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HomeMy WebLinkAbout2013-00886 - new decking iiiiiiiiiiiiiiiiiiiiiillillillillillillilliilillim CITY OF ORONO * 2013 - 00886 * 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 2496 OLD BEACH RD PIN 21-117-23-22-0006 LEGAL DESC SHORE HILLS : LOT 005 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION S 11,000.00 NOTE: NEW DECKING APPLICANT PERMIT FEE SCHEDULE 206.50 BENCHMARK CONTRACTING STATE SURCHARGE(VALUATION) 5.50 2331 DRIFTWOOD MOUND,MN 55364 TOTAL 212.00 (612)978-5603 Minnesota State License#: BC 180592 OWNER CARLSON,GERALD&DIANE 2496 OLD BEACH RD WAYZATA,MN 55391- 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 c form a State Building Code.This permit may be revoked a anor due c se. or Ap tcant ee Signature Date Issued y Si re -Date SEPARATE PERMITS REQUIRED FOR WORK OTHER TIYAN DESCRIBED ABOVE. CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS O�T Mailing Address: Permit number: C12 j 3r18210 1 VO PO Box 66 Crystal Bay, MN 55323-0066 Date received: /5 Street Address:' Received by: y 2750 Kelley Parkway Plan review fee: ESHO Orono, MN 55356 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: Job Site Address: 5Z 6 ®� � � � Raj d�®�D Will this be a Parade of Homes, Remodelers Showcase Home 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 44ELl-y State License# $C; 1565, Expiration Date: Phone: cell ' — office Mailing Address: ( Cit : -IP: Contact Person: y=FZ1_J__y 36kM Q Applicant is: Contractor / Homeowner (Circle on ) Email and/or Fax: W�t�� r��N 2 C2, PrNe_ t-, a r©tn PROPERTY OWNER INFORMATION: Name: 6 t�_-glp—%-? c- 0tAa u�L -5�x)CJ Phone(day): _ 4.4 Address: �ptQ City: ,� �� ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with ❑ R idence ❑Addition attached garage ❑ arage/Accessory Bldg. El Public Sewer El Accessory Building ❑ Single Family with Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) PCUt2E �X)6, ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also 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) $ O. Y. " I s swt - r oov ro l P A+sjo ON&V g •2 IN Z&13 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. Vt Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/2 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 Building 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 ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide ail 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: �. t ° DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT SCHEDULED PERMIT NO. c2D 13,-00 V6 COMPLETED ADDRESS Z y 9(o OL 0 FSG OWNER C I'I IR LS 0 rJTELEPHONE NO. CONTRACTOR �'- li/'� J�►K V� GtW'�"�e—T��'y DESCRIPTION en.,Z 0 .j6'!A ty 11 FOOTING El PLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL C ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO c-6 COMMENTS: a - CArrey J-01 .->r zr.40 ©v�bke-o a ° 0,1c- ++:, 04 ,-JeA� j o ec4x-1±tl W ccQ W W J d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE LU W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN 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. (952) 249-4600 OwrnedContract o site" Inspector. White CopyMspectoes File Canary Copy/Site Notice DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE �sp SCHEDULED PERMIT NO. OMPI,ETED � n ADDRESS l7 /�� � OWNER TELEPHONE NO. -5466-2,Tj > DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ 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 ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPWINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: ES_NO o COMMENTS: CC W a cc 0 /V10 V ! r� LL. K AA, - S Q GCD AA_ A f e --e,t -{ Q0 P/Al A k Lo BQ ��-LAZtV u n `esg 0Ae6Jercd A^Cz 610s 41 EJLET WORK SATISFACTORY:PROCEED ❑ PROJECT C E5 -]N— cc W ❑CORRECT WORK&PROCEED EIISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary CopylSite Notice DAT�, TIME CITY OF ORONO CALLED IN INSPECTION-�,,OTICE SCHEDULED PERMIT N�Cf�YIJ/3- OD D O/�Co L p ADDRESS OWNER LEPHONE NokW-978—`JS0� CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES HORE/WETLANDS 0 ❑ 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 Uj ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUM ❑ S TI FINAL ❑ FOUNDATION/REMOVAL J OWNER/CONT TO MEET YOU YES_NO COMMENTS: CC W Q_ cc 0 t?l� t� 4C Gtr.%A. Qc /`1`f�c.V J,+.4 AA= C A c: 0 ti W cc Q Z W W cc j d � ❑WORK SATISFACTORY:PROCEED -'LJRCjJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -i PHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED C1 STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 dr Owner/Contractor on site: Inspector._ _ White Copyllnspector's File Canary CopylSite Notice