HomeMy WebLinkAbout2018-00072 - adv plan review CITY OF ORONO * 2019 - 00072 *
2750 KELLEY PARKWAY DATE ISSUED: OV23/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3020 WATERTOWN RD
PIN : 33-118-23-33-0001
LEGAL DESC : UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 118,705.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 117,705.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00073
APPLICANT ADVANCED PLAN REVIEW 799.25
TOTAL 799.25
REVISION LLC Payment(s)
153 E LAKE STREET CHECK 14318 799.25
WAYZATA,MN 55391-
(952)540-7150
Minnesota State License#:BUIL-BC639027
OWNER
RENCKENS,JAMES&DEBRA
3020 WATERTOWN RD
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 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
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
PLAN REVIEW CHECKLIST FOR STRUCTURES / ADDITIONS
Add:ess: �O C/ (/(/ Permit No.: CO,6 �
Description of work: Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: ✓ l /
Grading review by: Date Approved:
Zoning District: Zoning File#:
Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/ NA
Zoning: Lot Area: SF /AC Width: Strut ural Coverage: SF
Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed
i
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland
Side Side
Buildina Hei ht Analysis:
Distance Between First Floor and defined op of Roof* (See "building height" (a)
definition):
First Floor Elevation from building plans)- (b)
Highest Existing ground level (per survey) or 1 ' above lowest ground level, (c)
whichever is lower:
Difference between b and (c)*: (d)
DEFINED HEIGHT
"If highest existing adjacent grade is above F E-Height (a)-(d): (e)
*If highest existing adjacent grade is below FE-Hei ht i a +(d) E:]�
Shoreland District MCW Permit Average Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes D o
0 N/A—see a ached Setback:
Stormwater Quality E#isting Propo ed
Overlay District Tier H rdcover Hardco4r Variance Required CUP Required,
circle one /o and sf % and s
0 Yes 0 No 0 Yes 0 o
1 2 3 4 5 ` Type(s): Type(s):
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ ZZ9,
Orono Inspections Inspections Required Work Requiring Separate Permits
❑ Footing ❑ Site XPlumbing ❑ Grading/Filling
❑ Poured Wall ❑ Silt Fence/Erosion Control Mechanical ❑ Fire
❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection
❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection
❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation
❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping
Framing ❑ Septic
1W Insulation
❑ As-Built Survey
�� Final
13 Lathe Required State Permits
❑ Other(specify)
❑ Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx