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Home My WebLink About2014-00768 - attached deck CITY OF ORONO * 2 0 1 4 - 0 0 7 6 S * 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4460 FOREST LAKE LANDING PIN : 07-117-23-24-0015 LEGAL DESC : TONKAVIEW GARDENS : LOT O10 BLOCK 000 PERMIT TYPE : ADDITION /REMODEL/REPAIR PROPERTY TYPF. : RESIDENTIAL CONSTRUCT[ON TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENT�IAL VALUATION : $ 5,000.00 NO"I'E: RI:DI�:CK nNU NI:W GU�RD RAII,ON EXISITNG DI?Ch. APPLICANT PERMIT FEE SCHEDULE 1 18.00 PLAN REVIEW 76.70 LEE'S LANDSCAPING & DESIGN STATE SURCI-�ARGE(VALUATION) 2.50 7990 69TH AVE N TOTAL 197.20 ROCKFORD, MN 55373- (763)688-1217 Payment(s) Minnesota State License#: BUIL-BC665790 CHECK 1081 197.20 OWNER MARTINSON, PAUL& lDA& PETER 4460 FORES'T LAKE LANDING MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall bc perlormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work describcd and does not grant pennission 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 speciYied 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 180 days at any time after work has commenced. 1�he applicant is responsible for assuring all mquired inspections are requested in conformanee with the State Quilding Code.This permit may be revoked at any time for duc cause. �� A icant Permitee Signat re Date lss By Signature Date CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �OA f\ MailingAddress: Permitnumber: / —� � 'V PO Box 66 � Crystal Bay, MN 55323-0066 Date received: '1/�� ' Street Address:' Received by: ,(�.d. 1: � 2750 Kelley Parkway Plan review fee: GDI�G��I/jL - F L� q � �, Orono, MN 55356 �/��D 33 f �kfS H n4� --__ Total Fee: 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. (P/ease print) GENERAL INFORMATION: Job Site Address: ��U �oj�� L�/� L�`�l��/�/�i Will this be a Parade of Homes, Remodelers Showcase 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: %�L" � ClfiJ�li�SC-G/-1��: d- � 5/G>/l� State License# T�C ("p�S'��. Expiration Date: 3- �� - Zc�/-r.�- Phone: (cell) 7�„3_ �g z � �7� (office) 7��3_ ?�Z . 7�7 7 Mailing Address: � 'O +�^ iR�c� Cit : �Z-i ZIP: �3 7 Contact Person: � "� Applicant is: ontractor'` / Homeowner (Circle One) Email and/or Fax: ��T/L � l:t� !�S/�� i3c.3/L(� C7 j7��• <��^'� - PROPERTY OWNER INFORMATION: Name: �7�� 3�Z�'� Phone (day): 3/'� . �("�, Cp� SCo Address: G�Vr ,�7ZL:�T ��ft(c.G Ls'4�v��/�lL� City: (��LL-GNC) ZIP: ��j,3(Q Email and/or Fax '"jo N1 , �}'fZTr1 C�a�u�q <o •"� ARCHITECT/ ENGINEER INFORMATION: Name: �l[/� Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of pro�ect: 1. Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& 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) �i'1,L IZt��L�� ❑ 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 �Q�� Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��U STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b. Wdth (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15t 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 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 ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER 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; • 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: ►�`°��NL r�� Date: ��'�S -- �% Owner's Signature: _, ,,, Date: 7I I�l�Z�f � PLAN REVIEI� CHECKLIST FOR I�EW STl�IJCTURES / ADDITIONS Address/Permit Number: �;�� c ��`� �� q� p�� Description of Heork: �� e� � ��.`=� �js�� e� s' �' �.✓� �� . Septic review by: �� Date Approved: r' Zoning review by: �f Date Approved: .� �uilding review by: ,� r ��.�- Date Approved: � �Z�' �6� Grading review by: �/� Date Approved: Zoning District: Zoning File#: f�eso#: Reso Date: �`� �;, Zon g: Lot Area: SF/AC Width: Lot Coverage: SF ��/o Survey ubmitted: 0 Yes 0 No Date o�Survey: Revised dateL?�� Pro osed tbacks: �°� �„ Front(Lake Rear(Street) ( N S E W ) ( N S E W } Other Btri�dings Wetland Side Side � ,� Defined Height: �� Peak Height: FFE: FFE mir� s 6 feet= (�xisting Contour) `'_� f Perimeter(linear feet) _ � 5�% _ #of Sto es Ok? 0 YES :� FOR A BUILDING WITH A BASEME[dT OR C WL SPACE: ;,. The distance be een the lowest F�A BURDtNG ON A SLAB FOUNDATIOPl: START WITH proposed floor(of e basement or crawl � space)and the highe �point of the roof. ,,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�OF(no . GABLE OR HIPPED ROOF(no windows): Subtract half tiv� windows): Subtract half the distance distance between the highe Qoint/ between the highest point of the roof of the roof to the tow point of t to the low point of the corresponding SUBTRACTION corresponding gable or hipped;ro�of SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROO�with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half e ROOF TYPE) windows): Subtract half the distance distance between the p of the between the top of the highest highest window an�nhe highest window and the highest point of the point of the roof;�� < roof • ALL OTHER;�f00F TYPES(flat, • AlL OTHER ROOF TYPES(flat, mansard,¢tc):No subtraction. mansard,etc:No subtraction. Subtract the ADDITION Add the distance between the top of slab SUBTRACTION ft�stance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenU�Yawl space floor and the EXISTING the foundation. GRADES) highest isting grade adjacent to the ��; GRADES found�o�n OR 10 feet(whichever is less). ,EQUALS Defined buifding height EQUALS Def(hed building height `'� , � Shorelae�d Distri � NiCWD Permit Received /�vera e Lakeshoee S� back Met? Blu�f �� Yes 0 No 0 N/A '�. � Yes � No i7 Yes � No � Yes � No ��`�jV/A , Permit Number: � Setback: Storm ter Quality Existing Proposed ��riance Required CU`P Required Over District Tier Flardcover Eiardcover � 0 Yes � No � Ye Q No Type(s): Type(s): `� � �, �� Updated: January 2013 E: v:\forms\plan review checklist 2013.docx �� ' f s- k({�� d� .. . . . . . . . . ,. . . � ... . .. .. . . � . .. .. .. . � .. . . .. ,. . .. . , � REMARKS (in-house): Fees to be Char ed YES N8 .� Permit � � ��"� � Plan Review €� �t�te Surcharge ��" investigatian Fee � SAC—[�umber of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X - $ 1s1 Floor X = $ 2nd Floo� X - $ Garage X - $ Estimated Construction Value: $ �`,��=� Orono Inspections Required Work Requiring Separate Permits Required State Permits a Site � Plumbing 0 Grading/ Filling � Well 0 Hardcover Removal � Mechanical � Fire 0 Electrical 0 Footing 0 Septic � Water Connection O Poured Wall � Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. 0 Framing 0 Other(specify) 0 Insulation 0 As-Built Survey �Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: � YES � NO OFFICIAL REMARKS -TQ BE NQTED ON PERMIT Q►ND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx c/t-/► DA � TIME� CITY OF ORONO CALLED IN o^ � INSPECTION NOTIC ��7� SCHEDULED - - � PERMIT NO. cOMPLETED ADDRESS T � �� OWNER TELEPHONE NO. �z �� CONTRACTOR ��f ��`sC >; DESCRIPTION �� '" V � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FR ING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ IN ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � D MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLU G RI FINAL ❑ FOUNDATION/REMOVAL 2 OWN ONTRACTOR TO MEET YOU: YES NO � � COMMENTS: � W a 2 J ' O � O � W � Q � � ' � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION , TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance. g �;) 249-4600 OwnerlContractor on site: " , � , � _�i� �� yi A Inspector_ � � , White Copyllnspector's File ,j Canary CopylSite Notice