HomeMy WebLinkAbout2010-00250 - entrance monuments r '
CITY OF ORONO PERMIT NO.: 2010-00250
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2933 CASCO POINT RD
PIN : 20-117-23-31-0048
LEGAL DESC : SPRING PARK
: LOT 094 BLOCK 000
PERMIT TYPE , ,a�nr-rrn�r i nr�,��T.���,�C�m ��G.�ps��.+� S�-uG��,Q
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ENTRANCE MONUMENTS
ACT�v�TY . - o/s ,e idy .
VALUATIOPT : $ 4,000.00
NOTE: AS-BUILT SURVEY TO BE SUBMITTED FOR CO FOR HOME.
MONUMENTS MUST CONFORM TO HARDCOVER AND SETBACKS.
TRANSLUSCENT GLASS IN FIXTURES
APPLICANT PERMIT FEE SCHEDULE 103.25
SHANE HOMES, INC. PLAN REVIEW 67.11
3925 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416- STATE SURCHARGE(VALUATION) 2.00
(952)546-1904 TOTAL 172.36
Minnesota State License#: 20409990
OWNER
FARWELL,HEATH&JULIE
2933 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 specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
❑ot grant permission for addi[ional or related work which requires separate
permits. All provisions of laws and ordinances goveming this rype of work
shall be compied with whether or not specified herein.This permit will
expire and become n 1 and void if construction authorized is no[
commenced 0 ays of the date of issuance,or if construction is
suspe ed for e ' of 180 days at any time after work has commenced.
Th applica is re ponsible for assuring all required inspections are
re ueste �n con rmance with the State Building Code.This permit may bc
revo at any me for due cause.
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A ermitee ignat e Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: ��_��� ��) �l ���
Description of work: �Yl�n(� 1���}I�,(,�l�d��
Septic review by: — Date Approved: � �
Zonin review b d
9 Y� � Date Approved:
Building review by: Date Approved: �"f' ^1 �
Grading review by: '� Date Approved: �'
Zoning File#: � Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
L�'IC�
Zoninc�: Lot Area: SF/AC Width: Depth:
Survey Submitted: ❑ Yes `�No Date of Survey:
,/ �
Pro osed Setbacks: VV1�r,U,�,�� y�; �� I� �� ; �__��j�-�u r
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
I�'� � � � l G k �1 Y� � � � I'► --
�` �AV�.i�,�ti
Building Defined Height: �-- Building Peak Height: — # of Stories Ok?: � 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 pea top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof, the de ne of a the deck line of a mansard roof r-#+re
mansard roof, or the upp st point on a round uppermost point on a r or other arch-type
or other arch-t e ro roof
SUBTRACT half the distanc etuveen the highest window and SUBTRACT half the di ce between the highest window
hi hest ro eak of a itched roof and ' est roof eak of a itched roof
SUBTRACT the diss�t�nce between the basement floor/crawl ADD distance between the slab and the highest
spdce floor and the highest existing grade within existin rade within the foundation
. 'the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht
EQUALS ' Defined buildin hei ht
Lot Coverage: SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
0 Yes � � N/A 0 Yes �o
l 'es 0 No 0 Yes � 0 N/A
Permit Number: Setback:
Hardcover Zones Existin Proposed Variance Required CUP Re uired
0-75' � Yes 0 No 0 Yes � No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house):
Updated: 09/11/2009
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Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge t,i
Investigation Fee
SAC— Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per Square Foota e
Basement X = $
1 St Floor X = $
2nd FIOOr X = $
Garage X = $
Estimated Construction Value: � �'{,�Q� d�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site 0 Plumbing � Grading / Filling 0 Well
� Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
�PJ Footing ❑ Septic 0 Water Connection
� Poured Wall � Fireplace ❑ Sewer Connection
� Foundation Survey � Masonry 0 Lawn Irrigation
� Radon Rock Bed � Mfg.
� Framing � Other(specify)
❑ Insulation
� As-Built Survey
�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: 0 YES ❑ NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
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Updated: 09/11/2009
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City of Orono �.�o�ib
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: D/D-�D .5�
�,�,�. PO Box 66 ,/ �a /O
O `\ Q Crystal Bay, MN 55323-0066 Date received: '7
' �'� Received by:
,� �' ` �, Street Address'
����� ti 2750 Kelle Parkwa
�c� � '��' v Y Y Plan review fee:
r9kEsxo4`'� Orono, MN 55356
-= 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: (� LO �� �
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 e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP A T INFO ATION: /,�r
Name: � �S l/`��
State License# Expiration ate:
Phone: office c II
Mailing Address: p Cit � ZIP:
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: �,
PROPERTY OWNER INF RMATIO . �,l `
Name: t�,�
Phone(day):
Address: Cit : ZIP:
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
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 ���/yy� ❑ Single Family with ❑ Deck
Relocation �r .,� �� detached garage ❑ Office/Commercial ❑ Private Sewer
Other: (specify) GN11�N ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"*Any earth movement may 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) $ (� "
Last Updated: 9/29/2009
- 17-
STRUCTURE INFORMATION:
1. Structure Dimensionsr 1. Structure Dimensions(continued) 2.Type of Construction
a. Length (ft.)= �� Number of bedrooms= ❑Wood/Frame
/ asonry
b.Width(ft.)= �� Number of garage stalls: ❑ etal
Attached = ❑ Pole Bldg.
Areas in square feet Detached= ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
�
d. 1S`Story = ❑ Other(please specify):
e.2"d StOry=
f. 'h Story =
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
S� ❑ 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
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Other
APPLICANT 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;
• 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.
ApplicanYs Signature: P J Date: v
Last Updated: 9/29/2009
- 18-
MINNESOTA DEPT. OF LABOR 8� INDUSTRY
Construction Codes and Licensing Division
P.O. Box 64217
St. Paul, MN 55164-0217
SHANE HOMES INC
3925 EXCELSIOR BLVD STE 5
MINNEAPOLIS, MN 55416
���F y�{'i 1 . .
����""'�`'��x, State of Minnesota Constructio� Codes and Licensing Division
� ' Department of Labor and Industry Telephona: t651} 284-5034
'� ��
� , ,,� P.O. Box 64217 E-mail address: dli.license@state.mn.us
����`#i�-✓ •�•� St. Paul, MN 55164-0217 Website address: www.dli.mn.gov
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RES�DENTIAL BUILDING CONTRACTOR LICENSE
Legal Name: SHANE HOMES INC Business Structure:
DBA: CORPORATION
Address: 3925 EXCELSIOR BLVD STE 5
MINNEAPOLIS, MN 55416
License Identification Number: 20409990 ' Qualifying Person: SHANE L WALGAMUTH ''
'License Expiration Date: 03/31/2011 Continuing Education: 7 hours due by 03/31/2011
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CITY OF ORONO CALLED IN S v �
INSPECTION N TICE SCHEDULED
PERMIT NO. O COMPLETED
ADDRESS a�3 � �
OWNER TELEPHONE NO.�� ��g ��
CONTRACTOR C��- D/IM� ��D�-
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>; DESCRIPTION�� f�'
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
ti
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site �
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Inspector. � �J ��
White Copyllnspector's File Canary Copy/Site Notice