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Home My WebLink About2010-00369 - addn/remodel/repair , CITY OF ORONO PERMIT NO.: 2010-00369 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/OU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 480 SUSSEX LA PIN : 04-117-23-31-0013 LEGAL DESC : FOX BEND : LOT 002 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,000.00 NOTE: DECK MUST BE 10'FROM POOL BASIN R�� (INITIAL) APPLICANT PERMIT FEE SCHEDULE 147.50 WATER STREET HOMES LLC PLAN REVIEW 95.88 305 MINNETONKA AVE S WAYZATA,MN 55391- STATE SURCHARGE(VALUATION) 3.50 (952)474-6160 TOTAL 246.88 Minnesota State License#: 20390906 OWNER MCMILLAN, WILLIAM& MARY 480 SUSSEX LA LONG LAKE, MN 55356- AGREEMENT AIYD SWORN STATEMENT The wark for which this permit is issued shall be performed according[o 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 specitied herein.This permi[will expire and become null and void if construction authorized is not commenced wi[hin 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 r assuring all required inspections are requested in co rmance ' the State Building Code.This permit may be revoked at a ime for cau � �� 1 � �� / �U Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Plan Review Checklist for New Structures / Additions Address/ PI D/ LegaL �%{3 L �� s F' '�- Descriptionofwork: �X/��trlc� de-C.�. Septic review by: �L�` Date Approved: .S-� �� - i� Zoning review by: v Date Approved: � Building review by: t�,` � 1,.,,,,,,y„ Date Approved: �' 2"7-1 p Grading review by: �' Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District ' �� Zoning: Lot Area: • � S SF/AC Width: -�-��f'� � Depth: �-�- ��i`� Survey Submitted: �'es ❑ No Date of Survey: c�S� � `M , SW� Pro osed Setbacks: �Z-� ��nnF/I �L�] �*�� -�ea�-(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland � Side Side �-�zso'"' iov¢A,�o�kd�s� ' �(�'.� �� ; ? � iOC, ,. Building Defined Height: �i �" Building Peak Height: #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest I, space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between fhe basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within , existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: �/k SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff / ❑ Yes ❑ No ❑ N/A � ❑ Yes ❑ No ❑ Yes �No ❑ Yes ❑ No ❑ N/A Permit Number: Setback: Hardcover Zones Existin Pro osed Variance Required CUP Required � 0-75 ❑ Yes ❑ No ❑ Yes ❑ No 75-250' Type(s): Type(s): 250-500' 500-1000' I �� REMARKS (in-house): Updated: 09/11/2009 z:\forms�plan review checklist.docx Fees to be Charged YES NO Pecmit_ , ,, Plan Review `State'�:Surchar,ge Investigation Fee SAC-Number of'SAC`-Units - Sewer Connection 1Natec Connection • Park Fee 'Site lnspection _ Other(specify) Miscellaneous Fees . Calculated By: Square Footage $ per S uare Footage Basement X = $ 1 St Floor X = $ ( 2nd FIoOI' X = $ Garage X = $ Estimated Construction Value: '7,0� o 0 . Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site 0 Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical �'Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection � Foundation Su�vey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. �Framing ❑ Other(specify) ❑ Insulation ❑ As-Built Survey �'Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED N PERMIT AND INITIALLED BY PERSON PULLING PERMIT) ;n� � 5�- h� i�' �.,� P�� b�� , Updated: 09/1 1/2009 z:\forms\plan review checklist.docx � �� 1�� City of Orono Building Permit Application for New Structures or Additions �-_=-�_,,, MailingAddress: �l� -�3 ��,0,� PO Box 66 Permit number. �i0 , Q Crystal Bay, MN 55323-0066 Date received: / /I� �� 3�'�`�` Received b �I a �t �-�" �, � Street Address:' y� �,s, ' "�� ti`� 2750 Kelley Parkway Plan review fee: � � L9AESH0¢� 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. tncomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 48o Sussex�ane Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes,a special event permit is required wifh Police Depanment and City Council approva!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: N8►71@: Water Street Homes,LLC State License# 2o3sosos Expiration Date: sis��zo�� Phone: ��z - �:�a- Y�� (office) �,i 2 � f��a :�(e�o Z- (cell) Mailing Address: 3c�� Ihr�u,�t 1`�.�ka � � 5� Cit : Gw�i-- ��,�=�,,q- ZIP: 3 5-�`� / COIltBCt P@fSOfl: Rick Carlson Applicant is: Contrac or � �{6A�AAaAFRAf (Circle One) Efll81� 8f1d�01'FBX: Rick@WaterStreetHomes.com PROPERTY OWNER INFORMATION: Na�pQ: William and Mary McMillan Phone (day): 1��2 � ��/7. ��t�y Address: �Fc s4Ss E�- Lnr City: c,�o;vc� ZIP: �3 �J�. Email and/or Fax iu,'4 ARCHITECT/ENGINEER INFORMATION: N81'pg: Water Street Homes,LLC Phone (day): ts�2�aso-aooz Address: 3�� .� F,�:.,��.�r "�L� 5_ City: u,��--rc�H�'r ZIP: .�'S3i/ Ef1181� 2fld/Of FaX: rick@waterstreethomes.com 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 QQ 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 8�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.minn hahacreek.or Estimated Construction Valuation (excluding land) $ �,000 Last Updated: 9l29/2009 - 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: ❑ Metal Attached = ❑ Pole Bidg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑Off-site Prefab d. 1S`Story - ❑Other(please specify): e.2"d Story= f. YZ Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap licable � ❑ Permit A lication � ❑ Pro osed Buildin Plans ❑ � MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ f�' Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ Ba� Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ Access Permit ❑ ,4� Wetland Buffer Im rovement Plan ❑ A} En ineered Plans for Retainin Walls 4 feet or above ❑ F�� Plan Review Fee ❑ Other c�7✓.� e�o9-L_ o' 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: e%��(c� Q:a�`r;'—' Date: May 19, 2010 Last Updated: 9/29/2009 - 18- � � ,. � � , �. , � � �� y I � ;�� . � �� ,� � -�' � � ,. � � . • � � ' , ,� �. _ , � � . . �.,� ;�► �, _ � . ..� . . � < „ . , � ._, ,� '.� , . ,.. "'� �, � .: �. � , T . ,; , . � � ,�. �, � . � � � ,� � , � , � ,�.. �_ , . af� .� x.. I M.. � f . .. _..�� ;,. . � �qiM I .= ;. . �IAd,-�� , e , �. :. '•. ,#�" � .. .� . .,A, �'' ' ,- ,�.t < . � I �I ,;1�y b. . 'M1 ..1 � �� gr .r3.. ... � ev�.., ' �Y � � ,{ r . m ., �� . :.� ��. * , . . � �... t . ;� ^ �i'.� � b � pa ' � ,4 ��.�� a�: . �� . �.k ... . . � ' :�.. ' .. . i � ;t� at < ,1 . . :,.. � � ,e? +� , � �� ,. .�. „ ' ,�' . ., ,,., . , .. . .<, . ` , ,.: +� . .�". - �`' � y .. . �.. � �+ �+ � � �"" � �,�f � � � . � � > . , ��.: ' .r' � z� w..r ,�. � - : r: ' � � .. . . �• .. . � .,� � -. z � ; � �,. . z ��` �' J�.. .�� .. ��I '�f'..' i �. � �..y�r �!+�. �.�.�._ _ �, �. 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V" � ))� � 6 (j a 1 �4Y J, '' � e fl ' � � �� ' ' � �' � r � . 3 � �,1. �:,,, \ � , ,.� �, � , �� ' �' . ` . � �J . ._ r � K ?i �� l �. � � ..�� . .r , V., .a , `r ;. • '� � , �� y � ti� _ � � . \ ; � � � � .� . o o / / o : � `� .,� o � � � i � � � � - � � ~`�. � � V"�� _Dl�TE TIME ✓ CITY OF ORONO CALLED IN _�� INSPECTION NOTICE ` scHe�u�Eo PERMIT NO.�D/D -oa369 COMPLETED ADDRESS ��D �CLQQ�iIG !�/v OWNER TELEPH NE NO. �� Z- CONTRACTOR /�� ,��.� a DESCRIPTION 8�� S� � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C 0 1 �7 � 11 - C �L Tt� � � o �fi-D W / OC f � � C �C/ ln a w � W � � a �K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ORRC-ET WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspect' 24 hours in advance. (g52) 249-4600 Owner/Contract s' e. inspector. White Copyll�spector's File Canary CopylSite Notice � �q� TIME CITY OF ORONO CALLED IN 6`a�a? INSPECTION�OTI�E ��Q SCHEDULED ��-/ � PERMIT N0._ � / COMPLETED ADDRESS ��4 �LGG�i L./�J OWNER TELE-P/H/ONE NO. CONTRACTOR ��-C v��Y`9�dC ??C� � DESCRIPTION ��n � W ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � J O � � O _ W � Q � 2 W � W � � � KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORREC7UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectio 24 hours in advance. (952) 249-46�� OwnerlContractor on e: � Inspector. White Copyllnspector's File Canary CopylSite Notice �5 G� ✓ 8`[�P�TE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTIC SCHEDULED R-/7�/a 3=� PERMIT NO.d b(Q-�36� COMPLETED ADDRESS Y'gO �G�d-Q�L C./�� OWNER TELEPHONE NO. ��Z gs� �a�Z CONTRACTOR �� ; DESCRIPTION 9" � �'l�-� �C� � ll! ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� Owner/Contractor on site: Inspector. � . � � White Copyllnspector's File Canary CopylSite Notice