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Home My WebLink About2018-00482 - adv plan review CITY OF ORONO * 2 0 1 8 - 0 0 4 8 2 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 2941 CASCO POINT RD PIN 20-117-23-31-0047 LEGAL DESC SPRING PARK LOT 092 BLOCK 000 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADVANCED PLAN REVIEW VALUATION $ 48,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$48,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BOATHOUSE PERMIT#THIS PRE-PAYMENT IS TIED TO: 2018-00483 APPLICANT ADVANCED PLAN REVIEW 450.67 INSTYLE CONSTRUCTION TOTAL 450.67 17800 HUTCHINS DR Payment(s) CHECK 1631 450.67 MINNETONKA,MN 55391- (952)261-9102 Minnesota State License#: BUIL-BC704193 OWNER ABBOTT&MICHELE WILLIAMS-ABBOTT,JOHN 2941 CASCO POINT RD WAYZATA,MN 55391- 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 CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS Q Mailing Address: Permit number: 5;,74� 0 g O PO Box 66 Crystal Bay, MN 55323-0066 Date received: a Street Address:' Received by: y. G: 2750 Kelley Parkway Plan review fee: lgkES110�� Orono, MN 55356 Main: 952-249-4600 ToFee: Fax: 952-249-4616 www.ci.orono.mn.us 136 ?,K) This application form must be completed in full and all required information must be submitte . Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: I-CALA1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ 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: \N 5-r<tt�. C�►-�s,R.Ymo�.� State License# jot(tq-$ Expiration Date: Phone: (cell) 9GiZ- Zt A -`tIUZ Mice303 - LI23U Mailing Address: ►aQxx-> ykxy ,,,�,s _S .�E City: ,P,jfi._ ZIP: 3LJS Contact Person: Applicant is: ont ac or Homeowner (Circle One) Email and/or Fax: a\e-Oyca Q ck nivoc6,C -_ PROPERTY OWNER INFORMATION: Name: 1vhr. Mie`n�\� Aot't Phone (day): X103- - Address: yi141 Cksrp �c�>J� 'i.p _ _ City:Qcor.,_> ZIP: Email and/or Fax M".ryw_�P_, c _QV_1 rV ARCHITECT/ENGINEER INFORMATION: Name: A . Qe ;� Phone (day): `yt ?_- 303- L4,L30 - Address: t�&�c� N� Y��e�s� '�c.ve City: ZIP: J5C-,,%5q_6 Email and/or Fax: PROJECT INFORMATION: Descri tion of roject: _ 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal& ❑ New ConstructionWater Supply ❑ Single Family with %Accessory Bldg./Garage ❑Addition attached garage ❑ Deck El Accessory Building El Public Sewer El Family with ❑ Office/Cornmercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer [� Other: (specify) cif_"�-��-� b F ❑ Multiple Family/Condo ❑ Retaining Wall(s) 55 ❑ Public 4-feet or greater El Public Water **Any earth movement may also require El Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ® Other: (specify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ Uc�C� UO RECEIVED APC h) ?d1b Last Updated: January 2016 CIN OF ORONO STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) a. Length(ft.)= to 1 Number of bedrooms 2. Occupancy: 0 R b.Width(ft.)= 12 �J' Number of garage stalls: 3. Occupant Load: 0% Areas in square feet Attached= y.1 A c. Basement= \\�7 Detached= N A 4. Type of Construction: d. 1 st Story = \'L5 e. 2ntl Story= \'I_A::�) 5. Code Edition: wjA f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to beprocessed: Not Enclosed Applicable K ❑ Building Permit Escrow Agreement and Fees Et ❑ Plan Review Fee W. ❑ Completed Application Form 1$ ❑ Proposed Building Plans—2 full size sets to scale and 1 reduced 11 x 17 or 8'/:x 11 set ❑ 15L Minnesota State Energy Code Calculations and Mechanical Code Requirements ® ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ Hardcover Calculations ❑ V_ Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ at Landscape Walls and/or Retaining Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ Access Permit ❑ Data Privacy Advisory Form 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: Owner's Signature: Date: Last Updated: January 2016