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Home My WebLink About2009-00771 - attached deck � , � . CITY OF ORONO PERMIT NO.: 2009-00771 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U12/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 35 CRYSTAL CREEK RD PIN : 33-118-23-33-0002 LEGAL DESC : CRYSTAL CREEK : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY ��}-�29-S�-TRiJ��=t�ES Q�#�-ER'`I'H��d BEJILI)�NGS `�'�� `�� •' `, ,<� 1 VALUATION : $ 20,500.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(S"I'ATE) NEW GAZEBO AND REBUILD DECK DUE TO STORM DAMAGE APPLICANT PERMIT FEE SCHEDULE 354.00 RONCOR CONSTRUCTION PLAN REVIEW 230.10 10740 LYNDALE AVE S- 11 E BLOOMINGTON, MN 55420- STATE SURCHARGE(VALUATION) 10.25 (952)888-5578 MISC FEE 0.00 Minnesota State License#: 2337 TOTAL 59435 OWNER KOEHLER, STEVEN&ANNE 35 CRYSTAL CREEK RD 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 specitications,applicable City approvals,and thc Sta[e 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 whe[her 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 l80 days at any time er work has commenced. 'I'he applicant is responsible for assuring a]]Jr uired inspections are requested in conformance with t Stat�'$u ding Code.This permit may be revoked y time for due c se. n� `� � � `� � � �v� �� Applicant Perm' igna re Date //� �D� Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t' �O� �/ �"�' � City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: G – Dd 77 'gv�.�\ PO Box 66 � , Q� Crystal Bay, MN 55323-0066 Date received: �� d �� `��'?�m �� ` �� . ��,�s,�;, s.� Street Address: Received by: ��'�n ��,�It�A�� 2750 Kelley Parkway Plan review fee: L`�kE�ss i Orono, MN 55356 i Total Fee: ,Cg� 35 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � � �� V�� /�p� 1 Job Site Address: r/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wrll be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: IQr�,.�.�a.� Lm.tS�vvG��d�--� State License # �'�z,'� Expiration Date: Phone: _ _ � office) cell Mailing Address: /G?�-tU (�yc1 S Cit � �,,l,t, � ZIP� S'��i� Contact Person: �,�,.� Applicant is: Contractor / vHomeowner (Circle One) Email and/or Fax: °(��}--. �-��-C>`JS S "r�Jv�n,�rnv,�� Cow� ,� PROPERTY OWNER INFO MATION: Name: S��e� (,�'U �e� (�e� Phone (day): Address: �� Cit : ZIP: 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 Constructio�G��'dU Sin le Famil with Water Supply � g y ❑ Residence ❑ Addition attached garage Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with Deck � Relocation � �� detached garage Office/Commercial ❑ Private Sewer Other: (specify) ,2. ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water "Any earth movement may require ❑ Commercial �Other(spe ify) MCWD review&permits. ❑ Industrial �c�2e�� ❑ 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) $ aU� S�JZ� — Last Updated: 9/29/2009 - 17 - , ' Y STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= � Number of bedrooms= � ❑Wood/Frame b. Width ft. _ �S ❑ Masonry ( ) Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 15t 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: Not Enclosed A plicable ❑ ❑ 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 � 0 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. Applicant's Signature: � Date: �G � � �� Last Updated: 9/29/2009 - 18 - a , . Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: �� (%R�1 STVj� GrLE�� w.� Description of work: JZ�%8v i��p ,p�� q,�(� (��q-ZQb� C srp/1.�,� � � �,�� Septic review by: `t///1 Date Approved: Zoning review by: N/ Date Approved: Building review by: Date Approved: I/i Z —U9 Grading review by: _ ni �/-� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/ C idth: Depth: Survey Submitted: � Y s ❑ No Date of Survey: Pro osed Setbacks: Front (Lake) ear(S reet) ( N S E W ) ( N S E W Other uildings Wetland Side Side Building Defined H ght: Building P ak Height: #of Stories Ok?: 0 YES FOR A BUILDING W H A BASEME T OR CRAW SPACE: FOR A B LDING ON A SLAB FO NDATION: START WITH he distance be een the b ement floor/cr wl STAR the distance b tween the slab and the highest space floor and he highes roof peak, the t p of WIT roof peak,the p of the cornice of a flat roof, the cornice of a at roof, t e deck line of a the deck line o a mansard roof, or the mansard roof, the upp most point on round uppermost poi on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distanc betwe the highest w� dow and BTRACT half the distanc between the highest window hi hest roof e k of a tched roof and hi hest roof eak of a itched roof SUBTRAC the distance be een t e basement fl r/crawl ADD is ance be een the slab and the highest space floor and the hi hest existing g ade within existin rade wi in the foundation the foundation r 10 f et, whichever less. EQUALS Defined buildin ei ht EQUAL Defined buildin hei t Lot Cov rage: SF % horeland District CWD Per it Received Avera e Lakeshore Setback Bluff � Yes No � /A 0 Yes 0 No Yes � No 0 Yes 0 No � N/A P rmit Numb r: Se back: Hardcover Zones xistin Pr osed Variance Required C P Re uired 0-75' ❑ Yes 0 No 0 Y 0 No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): 6AZ�/3 D -yb LS ' i " — O/lr b,,�,,,n �P.� 5��+ � p 1 Updated: 09/11/2009 z:\forms\plan review checklist.docx � ' � Fees to be Char ed YES NO Permit � Plan Review � State Surcharge Investigation Fee SAC— Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: Square Foota e $ per Square Foota e Basement X = $ 1 S' Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Zu,soo `'p Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site ' � Plumbing � Grading / Filling 0 Well 0 Hardcover Removal � Mechanical � Fire d� Electrical � Footing 0 Septic 0 Water Connection ❑ Poured Wall 0 Fireplace ❑ Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. �raming � Other(specify) �Insulation 0 As-Built Survey �Final 0 Other(specify) 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) U pdated: 09/11/2009 z:\forms\plan review checklist.docx � � `�—�_ DATE TIME ✓ CITY OF ORONO CALLED IN �� , ��,, INSPECTION NOTICE SCHEDULED Z � __LL� PERMIT N0.2�OD9- G6 77� COMPLETED ADDRESS S S � � OWNER LEP NE NO�� —g5�� CONTRACTOR �� -��r �n �; DESCRIPTION / N l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � WNERI NTRACTOR TO MEET YOU:�`YES_NO � COMMENTS: � W C � J O >. � O � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED �'�ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s'te: _ Inspector. � 1 l� �> �� - White Copyllnspector's File Canary CopylSite Notice '� � �� D TE TIME " CITY OF ORONO CALLED IN � �3��g INSPECTION NOTICE SCHEDULED �� PERMIT N0. -�,��J�7 I COMPLETED ADDRESS � OWNER C NTR. �[�7'1C [�� _ TELEPHONE N0. �� ^ � �� - ��' �� DESCRIPTION �r G'c ,��C"� �--� C? l � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-S�TE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNOATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � �.� o _ � �' ,�� ,;�� ►��E� �r� c� �. � � �� , ,� 0 � w � Q � z W � W � � d W�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. r` ��.� White Copyllnspector's File Canary CopylSite Notice