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Home My WebLink About2012-01095 - addn/remodel/repair .,. CITY OF ORONO * Z 0 1 2 - 0 1 0 9 5 * � 2750 KELLEY PARKWAY DATE 1SSUED: 1U07/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1525 MINNIE AVE PIN : 08-117-23-33-0063 LEGAL DESC : HICKORY HILL : LOT 003 BLOCK 000 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 900.00 NOTE: SEPGRATE PERMITS REQUIRGD: FLECTR[CAL(STA"CE) ROOF OVER EXISTING DGCK. APPLICANT PERMIT FEE SCHEDULE 38.00 DUENOW, MARK PLAN REVIEW 24.70 1525 MINNIE AVE MOLTND, MN 55364- STATE SURCHARGE(VALUATION) 0.45 TOTAL 63.15 OWNER DUENOW,MARK 1525 M[NNIE AVE MOUND, MN 55364- AGREEMENT AND SWORIv STATEMENT The work for which this permit is issucd shall be performcd 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 rclated 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 eommenced within I80 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 rcquired inspections are requested in conformance with the State Building Code.This pemiit may be revoked at any t me for due cause. �� / / / / Ap i ant Permitee Signature Date Issued By � nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. - .. . . � • ... . . . . . .. .' ,.. .. .. . ... _ . _ � � City of Orono Building Permit Application �►I��v for New Structures or Additions Mailing Address: Permit number. �� a-—C�/O �I S �,��. PO Box 66 /�: � Crystal Bay, MN 55323-0066 Date received: CO � Z9 -! � + �"`'"`-° Received by: �Il a '"�� -^'` a, Street Address:' �� ,��,�j„ �ti�' 2750 Kelley Parkway Plan review fee: 't , `F'�r/ Orono, MN 55356 w \'�Es�o4 J�,/5 �:____-'' � 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: ��';5 y17,��,� ��v�_ D�`��7a /�� -%5 5�4 Will this be a Parade of Homes, Remodelers Showcase Home or other Disp ay Home? ❑ Yes ,�'No If yes, a specia/event permit is required with Police 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 INFORMATION: Name: -, State License# Expiration Date: Phone: (office) (cell) :� Mailing Address: City: ZIP: � Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: /��a f�'�= �r��r1��.� Phone (day): ,;,�-2�0 -yo � � Address: l�Zs NL1.�r/d,'� o4ve- City: c�i�'�,��v ZIP: ��3G y Email and/or Fax �yju�Kd�c,� � Joo, coa� ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: 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. [q Public Sewer ❑Accessory Building ❑ Single Family with ��'beck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer [� Other. (specify) �Cccf J�" �'��5F�v� ❑ Multiple Family/Condo ❑Warehouse OccK ❑ 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.min�ehahacreek.or Estimated Construction Valuation (excluding land) $ �G�, �' G + STRUCTURE INFORMATION: v 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction 1 a. Length (ft.)= � � Number of bedrooms= �Wood/Frame b.Width (ft.)= �� Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15t Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed Ap 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 ❑ ❑ 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 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: � ��C�tl Date: /� '�a`�—/� Owner's Signature: ��`Z` ��l Date: �� -- 2%- /� _ . -: ; , , . . , _. � Plan Review Checkiist for New Structures / Additions Address/ PID/ Legal: /SZ,S /�1 N�/ L �4�! C- �� Description of work: S G�� 0 2c.�t�r �'t� � v J � � � Septic review by: /U /N� Date Approved: � �� Zoning review by: Date Approved: ;"i-?� Buiiding review by: Date Approved: � � - I - Za l Z-. � Grading review by: N //� Date Approved: �� .`� c, Zoning File#: �2 '�O Resolution#: Resolution Date: 7��'��"' � � Zoning District Fire Department Post Office School District � `� l Zoning: Lot Area: � SF� AC Width: � Depth: Survey Submitted: es � No Date of Survey. �.J� ��1--� Pro osed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wet{and Side Side 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 Iine 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 gcade 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: ��1 SF % Shorefand District MCWD Permit Received Average�Lakeshore Setback Bfuff ❑ Yes ❑ No /A � Yes No � Yes � ❑ Yes ❑ No � Permit Number: Setback: Hardcover Zones Existin Proposed Vari e Required CUP Require 0-75' � Yes ❑ No ❑ Yes No 75-250' TYPe(S)� rT-1 F StWv TYPe(S)� 250-500' � ,2, `/n� :;p.}-�� - `� lA +'�1��a, 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Char ed 'YES =�i10 _ _. _. .._ . . �,._ . , , ,� .,` � . ,..,. . . . :. ._. . . :. ....�,,... _ .;_ ,, , .; .. Plan Review • -. �_ --�,.�.,..r _,,..-.., ..�, � . � . „ , ... fnvestigation fee ..w. . . .._.... ... .: _M:. Sewer�onnection _. - ;-�_ _ , Park`fee . Other+�specifiy) -,�., - Caiculated By: - S uars Foota e $ er S uare Foota e Basement �C ` _ � . ` 1�Flocar X _ � 2nd:Floo� . )(`. _ $ Garage �( _ $ Estimated Construction�lalue: � l $f�'p� Orono'lnspections R��quired ` �11�rk Requiring Separate Permits Required S#ate Permits � .Site D Plumbing � ,Grading/Filling .� :Well G Hardcover RemDvai fl Mechanicai � Fire � Electricai Footing � Septic � �IVater Gonnection � Poured 1l.Vall � Fireplace 'D Sewer�onnection � Foundati�n Surv�y � `:Mas�nry � Lawn irrigation � Radon Rock,8ed _ � Mfg. � :Frarning 0 DthEr(specify) :C ,Ins�lation Z3 ` s-Built Suryey Final , ' G Dther{spe�ify) REMAI�KS{in-house):' - �ther R�evieMr: :Reviewed by: `t3ate�4pproved: Acaess:Existing: .G 'YES � 'NO New: � Y�ES D �IC� REMARK��TD BE NOTED�1� PEi�MlT�►N�1N1TlALLED BY'�ERS�N P11LL1NG`PEitMt�) Updated: 09/11/2009 z`�formslplan-review chec�dist.doac �' DM� TIME � CITY OF ORONO CALLED IN � INSPECTION OT E SCHEDULED LL� � PERMIT NO.��"d�D�SCOMPLETED ADDRESS j�Z5 M t n h i� }�v-� OWNER�C�/1lEd�L"��t�w TELEPHONE NO.�nJI Z7D �D7[� CONTRACTOR �: DESCRIPTION — � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ 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: � W � 0 L � � � l�v!' /'r A ,�1� c- l � 4pS i�.� ° `��-� k �r' �� S �r- W °� U � ��' �E'-- Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. � . / � White Copyllnspector's File Canary CopylSite Notice -: CERTIFICATE OF SURVFY FOR � � MARK D . DUENOW � ��o c�� °� = OF LOT 3, HICKORY HILL � � HENNEPIN C�UNTY, MINNESOTA � ti . City of Orono Pianning 8 7_oning Plan �ieview � l(•5' l �— tr. SitE Plar� Review Date: Q � �PPROVEn �` � O APPROVED WITH F EVISIGNS(see notes) N O DENl�D � st8n: _W�-�C.!'V� I . - � • . . , . . . =--• • 40 �=_� _. - ::., '•._.� � �- - 144 33 �KORY F#LL ,� I ------------------------ S 88°36' 23" E 143.95 MEASURED ---------•---..-•. • ---- W W o: � � �. � �' `N BLACKTOP DRIVEWAY . . . . . . .N � ' 'N • � , , ' /� : . � ' � tV ' ; � � ' ENCL ' , '^ O --6.8-- 18.4 u J .: ,•-i, � .�EXISTING � � : DECK corrc. O � r � • ' — , •------ --------------------------•--- . ;� � SHED� m � 2s.a � 31.9 � W _ ::: o O ,8.4 l � � EXISTING � � O �--� � s.s � c,'� Ln o p HOUSE � �`` � DECK scr�� '� #1525 � ;oi PORCH � z 23.4 � � ———— o�:..I. �� F—I ' �' ,p �� a . --- --------- ' "." ^�— -., ►i _ - ,_ f�-'f . •, „ .--•. � . ,,. , .. ------------"� � iv �� b �� W 144.2 7 MEASURED I _ � . 144.33 MCKORY HILL 4O LEGAL DESCRIPTION OF PREMISES : Lot 3, HICKORY HILL o : denotes iron marker Bearinqs shown are based upon an assumed datum. � - . . Y This survey intends to show the boundaries of the above described property, the location of two existing buildings, and the location of all visible "hardcover" thereon. It does not purport to show any _ other improvements or encroachments. RECE10/ED / NOTE: The entire property- falis within the 250-500 setback zone. MAY 2 3 Z��2 � m crnr oF oRorvo s . � �: � G R�N B E R G A N D I hereby certify that this plan, specification, or report scA��. was prepared by me, or under my direct supervision, 1"=20' A S S 0 C I A T E S I N C. °nd that I am a duly �icensed Land Surveyor under Z the laws of the State cf Minnesota. �F.TE CONSULTING ENGINEER�, LAND �—`'�� : SURVEYORS, & SITE PLANNERS ,;o� c�o. 445 NORTH WILLOW DRIVE LONG LAKE, MN. 55356 s%�� — .��—';�� Eco 952-473-4141 Mark S. Gronbe�g Minneso a License Number 12755 12-125