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Home My WebLink About2013-01236 CITY OF ORONO * 2 0 1 3 - 0 1 z� 2750 KELLEY PARKWAY DATE �SSUE�: 12/03/2013 ' ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4375 BAYSIDE RD PIN : 06-117-23-12-0008 LEGAL DESC : UNPLATTED 06 l 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/ REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPF. : ADDN /REMODEL/REPAIR ACTIVI7'Y : 434-RESIDENTIAL VALUATION : $ 2,500.00 N(�"ll�:: �I�I iE NERMIT IS BF?ING ISSUED PRIOR"I'O RECEIPT OP AN�ATED URVEY. PLEASE NOTE,"I'I�1G ESCROW WILI,NO"I�C3E RI�:I�IiNDI�:I� �'NTII.AN UPI)n"fF.D SURVGY I IAS BEEN RECFNI?D. �%INITIAL i� t� .�� u� � � � � APPLICANT PERMIT FEE SCHEDULE 88.50 A[.LSTAR CONSTRUC"TION PLAN REVIEW 57.53 5145 INDUSTRIAL ST SUITE 103 STATE SURCHARGE(VALUATION) 1.25 MAPLE PLAIN, MN SS59 TOTAL 147.28 (763)479-8700 Minncsota State License #: BC663668 OWNER WI{I�iE. STEVEN & PATRICIA 437� BAYSIDE RD MAPLE PLAIN, MN 55359- AGRF,EMENT AND SWORN STATEMENT The work for which this permit is issued shall be perYormed according lo 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 pennits. All provisions of laws and ordinances governing this type o1'work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commcnccd within 180 days of thc datc of issuance,or if construction is suspended for a period of 180 days at any[ime aYter work has commenced. The applicant is responsible ibr assuring all required inspections are requestcd in confor nce ith the State Building Code.This permit may be revoked anyx� e for e cause. ' 6� z � ,� � � l l A p icant PermiCee Signature Date Issued B i nature ate Y� � SEPARATE PERMITS REQUIRED FOR WORK OTHER TF-{AN DESCRIBED ABOV . � _____------- ---- -- ��;:- -------- _ `-.-��., . . � ' . � . � 1�t,).�T (i'J 'i7 C5� jC� � ��. . � . �.�� ._..� �r��n�:JfD�G ''�a'�t0 �' fG � .�t�p 74-7"a• �y p R i < <'i � 'i �� r.i :[� �d��-,'�j �r'�-r T "' L�Q�}5'-'at i. W 3S �GJ �j`'.t�>>- f-�i �'�y, ,a�-,r. -�".� p' �r� t"'�rn ,�nc- �" -s �,ii �;" " o ^ M n�.s riy�'� � ^;� `�' � � ��o � � `� r-�C � Y}. .. � .�� . . �� rci,� ��- r...+ � `-7 �Fj,^ r.� t�,"t, � ., � 6 . . � �� •s �c '��+ �� .. t rti` fj,' �r .. ��` rp � �± n; w i� �,�,.. . �JS � .�. � � � � �:O y �� . ,�„ Y � �y � t_l A+ y �G�+, � � � .��.. �� ,�„ .�. � �n � '� �� m �„ � c-.�r-.s �Y .:n ro "'n �n y `.n o Y d-N �, � �� (� � � .. . �;,C `� � R � K G � ii. 4Iy . (a.1 Gs. � P�J .�� ' til� ,,�.ti � `�, . U? . . � u A,�n �n . ry r-'y-�, .� � � r a. ;� �a '� .. ro � ao a „� r'� � . � .. ry � . � . . K`1 . . � � �1 1 . . . . . r.�L7 .L '� 11 1� �' 1 . . . . . . . . . �' .Fi� � 1 � � . . � � 'i� ; �, ;� .� � . . � r,� . , � ft � , :� ; `r 11 ! � . �a .� . i ti + i ; �� _ i �� .c' .-` J Q' jj , s� � F: � {i.a� � '� r� S5 cs 1, . � � .� �1 '_"- 1 � _. . V°I . Ld . . . _J�. ._ . y I f:? � ry,� � lf� �� 4 `o' 1 _. . `,� j �. .C� . �l�.1. . . �� . . � . . .� - � � -� .. �t Cj i iZF . . i � .. , . ��-�,. .. . . . � }��., .. ;� . , . .. ... - . �*§��> _ .. .. . ._ .. . .. .._ . . BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2013-01236 EXHIBIT A— LEGAL DESCRIPTION �o�o C ITY OF ORONO � � Street Address: Mailing Address: Telephone(952)249-4600 �Y� ; 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 � �' Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us �KES H�� November 25,2013 AIIStar Construction Attn: Mike 5145 Industrial Street Maple Plain, MN 55359 Re: Building Permit Application#2013-01236 4375 Bayside Road On November 21, 2103 the City received a building permit application for an addition to an accessory structure. Your application is incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. Please provide two copies of an updated, full size certificate of survey which meets all of the City's survey standards (enclosed) indicating the location of the proposed addition (and any proposed grading). 2. Hardcover Calculations. The property is located in Tier 1 of the Stormwater Quality Overlay District. Please have the surveyor prepare hardcover calculations, showing existing and proposed hardcover. Attached is a copy of our hardcover information packet. 3. Building Permit Application. We need the property owners signature on the building permit application. A copy of the submitted application is attached. Please have the property owner sign the application and return along with the other information required. . . i quire submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is $700. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$700. Your project may trigger the Minnehaha Creek Watershed District's (MCWD) permitting requirements; please contact the MCWD regarding your project. Please note, the City of Orono will not issue a building permit without a copy of MCWD permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO ��II�11w' Christine Mattson Planning Assistant c Steve White;4375 Bayside Road; Maple Plain, MN 55359 Lyle Oman, Building Official enclosures ' CITY OF ORONO • BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS a �O� Mailing Address: Permit number. p�13-�� O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �f- p2./� � Street Address:' Received by: y�, � 2750 Kelley Parkway Plan review fee: �' Orono, MN 55356 t�'FESHO�� 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: � "�S� �`�5 I (J'� � _ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �a /f yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORM� Name: ' State License# Expiration Date: Phone: cell office 6 --y -� 70� Mailing Address: S t S � �S Cit : ZIP: Contact Person: �,,,r�(�� A icant is: on ra r Homeowner (Circle One) � Email and/or Fax: PROPERTY OWNER INFORMAT�(I N: � ��,,/kt,�,: fvl � ! Z �- � �7 - � �6� Name: Phone da __ .___ —_ _�)� _L - 3__ �Z -- _ c � Address: � 3� (� ,S;�� D City:C�x.c�r->U ZtP� � J�� Fm^il ^nrJ/nr C ARCHITECT/ENGINEER INFORMATION: Name: : Phone(day): = Address: City: ZIP� � Email and/or Fax: � PROJECT INFORMATION: Descri tion of pro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& ❑ New Construction Water Supply ❑ Single Family with ❑ Residence ; �Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer � ❑Accessory Building ❑ Single Family with ❑ Deck y ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water ``*Any earth movement may also 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.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ,�Z.SC.�� . _ � �r� - �,�,q� . . ; .� - ,�� e' �,�,<, � ,,.,. . . ,:... , ,.. , _ .. , _ , . . ; �� =� 3.� 'i - X, '+'- .. `-_- .F �z.:a � �` .. S. . 'm. . .. . . _. _ a. . . ., . . =� . . ... ��. .�. ._.... ` 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 ❑ Metal = Areas in square feet Attached = ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 15`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 A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan __:` Q_ ❑ _ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: y: 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 $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: � ? � z� - �3 Owner's Signature: Date: rrt�an; � �$ w .. � �.�, '..�� .,. �W�`,�.. M' g � �. .t Z. � J° 3 {, � ��a:. � � .�. x.. r'" . � � ..�. a .e . . '. . .e`��1 , s� -. � i e .. � ��„ ' r L � U Q � N� � O . -'``: Q f�0 � O a L Y w N C O • ,a �1.+ � C (n Y � '3 N `p � y U Z �; C O �p C O � LL m 0 � u. a�t� y.� na Q � '/� .� la (� i�o Ow� O� rna w� $ m Z v+ o G> C1 �`o � cnaUi �LL °> a � '=�'� � I� � C � O W V N.L-.O w U"p� � M � W � Z �;, � a �= ooamoL � L R M I N aci� aa.�... �.aa� OZ �� m � Y 'd . ; O � `c M �� _ ___�_ _�� . �, �, L � " � �' � (� � 11' . W �' ° K� °' aa��ta �� axi rn } Q = . 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L.L C Q LL � O W �L.. t� � o.€ W W � 0 � � � 0 � � � 0 � � Q � � > '; � I � I �j DATE TIME V CITY OF ORON CALLED IN �-z L�� INSPECTION NOTICE SCHEDULED /d•/7-/� D PERMIT NO.�l�� MPLEfEO� � ADDRESS �"�7� OWNER LEPHON NO. �Z�� l/ CONTRACTOR ' � DESCRIPTION ��%�L - �-�� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/�iRADI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL FI ❑ LAKESHOR ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE RLMOV L ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLq� INT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOWV-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD C�OVER REMOVAL v ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDA�ON EMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES�L NO � � COMMENTS: � � W a � J O �. � O � W � Q � 2 W � W � � J \ d � RKSATISFACTORY:PROCEED ❑ PROJECTCOMP�EfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE O OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAR � BEFORE COYERING PERMANE ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUEIS ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 2 9-46�0 OwnerlConVactor on site: Inspector_ White Copyllnspector's Ffle Canary CopylSite Notic DAT TIME � CITY OF ORONO CALLED IN a'� INSPECTION NDOT� E 0��3 SCHEDULED -02 � � � PERMIT NO. connP�Re� ADDRESS .37-� OWNER Sj� � TELEPHONE NO. �z�l S��L CONTRACTOR �Cl S��- � DESCRIPTION ��l� �� " d � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA ING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMO AL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE IfVSPE ION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGFiESS � /'�'.FINAL ❑ SEWER HOOK-UP ❑ COMP'LAINT v��❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVE REMOVAL J ❑ PLU ❑ FOUNDATIO /REMOVAL Z OWN ONTHACTOR TO MEET YOU:_YES�NO c�., COMMEN : � a �r ws r ✓ /6 "v� o •- ' al '� ��- /'b v< � a � � Q�� _ o� 0 � W � �D � <<0 2, � �e < e� f�r — Q 2 Gor �� C G� J' !`�r �io� ✓ � r�✓ �,�t � /Y�; 0 W ❑WORKSATISFACTORY:PROCEED ROJECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE O OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORAR V BEFORE COVERING PERMANEN ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g5 ) 2 9-4600 OwnerfContractor on site: � � Inspector. White Copyllnspector's File Cenary CopyiSite Notic