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HomeMy WebLinkAbout2012-00416 - open pavillion RNIUM CITY OF ORONO Is E* 2012 - 00416 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 685 OLD CRYSTAL BAY RD N PIN 33-118-23-21-0002 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE ACCESSORY STRUCTURE PROPERTY TYPE : INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE : BUILDING UNIDENTIFIED ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION : $ 5,000.00 NOTE: NEEDS PREMIT FOR:ELECTRIAL(STATE) OPEN PAVILLION APPLICANT PERMIT FEE SCHEDULE 118.00 SCHOOLS,ORONO PUBLIC STATE SURCHARGE(VALUATION) 2.50 765 OLD CRYSTAL BAY RD N TOTAL 120.50 LONG LAKE,MN 55356- OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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 described and does not grant permission for additional or related 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 commen ed within 180 days of the date of issuance,or if construction is suspend d for a period of 80 days at any time after work has commenced. The app cant is responsi a for wring all required inspections are request in conformance it t State Building Code.This permit may be revoke t any t o for d c s Applfca it Permitee Signature Date Issued 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: Permit number: -00 O�,0,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: r' Street Address:' Received by: 2750 Kelley Parkway Plan review fee: 70 Esx0 Orono, MN 55356 ter„ _1-1�10 Total Fee- /a D � 0u 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 m t be submitted. Incomplete applications will be returned. (Please print) ' GII� 1748bZ GENERAL INFORMATION: Job Site Address: (OS o1A cl�jsf -] Y-�,_, e.,J Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No if yes, a special 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: c7 /�� ��.� .5cL/' & S State License# Phone: gy2 C (cell) Mailing Address: � �_4 Contact Person: c c (Circle one) Email and/or Fax: , PROPERTY OWNER INFORMATION: Name: 0_A2A 62 Pu L 1%t, c L 13 Phone (day): cKe -__"(f- 93Lq4 Address: 6 fS__ c)l .,a' s/a / 417T; "` \ Email and/or Fax ARCHITECT/ENGINEER I �FORMATION: Name: Phone (day): Address: Email and/or Fax: L,. 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) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial Other(specify) MCWD review&permits. Industrial 6,01. �� 1��•c �. ElPrivate Well Minnehaha Creek Watershed District(MCWD) Other: (specify) T- 18202 Minnetonka Blvd CAA- 4)Qi,, Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ *V S Packet Last Updated: 03-06-2012 -21 - STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= JKWood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 1 s`Story = ❑ On-site Prefab e. 2nd Story= ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ Permit Application ❑ Proposed Building Plans ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ Surve meeting all requirements)— Qvx -p— ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calculation(s) -0 v\. r,1e ❑ Septic System Site Evaluation Report ❑ Access Permit 34 ❑ Wetland Buffer Improvement Plan ❑ Engineered Plans for Retaining 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 $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: S I Z 12-. Owner's Signature: �- Date: s- T Packet Last Updated: 03-06-2012 -22 - Plan Review Checklist for New Structures /.Addition$ Address/PID/,Legal: 10- 014 P1 jkkbawl 90-11 2, aq ` Description of work: g 6 Septicreview by: Date Approiiod: Zoning review by: 4 t( A Date Approved —i l Building review by--" -- Date,Approved:" 1 -Z—-2-05 t _ Brading review by: DateApproved: Zoning File Resolution#: 12 Resolution Date: 7-pning District: Fire Department Frost Office School District Zoning: J Lot Area-- SF/AC IlVidth:' Depth: Survey Submitted: Q Yes. .. p No Date of Survey: Pro osed Setbacks: Front(Lalke) Rear(Street) ( N S E W ) { N:... S E W ) Other Buildings Wetiand Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: DYES FOR A BUILDING WITH A BASEMENT OR IkAWL,SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START : the between the slab and the highest space:floor and the highest roof peak,the top of WITH roof peak,the top of the cornice cif a flay roof, the cornice of a flat roof,the deck line of a the deck 1e of a mm.ansard roof,or the mansard roof,or the uppermost point on a round uppermost point on a round or other arch.-type or other arch-type roof; roof SUBTRACT half the distance:between the highest window and SUBTRACT half the distance between the highest window .hi hest roof pe.1k,6f a pitched roof and hi hest roof peak of a°pitched roof SUBTRACT the distance between the basement floor!crawl ADD the distance between the slab anc`the highest, . space floor and the highest existing grade within existin rade within the foundation the foundation or 46 feet,whichever is less. EQUALS" Defined building height EQUALS"' Defined building height Lot Coverage: SF' % -, $Froreland District M WO Pernnit ReceFved Average-Lalceshore,Setbe"cic` Bluff Yes D No Q NIA Yes No Yes 13 No ® Yes © No N6A Permit Number Setback: Hardcover Zones E)dstlpg Pro osed Variance R_ wired CUP Re qui 0-75' Ia Yes No. s No 75-250' Type(s): T pe(Sy 254-500, 500-1000, r-4 f� REMARKS(in-house): I Updated: 09/11/2009 z:VormMplan review checklist bax j ..,s;. r s t,}r . R �..-- i --r h F{' t-r -R� _: t s-; 7$4 y `ere` s,P1 S „-'Y w ri bt" .-e I ':i?+R`�'id,f G..2-., s f, "yr ?",r'� II¢'A z $; .x 5, `e S a.'x'ei. kr 1 a S rE,"' t't,x? t y t * - ?I+ s ,� �"C 9 �,!x q a M g` I 11 Y 2. f t 7 4 9 :f"¢ sr �' ro Y t 3n b*., er -t t t - { 7 t f II . 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