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Home My WebLink About2010-00262 - cover stoop r ' � CITY OF ORONO PERMIT NO.: 2010-00262 2750 KELLEY YARKWAY ORONO, MN 55356- DATE ISSUED: OS/03/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 175 GOLDEN VIEW DR PIN : 33-118-23-43-0015 LEGAL DESC : PETERMAN 2ND ADDN : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RES[DENTIAL VALUATION : $ 7,500.00 NOTE: SEPERATE PERMITS R�QUIRED: ELECTRICAL(STATE) COVER STOOP APPLiCANT pERMIT FEE SCHEDULE 162.25 MINNETONKA CUSTOM HOMES INC. PLAN REVIEW 105.46 3575 TUXEDO BLVD MOUND, MN 55364 STATE SURCHARGE(VALUATION) 3.75 (612)386-4494 TOTAL 271.46 Minnesota State License#: BC20386620 OWNER RIGLEY,JOHN& STEPHANIE 175 GOLDEN VIEW DR 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 goveming 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 construcYion is suspended for a period of 180 days at any time after work has commenced. The applicant espon ible for assuring all required inspections are requested conform ce with the State Building Code.This permit may be revoke any ti e cause. � � � � i /d Applic mitee Sig Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ` �/�U � _ " � r �I��`� C',� City of Orono Building Permit Application for New Structures or Additions Mailin Address: � /�,L,�� PO Box 66 Permit number: �l� `��10 ' � Crystal Bay, MN 55323-0066 Date received: � /� �O ,:, O\;, � �. � � ��,� �'��;�s.' s.J,I Street Address:� Received by: ��'�,n " �� 2750 Kelle Parkwa ��,� ��'��. o / Y Y Plan review ��H�� Orono, MN 55356 ' // Total Fe : � �/ �Ci_ 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 mus be su . Incomplete applications will be returned. (Please prrnt) GENERAL INFORMATION: Job Site Address: ' � � �" � � �-� �'� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will b required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��v ti ��tii l�� C� �� i ��n z � / �L� . State License # � , � Expiration Date: / Phone: (,� Z - � 10 - � (office cell Mailing Address: � � — - r Cit : � ZIP: S�5 3�,� Contact Person: � (Circle One) _�� ,r � �C ic�n.�. Applicant is: Contracto / Homeowner Email and/or Fax: �;1 E�;� (� �Z'j„v�;� ,-, ��a �'� ,—�,,,� Na,.nks y C��,� PROPERTY OWNER�O�f 1�(IATIO� Name: � �� 1cs�Ey Phone (day): Address: �7 S Gc`'�� C��;u.� �2—. Cit : r`i�t��NU ZIP� � 3�, 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 Construction Sin le Famil with Water Supply ❑ Addition � g y ❑ Residence attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck �Relocation detached garage ❑ Office/Commercial Other: (specify) Cav�z2- 5 j c.��,� ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Welt 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) $ 7� �� -= � Last Updated: 9/29/2009 - 17- STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms= ; ❑Wood/Frame ❑ Masonry b. Width (ft.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bidg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 S`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 � ❑ 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; i • 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 generalty 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: � ,Z�S �/'2i� ��--�.-�, y�j;��,e-s T.�;c: Last Updated: 9/29/2009 - 18 - � . . Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: ��,� CJ-u( �� U : �'� 1� � Description of work: � � X � �y �� G�7-P./'t �ln'G�'1 q�- �Y(/'�� C�Q� Septic review by: � ..)� Date Approved: `�' � � � �C7 Zoning review by: �� Date Approved: 2� l v Building review by: Date Approved: �{- Z,�t -1 0 Grading review by: -- Date Approved: � Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District �l� ' l4 i Zoning: Lot Area: I 2 ' � � SF /AC Width: Depth: Survey Submitted: ❑ Yes [3'No Date of Survey: /.7/d4 pe.✓r�i � Sv✓� Pro osed Setbacks: �-r�w, � (,¢ Front(Lake) Rear(j3treF,�- � ( N S CF} W ) ( N ,�S� E W ) Other Buildings � Wetland Side Side ; �G� ' ,�r� r o� � � 75� h/� h� Building Defined Height: Ni'�- Building Peak Height: # of Stories Ok?: O�ES 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 slab and the highest ': space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, ; the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the I mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type ! or other arch-t e roof roof SUBTRACT ' half the distance between the highest window and SUBTRACT half the distance between the highest window i hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT I the distance between the basement floor/crawl ADD I the distance between the slab and the highest �i I space floor and the highest existing grade within I existin rade within the foundation the foundation or 10 feet, whichever is less. i EQUALS � Defined buildin hei ht ' EQUALS Defined buildin hei ht Lot Coverage: /V�' SF % I Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � _� � � ❑ Yes ❑ No ❑ N/A I ❑ Yes ❑ No ❑ Yes Cfi No � 0 Yes ❑ No ❑ N/A iPermit Number: Setback: Hardcover Zones Existin ; Proposed Variance Required I CUP Required 0-75 i I ❑ Yes ❑ No ❑ Yes ❑ No I 75-250' Type(s): � Type(s): I i 250-500' � 500-1000' I REMARKS (in-house): �a Q r,,-c.,•� Updated: 09/11/2009 z:lformslplan review checklist.docx ' • r Fees to be Charged YES NO Permit Plan Review State'Surcharge Investigation Fee :SAC—'Number:of SAC Units Sewer Connection W.ater Connection Park Fee 'Site Inspection Other(specify) ;,Miscellaneous Fees Calculated By: Square Footage I $ per Square Foota e I Basement X I = $ 15' Floor I X = � 2nd FIooI' X = $ Garage X = � c? Estimated Construction Value: � ��5'OC�� Orono Inspections Required Work Requiring Separate Permits Required State Permits ! i ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well � ❑ Hardcover Removal ❑ Mechanical ❑ Fire �Electrical � �'Footing i ❑ Septic ❑ Water Connection I ❑ Poured Wall I ❑ Fireplace ❑ Sewer Connection I ❑ Foundation Survey I ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. �Framing ❑ Other(specify) ❑ Insulation ❑ -Built Survey Final ❑ Other(specify) I REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMfT) Updated: 09/1 1/2009 z:\forms\plan review checklist.docx �� D T TIME \ / CITY OF ORONO CALLED IN � � V INSPECTION NOTICE SCHEDULED -��J PERMIT NO. ��Z c MPLET� ADDRESS S OWNER TE EPHONE NO.�` - g� �/ CONTRACTOR �S /�/t � ,I�.O�� DESCRIPTION � � ❑ FO NG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ OURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES�NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � GW_<E�VQfORK SATISFACTORY:PROCEED f7 PROJECT COMPLETE � � W ❑ CORRECT WORK 8 PROCEED [, ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (Q52� 249-4600 OwnerlContractor on site: �� Inspector._��.��—c <� �i�� White Copyllnspector's File Canary CopylSite Notice � �� C—DATE TIME � � -�� G, CITY OF ORONO �ALLED IN INSPECTION NOTICE / �� SCHEDULED � �•�. PERMIT NO.��Y,�'►"'L� COMPLETED ADDRESS � " � OWNER TELEPFi�NE NO. � �a -��lA"'�{y� CONTRACTOR �T��'� � `-� � ��,j� � � � DESCRIPTION �� ' �` � L`�` I I�4�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � d W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on site: Inspector. � % � White Copyllnspector's File Canary Copy/Site Notice �_ �DATF,, TIME CITY OF ORONO CALLED IN � INSPECTION ��a 0��6� SCHEDULED � � PERMIT NO.o� COMPLETED ADDRESS �7� c��lL��> � OWNER TELEPHONE NO. �� a6 ��''�7" CONTRACTOR �L7�Ll �� , X5`t�7'K.QO >; DESCRIPTION �`� '" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � ^ r � ❑WORKSATISFACTORY:PROCEED / Y�f PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �/'\�`1SSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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