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Home My WebLink About2009-00597 - demo/replace detached deck � ' � CITY OF ORONO PERMIT NO.: 2009-00597 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 09/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 770 NORTH ARM DR PIN : 06-117-23-43-0009 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 006 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK DETACHED ACTIVITY 32�: , IAL&NO VALUATION : $ 4,800.00 NOTE: DEMO&REPLACE DETACHED DECK THAT IS ATTACHED TO STAIRS DOWN TO LAKE LYLE SAID TO GIVE DIRECTLY TO HIM AND BYPASS P&Z APPLICANT pERMIT FEE SCHEDULE 118.00 STEVE SOBIENIAK CONSTRUCTION,LLC pLAN REVIEW 76.70 3399 CRYSTAL BAY RD WAYZATA,MN 55391- STATE SURCHARGE(VALUATION) 2.40 (612)940-0599 TOTAL 197.10 OWNER CARLSON,JEFFREY 770 NORTH ARM DR MOLJND,MN 55364 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 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 consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assurin `all required inspections aze requested in confortnance with te Building Code.This permit may be revoked any time due c se��"�� / a22/ � / / A 1 Perm�tee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ _ ity of Orono �(,� �o� -�-�� Permit Application for New Structures or Additions Mailing Address: Permit number: ��O - Og,�,jv.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� �° =� �, StreefAddress:' Received by: � �' � � ti 2750 Kelle Parkwa c� � Y Y �� , Plan review fee: -- �Q t9kE5Ho4� Orono, MN 55356 Total Fee: /�� /O Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and ali required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: �f � Job Site Address: � ��`' / �/ � � �� , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless appficant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � � � � Name: �-�-c�� S'��o�e✓�i�q (C �av� S � v� � b v� �--L � State License# Expiration Date: Phone: (9 �Z �1�{� �5�j'�j (office) (cell) MailingAddress: _ �,<y�� C ;��5� ( ,�,�,, /3� City: ��iy,��; ; ZIP: Ss"3i/ Contact Person: ' ' Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER INFORMATION: Name: - ,.a�� +=j C-��S��.� Phone (day): Address: `7 7G oo-��> i�Q <� �i— CitY� �Z�,v v�,n c ZIP: _j�,5 C </C7 Email and/or Fax 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 & Water Supply ew Construction ❑ Single Family with ❑ Residence ❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ,�.IIesl��Ck.1 I'Z,�� ❑ Relocation � detached garage ❑ Office/Commercial-}Q ❑ Private Sewer Other. (specify) �c=�iu � ��'�0 ❑ Multiple Family/Condo ❑Warehouse j..�c.� ❑ Public ❑ Storage �n�V _ ❑ 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) $ � �3G Last Updated: 6/22/2009 - 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.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= • ❑ Off-site Prefab d. 152 Story = ❑ Other(please specify): e. 2"d Story= f. '/Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not 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: • 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 solety 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. �' � � j, / bc� ApplicanYs Signature: Date: � /� / ( Last Updated: 6/22/2009 -20 - Plan Review Checkiist for New Structures / Additions Address/PID/Legal: "l'7 O YU 0. �R�tM Description of work: � L!� ��,q�,>/1/1�,�t— �� , �� w� ,�,�y�p�yc Septic review by: '— Date Approved: Zoning review by: — Date Approved: Building review by: Date Approved: �lr- � $ -o�C Grading review by: —� Date Approved: Zoning File#: Resolution#: Resolution Date: Zo 'n District Fire De artment Post O�ce School District Zoning: Lot rea: SF/AC Width: Depth: Survey Submitted: Yes � No Date of Survey: Pro osed Setbacks: Front(Lake) Rear(S et) ( N S E W ) ( N S W ) Other Buildings Wetland Side Si Building Defined Height: Building Peak Hei t: #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC ' FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement flo crawl START the distance between the slab and the highest space floor and the highest roof peak,the p 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 rqtin uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest wi�n ow 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 or/crawl �4DD the distance between the slab and the highest space floor and the highest existing rade within existin rade within the foundation the foundation or 10 feet,whichev r is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: '� SF % Shoreland District MCW Permit Received Avera e LakeshQre Setback Bluff � Ye � No 0 N/A 0 Yes � No � Yes 0 No 0 Yes 0 No � N/A Per it Number: Setback: Hardcover Zones xistin Pro osed Variance Re uired CUP Re uired 0-75' � Yes 0 No 0 Yes � No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): SN K1�� l'.1�l�lC,�; �n!']—'�� Updated: 09/11/2009 z:\forms�plan review checklist.docx Fees to be Char ed YES NO Permit Plan Review � S#ate Surcharge f/ Investigation Fee SAC=-Number of SAC Units Sewer Connection �later Cor�ne�tion Park Fee Site 1�spection Other(specify) Miscei��neous Fees Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1� Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � `I, �OO �� Orono Inspections Required Work Requiring Separate Permits Required State Permits �I Site 0 Plumbing � Grading/ Filling � Well 0 Wardcover Removal � Mechanical � Fire � Electrical Footing � Septic 0 Water Connection � Poured Wall � Fireplace � Sewer Connection 0 Foundation Survey � Masonry 0 Lawn Irrigation 0 Radon Rock Bed O Mfg. ; � Framing 0 Other(specify) 0 Insulation � As-Built Survey �Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: �— Date Approved: � Access:Existing:�ES 0 NO New: � YES I� NO / REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx BUILDING PERMIT APPLICANT: PROPERTY OWNER �� I, ,,� �� rl �t,-�understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. This license requirement applies to owners of residential real estate who build or improve such property for purposes of speculation or resale. By signing this document, I attest to the fact that I am improving this house for my own use and am not building or improving this house for the purpose of reselling it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, located at �� '�1 �i..,-� 1��^,,�,.,t , Orono, is the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. §514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minn. Stat. §326B.082, subd. 16 and can also result in a fine of up to $10,000. I further state that I understand that the filing of a false statement with the City of Orono may also result in criminal prosecution and/or civil penalties pursuant to applicable city ordinances and/or state statutes. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Orono for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. �'�J �-� C�( Sa,.� , r� Name �-�;�,_Uo� Date For questions or information�on contractor licensing, or to check the licensing status and enforcement history of a particular contractor, call the Minnesota Department of Labor and Industry, Construction Codes and Licensing Division, at(651) 284-5069. The Web site is: www.doli.state.mn.us/contractor r � � �. ` � � r . , � ` t �'� � , � 0°1 sl _` , � ' � � � ".� ? ' ..�_____---_�._______�.____ ._._.----- __ _. __ ._ . _._._._. �X ', . . _ . _.__._ --------�,�-- . � �� _�_ ._ _ ._ _ _. _ v , l�� .< y3�__ -'- � 1� �� : � � . � � � :� � ; > � . � : �, � � ,� i _, i � � �,_ �� , �,` • �y ' I' _`--------- ---� Y � ' �._. v Y.. .. . r.� i `___ , : _.__ _.. . -t c i _. . _. _. . � - - i 5//b ' 1 _ . r--w Y- - - I � � � ! ; i I 1 � � k �� -`- �.� n � _, � � � � �, C n � u � -` i% - ' D T / TIME CITY OF ORONO CALLED IN � �� INSPECTION NOT�(CE SCHEDULED � � PERMIT NO��'f� �� COMPLETED ADDRESS � OWNER CONTR. f � ` �'� � TELEPHONE NO. �n l� - 9 y(�i,S��I' � DESCRIPTION ��T�� l��- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ S�TE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU YES_NO � COMMENTS: � W 4 J ( JI� � � � O �. � O � W � Q � Z W � W � j d ^ , �;/��WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W//❑�60RRECT WORK&PROCEED l- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED O STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on s�te: " Inspector. �� r � - � White Copyllnspector's File Canary CopylSite Notice � �-t' y.� AT TIME ✓ CITY OF ORONO CALLED IN � 2� �a INSPECTION NOTICE SCHEDULED _�� PERMIT NO. �OMPLETED ADDRESS e- ' OWNER �'e , ( � TELEPHONE N . 5a " p�-� CONTRACTOR �-P 1 '� �C��,�j�,��jv�/ � 7�O �; DESCRIPTION L.l�-l�-- �,I��l � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING Q ❑ POURED WALL ❑ MECHANICAL 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L 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 for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on sit Inspector. � White Copyllnspector's File Canary Copy/Site Notice