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Home My WebLink About2009-00640-VOIDED . ,�' V `� I i�\\�-�.J City of Orono Building Permit Appiication for New Structures or Additions Mailing Address: � �,�,� PO Box 66 Permit number: �-�,�{�.. Q � O Crystal Bay, MN 55323-0066 Date received: �-�,-r'j-(,}9 I �, � 'a '� s, Streef Address:� Received by: �% ��'�'�i'�-� � ;�r� �'� �� 2750 Kelle Parkwa � . / � . �� '�a � 'tiG Orono, MN 55356 Y � � CC' 9 Ptan review fee: 'kESFio4 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: �'��4�} A,�„�� Will this be a Parade of Homes, Remodel re s Showcase Home or other Display Home? ❑ Yes � No If yes, a specia/event permit is required with Police Department and City Councif 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/APP ICANT�NFORMATIC�L; Name: � K�- �� State License# 2 Expiration Date: 3 3 Phone: � d�- � office cell Mailing Address: = Cit : �L:��uiS �ZIP: S��Z� Contact Person: ��v ��.}��,` Applicant is: ��ontraCtoJ / Homeowner (Circle One) Email and/or Fax: Ko��1.{��1�G2- ��L , C�o� PROPERTY OWN INFORMATION: �� 'j� a- �{ �� -J f !� Name: �;�/C;� �v}{►.�s� s Phone (day): - _ �p _ Address: _ 5�p � � K�'�;��t City: �,�,,� ZIP: Email and/or Fax 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 ❑ Res�ence ❑ Addition attached garage ��arage/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 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) � (Z��j -- Last Updated: 6/22/2009 - 19 - � ' a:�� w • STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= � Number of bedrooms= � v�ood/Frame i ❑ Masonry b.Width (ft.)= �� Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in sauare feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 S`Story = ❑ 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 Ap licable � ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ fY MN State Ener Code Calculations and Mechanical Code Re uirements Form �'" ❑ Surve meetin all re uirements ❑ L� Stormwater Pollution Prevention Plan C�— ❑ , Hardcover Calculation s � � I Se tic S stem Site Evaluation Re ort ❑ C�L Access Permit C�� ❑ Wetland Buffer Im rovement Plan 0 I��" En ineered Plans for Retainin Walls 4 feet or above C� ❑ 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 supplied is true and correct to the best of his/her knowledge. The appficant 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 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. -_-._� Y ApplicanYs Signature: _ ..�--.-- Date: 1 ZS �j L- Last Updated: 6/22/2009 -20 - � o� o ,� o ' h�� CITY of ORONO � �� ,,, �rt�rr; > � '�� t � r � �r g !�r Municipal Offices � ��_: �� Gti .�9 'U',��, ¢� Street Address: Nailin� Address: �EggO 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 28 September 2009 Kory Koehler, Inc PO Box 26203 St Louis Park, MN 55426 Re: 580 North Arm Drive Building Permit Application#2009-00640 The City is in receipt of your building permit application which was received by this office on September 25, 2009. This is a permit for the construction of a gazebo. 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 gazebo (and any proposed grading) as well as all existing structures, landscaping, retaining walls and hardcover on the property. 2. Hardcover Calculations. 580 North Arm Drive 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 $2,500. The escrow agreement • is enclosed. The property owner must sign the escrow agreement and submit a check for$2,500. 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 � ' Melanie Curtis Planning and Zoning Coordinator c: Lyle Oman, Building Official encl Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us .�o,�,. o �_ , o �� CITY of ORONO � 5 Y ::�``�� titi M�;�� ot�� Street Address: Mailin� Address: �t`qJ� p4'�G 2750 Kelley Parkway P.O. Box 66 EBI; Orono, MN 55356 Crystal Bay, MN 55323-0066 November 1, 2010 Bryce Johnson ' 580 North Arm Drive Mound, MN 55364 RE: Building Permit Application 2009-0064 On September 25, 2009 the City of Orono received a Building Permit application for 580 North Arm Drive. On September 28, 2009 Melanie Curtis, Planning & Zoning Coordinator sent you a letter notifying you of additional information needed to complete the review of the proposed project. Since we have not received any new information pertaining to this application we are voiding it. I am returning the information submitted with your permit. If you have any questions, I can be reached at cmattson(c�ci.orono.mn.us or at 952-249-4620. Sincerely, CITY OF ORONO h�� ristine Mattson Planning Assistant Enclosures Telephone(952)249-4600 • Fax(952)249-4616 www ci.orono.mn.us