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Home My WebLink About2013-00620 - expired 2/1/16 - attached deck . , CITY OF ORONO * 2 0 1 3 - 0 PJ 6 2 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/11/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2820 FARVIEW LA �� PIN : 04-117-23-34-0005 � � � �� LEGAL DESC : FARVIEW L x'��`� � � : LOT 002 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: SEPARATE PERMITS REQUIRF.D: ELECTRICAL(STA7�E) AFTER THE FACT PERMIT FOR DECK / �v�e,G v 5 0��% � ADV PLAN REVIEW COLLGCTED 2013-00619 APPLICANT PERMIT FEE SCHEDULE 265.50 B BUTTERFIELD LANDSCAPE STATE SURCHARGE(VALUATION) 7.50 3925 WATERTOWN RD ORONO, MN 55359 TOTAL 273.00 (952)473-3712 OWNER HOWARD, THOMAS&CHERYL 2820 FARVIEW LA LONG LAKE, MN 55356- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be performed accurding to the approved plans and specifications,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 ot�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 audiorized is not commenced within 180 days of t e date of issuance,or if construction is suspended for a period f 180 da �at any time after work has commenced. The applicant r e for a$uring all required inspections are requ m co orm ith t ' tate Building Code.This permit may be re oke a a time f �,ca �' � J � � 7� ir � / Applicant Permitee Sign u e Date Is ed By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . �,. � � CITY OF ORONO �y-� vf' f� � �7�.� BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �F�v�-�' �r� �O�O Mailing Address: Permit number: �j r(�d � PO Box 66 Crystal Bay, MN 55323-0066 �v Date received: � � �� Street Address:� �} j 3(F' Received by: �S �L1 G y�, � 2750 Kelley Parkway(� Plan review fee: � ��Z �� lqKESHO�c�,�' Orono, MN 55356 Total Fee: ��I 3-D�6 �� 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: �.�Ej}��Ae,v��,��-��.�� i�p, �A,�• Will this be a Parade of�`lomes, Remodelers Showca e Home or other Display ome? ❑ Yes .�,No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: �L��,�T�1,-.p f.X�,�{'a State License# Expiration Date: Phone: (c��,—��j (office) Mailing Address: Cit : ZIP: S Contact Person: Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: C,U�y�� ti..}�,w�j Phone (day): Address: � ,e„�,.v�� ,�,�,.aF City: ��p�Q ZIP: S�j35(o Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: }� 1� Phone (day): �� Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Description of project: 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 �] Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also 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 $ �/ .I Estimated Construction Valuation (excluding land) �.,v>>(��D STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1 St Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. YZ Story = ❑ Other(please specify): 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�bove . ❑ ❑ Plan Review Fee .❑ ❑ Apptication Escrow&Agreer�ent . . ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: Y • 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; • Understands 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: . � Owner's Signature: Date: � . PLAN REVIEW CHEC�(LIST FOR NEW STRUCTURES / ADDiTIONS AddressiPermit Number: '�� %� �=�t2'v��:: i-`J t}�n� Description of work: �� Ek�1= i S t y C�►l�--S N�Gc �� Septic review by: /v i f� Date Approved: Zoning review by: fv r✓-� Date Approved: J /� Building review by: _ �l� Date Approved: Grading review by: N j v�- Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning:`d.ot Area: SF/AC Width: Lot Coverage: SF _% Survey Sub ' ed: 0 Yes � No Date of Survey: Re ' ed date ? : Proposed Setbac : Front(Lake) ear(Street) ( N S E W ) ( N S E W ) ther Buildings Wetland Side Side Defined Height: Pe Height: FFE: E minus 6 feet= (Existing Contour} Perimeter(linear feet) _ % _ # f Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA The distance between the lowe FOR A BUlLDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement o rawl space)and the highest point of the r f. START WITH The distance between the top of slab and the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance belween the highe point belween the highest point of the roof of the roof to the low point f the to the low point of the corresponding SUBTRACTION corresponding gable or pped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED OOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtra alf the ROOF TYPE) windows): Subtract half the distance distance betwe the top of the between the top of the highest highest windo and the highest window and the highest point of the point of the of roof • ALL OTHER ROOF TYPES(flat, • ALL OT R ROOF TYPES(flat, mansard,etc:No subtraction. mans ,etc):No subtraction. AD TION Add the distance between the top of slab SUBTRACTION Subtract e distance between the (BAS ON and the highest existing grade adjacent to (BASED ON EXISTING base nUcrawl space floor and the EXISTI the foundation. GRADES) hig st existing grade adjacent to the GRADES fo dation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS efined building height Shoreland D' trict MCWD Permit Received Avera e Lakeshore Setback Me . Bluff � Yes � No � N/A Yes 0 No 0 Yes � No 0 Yes 0 No � N/A - Permit Number: Se l�ack: Stormwater Quality Existing Proposed Overla District Tier Hardcover Hardcover Variance Required CUP Required . � Yes � No � Yes 0 No Type(s): Type�s): Updated: January 2013 v:\forms�plan review checklist 2013.docx . � REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge investigation Fee SAC—Number of SAC Units Other(specify) Square Foota e $per S uare Foota e Basement X = $ 1 St Floor X = $ Znd Floo� X = $ Garage X = $ Estimated Construction Value: $ r 5� o e �� `'= Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing 0 Grading / Filling � Well 0 Hardcover Removal � Mechanical 0 Fire 0 Electrical � Footing � Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. 0 Framing � Other(specify) � Insulation 0 s-Built Survey Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx