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Home My WebLink About2012-00517 - attached deck CITY OF ORONO * 2 0 1 z - 0 0 5 1 7 * � � 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2012 ORONO, MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 2509 KELLY AVE PIN : 20-117-23-12-0037 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,000.00 NOTE: REBUID EXISTING ATTACHED DECK-OK'D BY LYLE OMAN,IF REBUILT IN-KIND ONLY! � INITIAL APPLICANT pERMIT FEE SCHEDULE 413.00 NADLER,CHARLES&CANDICE PLAN REVIEW 268.45 2509 KELLY AVE STATE SURCHARGE VALUATION 12.50 EXCELSIOR,MN 55331- � � TOTAL 693.95 OWNER NADLER,CHARLES&CANDICE 2509 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 gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo ed at any time for due cause. � i 1 i i/ i / �-- App icant Permitee Signature Date Is By Signat re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,� � City of Orono Building Permit Application .� 2� for New Structures or Additions CrI�,�� Mailing Address: c ��,�. PO Box 66 Permit number. �.�C� ( u�' -� ( i �I � , _ 0 O C rystal Ba y, MN 55323-0066 Date received: (��- � ,?- �,�, � � �, StreetAddress:' R eived by: �� „ ° y ti`� 2750 Kelle Parkwa � � � Y Y � {�;� C' �. lan reviewfee: - n� �� r � �`�kEsxog'� Orono, MN 55356 �---____ - �-��►'� � Total FeeR� �� , '�; !. <`- 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. `� �� f Incomplete applications will be returned. (Please print) GENERAL INFORMATION: JobSiteAddress: �-�� /�� • ��,1C..� /�C<<1�cr� ��:�.1�s�'�-- Will this be a Parade of Homes, Remo�c elers owcase Home or other Display Home? ❑ Yes 0-tdo If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. /APPLICANT INFORMAITION: Name: ��'�c,�� /�.�C�d�� State License# Expiration Date: Phone: � office cell Mailing Address: �- �1�„t� Cit : r v'�„�.� ZIP: - -3� Contact Person: �� ce- .1 -�� Applicant is: Contractor / omeowner �c��ie o�e� Email and/or Fax: � ��;��{-�a�� E� �� ; .�,� , ,,� �j- PROPERTY OWNER INFORMATION: Name: �'lr_.r��<> /11C��'-'- Phone (day): g � Address � � � ( • �, � ,� � Cit : ��1.J`�� ZIP: �3 Email and/or Fax . c '� r.� ARCHITECT/ENGINEER INFORMATI�: /J Name: ;�r ,.:'c>^�' � !�� /Co� �.2 Phone (day): � —,� ,�r S ,� Address: 22�� , ��,�l�v � City:�lf��c.-��/ ZIP: �S �� Email and/or Fax: �,,. / � ��- ,.t��,, , L��,�-� PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation l . detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other. (specify �F u�'� C�Cc�' r�/ ❑ Multiple Family/Condo ❑Warehouse �r C( / ❑ 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 i��_ Estimated Construction Valuation (excluding land) $ �Sf�'�' Packet Last Updated: 03-06-2012 -21 - � � Plan Review Checklist for New Structures / Additions - ��. Address/ PID/ Legal: �� `l tJ 5 �,G �(_L,� ��J� Description of work: IJ�C.� ��-x-p��-�-�1--NT Septic review by: /U�/� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: !s ^I`� - ?�0/2 Grading review by: !Y //� Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office Sc ol District Zonin � Lot Area: SF /AC Width: Depth: Survey S bmitted: ❑ Yes � No Date of Survey: Proposed S backs: Front (Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland Side Side Building Defined Height: Building Peak Heigh : #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEM T OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance betwe the basement floor/crawl START the distance between the slab and the highest space floor and the h est roof peak, the top o WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roo ,� he deck line of a the deck line of a mansard roof, or the mansard roof, or the uppe ost point on a und uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the hi �iest indow 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 basem t fl r/crawl ADD the distance between the slab and the highest space floor and the highest exi ing gr�within existin rade within the foundation the foundation or 10 feet, wh� ever is less:. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF � % Shoreland District MCWD Permit Received erage Lakeshore Setback Bluff �� Yes ❑ No ❑ N/A `� � Yes � No 0 Yes 0 No �" 0 Yes� 0 No 0 N/A Permit Number. Setback: Hardcover Z es Existin Proposed Variance R uired CUP Re uired 0-7 0 Yes ��,No 0 Yes � No 7 -250' Type(s): Type(s): 250-500' �� 500-1000' �� REMARKS (in-house): /Uc� G I�--/4-/v QI,� �N 1�� N�J �1Q � �f►�(-�T Updated: 09/11/2009 z:lforms\plan review checklist.docx Fees to be Char ed YES 1V0 ' ' �.�� .;.� ��:� � �> �� ..,_. , ,... .. .. . _ _._ _,..:. Plan Review r _ . . , � _r _ .._. . . ,... ,. .. ,�, � _ � . . ,_ , � _.�__. . . _ _ - :.�. .,,._ ��, Investigation Fee _ �_ ; .�� _ �...-•, , ,, _ . �:;. �.�,��. <.�„ << ,- �. . ,.. , Sewer Connection Park Fee . . _ _ __ .: .., Other(specify) . ,� __ _ _ . Calculated By: . . _ .. _- S uare Foota' e $ er S uare Foota e Basement X = $ 1�Floor X = � 2"d FIOOr X ; _ $ Garage X = g Estimated Construc#ion Value: $ "�'c "' '�po o °O Orono lnspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing � Grading /Filling � VUell � Hardcover Removal � Mechanical 0 Fire � Electrical Footing � Septic � Water Connection � :Poured Wall � Firepiace � Sewer Connection � FoLndation Survey :G Masonry G Lawn Irrigation G Radon Rock Bed � Mfg. �0'"'�raming G Other{5pecify) G insulation �Built'Survey Final 0 Other(specify) REMARKS (in-house): Other R�eview: Reviewed by: Date Approved: Access:Existing; � YES � NO New: � YES � NO REMARKS(TO BE NOTED ON PERMIT AND iNITIALLED`BYPERSON PULLIMG PERMIT) Updated: 09/11/2009 zs\formslplan re�iew checklist.doac ` . STRUCTURE INFt�RMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction 17�'c t� /Z�c Z � a. Length (ft.)= J� Z Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet ��(�� Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 15`Story = ❑ On-site Prefab e. 2"d StOry= ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): 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 -0�' ❑ 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 O -B-` Se tic S stem Site Evaluation Re ort ❑ � Access Permit ❑ -�- Wetland Buffer Im rovement Plan ❑ �l En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER 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. ��f, 1 � Applicant's Signature:�( 1�.�,��v �� Date: �i, � �\ 1 �Z' Owner's Signature: ITC,,�L��t' ��.�v�`'� Date: �:� 1�� 1� Packet Last Updated: 03-06-2012 -22 - (�'� °— � - s �'_'+�I �� -=�`� � � � N � -c `r�' . � I � � � :� � �� 1 �S.1 -3>,.. � � � I �-' C �J � �_ 3 F � �� `� � ! �e�6I � 03 J •C, `. @, � {.� . r„1 O IrI _ �i) ` � .roJ ..,,.... � � � . s O C.. �.� _. �"' " r' r C � �� ,� i '�� Q) — C: �— FdSi l Q � C..J .;� `u � 4��. ''� �l h � _ I r ��I � � �, t: ,' -; �� C`" . �� i v t t,� �� 4 ..., ,,�n, c� - h ,. _._. ,---• �� , � -�� n�i s. 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Vi C� ' r) �� , �"��/ �. `\ j � \ `` � �♦ ... .._ �:u ;� ` ..j.. ,��.... �x � ` .. ., ,o n I _.S � i� i X �� E:' , r , � :, ;,: �� •o � , �.j ,'��c � £�-�; -� � } �� n 1 � �y" :; , ,y. •• � nJ � ,._ 11 � C�i� ��J �— S � � � � �,,, —. ' r� �j \� � !`-;77 .. G � � I I �� .'� � � � � � i 4` �„�, t_. � C�S !J -� ...... 1 .�.`. . . . . . . .. .....� � O � ._.. _..,. ._.... ... ... ._... . _.. _._ .�.. . .. ._. .._... ... . ... .... . ... .. . ... ...... . . .. ._.. . ..... .... . . �— � —I� DAT TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �ZD/�—�7 COMPLETED ADDRESS a� �` u'L OWNER� TELE HONE NO�✓��-��-5g3� CONTRACTOR � DESCRIPTION �� ` � ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O WARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � �J �� W ❑WORKSAT{SFACTORY:PROCEED '8-fFiOJECTCOMPIEfE � O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDlTIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on sit Inspector. � White Copyllnspecto�'s File Canary CopylSite Notice