HomeMy WebLinkAbout2009-00447 - three season porch � � CITY OF ORONO PERMIT NO.: 2009-00447
' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/02/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1200 PHILLIPS DR
PIN : 27-118-23-32-0009
LEGAL DESC : PHILLIPS WOODLAND TERRACE
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : THREE SEASON PORCH
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 16,360.00
NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) •";�j � !`'���
THREE SEASON PORCH ON EXISTING DECK. `J`�'T �j`" ;''�'1�'�',� '���' �f�" `�k�
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APPLICANT pERMIT FEE SCHEDULE 295.00
JOHNSON,CHRISTIAN&BETH PLAN REVIEW 19.17
1200 PHILLIPS DR
LONG LAKE,MN 55356 STATE SURCHARGE(VALUATION) 8.18
TOTAL 32235
OWNER
JOHNSON, CHRISTIAN&BETH
1200 PHILLIPS DR
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 does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming 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 cons[ruction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible ass ng all required inspections are
req�ested in conformance w th t e t e Building Code.This permit may be
revoke at a time for du aus .
� / / � �� ��
A lic ermitee Si ature Date Iss By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono �� �e�
' Building Permit Application `� `' `�"` � E�'-r `'��
for New Structures or Additions
Mailing Address: Permit number: �CUOq�-p-
'Qv�,�j PO Box 66
Q �� Q Crystal Bay, MN 55323-0066 Date received: ��Z�l��-j
� Received b ���
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�� '� '� ti�' 2750 Kelle Parkwa
�o Y Y Plan review fee: �a •�c�l ` 7 &
t`47fESKp4 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. (P/ease print) 1G
GENERAL INFORMATION:. /
Job Site Address: ��Uv �h����(�5 ��V1✓� , �YC►1 G , �ti1/1/ `j����
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 Depariment and Ciry 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 wil!not be allowed.
CONTRACTOR/APPLICANT INFORMATION: .
Name: C�1 Vi 5 �, ��'Vl �.���'t�l (1'1
State License# Expiration Date:
Phone: �. �v � office cell
Mailing Address: 00 1 i i YI 1/!i Cit : ' L' ZIP: ' . 3��':
Contact Person: � Applicant is: Contractor / me ner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFOR MATIO • -�� L �"
Name: �!�j VjS �C'T Li f pvl.� l�
Phone (day): � lj pQ 0
Address: 0 1 � V� Cit : I�C��/!!� ZIP: �5.35
Email and/or Fax r ��
ARCHITECT/ENGINEER INFORMA ION:,
Name: � �llh 'L?l f�G�� s
Phone (day): -
Address: DO j�i�i7 . ,c' �� . Cit : � ZIP: ��/�fi
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
❑ New Construction i e mil it �Nater Supply
�'Addition ❑ Residence
r g ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑ Accessory Building Single F ily ith ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial �Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
""Any earth movement may require ❑ Commercial .�Other(specify
MCWD review& permits. ❑ Industrial �"hr-C�C ��5� ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ���
18202 Minnetonka Blvd
Deephaven, MN 55391 UN C x�S 1 rw� �(1.C.�C
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ � �D
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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 spuare feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15t 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 A 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 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.
ApplicanYs Signature: Date: � 1� � �o
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• ' •
' - Plan Review_Checklist-for New-Structures / Additions
Address/ PID/Legai: t L OO Pl�r(,.�,T p I�r2
Description of work: 3 5 L-"7'1st� f'o,'l cH o� t x� �-r...�. „ /� �- ii.���,�, ��
Septic review by: lV Date Approved: '�- z�-D 5
Zoning review by: Date Approved: 6 • 'z3-i t�
Building review by: Date Approved: (o � Z�� /p
Grading review by: /vfi4 Date Approved: �
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office School District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitted: � Yes � No Date of Survey:
Pro osed Setbacks:
Front(Lake) Rear(Street) (� S E W ) ( N S E W ) Other Buildings Wetland
Side Side
�05 C O it� l ' n/'/ �/
Building Defined Height:_ Cc=35 �/�i�,.� L'w�5e Building Peak Height: "i
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START the distance between the basement floor/ START the distance between the slab and the
WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard
line of a mansard roof, or the uppermost roof, or the uppermost point on a round or
oint on a round or other arch-t e roof other arch- e roof
SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest
window and highest roof peak of a pitched window and highest roof peak of a
roof itched roof
SUBTRACT the distance between the basement flooN ADD the distance between the slab and the
crawl space floor and the highest existing highest existing grade within the
grade within the foundation or 10 feet, foundation
whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
0 Yes .O�No 0 Yes � No N/A 0 Yes No
Permit Number: C1 Yes 0, No �N/A
Setback:
Hardcover Zones Existin Pro osed Variance Re uired CtJP Re uired
0-75' 0 Yes 0 No � Yes � No
75-250' Type(s): TYpe(S):
250-500'
500-1000'
REMARKS (in-house):
Updated: 07/01/2009
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-Fees to be Char ed YES N0
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Plan Review
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Investi ation Fee
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Sewer Connection
�a"#s�C�n�iez�r� :,
Park Fee
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Other s eci
'�sc��a��a�s�e�s;
Calculated B :
UBC: Construction Type:
S uare Foota e $ er S uare Foota e
Basement X = $
1 Floor X = $
2" FIOor X = $
Gara e X = $
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Estimated Construction Value: $ �(o. 360 ��s'�
rb, 3�0
Orono Inspections Reauired Work Reauirinq Separate Permits Required State Permits
� Site 0 Plumbing � Grading/ Filling 0 Well
� Hardcover Removal � Mechanical � Fire Electrical
�ooting � Septic � Water Connection
� Foundation Survey 0 Fireplace 0 Sewer Connection
j�'Framing 0 Masonry � Lawn Irrigation
�' Insulation � Mfg. �
� Wall Board 0 Other(specify)
� y
inal
Other s eci
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 IN(TIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
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� DATE TIME
CITY OF ORONO CALLED IN Z-
INSPECTION NOTICE SCHEDULED ' -�� •���
PERMIT NO.0�409-����{7 COMPLETED
ADDRESS /aOd (P�it�Q,t-,�d '�'LJ
OWNER TELEPHONE NO.��Z 3�� 37�P
CONTRACTOR �pl� ���1
� DESCRIPTION �O�T� n�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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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
J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. . ,L, ��
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN c� ;S� I �`J
INSPECTION NOT CE SCHEDULED � _�;���
PERMIT N0. `�G�rf-���E4� COMPLETED
ADDRESS �� C�G P{'1 ! � l � U� l 7��
OWNER TELEPHONE NO. �C�'3�-a`>7��;j��
CONTRACTOR �]( i r'�C.Y� . c`�J�S
�: DESCRIPTION �����7'1� �'1�` � '� .,� ��� �C�''�
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O ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. ,�i f , � �
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO c� CALLED IN �S 2� (�
INSPECTION O/ T'/ICE SCHEDULED - �
PERMIT NOr ��l �'� �'C>����COMPLETED
ADDRESS_ �' I�(� !�I/�/i�'. /�� .
OWNER TELE HONE N0.7�� �-'�"��'��
CONTRACTOR � �'��"����.; ��7�'�
�: DESCRIPTION `—��S�-�l I��� ' � �a'S�
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
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1910RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice