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Home My WebLink About2015-00246-VOIDED a , ,, City of Orono Building Permit Application � for New Structures or Additions 0 �p Mailing Address: Permit number: `L � `_� � �' �Q�O PO Box 66 � '�. Crystal Bay, MN 55323-0066 Date received: y Z�]I (t-7 StreetAddress:' �_----.__.Z Received by� ��J _�___ �- _.._.—_ y ,� 2750 Kelley Parkw � � �:� Plan re ' fee: " �' c,` Orono, MN 55356 ��,�, ��, r �_ __< <j �� ____ - -� ��KfSHO�� Main: 952-259-4600 �___..___.--=�-�"=+� T Fee: Fax: 952-249-4616 www.ci.�rono.mn.us f,:'>�_f L�V' k� ''� '�'i`_� This application form must be completed in full and all required i ation must be submitted. Incomplete applications will be returned � GENERAL INFORMATION: Job Site Address: ��( 7�;� (r � `�- �C�� Will this be a Parade of Homes, Remodelers Showcase Ho or other Di play Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Cou approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available on-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � . Name: ^ �� :- State License # �2� `\(� � G � �'�� Phone: cell Z . ' �,� �v�1� ��o ��r � Mailing Address: � o �,2 y..>t- '=�s l� l • Contact Person: �L ,L t,i'�� Ema.ii and/or Fax: �v�u r 'k— �' � Ia5 �c 4L1 r.> e �� _ PROPERTY OWNER INFORMATI _ � � Name: ;��-��a 1-l� uh�� Phone (day): _ � � �; " � Address: �'��5�- � Q�� \ ']1� /`� � Email and/or Fax , ur C: ��• VU l/ ,. ._ . , ARCHITECT I ENG ER INFORMAT � ` � +``�' `'`�' ' '' �` Name: _�,� �� .��' r� ��' _, ,j _� � � _ � �1;`�^�'" �,�y�,,; � Phone (day): "�� , � � � • - r ' ��`�� Address: s1 ��.�- � Email and/or Fax: ��,�hK a � r � /'�/�� ss �� e ,�e e�� PROJECT INFORMATION: Descri ,l.' J ��1 1. Type of Project �e.�{��/G��'1 CZ° `�.df� 0 � � New Construction � � � ��L}� �� Addition � / �l�- ❑Accessory Building �� . � C 7 ❑ Relocation a�'C(� ' ❑ Other. (specify) U rnwuNic i a��y� � ' ❑ Public ;r.�``"�� T�f- � 7 --� E' YI, '*Any earth movement may require ❑ Commercial ✓ � ' MCWD review 8�permits. ❑ Industrial �,,n � �Zu S ��, �� Ca G1 C��l� \ Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) � / �1��i � \ 15320 Minnetonka Blvd � Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www minnehahacreek.or Estimated Construction Valuation (excluding land) Packet Last Updated: January 2015 Page 20 STRUCTURE INFORMATION: fi . +► 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length(ft.)= �r� Number of bedrooms= ' �]�I�/ood/Frame �� ; b.Width(ft.)= L`' Number of garage stalls: ❑ Masonry Areas in square feet Attached = '� ❑ Metal ❑ Pole Bldg. c. Basement= �j �`-' Detached = ❑ ICF d. 1S`Story = I �-'�ya... ❑ On-site Prefab e. 2"d StOry= �� ❑ Off-site Prefab f. 'h Story = ' ❑ Other(please specify): g.Total Area= L _> � � REQUIRED SUBMITTALS:� � All of the information must be '� t er for your application to be processed: Not Enclosed Applicable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form �. ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size, to scale meetin ALL surve requirements) ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation form MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privac Adviso Form 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: � V�` Date: � Z Z� js! ,� �% til 1�✓ �,�`' Z � Owner's Signature: � `� Date: J �� Packet Last Updated.� January 2015 Page 21 - �� t�� 6`�� as�� .�� Adciress: � �.. �1 � !�� Perr�lt P[o.: ��4J"� Qescebptien of Mrork: �� _ /� —g aate C�ec'tt: d-' � ! °�� Septic rev��v hY: �_�,,�� '� Date �� Approvec�: Zoning reviewr by: Date Approvec6: Builc�ing review b�►: Date Appraved: `„�'- "�- '�S'�S� Grac4ing revievb by: � Date�pproued: 2C°�,�..�— �aning District: "' C.-t Zoning Fil�#G: Reso#: f�eso Date: Zoning: Lat e4rea. '._ SF;/AC Wicith: Lot Coverage: SF o�� Survey Submltted: Yes C� No E2ate cf Survey: � ' �q'�� Revised date(�)� Pro osed Setbacks: � . Front L � Rear Str � ( H S E -'V1l, �, i0 � � ( � . � ( � .S �,� � � O�ther Buildings Wetland Side "' �ide . . ... . l � � �e��?.. :� :� � Defined iieight: Peak Height: . FFE: ��R .„ FFE minus 6 feet= `° . {Existing Cont� Ferimeter([inear#eet)= 50�%= t.�. 6elov�grade #of�taries FOR l4 BUILDING WITH A BASE�ENT OR CRAWL SPACEC FOR A BUILDIKG OI�A SLAB FOUPlDATt01�: The distance between the lowesi proposed The distance between the top of ;.�' STAR�WITH floor(of the basement or crawl space)and STqRT WITH stab and the fiighest point of the ;.. • � the highest paiM of the roof. roof. If you have a... , If you have a.;, e GABLE OR HIPPED ROOF(no ' GABtE OR HIPPED ROOF � ; winclows): SubVacYhalf the distance (no windows): Su6tract haif between the h' hest Int of the roof the di&tance between the � hi hest i 1, � �"� to the low poiM of ihe�corresponding 9 pcs M of the roof to SUBTRACTION gable or hipped roof the low pant of the (BASED ON corcesponding gable or :. �� -� � GABLE OR HIPPED ROOF�with SUBTRACTION hipped roof :� �'" R��F T�'�� windows): Subtract half tFae distance (BASED ON . G/kBLE OR HIPPED R00F between the top of Yhe highest ROQF IYPE) (witYt windows): SubVact window antl the hi�hest point of the h81f the distance between �f' the top of the highest • ALL OTHER ROOF TYPES(fiat, wiEidcwv and the htghest mansard,etc):No su6traetion. Potn#of t�e roof SiJ67RACTION Subtract the distance between the • ALL OTHER ROOF TYPES � {BASED ON basemenUcrawi space floor and the (flat,mansard,etc):No subVaotlon. a;', ` ��. �� EXISTING hfghe5t existing grade adjacent to the ADDRION Add the distance between U�e top GRADESj foundaUon OR 10feet whichever is less: � �• � ) (BASED qN of slab and the highest existing ,�, y� � # � c-, EQUALS ' Deflned building height GRHDES 9ratle adjacsrst to Lhe foundation. '"� EQUALS Defined building fielght Shoreland District MCWD PermEt Average Lakeshore Setback B�Uff Met? �Yes 0 No P��it Number. ��-�� , Q Yes O No N1A 0 Yes No 0 N/A-see attached Setback: Stormwater�3uality Existing Ha�dcover proposed Overla�r District o Hardcover �lariance R� uieecE Tier circle one ��o and sfl %and s � CUP Requireci �.•�� Z.q:�j�� Yes Ll No 0 Yes � No 1 2 �3 4 5 ��S� . �,�D�S � TYPe(S)� Type(s): l./ Updated: January 2015 z:lformslplan review checklist 2015.docx 6tEfMA►RKS (in-house): Fees�o ks�Ghar ed �'E� �� Perrnit � PEan R��e� � �tate�urchac�e 6r�vestigation Fee v S/�C--t�urnb�r of&AC f�n4ts , ti, � Other(specify) �'=�� J�/y S uare Foota e $ r S uare Foota e Basement 5 s�g X �. . �_ �r = $ �3 Z, �7✓�`�'.� : --- -- - - _ _ _ _ 1S1 Floor 1 L�c X - C!�(�� _ $ �. �_�,�_�_ / -- _ _ 2- 2nd Floor 1 U b � X l��' Z'�--� _ $ �j J � —' • __ ___._, Garage �'�O X _� -- - $ l C?_�0 d� � __� Estimated Cor�struction VaEue: � ��t� �� - - - ----- ` . Orano lnspectiens Rec{uired lMork Requirtng Separat�Permit� i2equired State Permits CI Site .i�Plumbing � Grading/Filling � Well � Silt FenceJ Erosion Control .0' Mechanical Q Fire �lectrical � Hardcover Removal � Septic � Water ConneGtion Footing ,@'Fireplace ,�"Sewer Connection �Poured Wall O Masonry �Lawn IRigatian �7'Foundation Survey jd'Mfg. � Landscaping ,�Foundation Waterproofing CB Other(specify) ,� Radon Rock Bed �' Framing �/� j�'Insulation ��Z.�C fct' As-6uitt Survey Final . p�Other(specify) LA'f!� REMARKS (in-house): Other Review: Revie�recE by: Date Appraveo3: Access: Existing: [� YES Q �!O New: t3 YES Q NO OfFtCiAL RENiARKS-TO BE t�tOTEQ OPE PEft11�ilTi Aet�D tI�EaT1�4LLED Updated: January 2015 z:\forrns�ptan review checklist 2015.docx � - i • � / � � � � , � � emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: December 21, 2015 G/L: 101-22205 Re: Escrow Refund Building Permit #2015-00246 pertaining to 3438 Lyric Avenue has expired. Please refund $2,500 to the property owner, Landsource, LLC. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Landsource, LLC 550 25"'Avenue N St. Cloud, MN 56303 w:�,street filesUyric ave�3438�escrow refund request 2015-00246.docx 8��.�� ` � MINNWEST BANK oo� �� 9130 2nd Street S-P.O.Box 7426 Landsource, LLC s�.cio�d,MN eeso¢ 550 25th Ave N �e-�eeMaie �� Z� '�_ Saint Cloud,MN 56303 � �� G ;� t� ��a�o ��o _ � ?�'pD . DO �"wd - fi�� - �;� - }�v�Q 1 %� , �� ` �SL�row �t� - �i�t�$ Ly►•�C. �; � � io zoo 2aoo �� _ - - __ _ _ _ �andso�rce,LLc/ss� City of Orono 2750 Kelley Parkway 952_249-4600 Orono MN 55�5s 001129 Receipt No: 3.01288A Feb 27. 2015 Atlas Homes / Pd by Landscource, LLC Planning and Zoning. 2015-00248 3438 Lyric Ave 2,500.00 101-22205 Deferred Rev-Developer Deposit__________ Total: +____ 2_500 00_ Check 2,500.00 Check Na: 001129 Payor: Atlas Homes / Pd by Landscour2e500�.00 Total Applied: __ Change Tendered: ___________00- 02/27/2015 02:58PM Landsource,LLC/S50� 001129 IIII III IIIII IIII III 608� . , CITY OF ORONO * 2 0 1 5 — 0 0 2 4 8 * , 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2015 � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3438 LYRIC AVE PIN : 17-117-23-43-0077 LEGAL DESC : NAVARRE HEIGHTS : LOT 023 BLOCK 005 PERMTT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW TIED TO NEW HOME PERMIT#2015-00246-PD BY LANDSOURCE LLC,CK#001129-$2,500.00 APPLICANT ESCROW FEE-BUILDING 2,500.00 TOTAL 2,500.00 ATLAS HOMES INC Payment(s) 7082 EAST FISH LAKE RD CHECK 001129 2,500.00 MAPLE GROVE,MN 55311- (763)425-3333 Minnesota State License#:BUIL-BC20269686 OWNER Atlas Homes Inc 7082 EAST FISH LAKE RD MAPLE GROVE,MN 55311- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State B�ilding Code. This permit is for only the work described and dces 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 wiihin 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. 1'he applicant 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. �� r Z ,� 7, � Applicant Permitee Sign re Date Issued By Signature Date