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Home My WebLink About2013-01076 -detached garage • ' CITY OF ORONO * 2 0 1 3 - PJ 1 0 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 1U05/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1100 MILLSTON RD PIN : 10-117-23-14-0015 LEGAL DESC : MILLSTON : LOT 000 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GARAGE-DETACHED ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS VALUATION : $ 125,000.00 NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) *AFTER CURRENT AND UPCOMING PROJECTS FOR NEW STAIRS AND LAND ALTERATION ON THE SHORELINE ARE COMPLETE,AS-BUI RVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED PRIOR TO RELEASE OF ESCROW. INITIAL: APPLICANT pERMIT FEE SCHEDULE 1,206.75 TOM POTTER CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 62.50 6531 DEVONSHIRE DR. TOTAL 1,� CHANHASSEN,MN 55317 �) Minnesota State License#: BC 130144 OWNER BURWELL,MR.&MRS.RODNEY P 1100 MILLSTON ROAD 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 pertnit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 are requested in conformance w' tate Building Code.This permit may be revok aciy ti e for e cause. tl, � , l3 , , A p icant Permitee Signature Date Issue By ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O City of Orono �� Buildin Permit A plication � �� J p � for New Structures or Additions Mailing Address: Permit number. 02 p�3-0�07fo �Q�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: I -I�' �3 StreetAddress:' Received by: �� -� 2750 Kelley Parkway � � , y �" Plan review fee: �' c,` Orono, MN 55356 � `qkESHO�� Main: 952-259-4600 Total Fee: a�) � 1 Fax: 952-249-4616 �v�nnr�.�i_orono_m;��.us C.t �4�` ' ,j`;`J'� �)� d _: .. �� This application form must be completed in full ai�d all required information ust be submitted. Incomplete applications wiil be returned. (Please print) GENERAL INFORMATION: 1 Job Site Address: ; �..�...5 oYl oa-d Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICAN INFORMATIO �,.. Name: �'o �o`�'er e.,o►�,5�t' �orl �.rl.0� State License# Q C, 13 0 l Expiration Date: 3 -3 -a.0) Phone: cell � -� office 9 5 a,-''�-'1 O-9$'1 Mailing Address: �� 1 v 5 ��t� r i Cit : ZIP: S � � Contact Person: o o er Applicant is: Contract r / Homeowner (Circle One) Email and/or Fax: o r o r i ort• o PROPERTY OWNE�FC�RMQrAT�ION�.� � �� ` Name: od r q., rW�„ �., Phone (day): �� - � Address: o ` ', p o Cit : Q ro1'LO Z�P= S� � � Email and/or Fax 0. . C,o ARCHITECT/ ENGINE��N�FORMATION: Name: Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION; Description of project: 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) ❑ 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 I 1 Phone: 952-471-0590 ��0.C�t�d �C�T'C�Q�, Fax: 952-471-0682 l www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ � � _O 00 .00 Packet Last Updated: 04/19/2013 Page 22 of 23 STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= �_ Number of bedrooms= �Wood/Frame b.Width (ft.)= �� Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bidg. c. Basement= Detached= � ❑ ICF d. 1s1 Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. Yz Story = 9 g� ❑ Other(please specify): g.Totat Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ 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 ❑ 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 ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ ' Other: 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 generatly 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 inforrnation 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 iemporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. . / ApplicanYs Signature: Date: l CJ — ly ��J l� i � Owner's Signature:( -� Date: �� /� —,�ZOl�3 Packet Last Updated: 04/19/2013 Page 23 of23 , �t��,f� �.��[��,�i��' �.�€�[�� t�, ��.��.� ��I�E��'�'C�[�.�� f�E��t��I� �addr�ss/P�rn1�fi��rr�b�r: �� a `� �, � � l� �t� D�scri�tiidr� Qf�vark: � �'�� i�� '�� S��tEc review bl+: � Date R,p�rdvec�: �°� * ��'�� Z�nie�g revievir b��: _��.� a��e�►p�roved: � �' � '� �a�ilo�i�� revi�vN k�: '�;�.� ��te�pp�ov�d: '�:. .a-; r,� ..�— �radi�g re�=ie�by: ��r D�te App�o�ec�: � 30 .� �onir�g Districti: ��rtsc�g FiE��: Reso�: E�eso Qat�: ZoE�Eng: LQt�.fea: SF/AC t'�Ec�$h: �LQt Co�l�[�g�: SF % ' Survey Sa�tz�itt�d: ��es � No Date cf�unsey: � Revised ciate(?); P�c c�ed Se�t�acks: ��,�`�i �'��'� +•��°�.�. �Fr t(Lake) ��ree�) f � � �E � ) ( � � E Yr' � �tiher�usEc�ings l��tEanc� �ra�°e� sic6� �--�r �:::�� , � �s� �--�'�" � � �+ . �-��,�,'9;�� `�.� ��; � �;,s;r_�, [3�ffned F�eigh�: -�" E�eaf� E6e�g�t: --•-�� FFE: FFE rr�in�� fs�e�t= (Existing Co�tou R�r@m�t�e°(finear feeti)_ �Q%_ : �of��oriss QEc? L� YES FOR A BUILQIRG l�1fITH k BASE�REkT OR CRA1hIL SPkCE: The diswa�ce between the lowest FOR/k BUILDIhEG OP6 R SL!►B FOUhIDATEOk: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab an� If you have a... the highest poirrt of the roof. N you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract hatf the windows): Subtract halfthe distan distance between the highest poiM between the highest poiM of the rc of the roof to the low point of the SUBTRACTION correspo�ding gable or hipped roof to the iow point of the correspondi� SUBTRACTION gable or hipped roof (BASED ON ROOF . GqgLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE� windows): St�btract half the ROOF TYPE) virindows): SubtracE half the distan distance between the top of the beMreen the top of the hiphest highest window and the highest window and the highest point ot th� point of the roof roof ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flet, • mansard,etc):No subtraction. mansarq etc:No s�btraclion. ADDITION Add the distance between the top of slal ubtract the distance between the g g grade adj�cent SUBTRACTION (BASED ON arrd the hi hesi existin (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the fountlation. GRADES) highest ewsting grade adjacent to the GRAD�S foundation OR 10 feet(whichever is less). @QUliLS Defined buliding height EQU/!LS De6hed buildFng height Shdr�i��c➢ aistrict [�Ct�D F�rn��t Rece@vec� kv�ra e Lakeshoce Setback�let? BEu�f � Yes � No � N/A � Yes � Nc �es � I�o �Yes 6� IVo 0 N/A Permit Number: . Setback: ��orn��r�ter f;�at�fy �uis�ic�g PrQpos�s� ��rEar�c�Regui�d CUi� Ree�c�ired C?��rla� [�@strict Tiec l�arc�caver Hardc��er $� , � � Yes o � Yes I�o � � Type(s): Type(s): Updated: January 2013 v:lformslplan review chedclist 2013.docac RE�pl�KS (in-house): Fe��s b��GFea ec� YES � P'�m3� ` !*tan Revie� �Su�c€�ar� �'"` investig�tic�n Fe� $fi►�-Al�srr��s�'t��C t3ni� Qther(sp�ciiy) " S uare Foota e S r S uare Foota e Basement x $ _ $ 1`�Floor X 2"�Floor X $ Garage X $ E�timatetf Construction Vaiue: � ��L"�' `' O�eno lnspections Requirec! lR�ork Requiring Separate Permits Requirec� State Permits E7 Site L7 Plumbing � Grading/Filling � Vlleil C� Hardcover Remova l � Mechanical � Fire �Electrical Footing � Septic L� Water Connection Q Poured Wall � Fireplaee � Sewer Connection � FoundatiQn Survey � Masonry C1 Lawn lrrigation � Radon Rock Bed � Mfg. F�aming [� Other(specify) G1 Insulation p As-Built Survey inal Q Wetland Buffer � Other(specify) REII�ARKS (in-house): Oth�r R�view: Re�rfewecE by: Da�e�i�praved: Access: Existing: � YES i3 NO New: t� YES E� NO �i �• . t1 � C}F�tCtl+�L�ETi'tARfC�-Ta F�E trlO�TE�' Qt� E�ERlF�EET At�D tFt6TtA�.LED ,b : ; ` , , , _, �.; �"�F r"� M .. i� ,. .� . i y.� �-� .,.. �� f`t� �?' ,1.�, .'.it,'�.-r�. .�s �• � � . ....�' t a � �t � ` � . �.. �'�,; a , _ _�' � � �� r � � -• ' `' ��, ` a '� Updated: January 2013 v:\fortns�plan review checklist 2013.docx / � ' �_�� DATE TIME � CITY OF ORONO CA ED IN / / -� INSPECTION NOTICE SCHEDULED ! -oZ - /l� PERMIT NO.�/� �1��-L�COMPLET�D ADDRESS �� I/,��/"4�'�-- rY OWNER ELEP ONE N��a�7� CONTRACTOR � � � � DESCRIPTION `� " � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � �FRAMING �jQ,.�qe ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION � ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:� ��e✓th P� d��Ia^ ��}5 Ei./tr�/�ti �02 �� a�( � �(�f��/�c es � O � -'' 14fS S�S ,D/Ofi/�J'��Q --- 0 � � � �f� ��e 1'�� 7�rr�C� lrtS �T/+��. Q 2 �r�b r � ['a�t►�-cr � W � W � � � d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W .�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. o r.�ct inspection 24 hours in advance. (952� 249-4600 Ow IContractor on s` 7d�''� �' Inspecto N^- White Copylinspector's File Canary CopylSite Notiee `/—" DAT TIME✓ CITY OF ORONO CALLED IN !I' INSPECTION NOTICE SCHEDULED ' PERMIT NO.a�/��D/o7�i COMPLETED /l-�//3 .�: d ADDRESS //D"D /N�Ll��7lYl �F�' OWNER TELEPHONE NO.lO�Z Z�p Z �� CONTRACTOR 4 =--r � DESCRIPTION �� ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a 2 J O � � � O k W � Q � 2 W � W � J � 1N RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CdVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52 j 249-4600 OwnerfContractor on site: Inspector. , , � White Copyflnspector's File Cenary CopylSite Notice �— � � DATE TIME " CITY OF ORONO CALLED IN a 3 -/� INSPECTION ICE SCHEDULED - " --1_� PERMIT NO. - �d7�COMPL ED ADDRESS f l/`�D //1/`G S%��- OWNER D TELEPHONE N��-��! � CONTRACTOR��YY� � DESCRIPTION - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI NG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ AMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � 2 W � W � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSfte Notice � ` �� ATE TIME ✓ CITY OF ORONO CALLED IN =� INSPECTION OTICE SCHEDULED PERMIT NO. �� COMPLETED ADDRESS I lf�� ,��/�C�7�73Y1 �� OWNER TELEPHONE NO.��a�a-��.3/ CONTRACTOR � r �_ � a DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/GRAD�NG/FIWNG y � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETU�IDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INS TION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ N SLAB ❑ WATER HOOK-UP p pqpC,qE� � FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT v EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT�FINAL ❑ FOUNDAl70N/REMOVAL 2 OYVNERICONTRACTOR TO MEET Y�OU:�t YES_NO c�n COMMEN�— � a o " �. � 0 W � Q � W � ^ W . � J d W� O WORKSATISFACTORY:PROCEED P ECT COMPLEfE W ❑CORRECT W'ORK 3 PROCEED I E CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �9 ) 249-46�� OwnerlContractor on site: Inspector: White CopyAnspector's Ffle Canary CopylSite Notke