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2010-01138 - shed
' ' ' CITY OF ORONO PERMIT NO.: 2010-01138 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 12/06/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4555 SPRUCE WAY PIN : 30-118-23-31-0003 LEGAL DESC : UNPLATTED 30 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION : $ 500.00 NOTE: GARDEN SHED APPLICANT PERMIT FEE SCHEDULE 25.00 FRAZIER,GARY&BEVERLY PLAN REVIEW 16.25 4555 SPRUCE WAY MAPLE PLAIN,MN 55359 STATE SURCHARGE(VALUATION) 5.00 TOTAL 46.25 OWNER FRAZIER,GARY& BEVERLY 4555 SPRUCE WAY MAPLE PLAIN, MN 55359 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 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 applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time f9e;due cause. « � J� l � l � / lO (� /D Applicant r ite Signature Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � R (����� > ��l�b � � City of Orono �� � � Building Permit Appiication for New Structures or Additions Mailing Address: Permit number: %b b//.3�5 �,�,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: / �����`"�' � Received b a �'"t�-a�-��; a StreetAddress:' y� �'��c,t �'o-�'.� Gti`� 2750 Kelley Parkway Plan review f� .�k�� fP� g,� Orono, MN 55356 Esxo �.�� Tofal 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: -,� ��5 ��;,-c.;, c,f, ��-'c..y Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�'No !f yes, a special event permit rs 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: �c..,-v �f[i.Z:,t .'" State License# �— Expiration Date: Phone: (1�-�=�/(��7 �}— (cell) Mailing Address: y �-�- �,�, Q_ v�,� . Cit ;��� - ; ��'a,:,r ZIP: c-s:�S�, Contact Person: �Q,,; y. �,,,,,z;�-r' Applicant is: Contra tor / Homeown �c�r�ie o�e� Email and/or Fax: -I-�.�,�-r�c,- -�-n -��,�.�;� : r�,��.ti-. �a.; i,��-�/7�_ yr����_ PROPERTY OWNER INFORMATION: Name: Cca.'c'� r�rc,,7-; e,r' Phone (day): �-� � ;�.,- �, i' - yi� I '� Address: ��� ��,,..;,,-,- � wG,Y .� r'- �'-�-�., City�..�,��.�,i%�i�..;,- ZIP� ��.;�� Email and/or Fax ��,,�' -��? - � �a_. �:�a� " .��„4�.'l - - P =�r��r � i r ow,. 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 ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer �Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: s eci ❑ Private Sewer ( p fy) ❑ 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 G:,.r ..(�.�•. �r.�., _ Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ;�p '' Last Updated: 9/29/2009 - 17- — - - � , . _ : --- --m-_ . , r STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= � Number of bedrooms = �.Wood/Frame ❑ Masonry b.Width (ft.)= �1 i� Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in spuare 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: Not Enclosed A plicable � ❑ 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 ❑ ,0 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$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: Date: �D — ��—/O Last Updated: 9/29/2009 - 18 - , , , Plan Review Checkiist for New Structures / Additions Address/ PID/Legal: '�i'S�$�J`� �(L�ClG(� tnJ'�4t� Description of work: S�G� Septic review by: n/l✓�- Date Approved: Zoning review by: L C9 y� r�.L Date Approved: i�z.- 1� � D Building review by: Date Approved: / Z-I-i� Grading review by: /�//,/� Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: 0 Yes 0 No Date of Survey: Pro osed Setbacks: Front (Lake) Rear(Street) � N Sid� , ( N Side �) Other Buildings Wetfand 2 I OC�o ' + c 2� Z.�O � 2.� ` Building Defined Height: C9� )� Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ START the distance between the slab and the WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, the deck of a ftat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e ro�f SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a pitched window and highest roof peak of a roof itched roof SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the crawl space floor and the highest existing highest existing grade within the grade within the foundation or 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: �/,Q.. SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bfuff 0 Yes �"No � Yes 0 No ❑ N/A p Yes 0 No 0 N/A � Yes � No Permit Number: S�tback: Hardcover Zones Existin Pro osed Variance Re uired CtJP Re uired 0-75' � Yes 0 No � Yes 0 No 75-250' Type�S�: Type�s�: 250-500' 500-1000' REMARKS (in-house): Updated: 07/01/2009 z:\formslplan review checklist.doac Fees to be Cha ed XES NO '�9�'�",.�r"`�w" 3'A ^� „t `�a2 zr,`3u„a�„, _9t ap• ',� � .... .._. ., . .. . ._ ,...e .. �... .... ,... <. , . . , Plan Review v' ,°���_ e ;�:_ _� .:� , Investi ation Fee �S3��-='��a�hii�����9►���aits �- �" � Sewer Connection �� - A�'�--��.� ",�.,,� � -.� `�.: :r Park Fee . _ Y.,.:.,� , ,. _.� �tt��n, �i�:ra - , ,; r_�. . ,,.�.r••�_ w�, ,. -0-�.,. , . .,. ,.. ,. _. ,... .. , „ . _,.,. Other(s eci w.,� � .. ,� �1�'is�i�s�es:�' �,�` ,r� ` �.=. .'; _ �; ... , ; ..;x u' .._.. _.. . r..� . .. ..,. . .. Calculated B : UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 Floor X = $ 2" Floor X = $ Gara e X = $ Estimated Construction Value: $ �S� $'� � Orono Inspections Reauired Work Reauirina Separate Permits Reouired State Permits � Site O Plumbing 0 Grading / Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire � Electrical � Footing 0 Septic 0 Water Connection 0 Foundation Survey � Fireplace 0 Sewer Connection � Framing 0 Masonry � Lawn Irrigation 0 Insulation 0 Mfg. � 0 Wall Board 0 Other(specify) 0 As-Built Survey Final 0 Other s eci REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERM(T AND INITIALLED BY PERSON PULLING PERMIT} Updated: 07/01/2009 z:\formslplan review checklist.docx , , ",. f r; : �"�,� s� �€ �t � � -, .r �'� �:.�A��.� � i " �*� � �,�` �, 4 , �._ ;�3 i j" , �€� '��. .� _; t - � �� f : ,� , ��jc�-� ::�F �r�-1 " 7y_ \1 ` � p� +� < �'/`'�.� � a �k�t� ` r 1 rk" �..� 45�;e..v � ��+y� K�s � ���a _ � � .... . �} � . �" � r / .���� �c'r���j+..�,,,z,�.rt^"' E' ��3��''� ''`.��za ly.�::- � � : 1 .-j �'¢ + '�-�d� n ��'�` �� .� . �,..,` c'�""`�` -'"a'"�,�t. `�'' �-t '�'�'•� a { � �' '�' �=� �� � .�. 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