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Home My WebLink About2011-00271 - shed CITY OF ORONO PERMIT NO.: 2011-00271 „ -'� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 05/13/2011 952 249-4600 FAX: 952 249-4616 ; ADDRESS : 1795 SHADYWOOD RD " PIN ; 17-117-23-21-0008 � LEGAL DESC : REG.LAND SURVEY NO.0702 ' : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED< 120 SQ FT APPLICANT STRUCTURE PERMIT 50.00 BETZ BUILDERS INC. ENGINEERING REVIEW COSTS 300 CRESTVIEW AVE. TOTAL 50.00 LONG LAKE,MN 55356 (612)221-2963 OWNER DIERCKS,MICHAELA 1795 SHADYWOOD RD P.O. BOX 81(NAVARRE WAYZATA,MN 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 consuuction is suspended for a period of 180 days at any time after work has commenced. The ap ' ant is responsible for assuring all required inspections aze requ e in conformance with the State Bui ding Code.This permit may be rev d t any time for/1... ause. / / �/�� / / _Applicant Permitee Signature Date Issued y Signature Date � � SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. -f � - Ci of Oron G°'�►�� .�. � ° 5 � � � . . . � ;�`-�" Zoning Perm�t A plication (`� Mailing Address: Permit number: Ol —� 7 O�Q PO Box 66 �O Crystal Bay, MN 55323-0066 Date received: ,� O� oZ�/ Escrow amount: N Street Address: `� � � 2750 Kelley Parkway Permit Fee: ��x o¢�G�F Orono, MN 55356 Approved by: � 5^, �. ' I �� Fax: 952-249-4616 Notes: Main: 952-249-4600 ��ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) GENERAL INFORMATION: Job Site Address: � (,,��17� � ��IJ CONTRACTOR/APPL AN INF ATION: � Name: ��L f.! L�� Phone: - - Z Fax: - - Address: Cit : ZIP: Contact Person: �(�� /��j __ Contact's phone numbe �/��Z�-Z�L,� Email Applicant is: Contractor Homeowner �ci�ie o�e� �- PROPERTY OWNER INFO,'2MA ION: Name: /V! C. � Phone (day): - - Z� Mailing Address: � ZIP: Email and/or Fax Overall Project Description: i` S Check TYpE OF PERMIT COST Box Residential Dock-Permanent dock on any lake or initial seasonal dock not on $30 +engineering review Lake Minnetonka ermanent dock re uires CUP costs Commercial Dock $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+engineering review outside of lakeshore setback or less than 10 yards in lakeshore setback costs Escrow for erosion control and en ineerin review costs $2,000 Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback(also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP Stairway to Lake $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall not requiring a building permit(A building permit is required for any $50+engineering review retaining wall that measures more than four feet from bottom of footings to top of costs wall. Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. Structure Permit for other structures not requiring a building permit but regulated $50+ by the zoning code(including, but not limited to accessory building of less than 120 sests- square feet, detached deck or platForm and sport court) � Escrow for erosion control and en ineerin review costs �2, (over) �� vp � �/,p,,� / Ci L(/� -� �,V � APPLIC�►NT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • 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 attached Escrow Agreement is completed and signed by Owner; • 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. The undersigned certify that the inform��o supplied is true and correct to the best of their knowledge. � , ' Applicant's Signature: � /l. Date: .�— �Z--" �� Property Owner's Signature: �f /�i' �� ' c Date: S � �� TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed application form, escrow agreement(signed by the property owner)and escrow check from owner,two copies of all plans, and three copies of all grading plans or surveys/site plans Residential Dock Seasonal Dock—survey showing proposed dock Permanent Dock-plans as approved by CUP and copy of LMCD permit Commercial Dock 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Minor Land Alteration 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75' of lake 2. Amount of fill to be imported and/or exported and haul route or less than 501 cu.yds elsewhere.) 3. Amount of earth to be moved around on site 4. Erosion control plan or copy of MCWD Erosion Control Permit Major Land Alteration 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway 2. Topographical survey of property with proposed stairs drawn in. 3. Erosion control plan or copy of MCWD Erosion Control Permit Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall, grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control plan or copy of MCWD Erosion Control Permit Tree Removal Call 952-249-4600 to schedule inspection. Structure Permit 1. Plans for structure. 2. Survey of property with proposed structure drawn in and with setbacks to property lines, other structures on property and the septic system indicated. The general location af any sewer and water services should be shown if applicable. 3. Grading plan if grading is required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Control Permit Last Updated: October,2010 � �� __. -- --- - -- __-_ _ _ _.. - - - - - �, , ,� ' � ,,� �� ii�k Y�;,• , . . , '�`��+.vs� , , �. � �.. � ' �4, �, �,4�,. �s ae,4'� w.r ..�,pt .� � _ - *v ; A Y �N f� � � t3�'.� `� , '�'�': r �.I , � . �.... � ff': t� ` ��."sk^� 'ihs'!��',. . .� � °�.�� !'Ip� ' f.. . �.:�♦ ` 3 . � #�++rr. � �. �,. . . ' �I�+. i � y ��. � f 'k�a L ^ + . . ,�"��.. � _... � !� ��r- F _`... _ �� '• �. � f :. �� .ri« ..�i . .a..o-';F.':�. � t.. Y ..w�N.. .. :v � .��.. 'd. aak.. " _ i a � 'R �� 'k'' .T.^�. .._.. . . _._...._.. �.° � ., � � .. � � ,� t . �4�A.s' '"d"+., . . ,=.>, :' r -.. F(9;$�'M .;�� ... ��...>:.`'� • 1 . . t � � . YI�'� �' � ' __.—"— 4�A+ R �_...�, '�. . ... -�...---` ...-.... � � � r c A�'°�3: � � .��'-. . ... 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" 7-fi� P�w�� •� a x �,,J 0�2� � �'-vt�� 'E� f-ww..ce l--t 1 c�,�� p� S�,e�-7'�1� �" � / � %Z�� b�4 66�?-l2� � �o d� � .._J � �/� — � n-'� � _ _ �- s ph�-�t- ��;� 5b�� / 7 �5' S {,�� w�� c- � � ��` TIME CITY OF ORONO CALLED IN INSPECTION g,TICE SCHEDULED �'p io : �7 PERMIT NO. v - �� COMPLETED � �-� 1 ADDRESS �7 OWNER TELE HONE NO.�O��-�� CONTRACTOR � � DESCRIPTION ^ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUiRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector. / ,�,C White Copyllnspector's File Canary CopylSite Notice