HomeMy WebLinkAbout2012-00662 - shed CITY OF ORONO ® 1 2 - 0 0 6 6 2
2750 KELLEY PARKWAY DATE ISSUED: 07/18/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 2075 WATERTOWN RD
PIN 03-117-23-21-0024
LEGAL DESC BALSAWOOD
: LOT 002 BLOCK 001
PERMIT TYPE ZONING PERMIT
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : SHED< 120 SQ FT
ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS
NOTE: SHED
APPLICANT STRUCTURE PERMIT 50.00
PETERSON,ALLAN&LORRIE ENGINEERING REVIEW COSTS
2075 WATERTOWN RD
LONG LAKE,MN 55356- TOTAL 50.00
OWNER
PETERSON,ALLAN&LORRIE
2075 WATERTOWN RD
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
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.
-7
Applicant Applicant P tee Signature Date IssuBy Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Zoning Permit Application
Mailing Address: Permit number: —00
.Q,0 11 PO Box 66 Date received: — —
O O Crystal Bay,MN 55323-0066
Escrow#and
Street Address: amount:
2750 Kelley Parkway Permit Fee:
Orono,MN 55356
r9kESH0 Approved by: R - 14 -2.o/Z
Fax: 952-249-4616 Notes:
Main: 952-249-4600 www,ci.orono.mn.us
This',application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: 2,075 WAVi AJI SAW aCAQ
CONTRACTOR/APPLICANT INFORMATION:
Name: byjol ,(-
Phone: Fax:
Address: City: ZIP:
Contact Person: Contact's phone number
Email Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER INFOR ATION:
Name:
Phone(day):
Mailing Address: 0 " ZIP:
Email and/or Fax petw-S-04 r
Overall Project Descript of �NAISLIQ aR IMMA1112 AhID Rtef)
CBozk TYPE OF PERMIT COST*
Dock, Residential—Permanent dock on any lake or initial seasonal dock not on $50+engineering review costs
Lake Minnetonka (permanent dock requires CUP
Dock, Commercial $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Driveway Permit(New or Replacement) No charge
Also required is a Minor or Major Land Alteration Permit
Land Alteration, Major(grading,filling, or excavating) more 500 cubic yards or $50
more than 10 cubic yards in lakeshore setback(also requires CUP)
Escrow for erosion control and engineer�ing review costs As determined by CUP
Land Alteration, Minor(grading,filling or excavating)—500 or less cubic yards $50+engineering review costs
outside of lakeshore setback or less than 10 yards in lakeshore setback
Escrow for erosion control and engineering review costs $2,000
Retaining Wall measuring under four feet require a zoning permit. $50+engineering review costs
Retaining walls measuring more than four feet(from bottom of footings to top of
wall)require a building permit. (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 engineering review costs $2,500
Stairway to Lake(New or Replacement) $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Structure Permit for other structures not requiring a building permit but
regulated by the zoning code(including, but not limited to accessory building of
less than 120 square feet, detached deck or platform and sport court)
Eeview easts $2,500
Tree Removal or other vegetation removal in 0 to 75 foot zone I No charge.
(over)
*Permit fee will be collected at
the time the permit is issued.
Updated: April 23,2012
j APPLICANT/OWNER ACKNOWLEDGEMENT:
• Applicant/Owner 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;
• Applicant/Owner 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;
• Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• Applicant/Owner understands their project may require an initial and as-built survey per City Code Section 86-68.
• 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 information supplie s and correct to the best of their knowledge.
Applicant's Signature: gkms Date:
_V
Property Owner's Signature: alodA6,ne Date: 44
SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits
TYPE OF PERMIT: 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
Dock, Residential Seasonal Dock—survey showing proposed dock
Permanent Dock-plans as approved by CUP and copy of LMCD permit
Dock,Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Driveway Permit 1. All Minor or Major Land Alteration Permit requirements
2. Hardcover calculations, existing and proposed
3. Driveway plans
Land Alteration, Major 1. Plans as approved by Conditional Use Permit
2. Erosion control plan or copy of MCWD Erosion Control Permit
Land Alteration, Minor 1. Grading plan including existing and proposed contours
(Less than 10 cu.yds. within 75'of 2. Amount of fill to be imported and/or exported and haul route
lake or less than 501 cu.yds 3. Amount of earth to be moved around on site
elsewhere.) 4. 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, submit an updated survey with
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
Stairway to Lake 1. Construction plans for stairway, including footings
2. Topographical survey of property with proposed stairs shown
3. Erosion control plan or copy of MCWD Erosion Control Permit
Structure Permit 1. Plans for structure.
2. Survey of property with proposed structure shown and with setbacks to property
lines, other structures on property and the septic system indicated.The general
location of 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 plan or copy of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/
management plan required for clear cutting,buckthorn or other intensive vegetation removal.
Updated: April 23,2012
' Plan Review checklist for New Structures Additions
Address/PID/Legal: 2Q15 W VNTW-_-tQS�,J (Z,pA-0
Description of work: Is {�-_-421
Septic review by: /''V 1A Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: -1 G '
(Z-
Grading review by: Date,Approved:
Zoning File* Resolution#: Resolution Date:
Zoninq.District 'Fire`Department Post Office =School District
,Zoning: Lot Area: SF/AC Width: Depth,:
Survey Submitted: 0 Yes D No Date.of Survey:
Proposed Setbacks:
;Front(k sk* Rear(Street) N 4� E `M ) (' 1 S E `YY ,) Other Buildings Wetland
;Side Bide
66, _ �o /so z /V
Building.Defined Height: a k- Building Peak Height: #of Stories Ok?: YES
TOR A BUILDING WITH ABASEMENT OR CRAWL SPACE: FOR A BUILDING'ON A SLAB'FOUNDATION:
START WITH the 1 distance between the basement floor/-crawl START the distance`between'the slab and-the highest
space floor:and'the highest roof peak the top of WITH roof peak,the top of the cornice of a flat roof,
the-cornice of a°flat roof,.the:deck line Df a the deck line of:a mansard-roof,-or-the
-mansard roof,or the uppermostpoint on a round uppermost point on around or other arch-type
or other arch4ype,roof- roof
SUBTRACT half the distance between the highest:window and SUBTRACT half the distance between the highest window
highest roof peak of a `itched roof and hi hest roofpeak of a pitched roof-
SUBTRACT the distance between the basement floor/crawl ADD the distance betweenaheslab.and;the highest
space'floor and the highest existing grade within existing rade-within the foundation
the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined.building height
Lot Coverage: SF 1/0
Shoreland District MGM i'ermit Received Avera e:L-akeshore Setback Biuff
0 Yes 0 No M 'N/A D Yes E No
0 Yes zetio Yes 3 No n N/A
Permit Number: Setback:
HardcoverZones Existing Proposed Variance Required CUP Required
0-75' M Yes M No G Yes 0 No
75-250' Type(s): Type(s):
250-500'
500-1.000'
REMARKS,(in-house):
Updated: 09/11/2009
z:\formslpian review checklist.dom
Fees to be Charged '':YES NO
111 Bill;
Plan Review
Investigation Fee
. . . . r a..
Sewer Connection
Park fee
Other(specify)
_.
Calculated By:
Square Foote a IverSquare Foota e
Basement X _
1 n.Floor X = $
2"d Floor X = $
Garage X - _ $
Estimated Construction Value: $ IVA 20")n6
Orono Inspections Required Work Requiring SeparatePermits Required State Penmits
O Site Cl "Plumbing 0 Grading /Filling 0 Well
0 Hardcover Removal G Mechanical 13 Fire 13 Electrical
D Footing D Septic D Water Connection
1 ,0 Poured Wall D Fireplace 0 Sewer Connection
0 Foundation Survey 0 Masonry "0 Lawn Irrigation
0 Radon Rock Bed 0 Mfg.
0 'Framing '0 Other(specify)
0 >Insulation
1Is-Built Survey
Final
.0 Other(specify)
REMARKS {in-house):
Other Review. .Reviewed by; Date Approved:
Access:Existing: '0 YES 0 NO New: . YES 0 NO
REMARKS (TO:BE.NOTED ON PERMIT ANDJNITIALLED BY PERSON PULLING'PERMIT)
Updated: 09/11/2009
=Xformslplan review checklist.dom
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED !/-ZD 42
PERMIT NO.?-D l2— 00'04' 11 COMPLETED
ADDRESS -i-0-1.5
OWNER AL►°1,j A46r84-00,J TELEPHONE NO.
CONTRACTOR o u'N to
DESCRIPTION Sh t t=►�'1�
1 ❑ FOOTING ElPLUMBING FINAL ElEXCAV/GRADING/FILLING
LL
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
INAL El SEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
vdi COMMENTS:
W
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a
d
W
cc
Q
2
W
Z
W
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
QC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O V44ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO t7rJ J'd1 1 A?6&-al�� PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adva . (952) 249-4600
Owner/Contractor on site:
Inspector.- ( .42 t 06-S
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED
PERMIT NO. 07� c MPLETED
ADDRESS
OWNER BELE OPINE NO.7 3-����
CONTRACTOR l�
3: DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
a
J
O
cc
O
W
W
cc
Q
W
Z
W
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Uj ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White CopyllnspectoPs File Canary Copy/Site Notice