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Home My WebLink About2011-00377 - 3 season porch . . CITY OF ORONO PERM�T No.: 2oii-oo3�� 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [Ss[1En: 06/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 81 HACKBERRY HILL PIN : 33-118-23-44-0014 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 008 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : THREE SEASON PORCH ACTIVITY : 434-RESIDENT[AL VALUATION : $ 10,000.00 NOTE: SEPERA"CE PF,RMITS REQUIRED: ELECTRICAL(STATG) ADVANCED PLAN REVIEW WAS PAID ON PGRMIT#201 I-00375 APPLICANT PERMIT FEE SCHEDULE 191.75 MEASUREED BY THE POUND CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 9135 PIONEER TR TOTAL 196.75 GREENFIELD, MN 55357- (763)443-9510 PAID WITH CC# 8534 OWIVER STANKEVITZ, GEOFFREY&JENNIFER 81 HACKBERRY H[LL 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 specifica[ions,applicable City approvals,and the State[3uilding Code. 'I'his permit is for only the work described and does not grant pennission 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 specitied hereia 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 a[any[ime aRer work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the tate Building Code.This permit may be revoked any tim for ue ause. ✓ , 6 � '7 � � � � �� Applicant Permitee Signature Date Issu d y Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Pian Review Checkiist for New Structures / Additions ��j i, �! �� /y� � I' Address/ PiD/ Legal: � �' .�,�'';'�'�- ��'� �� er ( � Description of work: Septic review by: �/� Date Approved: � ' � -� � � Zoning review by: � �• '� �1 � Date Approved: Building review by: Date Approved: (� - (� - d I Grading review by: � `i°� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: �; Survey Submitted: 0 Yes � No Date of Survey: Pro osed Setbacks: Front � Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side 4�2 � 2 3 5'� Z.Z €�� 3 0l//s� Building Defined Height: c� .�< Building Peak Height: #of Stories Ok?: 0 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 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 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 hi hest roof eak of a itched roof and hi hest roof eak of a itched roof � SUBTRACT the distance between the basement flooN crawl ADD the distance between the slab and the highest � space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht ' Lot Coverage: ►�� SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � � Yes �( No � N/A 0 Yes No �` 0 Yes �No permit Number: 0 Yes �No � N/A Setback: � Harcicover Zones Existin Pro osed Variance Re uired CUP Required 0-75' � Yes � No 0 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 �' Plan Review � State Surcharge ,� Investigation Fee SAC—Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Va►ue: $ � ��c�C70 °�' Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading / Filling 0 Well 0 Hardcover Removal � Mechanical 0 Fire Electrical Footing � Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection 0 Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. ' Framing 0 Other(specify) � � Insulation � � s-Built Survey ' Final � Other(specify) REMARKS (in-house): � Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO 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 , . , l7�-' C City of Orono ��\� Building Permit Application for New Structures or Additions —� Mailing Address: � .�� Permit number: � O�� -�G,3� 0 y_O�Q CrysBta�Bay, MN 55323-0066 Date received: � �%�3 � � � °,:�� °= ' Receive�-�- L� ,� , � -,� �, SfreetAddress:' __. �'�,s, ` ''�� ,ti 2750 Kelley Parkway ��P I 'CC`,3 7,S Plan review fee: � �� . �'1 t`�kEsxo4`� Orono, MN 55356 � `- " Total Fee: / C�/ '7�J Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.nin.us ( �P � 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: �<I F�'r,,,��1 �;r�r°!'-� ��,� � t Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ Yes No ff 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 available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: d��-�� ' . ,�,,�>v�-z- �u �,.,: �;�." y��,'� � L L C: State License# c}U 5 7�3 31 '� Expiration Date: - Phone: -- y , -�) ' office -7L� � - �' -- `5/Cl cell Maii�ng Address: `11��; �;cs�e�� 7�c�r CitY � �r �:-,�i'�f� ZIP: 5�S 3S 7 Contact Person: j,,�,(�,( �e��,/� Applicant is: n ractorA / Homeowner (CircleOne) Email and/or Fax: rv� Q�T/' � � f✓<<L,nr� , Gn;�Y� PROPERTY OWNER INFORMATION: , , � Name: (��'�;:��" �.«��:d �l"1,� ; � ��l�(�v i� 7 Phone (day): F,i ��- �� - �yY�G' Address: 51 tfclGl��c�°j�9 �f;�� City: �%��f�, �;; ZIP: �� >�� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: Cit : ZIP: 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 �j Addition �1(�e ��'�'�u'�� attached garage ❑Gara e/Accesso Bld g ry g. �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 require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial `T�jr�.�' `�c-ccS�� Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952�71-0682 www.m innehahacreek.or Estimated Construction Valuation (excluding land) $ /J, ��rl `"� Last Updated: 4/26/2011 - 19- , . . 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.)= ��J Number of garage stalls: ❑ Metal Attached= '� ❑ Pole Bldg. Areas in square feet Detached=� ❑ ICF r. ❑On-site Prefab c. Basement= ��, ❑Off-site Prefab d. 15L Story = I�Q� ❑Other(please specify): e.2"d Story= ��'}�fT f. Yz Story = � g.Total Area= r�'rJ REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable � ❑ Permit A lication � ❑ Pro osed Buildin Plans ❑ �'d MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ Q9 Stormwater Pollution Prevention Plan ❑ � Hardcover Calculation s ❑ 1i1 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; . 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. ' �., ��. ApplicanYs Signature: �� Date: ✓ u � ' y � Last Updated: 4/26/2011 -20- DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �I�J PERMIT NO.►7J I I-C�� COMPLETED ADDRESS � � ��C� a�� '� ` � OWNER TELEPHONE NO. CONTRACTOR �_S ✓lc � l�'I � d��'iv-G� �; DESCRIPTION 3 S e g sU� ��G �- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETIJRN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on sjte: � Inspector. i White Copyllnspector's File Canary CopylSite Notice �� DATE V TIME � CITY OF ORONO � CALLED IN � �� / INSPECTION NOTy E � SCHEDULED / _`_�/ I ( � PERMIT N0.�C'`� ��C � � COMPLETED ADDRESS � ( C �L �� Y � I OWNER TELEPHONE .��' 3 �'�3-�IS/� CONTRACTOR l C;C'�c � S . >': DESCRIPTION ! ��'� �l �'1� J �CQS�'j�-�.t/' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL/� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES��NO � COMMENTS: � W C � /^ � l../ a O a � � `l �=-c� � � Q ��i�l�o� ��-�'_�z, S. z ")�" ,� �1.�� l ,�r�.,-�--_ ��' W �-"��.~X-�J� � � a /� W� /,�CpIORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W�O C�RECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOF REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� Owner/Contractor on site: Inspector. �-� White Copyllnspector's File Canary CopylSite Notice �_� -J — D E TIME " CITY OF ORONO CALLED IN � � INSPECTION NOT C �J SCHEDULED � PERMIT NO. � '�Z� C PLETED ADDRESS � / OWNER T LE��E O �� CONTRACTO � � � >; DESCRIPTION �G�' `'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J (_,/ i"_' � �.3 f �,iL��f_ O a � O � W � Q � Z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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.CALlTO ARRANGE ACCESS. Cail tor the next inspe tion,2 hours.' ad�ance. (952� 249-4600 Owner/Contractor on site:\�� .i� l ��l.S� Inspector. White Copyllnspector's File Canary CopylSite Notice