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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