HomeMy WebLinkAbout2010-00859-VOIDED/related info y � �
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City of Orono
Building Permit Appiication
for New Structures or Additions
MailiPO Bo�r66 . Permit number: a �-�� �j9
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� � Q Crystal Bay, MN 55323-0066 Date received: q f�
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`-�s�.?> �. Street Add�ess:� Received by:
��r9, ` ����� 2750 Kelley Parkway Plan review fee:
kESH��' 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: � -7 ,� � C � ,- " � v p ��Z�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a specia/event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless appfrcant demonstrates sufficient on-sife parking rs available. Non-permitted events will not be allowed.
CONTRACTOR/APPL CANT INFORMATION:
Name: �CL�1� ��=�
State License # Expiration Date:
Phone: LP/o2 - Srj� .- ,$'�.. g office cell
Mailing Address: � G /Z/C Cit : �l//y@ `' �-^ /
Contact Person: Applicant is: Contractor / Ill@OWfI. (Circle One)
Email and/or Fax:
PROPERTY OWNER I FORMATION:
Name: iC -1csC % /-�/L�/�,:
Phone (day): �'�'� - r - �ZD
Address: 3�f7 L � /C 1�g Cit : �4/1�f2R� ZIP: �S3�1'r
Email and/or Fax
ARCHfTECT/ ENGINEER INFORMATION:
Name:
Phone (day):
° Address: �it . Z�P�
- Email and/or Fax:
� PROJECT INFORMATION:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
5��� Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
❑ Addition attached garage �Garage/Accessory Bldg. ❑ Public Sewer
�Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached ara e
❑ Other: (specify) 9 g ❑ Office/Commercial ❑ Private Sewer
❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
""`Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review& 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) $ �Qj�i� c�.o_
Last Updated: 9/29/2009
- 17-
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 spuare feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15i Story = ❑ Other(please specify):
e. 2"d Story=
f. '/Story =
g. Total Area=
i,
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed Applicable
❑ ❑ Permit A 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
❑ CI Hardcover Ca�culation(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 suppfied 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 pubfic 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: Date:
Last Updated: 9/29/2009
- 18 -
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Parcel 17-117-23-43-0156 A-T-B: Torrens Map Scale: 1"=50 ft. N �
ID: � (
Print Date: 9/5/2013 I
Owner Market
C P Sperbeck&N T Mann $103,000 �
Name: Total: i
Parcel 3477 Lyric Ave Tax $883.22
Address: Orono, MN 55391 TotaL• (Payable: 2013)
Property Residential Sale $123,000
Typ@: PI'IC@: This map is a compilation of data from various
sources and is furnished"AS IS"with no I
Home- HOmestead Sale 06/2010 `representation or warranty expressed or I
stead: Date: imPiied,including ftness of any particular �
purpose,merchantability,or the accuracy and
completeness of the information shown. i
Parcel 0.31 acres Sale Warranty D@@d COPYRIGHT OO HENNEPIN COUNTY 2013 �
Area: 13,444 sq ft Code: �
, �, '~��.Green!
_ _ _ _ _ __�.._.J
http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=45173 8.13 014365086,4975927.... 9/5/2013
DATE TIME
CITY OF OfiONO CALLED IN
INSPECTION NOTICE SCHEDULED ?_-I�--i I _��
PERMIT NO. COMPLETED �
ADDRESS ��, L��`L ��
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION � S�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAII TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContracto
Inspector.
White Copyllnspector's File Canary CopylSite Notice
i
� ����
O p ,, CITY of ORONO
i'�, Municipal Offices
v-� ,��� ����`<� � ��� Street Address: Mailing Address:
"�',� f�',,.,�''������ 'b� ,ti,�'j� 2750 Kelley Parkway P.O. Box 66
� �a��:; {,� 3�� � �
.� t ,�`�.,, ;� ,� Orono,MN 55356 Crystal Bay, MN 55323-0066
�kESH�4
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February 17, 2011 � � � �
Nicholas Mann � � �,I�(1� �/�/��
3477 Lyric Avenue �Iti�
Wayzata, MN 55391
RE: incomplete Building Permit Application 2010-00859
On September 22, 2010, Melanie Curtis sent you a letter requesting additional information in
order to complete the review of the building permit application.
Since we have not received any additional information or received any communication from you,
we are voiding this application. Enclosed you will find the plans that were submitted.
If you have any additional questions, I can be reached at cmattsonCc�ci.orono.mn.us or at
952-249-4620.
Sincerely,
CITY OF ORONO
��
Christine Mattson
Planning Assistant
Enclosure: Building plans
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
. ,
� O�
O.,��..� O
������ CITY of ORONO
'� '�������'s ti Mu�;�,� ot���
;:��',�� ti
��.� �'��.fi�-� .�G Street Add�ess: Mailing Address:
`9$EggOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
22 September 2010
Nicholas Mann
3477 Lyric Ave
Wayzata, MN 55391
Re: 3477 Lyric Ave
Building Permit Application #2010-00859
The City is in receipt of your building permit application which was received by this office on
9/20/10. This is a permit for the construction of a 12'x12' shed. Your application is incomplete.
The following items must be submitted or revised in order for your application to be considered
complete and for the plan review to continue:
1. Certificate of Survey. Please provide an updated certificate of survey meeting the
City's survey standards (enclosed) indicating the location of the existing house and
proposed shed (existinQ arades and any qroposed Qradinq) as well as all existing
structures, landscaping, retaining walls and hardcover on the property.
2. Hardcover Calculations. 3477 Lyric Avenue is located within 1000' of the lake and is
considered Shoreland. Please submit existing and proposed hardcover calculations on
the sheets provided. The property must comply with the City's Hardcover regulations
(enclosed). The hardcover calculations should be done by a surveyor.
3. Escrow � Escrow Agreement. Building permits involving grading and/or review by
the City's engineer require submittal of an escrow and an escrow agreement. The
purpose of the escrow is to guarantee reimbursement to the City of out-of-pocket costs
incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater.
The required escrow amount for this project would be $600. The escrow agreement is
enclosed. The property owner must sign the escrow agreement and submit a check
for$600. If no grading is proposed the escrow requirement will be waived.
Additionally, the City's wetland regulations and wetland buffer requirements may be
triggered by the project. The above information is required in order for the plan review to
continue. Please feel free to contact me at 952.249.4627 or by email at
mcurtis .ci.orono.mn.us if you have any questions.
Sincerely, ` �
Ci of Orono
Mel ni Cu is
a e rt
Planning and Zoning Coordinator
c: Lyle Oman, Building Official
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us