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Home My WebLink About2009-00268 - detached garage ' ' CITY OF ORONO PERMIT NO.: 200�-oo26g 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 780 NORTH ARM DR PIN : 06-117-23-43-0010 LEGAL DESC : AUDITOR'S SUBD.NO. 362 : LOT 007 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GARAGE-DETACHED ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS VALUATION : $ 35,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) APPLICANT pERMIT FEE SCHEDULE 520.50 CARLSON,DOUG&VERONICA PLAN REVIEW 338.33 780 NORTH ARM DR MOUND,MN 55364 STATE SURCHARGE(VALUATION) 17.50 TOTAL 876.33 PAID WITH CC# 0302 OWNER CARLSON,DOUG&VERONICA 780 NORTH ARM DR MOLJND,MN 55364 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. 1'his permit is for only the work described 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 plicant is responsible for assuring all required inspections are reques ed in conform ce 'th the State Building Code.This permit may be revo d at any tim or ue c s . i i �� Applican ermitee ignature Date I s d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , ,. City of Orono Building Permit Application for New Structures or Additions Mailing Address: 0��OD ��v�,� PO Box 66 Permit number: 0 �\ Q Crystal Bay, MN 55323-0066 Date received: / 020 a �' �.e-�:;�. a, Street Address:' Received by: �� '� � 'tl� �� 2750 Kelley Parkway Plan review fee: ` r`�x'�sxo4'� Orono, MN 55356 Total Fee: ��. �j�� _ 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. �: c) Incomplete applications will be returned. (Please print) �� -�"�j GENERAL INFORMATION: <<� Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display 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 wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFQRMATION: Name: �� ,� State License# Expiration Date: Phone: (office) (cell) Mailing Address: Cit : P: Contact Person: Applicant is: Contractor ! Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �c��u�� - ��v'a ut �C q C�f�S� a'1 Phone (day): �'j�"� �,(�_�2�� Address: � �C'%1/c^�ti 64-,.�w.... �'Jr City: ��Ac�,.,.�� ZIP: S`"5—.3�� Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: ' .. Name: �'f"e�-e ��a r E ✓� r q /C, -- �_��1-�—'�'J-e �.-� �r-- Phone (day): (� ( z.- � y� c'�$-S/ Address: Cit : ZIP� Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& New Construction Water Supply �' ❑ Single Family with ❑ Residence �❑ ddition attached garage �Garage/Accessory Bldg. [�}Public Sewer Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Private Sewer ❑ Public ❑ Storage ❑ Public Water *'`Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial � Private Well Minnehaha Creek Watershed District(MCWD) [� Other: (Spe ify) 18202 Minnetonka Blvd � G e Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� pp�. -20 - STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction i a. Length (ft.)= � Number of bedrooms= ,0 Wood/Frame � ❑ Masonry b.Width (ft.)= � Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached =�� ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 S`Story = O� ❑ Other(please specify): e. 2"d Story = f. '/z Story = g. Total Area= l d C7 0 REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not 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 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$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to suppl he information, the application may not be issued. ApplicanYs Signature: � Date: � 'Z� � -21 - CHECK OFFLIST FOR ISSUANCE OFPERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ?$O N o✓�'k ArW1 PID: DESCRIPTIONOF WORK• '� q/�qq� — C� S. . ZONING REVIEW BY.• �� DATEAPPROVED: 6 BUILDING REVIEW BY.• (' - i c� - O� DATEAPPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By.• PERMIT Yes_� No PLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No -�/ PARK FEE SAC Yes No ✓ SITEINSPECTION 1Vumber of SAC Units OTHER (spec�) ZONING CHEC%LIST Zoning Districr: L — �� Fire Department: Post�ce: School District: / �Lot Area: Sq.ft. Acres � . � Width Depth Survey Submitted.� Yes�� No Date of Survey: �9 q 7 Proposed Setbacks: �� Front(Lake): 1 .8i�let Side: Rear(Street): ��' �fi-Side: �� Adjacent Structures: I20 Wetland: Building Neight: Def.Hgt. _ Z�_ Peak Hgt. � � , Lot Coverage: qQ9 .$�{ �" Z�� 's � �� Grading: Sta,�`'Approval Date: By: Council Approval Date: Septic: StaffApproval Date: BY� Cl� $��•1�- CM �q� S t�� p�hau�,Q, Zoning File: # Resolution: # Resolution Date: Shoreland District: �/ MCWD Permit: O Avg. Setback: �� Bluff Setback: Lot Coverage:� .�"�'Z�j Existing Proposed �" Hardcover: 0-75' O Cl/�A,f�Q 75-250' . n�Z�4�� Zso-soo- soa�000� ---» a Hardcover Variance Required: Yes No � Date of Council Approval: REMARKS(inhouse): Q�I��aql ►dC 1,000 qve� t3zsar�� r in Zua� _ �� I'U�� 33 BUILDING�EVIEW CHEC%LIST � ;'*��r � r , UBC: ' '''` (J�• ' 'CON�STRUCTI'O1V TYPE: `C ' = Sq Footage $Per Sq Ftg Baseme»t �' x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Va[ue: $ 3S,O o p o d Inspections Required: Work Requiring Separate Permits: Site Plum6ing , Fire Hardcover Removal Mechanicat Water Connection _�Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulqtion S (Maronry) Other YT�2f11.8oard '�'''`` (Mfg.) 1 • •Well(State Permit) �Final , .� , � Grading/Filling DL Electrical(State Permit) Other , . --�' . r. • � REMARBS(INHOUSE): �'," . . • . . ., ' � ` 7 � " REVIEW BY OTHERS: DATE: r • • ,-. - Access: Existing .New ^ • - ,:a . �;,. � . � � � Access Approval: Date � � By: � � • ' • ' • • • • REMARSS (TO BE NOTED ON PERMIT): .. � . - , . , Y . I •. � • i . .� . ,. . , �; ; ' • •,'„?'��'••' . � .. . ... . � . '• , c . . , • i . ! �- .. . , . � � 34 . � ` • BUILDING PERMIT APPLICANT: PROPERTY O�VNER I, -�f�(.�(',-�I-?5 �i/�L�'S� , understand that the State of Minnesota requires that all residential building contractors,remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. This license requirement applies to owners of residential real estate who build or improve such property for purposes of speculation or resale. By signing this document, I attest to the fact that I am improving this house for my own use and am not building or improving this house for the purpose of reselling it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, located at �j'o�o�,� ��,,, j��e- , Orono, is the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. §514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota.. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minn. Stat. §326B.082, subd. 16 and can also result in a fine of up to $10,000. I further state that I understand that the filing of a false statement with the City of Orono may also result in criminal prosecution andlor civil penalties pursuant to applicable city ordinances and/or state statutes. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Orono for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. � � � �� Name �� Date For questions or information on contractor licensing, or to check the licensing status and enforcement history of a particular contractor, call the Minnesota Department of Labor and Industry, Construction Codes and Licensing Division, at(651) 284-5069. The Web site is: www.doli.state.mn.us/contractor _. � GC/�i i-E�z � r /t s,; �� :,� '.C^ � �, _ �=y _ ��, ; . . HAFnCOVER CALCULATION W � � � � �� . SETBACK ZONE, (CIRCLE ONE) 0-75 75-ZSO' 250-500' �� 500-1000' EXISTIf�G HARDCOVER IN ZONE A. House x ^ = S F Length Width � x = S.F. X = S.F. x -= S.F. 374'FD - 2�- B. Garage (F.�c�co�ci�i,vF x = sa S.F, C, Driveway x = / `,3G� S.F. x = S.F. D. Sidewalk x = S.F. x = S.F: _ E. Patio/Deck x = S.F. - x = S.F. __. . 6vpop.. TJF J _ .—_ , 2�= F. Landscape . x _ — S.F. Underlain x = ..- By Plastic X _ S.F. S.F. -- G, Other x — S.F. TOTAL HARDCOVER IN ZONE - ,Zo S$ S.F. . A TOTAL PROPERI'Y AREA IN ZONE - f 9�, 6'2 p S.F. B A -- B x ioo = r� yz �o PROPOSED HARDCOVER IN 'LONE A. House x — S. �a�"+ �� Lengch Width . R., �� ..L X = S.F. ��.�. '...�rk� X — S.F. \� x = S.F. '� .� .� �f�?'�'; �. _ . , � (�,� A . ..,.. �sg ".'t �. B. v�4T'Fabf.' � ��`..'.�.. �,..,.�j'��b�in� x = �� _ __ z.. S F \ . , C, Drivewa Y �� x � "�" r��„�-� S.F. � _ �� .._. . _ . _ � . ,�,_ �., _ . � �,�. �� _.. _ , X S.F. , , _ _ _ . . r , D, Sidewalk x � = S.F. -- -=:. � = S.F. - �` .._. _ .. . ,: � E. Fa[io/Dack� � — S.F, � :� ��"' --.. . _ x � — k',�; . . `�� x �. _ % S.F. �. ' � ��{ \ � F. Landscape - x `� = S.F. � '" ��.a, Underlain - ' X �� = S.fi. By Plastic _ x '-� — S.F. G. Other � x — � — S.F. �1`OTAL HARDCOVER IN ZONE - "��:'�� S.F, A � TOTAL PROPERTY AREA IN ZONE - � � �-_�` �`, S.F. B B x 100 = ' � %a 13 � � C� AT TIME ✓ CITY OF ORONO � INSPECTION NOTIQCE / SCHEDULED a � PERMIT N0.�7-��v/�COMPLETED � ADDRE �� (-�n OWNE NTR. TELEPHONE N . �� —�� D SCRIPTION ��OOTING ❑ MECHANICAL RI ❑ E AV/GRADIN LLING Q �❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W ' a � 0 � �Z� �O v� 0 a � 0 � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on s' e: Inspector. � ✓� White CopyMspector's File Canary CopylSke Notice �� r/ A�,C TIME � CITY OF ORONO CALLED IN g1�1'�� INSPECTION NOTICE /� pSCHEDULED ��i� �� PERMIT NOo�g Q�aYo COMPLETED , ADDRESS ?� ��Y� L��WY� OWNER � l� CONTR. TELEPHONE NO. ` ' 'O�` � � ' � DESCRIPTION ry � ❑ FOOTING ❑ MECHANIC ❑ EXCAV/GRADING/FIL G y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �"I-'I 1�AL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Q ER/ TRACTOR TO MEET YOU�ES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � d � �'�110RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP OROER POSTED.CAU.INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor si e: Inspector. � White Copylinspector's File Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION OTIC /�/� /'�HEDULED � PERMIT NO. '�vv��/()COMPLETED ADDRESS 7� ;L�D/'�i tt7'M �Y OWNER� �' � CONTR. TELEPHONE NO. �y� — I� – q S�� –' �5�� DESCRIPTION ,G'�C�.� "�� — �- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on ite: ^ ( ' Inspector. �' l � White Copyllnspector's File Canary Copy/Site Notice