The URL can be used to link to this page

Home My WebLink About2010-00997 - addn/remodel/repair" + CITY OF ORONO PERMIT NO.: 2010.00997 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 10/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3675 JACOBS MILL RD PIN : 32-118-23-24-0012 LEGAL DESC : JACOBS MILL : LOT 002 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 50,000.00 NOTE: NEW SIDING AND COVERED ENTRY APPLICANT pERMIT FEE SCHEDULE 681.75 AMENT,JEFFREY&KARI PLAN REVIEW 443.14 3675 JACOBS MILL RD LONG LAKE,MN 55356 STATE SURCHARGE(VALUATION) 25.00 TOTAL 1,149.89 OWNER AMENT,JEFFREY&KARI 3675 JACOBS MILL RD LONG LAKE,MN 55356 AGREEMENT AND SWORI�i 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 goveming 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 a11 required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ��'Z`c� i � /Di oi /v Applicant Permitee ignature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,, _ - �y� � - � �f 1 City of Orono �-�' � �� Building Permit Application � for New Structures or Additions G�` Mailing Address: Permit number: f�� Q - � cf cJ �v 0,� PO Box 66 { � �:. � , Crystal Bay, MN 55323-0066 Date received: � � � � D a I�;'�`� � Received by: ��,;;, �,� StreetAddress:' �'�,n � � �,'�_'up_ � 2750 Kelley Parkway Plan revie — -- t "� ��r G Orono, MN 55356 9kESH0�� otal Fee: � q G} Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � � �/' �J This application form must be completed in full and all required info ation m hm_itted. Incomplete applications will be returned. (Pleas � t GENERAL INFORMATION: --- --- Job Site Address: �'� ��_'1 -- ��.t��,��.y �� j� ��). Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a speciaf event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service wilTbe required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: � Name: _ �e- f-.t — r-� � ,;• i �,.;. Phone (day): - ��;� -� ,- < Address <' ',n��, i a Cit ��- i. ZIP: � Email and/or Fax �C -{( , r „ � �. ARCHITECT/ ENG ER INFORMATION: Name: t._.�_�� ., i. r- ��- ,� Phone (day): � _ �k _ _ � , ) Address: ' �� ~—�^i f,lcn'�' � +�) ti�'!.��_ City: _ '�",p 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 ❑ Single Family with ❑ Deck ❑ Relocation r <'"' . detached garage ❑ Office/Commercial ❑ Private Sewer �Other (specify) ��,t- %� ��t��r�(� ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water "`*Any earth movement may require ❑ Commercial �Other(specify) MCWD review& permits. ❑ Industrial �,. ("'4 t`��za) ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 1�"�� 18202 Minnetonka Blvd S_._�}'�� Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ '�=..,��' ��j'*; Last Updated: 9/29/2009 �� - 17 - /� �o�,�� - - / � -c STRUCTURE INFORIVf'ATION: � 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= �t� � Number of bedrooms=�� Wood/Frame � �Masonry b.Wi d t h (ft.)= �_ Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached = �� ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = ❑ Other(please specify): e. 2"d StOry= f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Ap 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 ❑ ❑ 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$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. ._.� �,/"i ApplicanYs Signature: Date: �` C � Last Updated: 9/29/2009 - 18 - � . . Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: 3fo`TS �Ac.o QS ��. �p Description ofwork: ___l,v�/�(L�,�1p ��.t�c-R,y A,v� l�lec�..� ,S �p� � Septic review by: Date Approved: Zoning review by: .0 . :' � '� /r, Date Approved: /0 -I t9 -�O Building review by: Date Approved: !O -�$ -J t"� Grading review by: /v//� Date Approved: Zoning File #: Resolution#: Resolution Date: Zonin District Fire De artment Post Office � School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: �Yes ❑ No Date of Survey: � l� - 2b -9 q Pro osed Setbacks: Front (Lake) Rear�Streel� ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side 25' �o� + i�� i qo Building Defined Height: No c �.�-,�,�..c�Q Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ START the distance between the slab and the W(TH crawl space floor and the highest roof peak, W(TH highest roof peak, the top of the cornice � the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e roof SUBTRACT half the distance between the highest SUBTRACT 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 the distance between the basement floor/ ADD 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 Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: p✓u. ��.,�„�G,� SF % Shoreland District MCWD Permit Received i Avera e Lakeshore Setback Bfuff ❑ Yes .� No � Yes ❑ No �'N/A ❑ Yes ❑ No � N/A � Yes No Permit Number: Setback: Hardcover Zones j Existin Proposed Variance Required CUP Required 0-75' i I ❑ Yes No ❑ Yes No 75-250' Type(s): Type(s): 250-500' I 500-1000' I REMARKS (in-house): Updated: 07/01/2009 z:\forms\plan review checklist.docx � . . Fees to be Cha ed �(E5 NO . ... '�6�� . � f..,t,.,, .o; f „'} . . ^�'�:;�,"�+� � ��'i` r� . w x, i �;i.,_ Plan Review � � . . . ,:....,. .. , ,� e ; . . , . t. f Investi atio� Fee ,. , y ' . � ��`�C;��b�� . "`� � . ., Sewer Connection .> ..� �.a.�.,:_ ��a�ie�sox�x �°,".� , _ ..�. . , .v , . .. :_ . . ... > . Park Fee �t�.. „.�er�ts�:��, _ _ .�, .._ .. ._ . �. � _ . .. _>, , � Other(s eci � i ' �'$��.„�ll'S��aS��:,s�r. A. . . , .. . ,. _ _. Calculated B : UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 Fioor • X = $ 2" FfOOr X = $ Gara e X = $ Estimated Construction Value: $ 5��'.�Qt7 °� � • • Orono Inspections Reauired Work Reauirinq Separate Permits Reauired State Permits 0 Site 0 Plumbing ❑ Grading/ Filling � Well ��-lardcover Removal � Mechanical 0 Fire � Electrical �'Footing � Septic 0 Water Connection � Foundation Survey 0 Fireplace 0 Sewer Connection �Framing 0 Masonry 0 Lawn Irrigation �Insulation 0 Mfg. � 0 Wall Board 0 Other(specify) 0 As-Built Survey �Final � Other(s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INfTIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms�plan review checklist.docx � (.p`z s -J a.�.�bs Ik.��! I JZo� . ��► ; +�� .�� _._____r�.� _w.�. ...�....._.,. -_ `�t ��,�,�.��r i � . � ITY �� w��, n�,� � � ��;: N�.A�3 i�;��,i�;rJ^ ��_,��v � , �Z r��";?C►:r`.�� EN�'( �a�" r-� � i.' r«��t'•�,;�i�� {�C.� ; , .. :;.;��.1:'^ i I � ......... E C' i1:�6'��'`; h'1i1��=n � � I ; _. . � � ........ � ... • � C��• � � .�� . � :: � _ _ _ ; , .: �� , �,�� - ,� __��_-�o_ ---- .J .t.: � . �/ n�—� =_� / --, -- I =:___._....__.-----.____-.._:..___......._., j. •.;' o � r / �� I� � " � � � i i � � / i '� � . �.Z��Z \ � �� 9 � ^ry �// \ \ , � I � r � �� . �ry �i�� ::o. � .....�.... / � � W� :�' I � .` � / .. �/ ��\ � • / ' ' q� � j ��-t � / '�cV Z�- [`� �,a � �-�� J� , �� i 1 sz� s V, •� / ;/ .��°s�� ;�:j � , N� / , ��V �� i� .� / :. � ' � _ ��.'. , . : �••.. � ...........�. , � / �'�•.,. � \' � i / •• � . . �� o �.:'••� / i o° '1 � �••. ^9,- , ° q - � -, oo''� / / � �� --.�.�._ � Q �oo �, i.� � ��.. :� � / '� � i � � � � 5 j ' � �O � � � PR0000� 2�� q �I'' N�' 9j �I� �'•• � p ''�•. ' / � _� , .+� � I i� � � / �o� /i "--.-�''i �/ I /''•, ; / �-� Z I .- � i � � i /-' _ � � , :/ i � o i a / a / �.- � O N � � � `� � . �- � !' � i � `� o ° i � � /� .��''�. O ►'`� � \ \ �� / � �' 'dF w �-P`� � '� c�~ l � � O �- '•� ��/ � i -,�"��] �'� E� � . . \, � QJ •.....% • Ao, / 9 / � / b � � � �--rlly" � o o�/' --/ ...� � , /_: � ....�..... , ,�� N � ' �� ' � A� � - ' y �� . � g � , ,:. . , � '•.' \ \ / A�� k '. J i y�/r . .• � � / ' `. . ~ \ � �'•• � o ��"'� p� a ' � ••�• ' DRAINAGE EASEMENT •. ;,� � ..........................................:.... ':.�..,�• , � \ / pr� � w F.. � /� / \ \ \\OS ✓��0� OWQ oo/ � � .. .�� .� : a(n � ' W h \ \�� 2� _/ � • ,/ 3' � � � �j' � � / � . � , � , J ' :��:� '� �-�---,_ � ____`. ._J " " � �--� � ,...... �. ; -_-__�_ _____ W .. t�L� � � ��' i t , � _'_��___.�_ 9. \�r; � �� O ............. . � t� 6 ��:•...., .. ; _ 6• � �� i - - � �-�– (� � 9 \ ..... .... �8� — — � ' ^ .�8 ` \ 3i FZ L 9'Z�y � - l/ J � �-oo M „oo,� � O � ° o� � . � � I s �I W � � z ,. . . � , , Z Q — . . � � ��, � � � W � � � . . , cn � � ' ., I . N �- i ' . ,:....... � . t_.L_ � � �-- . !,I � ,,OO \ � �6� z � U " � '� �`°o�, W l.L. O o ti �— 1.�, —J � ' Q °0 ; � w � z ,. � N ' L.� a- ; F-- W � � � z � w o z '�� U � W 'I l� _ ', � O . � i