HomeMy WebLinkAbout2010-00300 - attached deck •
CITY OF ORONO PERMIT NO.: 2010-00300
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 05/03/2010
(952)249-4600 FAX: (952)249-4616
ADDRESS : 880 OLD CRYSTAL BAY RD S
PIN : 09-117-23-12-0007
LEGAL DESC : FRENCH CREEK WOODS
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 8,500.00
NOTE: SEPERATE PERMITS REQUIRED:NONE
REPAIR EXISTING DECK ONLY
APPLICANT PERMIT FEE SCHEDULE 177.00
TWO TEACHER CONSTRUCTION PLAN REVIEW 0.00
2586 ARON DR
MOUND,MN 55364 STATE SURCHARGE(VALUATION) 4.25
(612)598-2191 TOTAL 181.25
Minnesota State License#:20073200
OWNER
DROHER,GPAUL&PHYLLIS
880 OLD CRYSTAL BAY RD S
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 conformance with the State Building Code.This permit may be /6
revoked at any tim or due ca e.
.S l/ 3 / / m-Leirt l l
Ap t P itee Signature Date Issued Byignat� Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: V) I b -0a J
��,� PO Box 66
0 Crystal Bay, MN 55323-0066 Date received:
a ^- s, Street Address:' Received by: L tQ o �
,s, r1, 1 t o~ 2750 Kelley Parkway Plan review fee: ll
�kESH�g� 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 II
Job Site Address:INFORMATION: 0 1 C� ( rl 9-g ) 2 Og�v
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? E Yes , ----N-6---
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 unl- _..licant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR APPLICANT INFORMATION:
I- e: O 7-e�c.4e/' Cc AS4r co ^J ;�,�(---
State License# _ gyp 7 �,2s...)6 Expiration Date: /2-lav-c,--• o / 2
Phone: 9.5-2-- cr?D-_ C.6 7c (office) 0(2 — j —2 t �, I (cell)
Mailing Address: 1_,n C AzloN 'p- ,5, Cit • ZIP: '3(o
y
Contact Person: S71'fi9-sh /"ti9JS"---•- Applicant is: (Contractor / Homeowner (circle one)
Email and/or Fax: 95 7 _ y 7Z — 5-6 70
PROPERTY OWNER JjJF �I�TION: r r�
Name: PL ` /{ � g
Phone (day):
Address: Tv U O L7 C.rys79 I l`j4K ., ` City: Geo YV\ ZIP:
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: -D t^ l
1.Type of Project 2. Proposed Use 3. Structure Tylink 4. Sewage Disposal &
CI New Construction Water Supply
❑ Single Family with CI
❑ Addition attached garage ❑ Garage/Accessory
❑AccessoryBuildingg Bldg. ❑ Public Sewer
❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial
❑ Other: (specify) CI Multiple Family/Condo ❑Warehouse ❑ Private Sewer
❑ 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 c2...<„,....__
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land)
4856)°—
Last Updated: 9/29/2009
- 17 -
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: El Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= El Off-site Prefab
d. 151 Story = ❑ Other(please specify):
e.2nd 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 Applicable
❑
0 Permit Application
❑ 0 Proposed Building Plans
❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form
O 0 Survey(meeting all requirements)
❑
0 Stormwater Pollution Prevention Plan
❑ 0 Hardcover Calculation(s)
O 0 Septic System Site Evaluation Report
❑ 0 Access Permit
O 0 Wetland Buffer Improvement Plan
❑ 0 Engineered Plans for Retaining Walls 4 feet or above
❑
0 Plan Review Fee
O 0 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 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;
• 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.
Applicant's Signature: Date: 3 '
Last Updated: 9/29/2009
- 18 -
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: (YR) DLO C I ir7n, ergti / l
Description of work: /�,,
P �at. �`�A I
Septic review by: ;4 I Date Approved:
/Zoning review by: Date Approved:
Building review by: .1161",_ Date Approved: 6 3-1 6
i •
Grading review by: ' 4/74 Date Approved:
/'
Zoning File#: Resolution #: Resolution Date:
Zoning District Fire Department Post Office chool District
Zonin•• Lot Area: SF/AC Width: /Depth:
Survey Sb.mitted: ❑ Yes ❑ No Date of Survey:
Proposed Se sacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Building Defined Height: Building Peal/ Height:
FOR A BUILDING WITH A BASEMEN OR CRAWL SPACE: //FOR A BUILDING ON A SLAB FOUNDATION:
START the distance betw--n the basement floor/ START the distance between the slab and the
WITH crawl space floor an. the highest roof pea , WITH highest roof peak, the top of the cornice
the top of the cornice • a flat roof, the d k of a flat roof, the deck line of a mansard
line of a mansard roof, o he uppermo roof, or the uppermost point on a round or
point on a round or other a .h-type r.of other arch-type roof
SUBTRACT half the distance between the •igh-st SUBTRACT half the distance between the highest
window and highest roof peak o . pitched window and highest roof peak of a
roof / pitched roof
SUBTRACT the distance between the b9, ment • •or/ ADD the distance between the slab and the
crawl space floor and the,highest existi • highest existing grade within the
grade within the found)ion or 10 feet, foundation
whichever is less. EQUALS Defined building height
EQUALS Defined building h9i ht
Lot Coverage: / SF
Shoreland District MCWD Permit Received Avera.e Lakeshore Setback Bluff
0 Yes 0 o
ID Yes 0 No 0 N/A ❑ Yes 0 No 0 N/A 0 Yes 0 No —
Permit Number: Setback:
Hardcover •nes Existing Proposed Variance Req Fred CUP Required
0-7 ' 0 Yes 0 No 0 Yes 0 No _
75- 50' Type(s): Type(s):
2 4-500'
5'0-1000'
REMAR S (in-house): AV
Updated: 07/01/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit (�
Plan Review
State Surcharge
Investigation Fee
SAC—:Number of SAC-Units
Sewer Connection
Water:Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
UBC: Construction Type:
Square Footage $ per Square Footage
Basement X = $
1s` Floor X = $
2n° Floor X = $
Garage X = $
coo ov
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire 0 Electrical
O Footing ❑ Septic 0 Water Connection
❑ Foundation Survey 0 Fireplace 0 Sewer Connection
O Framing 0 Masonry 0 Lawn Irrigation
O Insulation 0 Mfg.
O Wall Board 0 Other(specify)
❑ As-Built Survey
Final
❑ Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
z:\forms\plan review checklist.docx
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r (SCALE: Y(� =J ..."0 APPROVED BY DRAWN BY
DATE: / ,--/C) _
1(Z', c'Cle `z-/? ( 2596 L)OV\ .if'` 13044 Sc361
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DRAW NG NUMBER
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NATpNAL PA'ArTr#.fr7 NO.183A-11X17
D• TIME
CITY OF ORONO CALLED IN
INSPECTION N IC�� 2 SCHEDULED -�L��i J-Gr
PERMIT NO. ,/VG C�40 COMPLETED S.
ADDRESS ff(J D Ol� '� 4/
f� Sl8 Z`
OWNER --77���� TEL PHONE NOL 91
CONTRACTOR i�u/Z/'
DESCRIPTION f Mai Dec*"
❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING
14.
Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
H 0 FRAMING 0 MECHANICAL FINAL
0 TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
i0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
(4 COMMENTS:
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LU 0 WORK SATISFACTORY:PROCEED ROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO 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