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Home My WebLink About2010-00720 - attached deck � , CITY OF ORONO PERMIT IVO.: 2010-00720 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUED: 09/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 80 CYGNET PL PIN : 04-117-23-22-0017 LEGAL DESC : SWAN LAKE ADDN : LOT 004 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,000.00 APPLICANT PERMIT FEE SCHEDULE 118.00 SMITH, MR. & MRS. PLAN REVIEW 76J0 80 CYGNET PL LONG LAKE, MN 55356 STATE SURCHARGE(VALUATION) 5.00 MISC FEE 0.00 TOTAL 199.70 OWNER SMITH, MR. & MRS. 80 CYGNET PL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT 7'he work for which this permit is issued shall be performcd 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 brant pcnnission for additional or related work which reyuires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein."l�his 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 I 80 days at any time after work has commenced. The applicant is res nsible for assuri all required inspections are requested in co orm ce with the St Building Code.This permit may be re ed t any time or due cause. �� _ _ � / � / � i � /v pplican ermitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � � q,�' City of Orono Building Permit Application for New Structures or Additions —--� Mailing Address: Permit number: a�d� �07 O�O�O CrysBtal Bay, MN 55323-0066 Date received: o / � �Q � ��;�r �� . Received by: �•�• ,� �` . _ �, Street Address: '��, � ?�� ~ 2750 Kelley Parkway Plan review fee: l ' ��' Orono, MN 55356 `'kESHOg' O =_- Total Fee: �g�, � Main: 952-249�600 Fax: 952-249-4616 www ci�orono mr u� This application form must be completed in full and all required infonnation must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: � 1 / Job Site Address: � �' I_ ` �� Will this be a Parade of Homes, Remodele wcase 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�ANT�NFORMATION: � Name: �}t�l l (- t' �.�� t State License# � {��;,,�p ��w�m- Expiration Date: l— Phone: � - � office ( - � - 3 `,t cell Mailing Address: ct`� Cit : U/' v� C'U Z�P� � � � Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: o- • 5 �, f-(� P• C.v+^^ PROPERTY OWNER INFORMATION: Name: �c w�� 5 �/%3��P Phone(day): Address: City: ZIP: Email and/or Fax ARCHITECT/ENGINEER�FORMATION: Name: P �'� 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 8 Water Supply �-New Construction [�'Single Family with ❑ Residence ❑Addition attached garage ❑Garage/Accessory Bldg. �Public Sewer ❑Accessory Building ❑ Single Family with �Deck ❑Relocation detached garage ❑O�ce/Commercial ❑ Private Sewer ❑Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water *"Any earth movement may require ❑Commercial ❑Other(specify) MCWD review 8�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.m innehahacreek.or Estimated Construction Valuation (excluding land) $ ��C�CJ• GU Last Updated: 9/29/2009 - 17- ' � . Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: J 11 �� Description of work: � ��- � �7Uv �—�� '1�,�,� j j'�� Septic review by: Date Approved: '��-�"/U Zoning review by: Date Approved: � � Building review by: Date Approved: -�'1 - 'b — t v Grading review by: � ( 1�t Date Approved: � Zoning File#: (v'r�" Resolution #: I�Y�' Resolution Date: Zonin District Fire Department Post Office School District �,� 1 ia Zoning: Lot Area: a ! � SF Q AQ Width: Depth: u Survey Submitted: �Yes 0 No Date of Survey: i � �� 1 � j, -��/� Pro osed Setbacks: Fron ake) �(StPeet) �� Side W , ( N $ide W � Other Buildings Wetland � � 4� ; N �� , .—.. Building Defined Height: 1��" Building Peak Height: N�' #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the sl nd the highest space floor and the highest roof peak, the top of WITH roof peak,the top of th rnice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a sard roof, or the mansard roof, or the uppermo point on a round uppermost poi on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance be en the highest window and SUBTRACT half t istance between the highest window hi hest roof of a itched roof a �i hest roof eak of a itched roof SUBTRACT the dista between the basement floor/crawl ADD "the distance between the slab and the highest sp 'filoor and the highest existing grade within -�'� existin rade within the foundation e foundation or 10 feet, whichever is less. EQU S Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � Yes ✓��Vo ❑ N/A 0 Yes fO�No � Yes �o ❑ Yes �0 0 N/A � Permit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Re uired 0-75' � Yes o ❑ Yes No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx . � . Fees to be Char ed YES NO Permit �' Pian 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 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � S�� s L�� (�/3D2 2� �pe� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading / Filling 0 Well ❑ Hardcover Removal 0 Mechanical � Fire 0 Electrical Footing 0 Septic 0 Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection � Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. � Framing ❑ Other(specify) 0 Insulation � Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ NC New: 0 YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= v( � Number of bedrooms= �— [p�Wood/Frame ❑ Masonry b.Width(ft.)= j � Number of garage stalls: ❑ Metal Attached= — ❑ Pole Bldg. Areas in square feet Detached= — ❑ �CF ❑On-site Prefab c. Basement= � ❑Off-site Prefab ❑Other(please specify): d. 1 St Story = — e. 2"d Story= — f. '/z Story = — g.Total Area= �F� 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 �t ❑ Hardcover Calculation s ❑ CsR 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 inforrnation required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of a500; • 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 altemative 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: Last Updated: 9/29/2009 - 18- � �%� � "rlat of :'.ur��}• ;�JT ,J�I; �iCket.t of Lots 3 anc �, �'lock 2, �•.:<:n T.�ke Ar.d�tion F'.:•r�a�;:'.n �f,��nt�,, ,.'i�;:.e.:^ta I �� I -�-` I l �' I ' __.W.�_�.__..._.__..._.___.__'_._._...._�.__..._._...._"'-.-1�``�� .. '__.�__..."__..__._._..+'__.... _ ..__. 'ti_ ♦ _ � �� r... . .�.. .. ; -. i� �' �3r� "{ �� / � _�� , � �� . � ; �� City of Oro o �: Planning 8�Zonin Plan R � �� / � Si Plan Review Date: �� \ / j - PPROVED n � � PPROVED WITH�EVISIONS(s e n tes) � \ � O DE�E � �, � � � ,� s�ff: i �� ,. N ;-� ,� � , �G � ,� �' `, y 6"�-� y-;_�L�„�� . :� / \� R` (C ^ W=�?s �+J- � ,� �,� J� � _ � f' i � / � � � � � � � �� Y� � ,, �. � � , � _ � D ,.�1 , `, - . - .; � C.:rti �ic_.:� ef• �`�-ti��,. „ ( I•?-,�r�b}' C�-'ti �,l' \ . . . . � �. t.f'.F_t t��g �c 9 Li ll" fil;C� co;rect z•ep.�eser:tr:tlor. of � . . ' ��.�in •_.G�e y�d�?.ion , f�nci of a ;u.r,ey of t5�: boa*�cc;i�s of i,ots 3 erc t,, �i'i�,c� 2, ;,4E' ... , � j "_�1 ;�:ilei!';,��.g j�j�F:7'�'�T!f c`C �11 V1.�1"i? f?!":C-G:tCi:=�F'IiL.� �' lf� 3Tij f �^,�t i OTi O , i:'�:':1 �:)2' OT1 �<;�, 1 FT'�!�. i�;j S 5i)7'VP.� �S f'.�EiCP O?':lti 2i: C��;'.e=�.i._i�C.': 'w1L'l � ::'J,'L=��e �Cfif: :t�.�t ��.i:;� rl ��'�r or. th� u"O:�?T'2Yt �f�C S�d �1.:D1.�1LV 15 ��_L:i;E:G ='xC�'.r�L LU L�:� �iOlCE'T' Oi g`:C�: :T�T't,�Ep',E'. O7' 9.:"1}' OLh�'7' 1lIL.P.T'F'S2. cit'.t��:1;2C �,y if:FSf�.'i Uf SiIC}? t,.u:t.— ='7�+ ZL. j.S 1:7.C:F7'St.QOQ E'i.11G� fl�rE'-c•� TIO IDJI�iliD:='I1LS ii2VP. Licurl 1,'._F•Cf::- jpr L};E jJ�.21'};G';3 `�J- . ): �,St�_�D>;r�hir'F', lOL 1i�t�.9 OT �'�O'�r1CF_I'S' CJ:i7c'T'-r+• f��r .��r I �, ` _ �•"�""r y�'R/ �' �e;�/:.`+;�--•�i'��-�-' -�__--- �" "_ _._� �-.fl' '� = 60' C.�rri�n R. C�ffin t..:�''�1 :1� . E,��UL; ..�_le: 1 :�t� . 7_1 -1-71 �-:nd �urz a�ur pna "ti srs.?, r,��;g �.�,�ke, i��r,r��sota C� � � r��W� ��*� ��:�� r��,K�,.a,.. � �� ATE TIME � � CITY OF ORONO C LLED IN l��7 ,� INSPECTION NOT/I�j E SCHEDULED / / �'�, PERMIT NO. �C/ �`�G�L�7�d COMPLETED ADDRESS '� �l��'� OWNER \ � ELEPHONE NO.�� C��Z CONTRACTOR �� DESCRIPTION E�-� L��L �-/f'1lL � � 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 � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � `� �� "' '� � , W � � J O >. � O � W � Q � Z W �c W � � � GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED C IS�UE CERTIFICATE OF OCCUPANCY W 0 ❑ Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. � � White Copyllnspector's File Canary Copy/Site Notice D TIME � CITY OF ORONO C LLED IN ��`�,�,�� INSPECTION OTICE SCHEDULED �� PERMIT NO�D/�-- DD 7o2L�OMPLETE ADDRESS b � OWNER LEPHONE NO.��L �� `l� CONTRACTOR � DESCRIPTION �(- � — ��`�-Y � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHOREM/ETtANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAI 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o c . �,aac3 ;� �-� �..,� �A , � � � � �� c� r' � ( C v 1 � X -3 " ,�-.: � .`.�.,�.,�,.� w - � ( �1 .� � . ,� 5 Q � z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN 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. �95Z� Z49-460� Owner/Contractor on site: Inspector. � � � �� White Copyllnspector's File Canary CopylSite Notice