HomeMy WebLinkAbout2009-00718 - 4 season porch repair � CITY OF ORONO PERMIT NO.: 2009-00718
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEv: 10/23/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3065 JAMESTOWN RD
PIN : 28-118-23-33-0008
LEGAL DESC : LIBERTY ACRES
: LOT 005 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE,ELECTRICAL(STA'I'E)
4 SEASON PORCH REPAIR
ADV. PLAN REVIEW FEE$76.70 PD 10/16/09 2009-00717
APPLICANT PERMIT FEE SCHEDULE l 18.00
LARRY VENSEL CONSTRUCTION INC.
87 MCCULLEY RD STATE SURCHARGE(VALUATION) 2.50
MAPLE PLAIN,MN 55359- TOTAL 120.50
(763)300-2738 PAID WITH CC# 1220
Minnesota State License#: 5836
OWNER
KOOB,JOHN& SUSANNE
3065 JAMESTOWN RD
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 specitications,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
pem�its. All provisions of laws and ordinances governing this type oY work
shall be compied with whether or not specified 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 at any time after work has commenced.
The applican[is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at aiity time for duglbause. �
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�� Applica Permitee Signature Date I u y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
�'o� 30 ��
. ��-21
City of Orono
Building Permit Application
for New Structures or Additions �ao. so �
Mailing Address: I Permit number. �O0 "����8 �
���� PO Box 66
Q\ Crystal Bay, MN 55323-0066 Date received: ��'—��0�� �
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a �` ^�,�;;�. a, � Street Address:' Received by: ��
�',�c, '� Gti 2750 Keiley Parkway Plan review fee: 7�•7 0
r`�gESHo�''� Orono, MN 55356 � _QO 7/-�
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. (Please print)
GENERAL INFORMATION: �, � ��,
Job Site Address: � � - 'i� � /`��
Will this be a Parade of Homes, Remodelers Showcase Home or o her Display Home? ❑ Yes ��o
If yes, a special event permit is required with Police Departm�j1t and Cify Counci!approva/60 days prior to the event. Shuttle bus servrce wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wifl not be allowed.
CONTRACTOR!APPLICANT INFORMATION: _
Name: �� �. ` � � '`�.
State License# C- � Expiration Date:
Phone: �G—� (office cell) —
Mailing Address: ,� , � ; Cit : ZIP: �: �—c-`
Contact Person: : �,� � � �. % Applicant is:C�ontra tor�� Homeowner (CircleOne)
Email and/or Fax: � � ---
PROPERTY OWNER INFORMATION:
Name: �C� v �C_%�.��
Phone (day):
Address: _ �� � � � ;�� ��� ��, City:�j���j��; ZIP: ����
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1. Type of Project I 2. Pr posed Use 3. Structure Type 4. Sewage Disposat &
Water Supply
❑ New Construction Single Family with ❑ Residence
❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑ Acce sory Building ❑ Single Family with ❑ Deck
❑ ocation detached garage ❑ Office/Commercial ❑ Private Sewer
Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ S rage ❑ Public Water
'`'`Any earth movement may require ❑ Commercial Other(specify)
MCWD review& permits. ❑ Industria� � oi���'Lp� ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) t�
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-A71-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � �,� �'�
Last Updated: 6/2212009
- 19 -
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STRUCTURE INFORMATION:
1. Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= �(i Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Width (ft.)= � Number of garage stalls: ❑ Metal
` Attached = ❑ Pole Bldg.
Areas in spuare feet Detached= ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15f Story = ❑ Other(please specify):
e. 2"d StOry=
f. '/z Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed Ap 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
❑ ❑ Plan Review Fee �
❑ ❑ Other
APPLICANT ACKNOWLEDGEMENT:
i
• 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 alternafive
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• 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 generalfy 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.
, / -.
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ApplicanYs Signature: � Date: �� /(P Q
Last Updated: 6/22/2009
-20 -
. Plan Review Checklist for New Structures / Addit�ons
Address/ PID/ Legal: � � � ��`� ��jc�J� ,
Description of work: �/ SE�►s•� �o�CH /CD�N/J�Q�a N �,�i4i�
Septic review by: _ ,�/f'� Date Approved: ��o2U�d `�
Zoning review by: Date Approved:
Building review,by: Date Approved: /U- Z�- O`Y'
Grading review by: N'/✓� Date Approved:
Zonin File#: Resolution#: Resolution Date:
in District Fire De artment Post Office Sch ol District
Zoning: L Area:� SF/AC Width: Depth:
Survey Submitted: G Yes 0 No Date of Survey:
Pro osed Setbacks:
Front(Lake) Rear reet) ( N S E W ) ( N S E ) Other Buildings I Wetland
Side Side
Building Defined Height: Building Peak Hei t: #of Storie�Ok?: � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SP E: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement or/crawl START the distance between the sl b and the highest
space floor and the highest roof peak,t top f WITH roof peak,the top of the cor�ice of a flat roof,
the cornice of a flat roof,the deck line of a the deck line of a mansard rpof,or the
mansard roof,or the uppermost point on r nd uppermost point on a round or other arch-type
or other arch- e roof roof
SUBTRACT half the distance between the highe window an 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 base nt flood crawl ADD the distance between the sla�b and the highest
space floor and the highest e ' ting grade within existin rade within the fou dation
the foundation or 10 feet,w chever is less. UALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: gF o�o
Shoreland District MCWD Permit Received Avera e La shore Setback Bluff
� Yes � No � N/A � Ye 0 No
� Yes � No � Yes 0 No � N/A
Permit Number: Setback;
Hardcover Zone Existin Pro osed Variance Re uired CUP e uired
0-75' � Yes � No � Yes 0 No
75-25 ' Type(s): pe(s):
250- 00' I
5 -1000'
REMA KS (in-house):
Updated: 09/11/2009
z:\forms�plan review checklist.doac
Fees to be Char ed YES NO
PeFrriit ����• .
Plan Review
�tate Surcharge ,
Inve&tigation Fee
SAC—:Wumber of SAC'Units `
Sewer Connection
WateF Conne�t�on
Park Fee
Site lnspection
Other(specify)
M�sc+ellan,e4us Fees
Calculated By:
S uare Foota e $ er S uare Foota e
Basement X = $
1� Floor X = $
2nd FloOr X = $
Gerage X = $
Estimated Construction Value: $ S.c�oo �=
Orono Inspections Required Work R�quiring Separate Permits Required State Permits
� Site 0 Plumbing 0 Grading / Filling � Well
O Hardcover Removal � Mechanical � Fire � Electrical
P'rFooting 0 Septic � Water Connection
� Poured Wall � Fireplace � Sewer Connection
� Foundation Survey 0 Masonry 0 Lawn Irrigation
0 Radon Rock Bed � Mfg.
�'Framing � Other(specify)
O Insulation
� As-Built Survey
�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
,
Access:Existing: � 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
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DAT /� TIME
CITY OF ORONO � CALLED IN , I^� v '
INSPECTION NOTIC� � SCHEDULED �fl% �
PERMIT NO.��,�i � ( � COMPLETED
ADDRESS C � �
OWNER ONTR. � . ���
TELEPHONE NO. ��.�� �"��Y -� �� ��
� DESCRIPTION �(_� ��/N� �- �1 � C.Z,Q�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�� O CORRECT WORK 8�PROCEED �
W ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnedContractor on site: '
Inspector. � �/� /? �
White Copyllnspector's File Canary CopylSite Notice
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G�� � TIME
CITY OF ORONO CAL�ED IN �
INSPECTION N TICE p SCHEDULED D � ;
PERMIT NO. � ���D C PLETED
ADDRESS �
OWNER TELEPHONE N07 3� J�`7 �
CONTRACTOR � �
� DESCRIPTION ` �v2��f"""`
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING i
Q ❑ POURED WALL ❑ MECHANICAI RI ❑ LAKESHORE/WETLANDS �
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 R ❑ SEPT FINAL ❑ FOUNDATIOWREMOVAU
� OWNER/ ETYOU� YES NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED QY�OJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCU'PANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPE�OR �CITATION ISSUED i
❑INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-�6��
OwnedContractor on site:
Inspector. _P` �:� � � i
White Copyllnspector's File Canary CopylSite Nofice i