HomeMy WebLinkAbout2015-01268 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 1 2 6 8 *
' ' 2750 KELLEY PARKWAY DATE ISSUED: 10/OU2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3585 SIXTH AVE N
PIN : 29-118-23-43-0004
LEGAL DESC : LTNPLATTED 29 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 100,000.00
NOTE: PLEASE FILL IN THE FOLLOWMG:
VALUATION OF PERMIT:$ 100,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BARN RESTORATION
PERMIT#THIS PR�PAYMENT IS TIED TO:2015-00539
APPLICANT ADVANCED PLAN REVIEW 721.23
ANDERSON&DAVID LIND,RICK TOTAL 721.23
Payment(s)
3585 SIXTH AVE N CREDIT CARD 1656 721.23
LONG LAKE,MN 55356-
OWNER
ANDERSON&DAVID LIND,RICK
3585 SIXTH AVE N
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 type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if conswction 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.
� l� , D I ,l
Applicant Permitee i ature Date Iss d y ignature Date
_ , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: .3J�(y✓ �i X�`"� ,I`rd Fi �aH�� Permit No.:
�/� � �
Description of work: �G�,dQl/^ T'�0���7/' � /���.���� Date Rec'd:
Septic review by: Date Approved:
Zoning review by: 2q�1 Date Approved:
►
Building review by: Date Approved: �0 /�
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: 0 Yes � No Date of Survey: Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50%= L.F. below grade #of Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed The distance between the top of
START W ITH floor(of the basement or crawl space)and START W ITH slab and the highest point of the
the highest point of the roof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(no (no windows): Subtract half
windows): Subtract half the distance the dfstance between the
between the highest point of the roof highest point of the roof to
to the low point of the corresponding the low point of the
SUBTRACTION gable or hipped roof corresponding gable or
(BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof
ROOF TYPE) windows): SubVact half the distance (BASED ON • GABLE OR HIPPED ROOF
between the top of the highest ROOF TYPE) (with windows): Subtract
window and the highest point of the half the distance between
roof the top of the highest
• ALL OTHER ROOF TYPES(flat, window and the highest
mansard,etc):No subtraction. point of the roof
• ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance between the (flat,mansard,etc):No
(BASED ON basemenUcrawl space floor and the subtraction.
EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top
GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing
EQUALS Deflned buildi�g height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building height
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
� Yes p No Permit Number: � Yes � No � N/A � Yes � No
0 N/A—see attached Setback:
Stormwater(luality Existing Hardcover Proposed
Overlay District a Hardcover Variance Required CUP Required
Tier circle one (/o and s� �/,and s
0 Yes � No 0 Yes � No
1 2 3 4 5 Type(s): . Type(s):
Updated: January 2015
z:\forms\plan review checklist 2015.docx
REMARKS (in-house):
Fees to be Char ed YES NO
Perm it
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1S`Floor X = $
2nd FlOor X = $
Garage X = $
Estimated Construction Value: $ ���, ���
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site � Plumbing 0 Grading/Filling 0 Well
0 Silt Fence/ Erosion Control 0 Mechanical 0 Fire 0 Electrical
� Hardcover Removal O Septic � Water Connection
0 Footing � Fireplace O Sewer Connection
� Poured Wall 0 Masonry � Lawn Irrigation
� Foundation Survey � Mfg. � Landscaping
0 Foundation Waterproofing � Other(specify)
O Radon Rock Bed
Framing
� Insulation
� As-Built Survey
Final
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES 0 NO New: � YES � NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
z:\forms\plan review checklist 2015.docx