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Home My WebLink About2017-00664 - attached deck + . � CITY OF ORONO * 2 0 1 7 - fD 0 6 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2017 ORONO,MN 55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 1669 NORTH FARM RD PIN : 27-118-23-44-0008 LEGAL DESC : THE FARM AT LONG LAKE : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,000.00 NOTE: REBUILD DECK APPLICANT PERMIT FEE SCHEDULE 278.77 STATE SURCHARGE(VALUATION) 7.50 KEENAN&SVEIVEN,INC. TOTAL 286.27 15119 MINNETONKA BLVD. payment(s) MINNETONKA,MN 55345 CREDIT CARD 0048 286.27 (952)475-1229 Minnesota State License#:BUIL-7252 OWNER BEENDERS&PETER MONTGOMERIE,ANTOINETTE 1669 NORTH FARM 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 specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of 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 I80 days at any time after work has commenced. The applicant is responsible for assuring alI required inspections are requested in conforrr►ance with the State Building Code.This permit may be revoked t an ' r due cause. �� - � � � �i Ap i e ign e a e Issu d B ignature Date Builder Acknowledgement Form Permit #2017-00664 & 2017-00689 / 1669 North Farm Road Builder Representative Name: � , f�� Permit Conditions: Initials Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to x� inspection. Erosion control shall be installed and maintained throughout the entire project and must x � remain until vegetation has been established. A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of hauling from the site.The property owner shall be responsible for cleaning x� and repair of roadways for any adverse impacts. Prior to the release of the escrow funds a final inspection must be completed and all disturbed areas established with vegetation. Please note established vegetation means perennial cover ` , with a density of 759�0. Seed blankets or sowing grass seed it not considered established X vegetation. , Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining walls,etc. not currently shown on the approved survey and landscaping plan will require a � ^ separate Zoning Permit application to be submitted and approved prior to the work � � commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and d�,�, approved rior to construction. w:\street files\north farm road\1669\builder acknowledgement form 2017-00664&2017-00689.docx � Ci�y o� Oror�o , ___ _ _ _ � � E3u�ldin� Perm�t i4pp�icatio� O�8/o- �'� for �levv S�r�ct�res or �4c�ditia�s -- Mailing Address: Q PO Box 66 Permit number: � G�/7- /�c Gj�> +� C stal Ba MN 55323-0066 � � ry Y� Date received: ��-/Cj- Street Address:' Received by: -�'y y ,� -' 2750 Kelley Parkway �Q; l��, �> �' � �` Orono, MN 55356 Plan review fee: �aKESHO��' Main: 952-249-4600 Total Fee: ��1-��'�� Fax: 952-249-4616 vrw�ti�.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: �f Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No lf yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non permitted events will not be allowed. CONTRACTOR/APP CANT IN ORMATION: Name: /��i/ e �( ��' L . State License # xpiration Date: . Phone: cell Z.. 2. _ Z office �j' 2- ,S'_ Mailing Address: � / i y . Cit : r Z�p: Contact Person: J� Applicant is: Contr�acto; / Homeowner (Circle One) Email and/or Fax: C C G/'VI PROPERTY OWNER INFORMATION: Name: _�D/YJ G1� �1�.�(df�liS Phone (daY)� �O�l�- 3Z,�7307 Address: �(a�J�/r1��.1i�t�t �Qo•( City• (�}/LVjp ZIP• 55r�S� Email and/or Fax K,�,v�h��}c� y.�G �� ARCHITECT/ENGINEER INFORMATION: Name: ��P�G►Gs!i1 � ��jl��1 • Phone(day): Address: City. Z�P, Email and/or Fax: ARCHITECT/ ENGINEER INFORMATtON: Name: Phone(day): Address: Cit : Z�p• Email and/or Fax: PROJECT INFORMATION: Description of pro'ect: N�Gt/jGf , 1.Type of Project 2. Proposed Use 3. ructure Type . 4.Sewage Disposal& ❑ New Construction ❑ Sin le Famil with �Nater Supply ❑Addition g y ❑ Accessory Bldg./Garage attached garage ❑ Deck ❑Accessory Building ❑ Single Family with ❑ Office/Commercial � Public Sewer ❑ Relocation /,, detached garage ❑ Residence - � P fY) L��/Gt��4� ❑ Septic �Other: s eci. � ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate ❑ Public 4-feet orgreater may be required) *"Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) � Other: (specify) ❑ Other(speCify) 15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.minnehahacreek.ora Estimated Construction Valuation (excluding land) $ �_T�� •.� Packet Last Updafed: January 2016 Pa.qe 21 STRUCTURE INFORM�►TION: 1.Structure Dimensions 1. Structure Dimensions(continued) ' ' ' a. Length(ft.)= Number of bedrooms= 2. Occupancy: ��`r� b.Width(ft.)= Number of garage stalls: 3. Occupant Load: `'"'"1� Areas in sauare feet Attached= w c. Basement= Detached= 4. Type of Construcion: ✓� d. 15S Story = �� O V e.2"d Story= 5. Code Edition: f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: . • • � A11 of the information must be submitted in;ocder far yoU�application to be proces�s�d: Not Enclosed A licable ❑ O Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ , Com I ted lication Form • ❑ ❑ • � Pro Sed Buildin P1ans-2fu113Sze sAts to scale and 1 reduced 1�1 x 17 or 8%s x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ � ; r: ❑ ' ' • Sur'v,e -2 full size,to scale meetin A�.L Surv� re uiremBnts •p•. • ;: ��,• ; Hardcover Calculations ' " ' a � `� �� ❑ Se tic S stem Certification " ❑ ❑ ' MmnehahaCfeek�l/Vatershge�tris�(�A6�W )Pejmi�or +, ; • •' Documentation from MCV'VD s�tirt `ho ermit i§te"uired �-• • • ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Landsca e Plan � . . ❑ ❑ Stormwater Pollution Preven�ion Plen PPP � ' ❑ Access Permit ' ' '' � • , .p.�. ❑' ; ; . Data Privac Adviso Form • ''" • �. '- ;s � . •1'`' \,.. . ,��'.i• .#`� , � Y��-��a�` , 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 �nformaticy� is,to annually update our records and records of other governmental agencies required by law. If you refuse to sapply the Jnf�Sr[nat�Qn,the.�Spplication 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 fssued upon recelpt of a 510,000 escrow to ensure completfon of the as-bullt survey and all site improvements. ApplicanYs Signature: Date: `�C "+l �` "-'�7 Owner's Signature: Date: Packet Last Updated: January 2016 '. . � � ' �� ' �. `` ' Page 22 � ` � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � ��XtY q �V 1 1 ► 1 �r1�. �6f Permit No.: 1.�1� 'W�IY"r Description of work: _�Q,�1 �• Q 1 4.�,� Date Rec'd: (p'�Q'� / Septic review by: � ,�7..� Ki�C',y� /"v G l� Date Approved: Zoning review by: ' Date Approved: � ' ��'�7 Building review by: ` Date Approved: � � Grading review by: � Date Approved: /�J��.i� Zoning District: l.�.�"'�l'r Zoning File#:��7'�7L►9 Resolution? Yes Reso#: �� Z- Reso Date: _ - , Signed: Yes No Resolution/ NA Zoning: Lot Area: 3� ! SF AC Width: , � Structural Coverage: SF % Survey Submitted: �'S'es 0 No Date of Survey:.7•2�'(� Revised date(?l: Landscape plan submitted? � Yes Landscaper: O No/None proposed Pro osed Setbacks: F t(Lake) R (Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildinq Heiqht Analvsis: Distance Between First Floor and defined Top of �a� � Roof'` See "buildin hei ht" definition � First Floor Elevation from buil ' lans : (b) Highest Existing ground el (per survey) or 10' �� above lowest roun vel, whichever is lower: Difference betw n b and c : (d Defined uildin Hei ht (a -(d : �e� Shoreland District MCWD Permit Average Lakeshore Setback gluff Met? Permit Number: ("? - ZZ � Yes �t-No � N/A �es � Yes 0 No No � N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s �•�[�O ��,.� �Q es � No Yes � No 01 2 3 4 5 ype(s): Type(s � I (, � �39'5 Se�bdttic- Updated: October 2016 v:\forms�plan review checklist 10-2016.docx , Fees to be Char ed YES NO Permit Plan Review (/ State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Faota e Basement X = $ 15' Floor X = $ 2nd FI00� X '` _ $ Garage X = $ Estimated Construction Value: $ !J ' �VV Orono Inspections Required Work Requiring Separate Permits ooting � Site � Plumbing 0 Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control � Mechanical � Fire � Foundation Survey � Hardcover Removal � Fireplace � Water Connection � Framing 0 Other(specify) � Masonry � Sewer Connection � Waterproofing/Drain tile � Mfg. � Lawn Irrigation � Foundation Waterproofing � Other(specify) 0 Landscaping Framing � Insulation 0 As-Built Survey Final � Lathe Required State Permits 0 Other(specify) 0 Well � Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: �-See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. ,.. 1 � , ;• r ,. .. �r ». . " - . + ,J` `i�, .. s ��SY�jN �r��' . I�� .� � � . � '' .. • . . •w .s` < ' A# Updated: October 2016 v:\forms�plan review checklist 10-2016.docx Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. ✓ Completed Application �/ Plan Review Fee Paid 2 Signed Escrow Agreement & Escrow Paymer�t u ��-% ��_-- c_��- � �'`"v ti'u�/1 `�- � Plans (to scale) x2 �/ Certificate of Survey (to scale) showing the proposed project & meeting all requirements x2 ti� �N l� Hardcover Calculations (if applicable) � � � �� I am aware that Orono will not issue a building permit without a �� copy of MCWD permits (or documentation from the MCWD stating the ro osed ro�ect does not tri er their ermittin � P P P ] 99 P 9 requirements). I will contact the MCWD at 952-471-0590 regarding this project. Signed b • ��2��-- Address: lC�� - • Permit #: ,'1- O� �do W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMR NO. —�� C/OMPLETED ADDRES$ / � t,l /�/''1 � O'WNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �/'�""� ��"`� t/� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV!(iRADIN(i/FILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS 0 I UTATION ❑WOOD BURNER/FiREPLACE ❑COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SUHVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O�Nd11COK�RACfOR TO MEET�U:_YE8_NO � COMMENT� � T !t2 � ��' � o Z.�--� G�' s �i�G� md�' �. � ° � �!�!(�///1 W � Q � W W � � W SATISFACTORY:PROCEED ❑PROJECi COMPLETE � O WORIC a PROCEED ❑ISSUE CERTIFICATE OF OCalPV1NCY 0 ❑�CT WORI(.CALL FOR f�INSPECTION TEMPORARV C� �F�� PERMANBVT ❑OpqpECT UNSAFE COIdDIT10N WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN p STOP ORDER P08TED.CALL INSPECTOR ❑�AT10N ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCES3. csN ior u�e next h�specHon u nours�ad�►snoe. (952) 249-4600 on site: inspector WMM CaV11��a FlN �Mry�� INSPECTION NOTICE DATE TIME CITY OF CALLED-IN � `� -D v ' -/, hSCHEDULED �3�7 g3� PERMIT NO. `P`U��COMPLETED ADDRESS �/�/4_,��r�1i-,.��5�� OWNER/CONTR. O SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ t�y ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: Z Q � J ll.l _ J O �� t� y ' ��! � � � W � � � O � O � W � Q � W � W � j C� � FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED � ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION RECIUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: