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HomeMy WebLinkAbout2009-00824 - deck .. , CITY OF ORONO PERMIT NO.: 20o9-oos24 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: lUi6/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2497 KELLY AVE PIN : 20-117-23-12-0051 LEGAL DESC : KELLY COVE : LOT 001 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$10,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING A DECK PERMIT#THIS PRE-PAYMENT IS TIED TO:PERMIT#2009-00818 APPLICANT ADVANCED PLAN REVIEW 124.64 NEW IMAGE DECK CONSTRUCTION TOTAL 124.64 1758 STERLING RD WACONIA,MN 55387 PAID WITH CC# 7134 (952)442-1308 Minnesota State License#:20219985 OWNER STRALEY, STANLEY&MARLENE 2497 KELLY AVE EXCELSIOR,MN 55331- 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 construction is suspended for a period of 180 days at any time after work has commenced. The appiicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � (o� � , �,� ��� �- �� �- � �� ql�.7 �� � City of Orono � � �Q �.7�� � Building Perm�t Application for New Structures or Additions /�_� Mailing Address: Permit number: ���.,�.�� PO Box 66 � ��� , Q� Crystal Bay, MN 55323-0066 Date received: � � �9 � �. � �����4 �. �. I Street Address:� Received by: �'�L�4��g�r�, ���'� 2750 Kelley Parkway Plan review fee: � � 97fE�SH 4�' Orono, MN 55356 �O G - 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: l Job Site Address: 4-9 7 c /� v�-�. Will this be a Parade of Homes, Remodele s Showcase Home or other Display Home? ❑ Yes No /f yes, a specia/event permit is required with Police Department and City Council approval 60 days prror to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-perrnitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT�Q N: i Name: ,,,, T r..�a L V tc� �v�.�� 1..t� -� State License# �p� � g— Expiration Date� O�-- � Phone: -�. - C� -t� d c{. office) �j �- 4 ��- G 1 o cell Mailing Address: �M ;� � Cit : ;� ZIP: $S 3 Contact Person: ,' ,s� ,,, �- Applicant is: Contr / Homeowner (Circle One) Email and/or Fax: i�S .S� �g '� PROPERTY OWNER INFORMATION: Name: ,S �-a�,, S �a� C�% Phone (day): _ /7,C Address: ✓�� S � / � J/Y �`r Cit � Email and/or Fax ��'� ZIP� 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 Water Supply ❑ Single Family with �'Residence [e}Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ulti 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 Well 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) $ (�, GG 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 b.Width ft. _ � � ❑ Masonry ( ) Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1S`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: Not Enclosed Applicable �-- ❑ 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 � _ .B- 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; • 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. � ��-��`e � ApplicanYs Signature: Date: Last Updated: 9/29/2009 - 18 - ' Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: � �� � � ��-i� l i `( /�U� <�v���:� � k c�ir.cl< <�;..-rr ��v�ct.� r��t c �� �--, Description of work: � c�� � �L F�-�ti�i �l� ���, ; <<-� t-� � �—� ;,•v�� � Septic review by: � /� Date Approved: � � - � ,.Sj-Q� � , � �.' Zoning review by: Date Approved: (,) �- ( Building review by: � � Date Approved: � i C� � �'1' Grading review by: f�f�l� Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area; �=. ' � 1 SF/ACJ Width: �--' Depth: ti�+'��1 V c �l_;c-� c;�:�i;; Survey Submitted: 0 Yes �o _ Date of Survey: �;�� �( G°?"� '�, Pro osed Setbacks: �� ``"yi ����'— �� �� � `''� Front(Lake) Rear(Street) ( � S E W ) ( N S E W ) Other Buildings Wetland ��G ��'r �+r•� Side Side (� ��f�� 1�� �v�vt C� ,v 'C � `-1` �>`, � t�f � �; �'t- �L ti���:, .. Building Defined Height: Building Peak Height: ' "` � #of Stories Ok?: ❑ 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 floor/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 0 Yes � No /A 0 Yes CY�Io �es ❑ No 0 Yes ❑ No Ca''�V/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Required 0-75' �::,�:� ❑ Yes � No ❑ Yes 0 No � 75-250' Type(s): Type(s): 250-500' �'� �-'1 500-1000' EMARKS (in-house): 'Y�1 ��'� �� "�C�Uf�I�t�.:' `�zr � C,�� J�y'' �� c � �'���� , � �-� ���^ ���' � �1�.,� � S� � � 5�� � t�r�� �����- � �� ��(��....� Updated: 09/11/2009 I z:\forms�plan review checklist.docx �� �'�'�`���Y��`� t �} 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: Square Footage $ per S uare Foota e Basement X = $ 1 St Floor X = $ 2nd FI0o1' X = $ Garage X = $ Estimated Construction Value: $ i�,�uu `�� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal 0 Mechanical ❑ Fire 0 Electrical �"Footing 0 Septic ❑ Water Connection ❑ Poured Wall � Fireplace ❑ Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. Framing ❑ Other(specify) 0 Insulation � As-Built Survey ,�Final � Other(specify) 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 PERMIT) �1�.. `'� k�=� � �� C��� v��v' 1 1( �,M S t�C��r��.ti-,� �L> ��'�-�— C�Z C 1L . � ' IVJ7 �� I�� �\-�_l�`l_I �/l� �YV� �VI����l �� I � �V�� � ) ' �,�S��I��l � ���5 a � L,���'� Updated: 09/11/2009 z:\forms\plan review checklist.docx �, � � _ _ __ _._ _ ., . _r_ � � �. ,. . 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' . � ..�..'.., a...a,--.._. �__...� _...-,_... . ......�..,. ...___. ..�...,-. �.....—_. ..... ..:_....... . . ,._ � � � . . . .. . . . . . . . . . . . .�,�. ... . ,tt . , ... . . . . . .. . . . � AT.r, TIME J CITY OF ORONO CALLED IN �c� INSPECTION NOTI E SCHEDULED 3_�� � PERMIT NO. � �8 COMPLETED ADDRESS a����-l��-4 �� OWNER TELEPHONE NO. CONTRACTOR /UP.(.!� 1 Wi.QQQ �!L�� � DESCRIPTION � ❑ FOOTING � PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C J 1� � � � ��� 'T• /4 � l �./11 f� � � O � W � Q � Z W � W � � � W �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WQRK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � � �S White Copyllnspector's File Canary CopylSite Notice � -�� ✓ � D �� TIME CITY OF ORONO CALLED IN INSPECTION OTIC / SCHEDULED ,9� PERMIT NO. �d '�� �`� C MPl ED ADDRESS � VL V� OWNER CONTR. � '� � TELEPHONE NO. G� �5�� 7`Z� "��DO �G�RIPTION � OOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREIWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O Q TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MA�NT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � 4 � � . (�. i (� ;�.�i�� 0 � ° t� � �� 4 �-��( - 3��`t � ) v� ��-�{ � ��� � Q � z W � W � � � � �lORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CAI�TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. -� White Copyllnspector's File Canary Copy/Site Notfce � -1 � //�ATE `� TIME CITY OF ORONO CALLED IN z ��C-/- � INSPECTION TICE _ODg/�cHEDULED _����� � PERMIT N0. d KCOMPLETED /,.� ��7 � � ADDRESS ` OWNER TELEPH NE NO.��-��� �� CONTRACTOR �� � DESCRIPTION �,���� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � � O a � O � 4� � Q � Z W � W � � W �WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ I E CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECQVERING PERMANENT . ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor site: Inspector. ' White Copyllnspector's Fiie Canary CopylSite Notice