HomeMy WebLinkAbout2016-00689 - adv plan review CITY OF ORONOI', ( , I LI I20 1 6 - 00689 *
2750 KELLEY PARKWAY * DATE ISSUED: 06/22/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1130 OLD CRYSTAL BAY RD S
PIN : 09-117-23-14-0007
LEGAL DESC : COLWELL ADDN
: LOT 000 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 47,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 47,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: RE-DECKING,ADD PERGOLA& BOULDER WALL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00688
06/15/16-THEY OVERPAID THE ADVANCED PLAN REVIEW BY:$238.72
THEY PAID$682.05 AND THE AMOUNT WAS$443.33,APPLY DIFFERENCE TO BASE AMOUNT.
APPLICANT ADVANCED PLAN REVIEW 443.33
TOTAL 443.33
SOUTHVIEW DESIGN
2383 PILOT KNOB RD Payment(s)CHECK 34326 682.05
MENDOTA HEIGHTS,MN 55120- C
(651)203-3032 TOTAL PAID 682.05
DUE -238.72
OWNER
SCHNELL,ROBERT&BETH
1130 OLD CRYSTAL BAY RD S
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 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
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 with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
• ' City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: — (o 'p
PO Box 66 Per2 mit umbar. 2c tD
E
0NQ Crystal Bay,MN 55323-0066 �� D�tez r,, I q
f`
Street Address.' — Received by (��OK-ICI 1110
~ �, 275Q iCae�ey Pa y P c 3113 z& o r i0- (r9 3
if: c? Orono.MN 55356 (9 q Z.°s • - 4,. ., .Plan . 't: 't i;
sno4`` Main: 952-249-4600 Amt yy o Total Fee: -1—_
---
.
Fax: 952-249-4616 www.ci.orono.mn.tis
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: ttsjo pt,p LR "ri-L tOriAV pcpti> - / cow M� S ri
Will this be a Parade of Homes, Remodelers Showcase me or other Display Mt}rne? [ Yes OK No
if yes,a special event permit is required with Police Department and City Council approval 80 days prior to the event. Shuttle bus service re be
required unless applicant demonstrates sufficient on-site perking is available. Non permitted events will not be avowed.
CONTRACTOR l APPLICANT INFORMATION:
Name: -f irl E1,14/ Di Sh J :TIM f N61:ki
State License# Expiration Date:
Phone: (cell)(75i•1r-,5•-�i5i3 lofts) {, L2-oo. 3P 7-- ( K 'r1.)
Mailing Address: 2 ,S5 PSS 0g -0A,j_j C t 2-0Contact Person: fl�. Mt C.*--t Applicant is: ra / Homeowner (circle One)
Email and/or Fax: (Gini:I C,3C.t,.Qv► et_.) i ll t 1:-►+ij AE:6}, , Cly
PROPERTY OWNER INFORMATION:
Name: V-Deed�-T • fel=l 601-1104.,
Phone(day): {.e i7-•gdli*• 41. 5"--
Address:
-Address: t t 30 Cat.-t) CV.tjf)- L, Wel tz-C S. City: V PV J b ZIP: 55-
Email and/or Fax BEM- Sal KJE LL- Co EalvtAl p.• (at
ARCHITECT I ENGINEER INFORMATION:
Name: 5C.5TT PePrP4OU CCI vit. A iblil.J PR-p*gSI C S)
Phone(day): C152 . . "2—
Address:
Address: ¢Il0 ' LYN Oil-,tA S STE I4ZCO City: lamcw{f, ZIP: E--7--o
Email and/or Fax: SCO'1"r P op clop- US . co
PROJECT INFORMATION: Description ofproject:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
o New ConstructionWater Supply
Jnr Single Family with 0 Accessory Bldg./Garage
❑Addition d d attached garage E Deck ❑Public Sewer
❑Accessory uildi i�ka,t�rr�i ❑ Single Family with Office/Commercial
❑ReIocation�(C m PrCi�tlOLA detached garage 0 Residence 0 Private Sewer
g Other:(specify) ( RO01LQeT2 0 MultIple Family/Condo Retaining Wail(s)
WA-(.4_, ❑Public ❑ 4 mor greater 0 Public Water
""Any earth movement may require 0 Commercial
MCWD review&permits. ❑ Industrial 0 Warehouse
Minneheha Creek Watershed District(MCWD) DI Other. (specify) ® rt O :.,„ ) ❑Private Well
15320 Minnetonka Blvd PER-0.0 .
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
wv,w,minne hehecreek.orq
Estimated Construction Valuation(excluding land) $ 4 OM
Packet Last Updated: August 2015
Page 21
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T VIEW DESIGN, INC. i� yrs� 4 2
TI PILOT RD 111==="
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. Run., Mw 561213 ** ** **682 .fl5
m. n June 13, 2 016
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DATE AMOUNT
Six hundred eighty-two dollars and 05 cents
z
PAY €
TO THEORDER City of Orono VOID AFTER 60 DAYS g
OF P 0 BOX 66
Crystal Bay,
55323
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reap
6 $2 ,05
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1130 Old Crystal Bay Rd
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Pena bte 120,640,438
PoredAddroaa: 11130 F ma.mut ,' *' .
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FEE DETAILS
Deni Type. OM.Feer.-• . 1
Proverb Typo: � ] Perna Fee Schad*
- *23.50 state svdu ge IVd+monl ,
c natnreaon Typo: - 5443.33 Plan Review• z
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APPSOelion Dee:Ery
Voided BrTala1 Fes:(61,148.88 Ckae
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INN 0911721140007 1130 Cid Gavial Ray Rd
Getahaae PermlWodo WPPeensWer Fated
I 1t #
Based on $ 47,000.00
Permit#2016-00689 (Advanced Plan Review)
Advanced Plan Review $443.33 Permit#2016-
Contractor Paid $ 682.05
Overpayment $ 238.72 (This overpayment will be applied to main permit)
Permit#2016-00688(Re-Deck,Add Pergola & Boulder Wall)
Base Fee $ 682.05
State Surcharge $ 22.50
Total Due $ 705.55
Less Overpayment $(238.72)
Total Amount Due $466.83
I
;,� DATE TIV
OF ORONO , CALLED IN
INSPECTIONXOTI SCHEDULED 1/,9/6- I I ; Jr)
PERMIT NO.2CJ/ —U f 3 77 COMPLETED
ADDRESS //,5o ()/d' Cry is / 64e
OWNER TELEPHONE NO. / _ - 0_ —
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DESCRIPTION A/ ' _ Al, C / /A ..41
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/ IG
y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
0 DON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q FRAMING 0 MECHANICAL FINAL 0 PROGRESS
is ❑ I ULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
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❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
1:1STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 • rs in advan -. ' - , 1 . i I 0
Owner/Contractor on site:
A /
Inspector. j',
White Copyllnspector's File Canary Copy/Site Notice
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CITY OF ORONO CALLED IN
INSPECTION NO I „ EDULED 172/3/.0 /
PERMIT NO. ��/���s -• •L D i
ADDRESS J�,�/130 00 '�� �' ��
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OWNER `�i / �L� , -. •. / i. N�� a/3 773'3
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CONTRACTOR ��.
a DESCRIPTION ,c )2-el /c t/7"Zf
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❑ FOOTING 0 DEMO-FINAL TIC FINAL
Q L. POURED WALL
0 PLUMBING RI ►\ AV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
S OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cc., COMMENTS:
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0 r o RRECT WORK&PROCEE ❑ISSUE CERTIFICATE OF OCCUPANCY
1Z ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h,.urs in advan '. 9-4600
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Owner/Contractor on site: t,
Inspector.
White Copyllnspector's File - Canary Copy/Site Notice