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Home My WebLink About2010-01156 addition � . CITY OF ORONO PERMIT NO.: 2oiaoiis6 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/2�/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1190 LYMAN AVE PIN : 35-118-23-43-0034 LEGAL DESC : REG. LAND SURVEY NO. 1067 : LOT MB BLOCK MB PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 320,000.00 NOTE: SEPERATE PERMITS RE IRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) **SILT FENCING REQURIED** INITIAL ADVANCED PLAN REVIEW PAID WITH CREDIT CARD-$1544.89 APPLICANT pERMIT FEE SCHEDULE 2,376.75 CHOICE WOOD COMPANY STATE SURCHARGE(VALUATION) 160.00 3300 GORHAM TOTAL 2,536.75 ST. LOUIS PARK,MN 55426 (612)924-0043 Minnesota State License#: 1532 OWNER PALMER, BRIAN&JULIA 1190 LYMAN AVE 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 aft rk has commenced. The applicant is responsi le for uring all re i in pections aze requested in conforman w' e State Buil ' Cod .This permit may be r any t e se. l� ' 1 �� FivV t- / / � �� Applic t Permitee Signature Date Issu d y Signature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , ( ��3�� _ �-� � ��,� �y5 Cit of Orono �� Y Building Permit Application �� for New Structures or Additions �`�� Mailing Address: a0 ��_�/�J!-" �,0,�. PO Box 66 Permit number: Q � Crystal Bay, MN 55323-0066 Date received: // �..`f ��'� Received by: .� ��_�,;�, a. Street Address:� �'�t ? ��:�'�,� �� 2750 Kelley Parkway Plan review fee: / �. ��9 '�gESHog� Orono, MN 55356 a D !�— / ,sS 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: ' "`� O �,�'�ti�}�j� V�, 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 approva160 days prior to the event. Shuttle bus service iff be required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A �LICANT INFOR,JVIATION: . Name: � � �. , State License# , Expiration Date: Phone: ` � � office . 3 cell Mailing Address: 3�6 - c� Cit � � ^ � ZIP: �r' Contact Person: Applicant is: ' Contractor / Homeowner (Cir�le One) Email and/or Fax: � � G c- 6� ' PROPERTY OWNER INFORMATIO : � Name: ` 0 Phone (day): �, , , .�- Address: Cit ` ZIP:��_ Email and/or Fax �- °� ARCHITECT/ ENGINEER INFOR A�T ION: I Name: �_4-�-�IC � �Y�� o " L� � ��, � ��1��— Phone (day): � :C Address: � Cit :. � -� ' ZIP:�� Email and/or Fax: _� �� ti, � PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction Single Family with �2esidence � Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial Private Sewer ❑ Other: (specify) ❑ 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 - r;,-�. ,.� .. _ ;, ; _ _ _ , , __ -J . � � . STRUCTURE INFORMATION: �:'" 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction €:_'. a. Length (ft.)= Number of bedrooms=� ❑Wood/Frame ❑ Masonry b.Width (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 S'Story = ❑ Other(please specify): _ e. 2"d Story= f. '/2 Story = g. Total Area= �;' 4.. ;�' REQUIRED SUBMITTALS: `�' All of the information must be submitted in order for your application to be processed: F;<r ��w Not � �F Enclosed A plicable � ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Cafculations and Mechanical Code Re uirements Form � ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan '�r' g�;:; ❑ ❑ Hardcover Calculation(s `�`;; �:' ❑ Se tic S stem Site Evaluation Re ort �''<�� ❑ ❑ Access Permit 5'� ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other ;t,'. i:;f: �'; �� APPLICANT ACKNOWLEDGEMENT: ;,��: �t • 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. �, t.. , � � \ '� ApplicanYs Signature: Date: � Last Updated: 9/29/2009 - 18 - . Plan Review Checklist for New Structures / Additions , : �� , � �--� �� .�J Address/ PID/ Legal: : i Description of work: !-t i�'I T i��1� Septic review by: __ l.�/�J"` Date Approved: /�_�� Zoning review by: l,�li��J Date Approved: l?i�j�1 U Building review by: Date Approved: I Z-Z.3-� p Grading review by: Date Approved: Zoning File #: Resolution #: Resolution Date: Zonin District Fire Department , Post Office Schoof District �� ` � Zoning: Lot Area: 'LL>,J�n (�SF r AC Width: Depth: Survey Submitted: �Yes ❑ No Date of Survey: � (Z—�rJ�' �� Pro osed Setbacks: �� Front(Lake) Rear(Street) ( N S E W ) ( � S E W ) Other Buildings Wetland ide Side � U� -!- � C b� -�- �(.� � 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 peak, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT haff the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof peak of a pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest � space floor and the highest exisfing 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: ��.L� SF o�o ,�_ Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � ❑ Yes ❑ No N/A ❑ Yes No ❑ Yes `�I No ❑ Yes �� No ❑ N/A r 1 Permit Number: Setback: Hardcover Zones Existin ' Proposed Variance Required CUP Required 0-75' ❑ Yes No ❑ Yes � No 75-250' TYPe(S)� . TYPe(s): i 250-500' 500-1000' REMARKS (in-house): Updated: 09111/2009 z:lformslplan review checklist.docx Fees to be Charged YES NO ` Permit; ^ � Plan Review ,/' Statei:Surcharge : � Investigation Fee ;:S�C .. ;�Number of::S�C;Uni#s . : ; __; , , ' Sewer Connection �1Nater;:Connection - - � . Park Fee � Site�lns�pection „ ' Other (specify) "Miscellaneo'�s:Fees 3 ; ,_: - <<, _� � Calculated By: � Square Footage $ per Square Foota e I Basement X = $ 1 St Floor � X = $ 2"d Floor X = $ Garage X = $ Estimated Construction Value: � 3Z�, 0�0 � Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site �lumbing ❑ Grading / Filfing ❑ Well ❑ Hardcover Removal Mechanical ❑ Fire � Electrical ,�'Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. �Framing � ❑ Other(specify) Insulation ❑ As-Built Survey �inal ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERMIT) �'t t�l` G►J L t�t�� Updated: 09/11/2009 z:\formslplan review checklist.docx ` � �p ,� TE TIME V CITY OF ORONO C:�' ALLED IN I r� // INSPECTION OTICE /� �j�SCHEDULED /d-�� PERMIT NO.�� v//`-' '� C MPLETED ADDRESS � OWNER E PHO N �►� /-� CONTRACTOR ` � DESCRIPTION � U` f � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ' O COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. � �� FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL OUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J �O �., ' ��'i � O � W �� Q % I ,b � 2 W � W � � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOFI TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit : �'� Inspector. �1 � White Copyllnspector's File Canary Copy/Site Notice �� +' � AT�E,�+ TIME V --@t'r'�OF ORONO CALLED IN ��/` '/ INSPECTION N z�C,,� Ol�s/_SCHEDULED ,.�� PERMIT NO. U v ��COMPLETED �I N ADDRESS �l g� L�� OWNER T EPHONE NO. � 3�— �'� CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILL�NG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a .�?`�� .�v�C� x J 0 � � 0 � W � Q � z W � W � � � VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContract si Inspector. White Copyllnspector's Flle Canary CopylSite Notice � DAj E TIME ✓ CITY OF ORONO CALLED IN -3 r� INSPECTION NOTI SCHEDULED � � PERMIT NO � COMPLETED ADDRESS OWNER TELEPHONE NO. �� 37 7-35� CONTRACTOR Q LE�� DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 0. o ikP� �) �- �1 S � � r T�S -�- �, I� '' 3� �-i - � 0 � W � ��C '�D ��S,1 !. , — {1 A..�..�� f Q Z L �"µ,�SQS /� �✓n�' rj �C' �� [ A�'/ � l� S � : � !'�.S.J�C'-- � � �. .d�,e�.�lfvT � _� S� �� a W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REOUiREO.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. � � � White Copyllnspector's File Canary CopylSite Notice � 1— � D E TIME V CITY OF ORONO CALLED IN � � INSPECTION NQT��//� SCHEDULED � � PERMIT NO.�� COMPLETED ADDRESS D OWNER � TE ONE N �S�l�v�,'�L�I"7.��Jt` CONTRACTO � � DESCRIPTION _ _ lT'� i�G'��k( � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE AEMOVAL �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � �-'�� T�v c�' �� 0 � � 0 � W � Q � Z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOHERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � - �., White CopyllnspectoPs Ffle Canary CopylSite Notice Y� � DATE TIME L/ CITY OF ORONO CALLED IN �v INSPECTION N�OT��ICE �// SCHEDULED / /0; r PERMIT NO. 4��D�[../r��OMPLETED ADDRESS l D L OWNER � LE HONE NO. �✓`�� '7�� CONTRACTOR � � �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �� n,l s G, �en� �- r h- fi rc� d� �'�� ✓�� f� 0 � � S -- �,�L-t T- l�c' � Q �� - - � fje S'� i� W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � �Q Ot,R�K&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ��OG K, 0 ❑ R CT OR CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice