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Home My WebLink About2012-00887 - attached deck 111111111111111111111 nil 11111111111111111111 11M CITY OF ORONO * z 0 1 z _ 0 0 8 8 7 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2012 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 150 NORTH SHORE DR W PIN' 06-117-23-22-0023 LEGAL DESC CHADWICK LOT 005 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,200.00 NOTE: ATTACHED DECK APPLICANT PERMIT FEE SCHEDULE 88.50 JON THOMA DRYWALL PLAN REVIEW 57.53 7305 SCOT TERRACE EDEN PRAIRIE,MN 55346- STATE SURCHARGE(VALUATION) 1.10 (952)465-9049 TOTAL 147.13 Minnesota State License#:20443203 OWNER DZUBAY,STEVEN&JULIE 150 NORTH SHORE DR W MAPLE PLAIN,MN 55359- 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 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 revoked at any time for due cause. /7/7 Appl cant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application ; 09 for New Structures or Additions Mailing Address: Permit number: cvy (a 00 S�9 0, PO Box 66 �_ Crystal Bay, MN 55323-0066 Date received: 9 �7 " Received by: t-0 a Street Address:' 2750 Kelley Parkway Plan review fee: Y`C. \ Orono, MN 55356 t�Eyggo �' � 1 I , Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: H 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: Will this be a Parade of Homes, Remodelers Showcase Horne or other Display Home? ❑ Yes ® No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service k1l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: :V" n.,—r, Q - 4 ul,c� j �liiAECZ-a �V1 State License# R C- �v H K 32-o 3 Expiration Date: Phone: IgS - y rri office cell Mailing Address: 77�- S' c fi g«c C City: t21a-,-.C2IP: ;>el Contact Person: Tt-,,�>,,,,,4 Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �„ .,,Q 4 e-- G,vI-„,«t, l . 6 c Y,, PROPERTY OWNER INFORMATION: Name: .i c, (t e V 2- c,k ear s/ Phone(day): C t)- -7 1 O- 7 cl i C Address: (�a�v��+�, ��_� jar w City:l?k`1/e-(>/A,4h ZIP: 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 ❑ New Construction ] Single Family with ❑ Residence ❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with Deck ❑ Relocation detached garage Office/Commercial 5?1 Private Sewer Other: (specify) 0e c-L'- ❑ Multiple Family/Condo ❑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) $ �� )C/C/ STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= 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. 15t Story = ❑ On-site Prefab e.2nd Story= ❑ Off-site Prefab f. '/z 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 Applicable ❑ ❑ Permit Application ❑ ❑ Proposed Bui ding Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining 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. Applicant's Signature: Date: Owner's Signature: Date: Plan Review Checklist for New Structures :/ Additions AddFess/PID/Legal: 15-() rd-04771 S1-t0A4-,- 402 LA_) Description of work: �C Septic review by: VN Date Approved: ZoningTem-Liew,by; <D to:Approved: Building review by: Date. pproved: - 17- Grading reviewby. 2Gradingreviewby: /,J 1 /1 DateAApproved: Zoning File#: Resolution#: Resolution Date: Zonin :District fire,,Department Post Office -School District Zoning: Lot"Area; SF/,AC Wdth: :Depth.: Survey"Sobrnitted: OYes D No Date of Survey. T Pro osed'Setbacks: :Frorita(koko r- Rear SM" ( ?lel C'E M :S E '1N ) OtheriBuildiegs I -W, ,;Side ::Sills l`31 WM Building Defined'Height AIIA Bt ildirrg Peak,Height: - #of Stories Dk?: 1 YES FDR-A'BUILDIN'GLiwr H'AaASEMENT ORCRAWLSPACE: FDR;A'BUILDING ON ASLAB POUNDATioNl: START WITH the distance between the'basemeritfloor/crawl< START the distance%between'the slab and-the highest space floor and the highest-roof•peak,the:top of WITH roof peak,thetop of the cornice of°a flat roof, 'the comice.of a fiat mcif the deck line of:a the:"deok ine.of a mansard,,mbf,orae mansardToof,orthe uppermost.point on around uppermostpDint on a round.or otherarch�type or other arch' a roof roof SUBTRACTg rg half:thedistance-between.the hi hest�window:and SUBTRACT half the distance=between the h"hest uinndow , highest-roof eak of a itched,mof and hi hest roof; eak-afa>:itchedro- SUBTRACT the distance between the basement floor/ciiwl ADD the distance-between fihe slab and the highest space-loor_and the highest e)M,ng grade within 'existing rade withinthe foundation the'.foundation or 10 feet,.whichever isless. 'EQUALS Defina&huildin :hei ht EQUALS ,Defined:build ri '°hei ht .Lot Coverage: ; 1/0 Shoreland District MCWD=Permit Received ,AAwaige Lakeshore Setback Bluff 13 Yes G "No P'`N/A13 Yes ,ArNo `Yes 'No 0 'Yes 3 No 2r*NIA `Perrnit Number Setback: `HardcoverZones Eidatina Proposed VarianceRequired CUP Required D-76 'Yes 13 No G Yes D .,No 75-250' Type(s): Type(s): 250-500' 500-1000' -REMARKS(in-house): "Updated: '0911:172009 z VomrMplan review checidistdom Fees to be Charged ` fS11D.: . Plan Review F .,. ._. . Investigation Fee Sewer Connection Park fee Otheu(specitj) dim A silt I :Caicula#ed By: Square footage ;$ er Square footage Basement ( I"tFloor ( _ 2"d Floor X Is Garage ( Estimated'-Constr»ction`Value: orono?=Inspections RequiredWcyrk Requir-ng Separate;Permits -Required State Permits --Site M "'Plumbing; 'G Grading/Fillin j 1 Well ardcover*,Removal - - ';Mechanical CI 'Firs C ;Electrical ooting 'G Septic M Water Connection- .'G Poured Wall A Fireplace 13 SewerLonnection °13 Foundation Survey 0 Masonry 13 t-awn'Irrigation 'M Radon:Rock Bed -M'Mfg. Framing 3 'Other fspecify) 13 Insulation .CI sulit'Survipy Final Other�;(specify) REMARKS (in-Crouse): Other t3eview Reatiswed by: Date pproued: Access:Existing: 1 'YES CI 'NO New: -10 YES D NO REMARKS(TO_BENOTED ON PERMITAND•INITIALLED BY;PERSON PULLING PERMIT) Updated: 09/11/2009 z Vorms1plan review chaddistdom 5_ i IA 1 ) REVIEWED for CGDE C®MPLIAINCE PLAN CHECKED BYC4DATE 5-?"I Z- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. _C IQ —0CS2? COMPLETED ADDRESS 15r f V S l'1 O re_ OWNER TELEPHONE NO. ?S-_2L V( s 90�t 9 CONTRACTOR >' DESCRIPTIONbil ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q El POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES—NO COMMENTS: W a LL Yr - -��- Q7-0 t t e W z W cc d Wj 2Rli(QRKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on situ p Inspector. White CopylInspector's File Canary Copy/Site Notice `A I �� — DATE TIME CITY OF ORONO CALLED IN j l � INSPECTION NOTICE SCHEDULED I E-26 :15,— PERMIT 15, -PERMIT NO. �� l � CS� COMPLETED ADDRESS �� I � , OWNER TELEPHONE NO.9115-731'4�y S 9 oqq CONTRACTOR / ��Q >; DESCRIPTION rf��` /De- C'k' ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING UU- Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 .rSEPTIC INSTALL ❑ HARD COVER REMOVAL v El PLUMBING RI \(�N SEPTI INAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTO TO MEET YOU: ES_NO COMMENTS: CC W C J O cc O U_ W CC Q ti Z W Z W Lai ❑WORK SATISFACTORY:PROCEED *IPROJECTCOMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: �- Inspector. White Copy/Inspector's File Canary Copy/Site Notice Established in 1962 LOT SURVEYS COMPANY, INC. INVOICE F.B.NO. 8005-5—NO. 50530 41 r LAND SURVEYORS SCALE: 1 " = 5o' REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA c Denotes Iron monument . MATTSON CONTRACTING 7801 73rd Avenue North 812-580-3093 ❑ Denotes Wood Hub Set Fax No. 580-3522 for excavation only Minneapolis, Rix:nesota 55428 x000.0 Denotes Existing Elevation Property located i n Section 6, Township 117, Range 23, fpu r v P a r s (Zr r t t f irate 000.o Denotes Proposed Elevation Hennepin County, Minnesota Denotes Surface Drainage NOTE: Proposed grades are subject to results of soil tests. Proposed building information .. must be checked with approved building plan and development or grading plan before excavation p, and construction. -5 Proposed Top of Block 111,0 Proposed Garage Floor 6t1e Proposed Lowest Floor 6� 'Tr✓✓ �� -Type of Building s, :8 viact(9,r -- �- +c „ OR RONOC1TY OfGRADIN G PI-W �� SITE PIAN ' ! x S L� N �?` ,> .� o, APPROVED— 1SIONS - AI"'g4�1ED :`VITH ..� . I iL � f � rd'ep 5) ❑ DISAPP BY DATE I Lot 5, Block 1, CHADWICK .re only easements shown are, from plats of record or information orovided by client. Ne hereby certify that this is a true and correct representation of a survey of the boundaries of the above described Icnd end the ocatien of ail buiidings and visible encroachments, if any, from or on said 'and. l I ' purveyed by us :his Ath toy of August 19 98 Signed Charles F. Anderson, Minn. Reg. No.21753