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Home My WebLink About2012-01151 - retaining wall CITY OF ORONO * 2 0 1 2 - 0 1 1 5 1 2750 KELLEY PARKWAY DATE ISSUED: 11/21/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 125 TURNHAM RD PIN 31-118-23-43-0018 LEGAL DESC UNPLATTED 31 118 23 LOT MB BLOCK MB PERMIT TYPE ACCESSORY STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE RETAINING WALL>4 FEET ACTIVITY 649-ALL OTHER BUILDING&STRUCTURES VALUATION $ 3,300.00 NOTE: SHOW ON THE AS-BUILT SURVEY FOR THE NEW HOUSE PERMIT 2012-00589 APPLICANT PERMIT FEE SCHEDULE 103.25 W.W. SERVICES 18440 BURNS PARKWAY STATE SURCHARGE(VALUATION) 1.65 ANOKA,MN 55303- TOTAL 104.90 (612)369-3895 OWNER ROCHEL,ANTHONY&SURYA 125 TURNHAM RD MAPLE PLAIN,MN 55359- 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 10 days at any time after work has commenced. The a i is re 5o ib for assur' g all required inspections are requ sted' on c ith a to ' ing Code.This permit may be rev ed y or c s li P i e ignature Date Issued By ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOUL �1,�A I f 0��A, ,�, City of Orono • Building Permit Application for New Structures or Additions Mailing Address: Permit number: — Q// PO Box 66 9 O Crystal Bay, MN 55323-0066 Date received: /�— Street Address: Received by: o` 2750 Kelley Parkway Plan review fee: \tR ;ogw Orono, MN 55356 SH ___' 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: Z) U 4, v, �A� R 4 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Z] 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: C State License# Expiration Date: Phone: t),,z 36 -3?,F S— (office) guc�� (cell) l z36^ Mailing Address: Cit ZIP:S s3-Ps Contact Person: '. Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: i,t�L,✓ S_jr Zvo PROPERTY OWNER INFORMATION Name: �M I(�S l zr Phone (day): L2 5_/ Address: City:L,'f f fP_ C',-04 ZIP: Email and/or Fax ARCHITECT I ENGINEER INFORMATION: Name: Ctie Phone (day): - Address: City: ZIP: Email and/or Fax: 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 ❑ 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 ❑ Private Well Minnehaha Creek Watershed District(MCWD) Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 tti Phone: 952-471-0590 i�irC l ' Fax: 952-471-0682r- www.minnehahacreek.org C 1 Estimated Construction Valuation (excluding land) 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. '/Z 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) ❑ ❑ Se tic S stem Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER 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; • 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: 11-)3 Owner's Signature: Date: Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 12,5 I U1,mYV,., r t �(J� r' I Description of work: 'k to w&K-- Q r('1�tCX y�I�UI Septic review by: Ili Date Approved: / Zoning review by: Date Approved: U t/ Building review by: A1 Date Approved: Grading review by: Date Approved: /) d. o Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: Yes No Date of Survey:Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 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 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-type roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existing rade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF Shoreland tricj MCWD Permit Received Average Lakeshor"etbaqk Blu 0 Yes 0 Yes 0 No 0 Yes 0 No 0 N/A 0 Yes O Permit Number: (_13kA Setback: Hardcover Zones Existing Proposed Varianc R qui d CUP Re u 0-75' 0 Yes No 0 Yes 0 0 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 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 WaterConi�'ection Park Fee Site�lnsectioniv Other(specify) 'M, iscellaneous Fees. Calculated By: Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ o� Estimated Construction Value: $ `�, Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading /Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical 0 Footing 0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. 0 Framing 0 Other(specify) Insulation 69*-Built Survey final 0 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 P IT AND INITIALLED BY PERSON PULLING PERMIT) ao�a- Updated: 09/11/2009 zAforms\plan review checklist.docx DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.dO/ ' b/ISI COMPLETED ADDRESS 127 -7a wyn k OWNER //,,,, TELEPHONE NO.Io/Z -36'-30 CONTRACTOR ttW DESCRIPTION ' `�{ t4OOTING ElPLUMBING FINAL ❑ EXCAV/GRADING/FILLING tL'I;( ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: w a j 0 a cc 0 w W Q 2 W W cc d ' WU 4WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopyMspector's File Canary Copy/Slte Notice DAT}/ TIME CITY OF ORONO C ALLED IN /Z _ 2 _7 ?� INSPECTIONOTIC SCHEDULED PERMIT N 0/7e' COMPLET ADDRESS /Z OWNER -TELEPHONE NO,kZ bq 3,F CONTRACTOR DESCRIPTION ❑ FOOTING El PLUMBING FINAL ❑ EjS ADING/FILLING Q ElPOURED WALL ElMECHANICAL RI ElLARE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 LU ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 13PLUMBING RI PPC FINAL ElFOUNDATION/REMOVAL OWNERIC RACTnR TO U YES—NO COMMENTS: cc W CL O cc O U_ W CC Q Z W z W cc LU ❑WORK SATISFACTORY:PROCEED PfpJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN EJSTOP ORDER POSTED.CALL INSPECTOR El 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. Ic White Copy/Inspector's File Canary Copy/Site Notice