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Home My WebLink About2009-00462 - attached deck , CITY OF ORONO PERMIT NO.: 2009-00462 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: O8/17/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2735 COUNTRYSIDE DR W PIN : 04-117-23-12-0018 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 003 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,500.00 NOTE: NEW DECKING-RAIL-MOVE STEPS APPLICANT PERMIT FEE SCHEDULE 132.75 LANDSCAPE LIGHTING BY LYLE [NC. PLAN REVIEW 86.29 7848 SIERRA PKWY BROOKLYN PARK,MN 55444- STATE SURCHARGE(VALUATION) 2.75 (763)560-4323 TOTAL 221.79 Minnesota State License#:20585492 PAID WITH CC# 0297 OWNER ALEXANDER, TIM 2735 COUNTRYSIDE DR W 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 specifica[ions,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant 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 not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the te Building Code.This permit may be revoked at n e for d c se. i� i d- �i / `7i 1��1 Ap 'cant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 W �-�'� � � ,�/ � Cit of Orono �� Y Building Permit Application for New Structures or Additions Mailing Address: Permit number: Q��(�� PO Box 66 $> (/��' O\, Crystal Bay, MN 55323-0066 Date received: / Q � a ��>-��` s. � Street Address:� Received by: e::;-- �'�,n '' 'o�" ti� 2750 Kelle Parkwa � y Y Plan review fee: r�kESH04�' Orono, MN 55356 �j Total Fee. lP 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: Job Site Address: ,,1��S �7�� ' % f� � ��c ��.-� �� Will this be a Parade of Homes, Remodelers Sho ase 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/APPLICANT INFORMATION: Name: Gi�J��_' .�� f�f'�� l,'�i��;��4� ly � X/c� .J <��- • State License# a(;Sf�S�/`l� � Ex iration Date: � Phone: --� � p 3�- 3 l-�G/G� �(� - S�� -� "a office Gi� �r� - � ,- �= cell) Mailing Address: �� ,�«s-rl ��_,,,.,- � Cit : �� r �� . i ZIP: „` ��. Contact Person: � � � ��,�.-� Applicant is: _ on racf�= / Homeowner (Circle One) Email and/or Fax: � �; �;� �y;� �L p,<,�� .�.�,� PROPERTY OWNER INFORMATION: Name: j�-,��f �,:�/, n �r�=f�� Phone (day): Address: �17.gS` L'� c< i tf y 5,�� U; � > Citv. �,��it �.' ZIP� S� .jS� Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City� ZIP Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & ❑ New Construction Water Supply �Single Family with ❑ Residence ❑ Addition attached garage ❑ Gara e/Accesso Bld ❑Accessory Building ❑ Single Family with Deck9 ry g' � Public Sewer ❑ Relocation detached garage �Office/Commercial ❑ Private Sewer ❑ Other. (specify) �� i�r�;��`- ❑ 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) $ �"�S "' ' `" - � ��. -20 - � 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 S'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 Enclos d Ap 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 crt ❑ ❑ 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. ,.� F� � ^��% -� � ApplicanYs Signature: � `� �+ Date: � - � . � � � — - . -21 - Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: ��3S C.�✓iv-r-�rL�.,.y, ,�o �;� Description of work: t?.�.��n�L �,�c�;,� Septic review by: /V//� Date Approved: Zoning review by: N'� CY,h4r�G Q Date Approved: Building review by: Date Approved: 8 ,�D-O�I Grading review by: Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District � � � � Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front(Lake) Rear(Street) � ( N S E W ) ( N S E W ) Other Buildings � Wetland � Side Side � Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ I START the distance between the slab and the WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e roof SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a pitched window and highest roof peak of a roof itched roof SUBTRACT ' the distance between the basement floor/ ADD the distance between the slab and the crawl space floor and the highest existing highest existing grade within the grade within the foundation or 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS � Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff ❑ Yes ❑ No � Yes � No � N/A p Yes ❑ No � N/A ' � Yes ❑ No Permit Number: ' Setback: Hardcover Zones � Existin Proposed Variance Required j CUP Required 0-75' ; � Yes 0 No 0 Yes ❑ No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house):_ N'f w Q,�c��,�+t - /L��- /yW c,� S�7°S / Updated: 07/01/2009 z\forms\plan review checklist.docx Fees to be Char ed YES NO Permit Plan Review ,� State Surchar e � Investigation Fee r/ SAC— Number of SAC Units Sewer Connection Water Connection Park Fee Site Ins ection . Other(specify) Miscellaneous Fees Calculated B : UBC: IZ Construction Type:_ �n! Square Foota e $ er S uare Foota e Basement X = $ 1 S Floor X = $ 2" FIoOr X = $ Gara e X = $ Estimated Construction Value: $ Orono Inspections Required Work Requirinq Separate Permits Required State Permits 0 Site 0 Plumbing ❑ Grading / Filling � Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire � Electrical fd'Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace 0 Sewer Connection �Framing ❑ Masonry � Lawn Irrigation 0 Insulation ❑ Mfg. 0 Wall Board ❑ Other (specify) 0 As-Built Survey ,�Final ❑ Other s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms\plan review checklist.docx ��; • , � � � � r` � ~ � nt�y ~ `- � . � , a? :. �.. ' "��:. a lL' �? 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N �,� �' � i------------.--- �, s �. � � � a �:� � J '� �J '� ; � � =� a - �:� j � ".;� Mr o " Y � 2 � -t 1 ' ; ` �� r G � c� r�� :� ; b � - � Zi ��.1 i �� ,� � ' � � E-- �; � , � � � � ` � � �� ,� '� � �J �� ,a,,, � �C � � �i .,,., G"° U.. � � � � j � �-�: `� `� "� � � I � �� z %' ;;- ,: __________ _______.___._ ________.___� , ��. �, 1 � � / �/ V DATE TIME � CITY OF ORONO CALLED IN � __�L1-1L�L INSPECTION NO�TICE} L//- SCHEDULED ' PERMIT NO.�(111�l��OT(��COMPLETED ` � ADDRESS � !�� C��i�'!/I�(G�_ �� OWN ER CONTR. TELEPHONENO. �1i1/-e — �1�� `4� �5�� DkSCRIPTION d � � �FOOTING � MECHANICAL RI E CAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL LA ESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ EE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a x � 0 � �� TU (�vy/, 0 � w � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WIL�RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 'J CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice � AT TIME � � / p CITY OF ORONO CALLED IN ` 0 7 INSPECTION NOTICE ,// SCHEDULED � � PERMIT NOC��f-�`�� COMPLETED ADDRESS 3S � �� OWNER CONTR. TELEPHONE NO. — ! — � —� � � DESCRIPTION :-��C-- —i�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � � O >. � O � W � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED ,j�PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED �r SI SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on sit : � inspector. .� � o / � � White Copyllnspector's File Canary CopylSite Notice