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Home My WebLink About2010-01092 - misc fee for work started without permit ? ' ' CITY OF ORONO PERMIT NO.: 2010-01092 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 12/02/2010 ; 952 249-4600 FAX: 952 249-4616 ADDRESS : 1125 MILLSTON RD PIN : 10-117-23-14-0006 LEGAL DESC : MILLSTON : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRiJCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) MISCELLANEOUS FEE IS FOR WORK STARTED WITHOUT PERMIT APPLICANT pERMIT FEE SCHEDULE 756.75 TOM POTTER CONSTRUCTION INC. PLAN REVIEW 491.89 6531 DEVONSHIRE DR. CHANHASSEN,MN 55317 STATE SURCHARGE(VALUATION) 30.00 O MISC FEE 756J5 Minnesota State License#: 20130144 TOTAL 2,035.39 OWNER BURWELL,MR.&MRS. RODNEY P 7901 XERXES AVE S MINNEAPOLIS,MN 55431- 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 desc�ibed 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 all required inspections aze requested' onformance ith the State Building Code.This permit may be rev t y time for d � Z l Z l a �� ) lD�l /O _Applicant Permitee Signature Date Is d By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I /��- , . . � �. ��-o � ��,� �� City of Orono � � ��'�� Building Permit Application for New Structures or Additions Mailing Address: Permit number: �� — �� ,(/ �,�,�. PO Box 66 � � Q Crystal Bay, MN 55323-0066 Date received: �,T a, �'`��-��' �, Streef Address:� Received by: t,' ,s,.� �'�, ' ��r� �ti 2750 Kelley Parkway Plan review fe � r9kESH�4'� Orono, MN 55356 - Total Fee: p� � J��,39 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: //�� M ��/� S77j,,�J f`� (> l�'Lv,UU Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I FORMATION: Name: �C ,N� o"iT� ' �� / �v C- State License# " 0 3�/ Expiration Date: 3 j/ Z Phone: _ ��o -- � �� office !2— 28 � 74�3 cell Mailing Address: -� 5'��'2E �- Cit : C �t-s�c�y✓ ZIP: �'S3� '7 Contact Person: v"T�' Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: - � r-�,,.�-r' f v. vT�1�, C � CdNt PROPERTY OWNER INFORMATION: Name: �v��✓��/ Q�,{.Yz�„f�L.L Phone (day): Address: Qc� �I�►�`(,(,SToN � City: �I��JU ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: 1312tc�:C ''t�wt,'7T �' �SS vC�'.�?ts Phone (day): �SZ— �/7 — �Z'Z� Address: �,J�yZi4-T/+ City: 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 detached garage ❑ Office/Commercial � Private Sewer ,�Other: (specify) �l�D l7K ❑ 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 �/� /� �1 �/1 / Fax: 952-471-0682 �G�l�-(� ` G��Y lq��Y — /G�OV 'l/G� �+1�J r�G ,�— C��i•� �-[f�C9� www.minnehahacreek.or / Estimated Construction Valuation (excluding land) $ c9 V�p , c�� Last Updated: 9/29/2009 - 17 - STRUCTURE INFORMATiON: 1. Structure Dimensions 1.Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= �7 Number of bedrooms= z- ,�Wood/Frame /� ❑ Masonry b.Width (ft.)= ��P Number of garage stalls: ❑ Metal Attached = "L ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= �� ❑ Off-site Prefab d. 1s1 Story = � `sU ❑ Other(please specify): e. 2"d StOry= f. '/Story = g.Total Area= ,;- REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: ��:' N ot Enclosed A licable ❑ ❑ Permit A lication Y' � ❑ 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 r1; ❑ ❑ Wetland Buffer Im rovement Plan - � ❑ En ineered Plans for Retainin Walls 4 feet or above � � ❑ Plan Review Fee � ❑ Other APPLICANT ACKNOWLEDGEMENT: k-' • 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; F • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they � e are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative 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. ApplicanYs Signature: c�..� Date: /� � � (� Last Updated: 9/29/2009 - 18 - Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: � `� 'V` ��T� � Description of work: ��1�-l� � '��(l�V'1 � � �� Septic review by: Date Approved: Zoning review by: Date Approved: '�� u Building review by: Date Approved: � �- �-1 C� Grading review by: Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: _SF/AC Width: Depth: Survey Submitted: Yes 0 No Date of Survey: �� I ZZI �D �(,bb Pro osed Setbacks: 0 �1AJ QF.�(ii�(-1�S1�(�V�Y Qr Mlu- � Front(Lake) Rear(Street) ( N S E ) ( N S E W ) Other Buildings Wetland Si e Side ��-1-� �i Building Defined Height: Building Peak Height: # of Stories Ok?: 0 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 half 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 eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing 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: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Blu ❑ Yes 0 No � N/A 0 Yes No � Yes � No 0 Yes ❑ No N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance R quired CUP Re ' e 0-75' 0 Yes o � Yes No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): ��V�-O� �i�- (�"��( �4`f'ti �`� � rM-��- � p-�� Updated: 09/11/2009 z:\forms\plan review checklist.docx . Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee Wp2 C �}�� ,/ SAC- Number of SAC Units ' Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: Square Foota e $ per Square Foota e Basement X - $ 1 St Floor X = $ 2nd FIoO� X - $ Garage X = $ Estimated Construction Value: ��dc) °—`' Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading / Filling � Well � Hardcover Removal 0 Mechanical 0 Fire lectrical � Footing 0 Septic 0 Water Connection � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. Framing ❑ Other(specify) �nsulation � s-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: ❑ YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx �. � •• • • • �,�1��,• � °`ilf� T �.l,,,�' ",y4.��,'�►y N�! • ��►�,��` � .• � =��y? '�.�"4f�ui�.,yE��'�t!��,�I�'•-� `�� : �� - ��'��t._c"�!� ' �i� �t�� ..IA��:• ' ' �G-, �„�. .. :�� I� :� �� t' .. . ' 1i d :" ,." • .. " r- .- �� '� • � qc' �� ` ��^ •�/�I�� ,� , � �, - �� ►�/IG ,, , � � �• � ��1�. �,I/�1�� . :. � � � . r-'' 4 ''1 � . : i ,. ',,, ., �� ;. v ��_ � ., r . �, • �� '��i►�� ' -p�``� yi1J�' - � �� \ ' ;�1,, ��►�L- •��►� ,' " �i/,1� '�' � 'Y � • � � � � ,�- �� • �� `` `1'��Q � / • � � ��I.� ��\"� �j��.� . 11� �: �i►� ��il�� '��''� ' � . 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'� - .. .. , . �, .. � . . � �� .� •� . . � �. _ , . . :: � . . , ,:� . ; : . . i _ . =_ : . `� ��;..",,z ` '�4`v � • • • .- _• • `��.�� •.•� �� s -••�I� 4,.��t � � • � •• • 9i. � � ' , : • , ' • .�� . • • • • �. • � -• � • � � •• � , ♦ �. ., : ' • � :• �0 •� ' �� ''�. ��=�, v .� �a � ��►aa�, . �• • ,�� DATE TIME CI OF ORONO CALLED IN �� 9��G �� INSPECTION NOTICE SCHEDULED �3 L� '� '�L-' PERMIT NO..�(��-'U1�f� connP�E1E� ADDRESS ! I�� l �� ' U' ' /�—'- OWNER TELEPHONE NO. �'�� a�� 7�3,(� CONTRACTOR �m n f-��r �� a DESCRIPTION 1 �-�'z/'1'� _� `�Lc. /G�� I (:+y-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS � ❑ FRAMING ❑ MECHANICAL FINAL O 0 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE T C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. o � �.�+ White Copyllnspector's File Canary CopylSite Notice � ' � ' -� ATE TIME � �C�OF ORONO � CALLED IN �� 7 /�� INSPECTION ��I�E r7^-� SCHEDULED I��T � PERMITNO. �-?��-'1L �L�1 L' �� COMPLETED ADDRESS � �.� � �1 I � 1 S*� 11� OWNER TELEPHONE NO. �' � `��c� �� CONTRACTOR � ��i��f C'T �CI"1S'� � � � DESCRIPTION �� I�(�� •1 ! ( ►'1C'��(��S � �►YC�"�''� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING(��, y ❑ POURED WALL ❑ MECHANICAL RI ��r�� ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � `1 J�y V W�nyWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �J u CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on si e: Inspector. White Copyllnspector's File Canary CopylSite Notice