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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. � ` - -� i � ��� �,/���., ���.--- ��:'� � _ �� ,ta. l.� Z�D � � � � � � �� 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�� � � ��� 1 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 - . l ., ... .... ._:.,�W �..:.._ _� . . _ .. . .....:� 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. , / -. � 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 W . � -� �` � �f '`��� ��l'�����/�1����` � � ` � �;�� �, �� V \,� I t C\ �—�� �\ � � C � `\ -___._.___�, � , �� �� � ____.�.___-._ ____..__ __---- __ __. 4 � - �J �. 4 � � � 3 n � ` � �� � �� � ro F V � \. k o � � c ,c � � 1 �'�' '� �' � C � � � � � � � z � a O 1 1 tR � � � Z � � � � � � �� i � ° � � � � �. � � � -� � � � � � � � � ,, � � � � � � i � ' , �,, � � __�___.____ � �. �� 1�- � ���__`'V C _ _ � �, z � � 5' -�- �, � -' � r"-� `:-�� N � � � 1 � r r� y� '* fl � � � 1� �T� .. r� ��� Tl �.i I^" -i � —7 - .�' } '.' 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Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site: ' Inspector. � �/� /? � White Copyllnspector's File Canary CopylSite Notice c- � .�� � , 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: W a J O �. � � O � W � Q � � Z + � W � � ]� � ❑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