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Home My WebLink About2009-00556 - adv plan review � �. CITY OF ORONO PERMIT NO.: 20o9-oos56 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/03/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $7,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: ADVANCED PLAN REVIEW PERMIT#THIS PRE-PAYMENT IS TIED TO: BUILDING PERMIT 2009-00534 APPLICANT ADVANCED PLAN REVIEW 95.88 TUFF SHED TOTAL 95.88 8687 HWY 101 SAVAGE, MN 55378- PAID WITH CC# 3747 (952)217-2402 Minnesota State License#: 20359638 OWNER GEORGE, DEVEAN : , t.;,,_; , ,:; , 1285 FRENCH CREEK DR ',,rf1 0�' �.`?`'r WAYZATA, MN 55391- ,, , i� �-', 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 _; YOCr.�t -' ��•�%�"�-�-' State E3uilding Code. 'rhis permit is for only the work described and does :��►41� not grant permission for additional or related work which requires separate , �:hE'C:t��1}F �-K� �'��•`' � �_ permits. All provisions of laws and ordinances governing this type of work � shall be compied with whether or not specified herein.This permit will {t� _,__,_.,., expire and become null and void if construction authorized is not , ,, _. commenced within 180 days of the date of issuance,or if construction is ''a'�� suspended for a period of 180 days at any[ime after work has commenced. '�, .. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked a[any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , ' ,r4 CITY OF ORONO PERMIT NO.: 2009-00556 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 09/03/2009 952 249-4600 FAX: 952 249-4616 PRINTED WITHOU"I'ISSUING 9/3/2009 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $7,000.00 TYPE OF PEKMIT"I'HIS PAYMENT IS FOR: ADVANCED PLAN REVIEW PERMIT#THIS PRE-PAYMENT IS TIED TO: BUILDING PERMIT 2009-00534 PROJECT CANCELLED APPLICANT ADVANCED PLAN REVIEW 95.88 TUFF SHED TOTAL 95.88 8687 HWY ]O1 SAVAGE,MN 55378- PAID WITH CC# 3747 (952)217-2402 Minnesota State License#: 20359638 OWNER GEORGE, DEVEAN 1285 FRENCH CREEK DR WAYZATA, MN 5539]- 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 permi[s. 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 consVuction is suspended for a period of 180 days at any time after work has commenced. The appiican[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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: � � � .� �� ,�( � G. ��'� IL Description of work: Septic review by: W (l' Date Approved: � , �(— v �1 Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning File#: Resolution #: Resolution Date: Zoning District ' Fire Department Post Office j School District ' i Zoning: Lot Area: SF /AC Width: Depth: Survey Submitted: ❑ Yes ❑ No Date of Survey: Proposed Setbacks: Front (Lake) Rear(Street) i ( N S E W ) � ( N S E W ) ! Other Buildings ' Wetland � � I Side I Side � I ' , Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWI SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START i the distance between the basement floor/ I ! START the distance between the slab and the � � WITH crawl space floor and the highest roof peak, � WITH highest roof peak, the top of the cornice the top of the comice of a flat roof, the deck of a flat roof, the deck line of a mansard � line of a mansard roof, or the uppermost ', i I roof, or the uppermost point on a round or '� , oint on a round or other arch-t e roof ' � I other arch-t e roof � SUBTRACT half the distance between the highest j SUBTRACT I half the distance between the highest ' � window and highest roof peak of a pitched � window and highest roof peak of a roof itched roof ' SUBTRACT I the distance between the basement floor/ � ADD i the distance between the slab and the crawl space floor and the highest existing highest existing grade within the grade within the foundation or 10 feet, foundation � whichever is less. I EQUALS i Defined building hei ht ', EQUALS � Defined buildinq height I Lot Coverage: SF % Shoreland District MCWD Permit Received ' Average Lakeshore Setback , Bluff ' ❑ Yes ❑ No ❑ N/A I ❑ Yes ❑ No � i ❑ Yes ❑ No Permit Number: ❑ Yes ❑ No ❑ N/A , Setback I Hardcover Zones ; Existing Proposed Variance Required � CUP Required ! 0-75 ' I ❑ Yes ❑ No i ❑ Yes ❑ No 75-250' TYPe(S): II TYPe�S) , 250-500' � 500-1000' ' ! I ' REMARKS (in-house): Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Permit Plan Review State Surchar e Investigation Fee SAC— Number ofi SAC Units Sewer Connection Watec Connection Park Fee Site Inspection Other (specify) Miscellaneous Fees Calculated By: UBC: Construction Type: ! Square Foota e , ' $ er Square Foota e i ', i � Basement ' X = $ i I 15 Floor ' X I = $ ! 2" FloOr ' I X ' _ ' $ , Gara e I i X , ' _ $ I I i i Estimated Construction Value: $ Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical ❑ Footing 0 Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace 0 Sewer Connection ❑ Framing ❑ Masonry ❑ Lawn Irrigation ❑ Insulation ❑ Mfg. ❑ Wall Board ❑ Other(specify) 0 As-Built Survey 0 Final � Other (specif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) S t A � (.� L'� '�� ;�.t�C�' 1 t-�,�°t �� S , Updated: 07/01/2009 z:\forms\plan review checklist.docx AUG 26,2009 10:22A 9529929289 page 1 City of Orono � Ca�� _ Building Permit Application � _ � �S for New Structures or Additions � � � Meilinq Address; Permit number: ��1- Og,D,�O PO Box 68 Cry9fal Bay,MN 55323-0066 Date received; � '� � �„ Srreet Address:� Received by: �, - �. 275o Kelley Parkway Pian review fee: rqh.�xo�� Orono,MN 55358 --_ _-- Totel Fee: Main: 952-249-4600 Fax: 852-249-d618 www.ci.orono.mn.us 1'his application fortn must be completed in full and all required informalion must be submitted. Incomplete appllcatlons wlll be returned. (Please prrntJ GEN�RAL INFORIV�ATION: Job Site Add�ess; Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No ►f yes,a specia/evenf permit i9 required with Po1ke Depertment end Cay Councif epprove!60 days prior ro the evenr. Shu►tle bus servlce ill nsqulred unMsa appficant demonshates suthc+ent on-site perking is evallaDb. Non•pe►mltted events will not be el/owed, CONTRACTOR/APPLICANT INFORMATION: Name: '�"�� Sfi�D ._... ___ ---- State LiCense# 20��(p-�t3 Expiration Date; � Phone: ��SZ, 2�-] , ��{U 2 �(oifice) (cell) Mailing Address: ��9� � t-Fvv I 01 Cit : �'�� - � ZIP� ��s�7 z� Conlacl Person: V t C1c� -('e�-c..a►e--o Applicant is: C / Homeowner lcirci.0�.1 Email and/or Fax: V�urc��•o 4� � uF�f:�t�,.c.� , ezcT,-�� PROPERTY OWNER INFORMATION; Name' Z)� �c a►1 <�� ov-�c` --�-� ------- Phone(day); ia(z � �'+S- I�3'1 AddfeSS; I 2 4a� �=�c-v�� rr..�t�. ��r• Clty:�/1��+H ip�;- ZIP' Y.+�?3-..t � Email and/or Fax ��' ARCHITECT/ENGINEER INFORMATION: Name: Phone(day); __ Address: City: ZIP: Email and/or�ax; PROJECT INFORMATION: 1.Type of ProJect 2.Propoa�d Use 3.St�ucture Type 4.Sewage Dispa�al 8 Water Supply ❑New Gonstruction ❑Single Family with ❑Residence �Addition attached garage �Gerage/Accessory 81dg. ❑Public Sewer Acc;essory Building ❑ Single Family with Deck Relocetion detached garage ❑Offce/Commerci�,� LJ Pnvate Sewer ❑Other:(SpeCify) ❑Multiple Family/Conda ❑Warehouse ❑Public ❑Storage ❑ Public Watar •"Any earth movement may tequire ❑Commercial �Other(specity) MCWD review&permita. ❑Industrial I 2x � ❑Private Well Minnehehe Creek Wetershed Dislrlct(MCYVD) ❑c�ther: (specify) 18202 Minnelonke Blvd s�l^�r( Deephaven,MN 55391 Phw�e: 852�71-0590 faY 952�71-0682 Estimeted Construction Valuation(excluding land) S '7Q'�O� " L3sl Updeled; B/22/2009 . - 19- Q��U / AUG 26,2009 10:22A 9529929289 page 2 STRUCYURE INFORMATION: 1.Structuro Dlmenalons 1.Structure Dlmenelone(contlnu�d) 2.Type of Co�atruction a.Length(f1.)= -� Number of bedrooms= �j Wood/Frame ❑Masonry b.Width(R,r �1 Number of garage stalis: ❑Metal Attached= ❑Pole 81dg. Areas in souare feet Detached= ❑ICF ❑On-site PreFab c.Basement= []Off-si�e P�efab d, 1°1 Story = ❑Other(please speciiy): , e.2nd Story= f. '/a Story = g,Total Area= ��`t U RE�UIRED SUBMITTALS: All of the information must be submitted in order for our a lication to be processed: Not Enclosed A IlcaDle ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ O MN State Ene Code Calculations and Mechanical Code Re uirements Form fd- ❑ Surve meelin all re uireme�ts 0 ❑ Stormwate�Pollution Prevention Plen ❑ O Hardcover Calculation s ❑ ❑ Se lic S stem Site Evaluation Re ort 0 ❑ Access Pe�mit { p r p Wetland Buffer Im rovement PIe� �� ❑ En ineered Plans for Retainin Walls 4 Fee�or above ❑ O Plan Review Fee ❑ O Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information reQuired or requested by the Building Departmenr, . Agreea to pay the Clty ot Oro�o tor enginee�ing coneultant review costs in excesa nf S600; • Ce�tiFes that the information supplied is Irue end correCt�o�he best o(his/her k�owledge. The applicant recognizes that they are solely responsible for submitting a complete application being ewere 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 end signed; • Some or all of the information that you aPe asked to provide on this appllca0on is classified by State law as either priva[e or oonfidential. Private data is information which generally r,anno�be given to the public but can be given to the subject of the data. Confidential data is information which generally Cannot be giVen lo eithe�the public or the subject of the dala. Our purpose and intended use of thi6 informa�ion is So dnnuelly updete our records and records of other governmental agencies required by law. If you refuse to supply Ne infortnatlon,the application may not be issued. � � r�"a qppiicent'e Signeture� ��`� �-��—QXZ� Date: C�� Z� ��7 Lsal Updaled: 6/22/2008 -2�-