HomeMy WebLinkAbout2016-01085 - 3 new deck piers to 4 season porch . CITY OF ORONO * Z 0 1 6 - PJ 1 0 8 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 884 DAKOTA AVE
p[� : 26-118-23-33-0020
LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE
: LOT 005 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPA[R
PROPERTY TYPE : RESIDENTIAL
COI�STRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,000.00
NOTE: INSTALL 3 NEW DECK PIERS TO 4 SEASON PORCH
APPLICANT PERMIT FEE SCHEDULE 92.89
PLAN REVIEW 60.38
AMERICAN WATERWORKS STATE SURCHARGE(VALUATION) 1.50
829 ROLLING VIEW LANE SE TOTAL 154.77
PINE ISLAND,MN 55963-
Minnesota State License#:cont-BC387395 Payment(s)
CHECK 15904 154J7
OWNER
GASNER&JANET BENWAY, KEITH
884 DAKOTA AVE
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 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 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 the date of issuance,or if construction is
s�spended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� 1� �l / `3/ /�0
Applicant Permitee Signature Date Issued Signature Date
City of �rono
Building Permit Application for Maintenance / Repl�cement/ Renovation
(No structura! expansion. Only windows, doors, s�d�ng, re roof, etc )
MeilingAddrass: �ern�dtrtu�rtber � ;,' ''`� � � k�;�l�'� S
� Wp Box 66 �
��� ,, }�� Crystai Bay, MN 55323-0066 �� D�t�rs�eive��i ;', , , `�` �`" /�p
� . ' ` , '' i�
4, Rec:�ived bj! ��� �� t � °
Straet Address: +�� , �� •., � e ;.. � , � �, , ;�
�` �C'' � ti��'. �'1�1 2754 Kelley P2rkw�Y '� �Rl�rl tbvi�W f�� ' v? �'."4�.___�.'� <r,:
� �� �� ��� ��� l,�� Orono,MN 55356 �"; ' � �',��, ai �� ���� rti
''�' sn�� Total���q " ,ti;,, , ; , , , '
Main: 952-249�3600 Fax: 852-249-4616 www ci.orono.mn.us '%: ` ;;�; �`"'� � ;r " J':` ', .
This application forrn must be completed in full and all required information must be�submitbed.
Incomplete applic�tions wiil be returr�ed. (P/ease pr�nf)
6EN�RAI.INFORMATION: �� ,� j� ,U�
Job 5ite Address: (i�-►
WIII this be a Parade of Homes, Remodelers ShowGase Home or other Display Home? ❑Yes o
11 yes,a speCia/avent pemrr�is raquirud wflh P�olice Department and City CounCr7�pprova!60 days pnor to tite evomrrt Shuffle bus seNlce w10 be
requfred un(ess app/iCdnt demonstrates sutfiCiertt Rn�lte parking is Av3ilabfe. Non-pe�mitted ev9nts wlArrot be aUowed.
CQNTRACTOR/ PLlCANT INFORMA ION:
Name: j'�(T�.VI � `D1��'
State License# �j Expiration Date: �
Lead Certificatian Number: � p Expiration Date: a
(for wark on homes that were conatruct�d prior to 1 S78
Phone: f�� �DIYCC'�' ' �Lti (��) � ' �--�2b�
Mailing Address: $Z,.q � w - ZIP'
Contact Person_ �yZ Applicant is: Contracto / Hnmeowner (Circle Ona)
Email and/or Fa�c' " . -- �? � . � � `
PROPERTY OWNER INFORMATION:
Name: (� l'�"�'1 �Q�7�1
��anE�a�y�� � �2 .t�t�n �5 3510
AddresS: `�`�U ^ � ^'�"f� � t-e City. � �IP:
Err�ail and/or Fax: mm ----r
r� ' � �pa����
PROJECT INFORINATION: 4verali ro'ect descri tion��'15'�-�� � U �U� �'�'��- ��� �
Type of Project: Arry earth m vement m8y also requlre
( ) MC1ND review�permlts:
�Door s ❑Remodel ❑�ire Demage
�F��raof,esphalt �epair �Storm Damage Minnehaha Cr�ek Wakershed District(MCWD)
18202 Mirtnetonka Blvd
❑R�roof,cedar ❑Restaration [�Water Damage D�ephaven,MN 55391
Phone: 952�71-0a90
❑Re-roof,other(sPeC�Y) �Siding �Other(specify) Fax: 952-a���o6sa
❑Window(s) www.minnehaha�r�k.otq
�stfmated Construction Valuatlon of Project(excluding land} $ 0—
ApPLICANT ACKNOWIEDGEM�NT:
• Agrees to provide all in4prmation required or requested by the Building Departmarrt;
• Cer#�es that the infarmatian supplied iS#rue end correct t�the best of his/her kn4wledge_ The applicant reoognizes that they�re
solely responslble for submitting a complete applir„�tion befng aware th8t upon failure to do sd, Ehe staff has no altem8tive but fo
reject it untal it is complete;
• Soma ar elt af the inform�tion that you are �sked to pravide on this application is cl8ssifled by State law as either private ar
coMidential. Private data is infarmatiot�which generally cannqt be given to the public but can be given to the subject of th�data.
Confldentiai data is information which generally cannot be given bo either the public or the subject of the data_ Our purpose and
intended use af this info ation is to an I te our records and records of otheC governmenta!agBnCies required by iaw. If
ou rafuse to su the infotm e - ' n ma not be issued.
ApplicsnYs Signatur�9: Dete:
Owne�'s Signature: ���e=
Last Updated:03/88J2013 «C�lGt/ `�_G ` �
�, !/ (
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ��`'� ���'��_� �i,(�T�c.f �V� Permit No.: [��cX` c7��� ��
Description of work: Q27""��'�" Q.�t?!h Date Rec'd:
Septic review by: � �i4. Date Approved:
Zoning review by: Date Approved:
� jBuilding review by: Date Approved:
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? ❑ Yes 0 No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: fFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade
Basement? � Yes � No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
START W ITH floor(of the basement or crawl space)and measure from hiQhest existing
the highest point of the roof. START W ITH rq ade to the highest point of the
, roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
� Yes � No Permit Number: ❑ Yes � No � N/A � Ye No �
� N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
0 Yes � No ❑ Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit �/
Plan Review (f
State Surcharge j,�
Investigation Fee
SAC— Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1 S� Floor X = $
2nd FlOor X = $
Garage X = $
7 ✓
Estimated Construction Value: $ ,�, ���
Orono Inspections Required Work Requiring Separate Permits
� Footing ❑ Site 0 Plumbing 0 Grading/ Filling
� Poured Wall � Silt Fence/Erosion Control 0 Mechanical O Fire
0 Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection
� Foundation Waterproofing 0 Other(specify) ❑ Fireplace 0 Sewer Connection
Framing � � Masonry ❑ Lawn Irrigation
0 Insulation " " r�u`Q a�✓Q ❑ Mfg. 0 Landscaping
0 As-Built Survey ❑ Other(specify)
�Final
0 Lathe Required State Permits
0 Other(specify)
❑ Well ❑ Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
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AMERICAN WATERVYORKS Job Lacatlon �y;
829 Rolling Vlew Ln SE Pine Island MN 55963 884 Dakota Ave Orono MN 55356 8-15-16
�
Job Details (Gantinued)
Specificatloes
aeck Piers-N�w Construction
Cos�tractar Will
1.)Attempt to Ifft the foundatton,but is not responsible for cosmetic damage that may result.(Achieving lift is not guaranteed)
Custotner W[lk
1.)Move items at least 4 feet away from the work area.
Addltional Notes
if peirs need to be driven deeper ther+10'to reach laad capacfty customer will be charged$15 perfoot per pier until properdepth is
reached.
8"x 8"posts
Product List
Permanenily Stabtliae Foundation
DeckPiersNewCons#ruttlon ....... .......................•--.•-..._.......-.--..-•--...........-�---------........._ 3
.....-----��-----.....
AdminFee .........-�........................................................�-�--�---�---......... 1
AMERICAt@ WATERWORKS Job Location Pag�3/5
829 Rollingvew Lci SE Plne Island MN 55963 8$4 bakota Ave Orono MN 55356 8-15-16
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'�u1��►T��tiA�'`!��'�IC�
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8'29 RoIling View GN 5�
Pine lsland, MN 55963
500-795-12a�f
Fax: 507-356-6027
www•ameritan-wa�erworks•tom
FAX COVER
COMPAi�IY NAME: DATE:
�
�f' C.��-►�,� � �- � l�
ArrEr�r�or�: �rom:
' • Jen Engel
� � j.engel�american-waterwork.s.com
FAX NUM�ER: POSI710N:
PRODUCi�oN ASSISTANT
i�� �'l� _`�� ! �
PWONE NUMBER: Phone Number:
(� 1J Office: 547-35b-3304 (7a-5p)
�i��. �� �' �`'1 �" � Cell#: 507-273-3665 {after Sp)
� URGENT � FYI ❑ R�PLY ASAF EASE REVIEW
TOTAL PAGES, TNCLUDING COVER: �
CQMMENTS:
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., DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE /�Q SCHEDULED 1
PERMIT NO. v f�l��i-^'✓� COMPLETED
ADDRESS � o �—I DC.t K C''�'�0. �
OWNER LEPHONE NO: �7�3�'
CONTRACTOR �-� � �!�
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� DESCRIPTION � � � r�L�' ����
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING Rt ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ S PTIC INS LL
Q OWNERlCOlITMCTOR TO MEET YOU'.�F YES�NO
2
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v�i COMMENTS:
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W�, WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERiNG PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. � ����
White Copyllnspector's File Canary CopylSife HWies
.� ��►s ( (
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���LLENCE��o��m� HELICAL PILE INSTALLATION LOG
___ _ ___ __ __ ._. _ _ _ _ _ _ _ _ __ Certified FSI Deater:
Customer Name: '�e 1�C'V� �1neT Site Superintendent:�ll�._✓� Cell#
Project Name: �� <"iC/:� Foreman's Name: �V��
Project Address: ��_\.ibt�� �'1Ve Job Start Date: �"'Z O�1� _
City/State: �CC1Y�� �`-�� Job Completion Date: 7 �Z ! '- � �
Pier#: �"'� Pier Installation Date Drive Head: Installa on Torque Coefficient(ft:1):
____ �_ ____ __ .____ ..__ _----- - � ��---- _�.��u�-- ---- ------ --- � ---- � �-- --- �_ __._ _�_
.7 •' x �
--�� -�-�- ---� � --� Differential -- -
Time Description of Lead Pier Depth Gauge Pressure Gauge Pressure pressure Torque Ultimate Load Comments
Section or Extension (ft.) IN(psi) OUT(psi) (psi) (ft.-Ib.) Capacity(Ibs.)
_--- - _ ____--��. ._._.______----__. .___� _ .____.__. .___--------__.- ---------.__ _ .___. �_ ._.--- -- --_. _-----
G! /C� � _ --__ _._---__�_---�------------ - ---
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� ____-.--- — --- --- _.___ ______. .___.._ __---- —___------ _._._______ __ --- _._ .___ __-- ------__ ___--- ----------- _____.___
Differential pressure required to meet capacity: Minimum depth required:
i Foundation Suppnrtworks Inr,.2013
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI ESCHEDULED
PERMIT NO. '/dVS---
COMPLETED 3. 4 -/5(
ADDRESS / d4�c��4 Xl/e
OWNER TELEPHONE NO.
CONTRACTOR QirterGael t i-ee*Ai fief
•
DESCRIPTION 3 yet c44 (.1;,, Scfeeve G O C
W ❑ FOOTING !� SS.,g%7 !/ 5T sfi 1417°°C.&
❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
0 LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
v 0 FINAL 0 WATER HOOK-UP Al-FetrOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
.t ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
oy COMMENTS:
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• 0 WORK SATISFACTORY:PROCEED .ar4IFQT COMPLETE
CC
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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. (952) 249-4600
Owner/Contractor on site:
Inspector. l~---,74r—
White Coov!Insoector's File Canary Copy/Site Notice