitched window and highest roof peak of a
roof itched roof
SUBTRACT the distance betwe the basement floor/ ADD e distance between the slab and the
crawl space floo nd the highest existing hi st existing grade within the
grade within t foundafion or 10 feet, found on
whichever i ess. i EQUALS Defined b �din hei ht
EQUALS Defined ildin hei ht
Lot Coverage: SF %
Shoreland istrict �, MCWD Permit Received Average Lakeshore Setback Bfuff
❑ Yes ❑ No � � Yes ❑ No ❑ N/A p Yes ❑ No ❑ N!A � � Yes ❑ No
Permit Number: SetbaCk:
Har over Zones Existin � Proposed Variance Required CUP Required
0-75' ! ❑ Yes ❑ No ❑ Yes ❑ No
75-250' TYPe�s) Type(s):
250-500' ! I
500-1000' I � �
REMARKS (in-house):_ �� CK�e�G�
Updated: 07l01/20Q9
z:\forms\plan review checklist.docx
Fees to be Char ed YE NO
:P�err�iit . > , _
Plan Review
~Sf�te',�t��c�ar e
Investigation Fee
`S�1C-�:Num�ber�of'SAC>Unyts
Sewer Connection
��Ilfater s:�C�on ne:ct�on
Park Fee
;Site=lnspection
Other(specify)
�M.iscellaneous:�Fees '
Calculated B :
UBC: Construction Type:
Square Foota e ' $ er S uare Foota e I I
�
Basement X I = $
15 Floor X � _ $
2" FlOor X � _ $
Gara e X � = g
Estimated Construction Value: � g r�4(� °�
Orono Inspections Required Work Requirinq Separate Permits Required State Permits
❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical
❑ Footing ❑ Septic ❑ Water Connection
� Foundation Survey 0 Fireplace ❑ Sewer Connection
❑ Framing ❑ Masonry ❑ Lawn Irrigation
0 Insulation ❑ Mfg.
❑ Wall Board ❑ Other (specify)
❑ As-Built Survey
�Final
❑ Other (s eci )
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERMfT)
Updated: 07/01/2009
z:\forms\plan review checklist.docx
' 'Hennepin County Property Map Print ,, Page 1 of 1
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Hennepin County Property Map - Tax Year: 2010
The data contalned on thls page is denved from a mmpilation of remrds and maps and may contain discre0ancies that can only be disdosed by an accura[e survey pertormed by a li�ensed
land surveYor.The perimeter and area(square footage and acres)are approximates and may contain discrepancies.The informa[ion on this page shoultl be used for reference purposes only.
Heme���Cc�„�:v coes���'gca-artee the accuracv of materlal hereln con[alned and is no[resoonslble for any misuse or misrepresentation of this information or its derlvatives.
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Selected Parcel Data Date Printed: 10/26/2010 2:55:43 PM
Parcel ID: 04-117-23-11-0011 Current Parcel Date: 10/6/2010
Owner Name:T B MICH &C E MICH
Parcel Address: 2565 COUNTRYSIDE DR,ORONO, MN 55356
Property Type: RESIDENTIAL Sale Price: $188,000.00
Homestead: HOMESTEAD Sale Date: 07/1986
Area (sqft): 87126 Sale Code: WARRANTY DEED
Area (acres): 2.00
A-T-B:TORRENS
Market Total: $614,000.00
Tax Total: $6,218.76
http:Ugis.co.hennepin.mn.us/HCPropertyMap/Locator.aspx 10/26/2010
d.t. meisin er dev�lo ment inc
g p
To: City of Orono Fax: 9�2.249.4616
Frorn: David Meisinger Date: ZO/21/2010
Re: 2565 Countryside Dr Long Lake Pages:
CC;
❑ Urgent ❑ For Review ❑ Please Commerrt ❑ Please Reply � Please Recyc[e
Lyle Oman
Enclosed are sketches of the deck rebuild that permit that was dropped off today,
This deck was rotted out a.nd is being rebuit to the exact measurements and
layout that it was per the o�vners desire.
Please call with any questions or comments that you may have_
David vleisinger
Mble. 612.366.1361 fx 651.455.4215 dtmeisingerdev@yahoo.com
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
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