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HomeMy WebLinkAbout2010-00670 - shed • . • CITY OF ORONO PERMIT NO.: 2010-00670 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/25/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4720 WATERTOWN RD PIN : 31-118-23-22-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT 328 e...0.1(tmo(ocle VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) POLE SHED&MOVING EARTH OF 15 CUBIC YARDS ADVANCED PLAN REVIEW PAID ON PERMIT#2010-00669 WITH CC,BY HOMEOWNER APPLICANT PERMIT FEE SCHEDULE 339.25 JERRY PHILLIP'S CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00 18706 JUNEBERRY RD MANKATO,MN 56001- TOTAL 349.25 (507)380-4503 PAID WITH CC# 6311 Minnesota State License#: 7510 OWNER MEHAFFEY,MILES&CATHERINE 4720 WATERTOWN RD 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 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 reques -a in onformance with the State Building Code.This permit may be rev, ed at y time fo . - cause. U iF/7df I 0 M:.LL 3--/e15/ /v • .pli.:n .e - inature y Date Issu-f:y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. autkA31/z) City of Orono Building Permit Application4 1,0,6]for New Structures or Additions 3r7- °Z-5 g OA?- 0) Mailing Address: ox 66 Permit number: 2-b/ 0 -OOe 7Q Crystal Bay, MN 55323-0066 Date received: 7 /5//o EssReceived by: __(,,,,r TA ,,,, Street Address:' CC'4r:ii. ,, 2750 Kelley Parkway ZD 10-.O041131 n review fee: as o . 6/ va Orono, MN 55356 Total 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: itil Zb V)471-0.-} A_ , Droftaz, ScSSi 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 n,be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: n Name: r - - y S -e Y-�� h'. ' ��J1 ( 0 State License# 7 -I p Expiration Date: 21 3 i 1-7_Of ( ) _ Phone: tp- 2 g _ Li �� 3 (office) S 6,mil.- (cell) ' Marling Address: 14"]U r•e er City: n Y ,- ZIP: ' 7 o0 k Contact Person: --t- v �+, . ... �,,.�.�,. ; . 4,-V �-,-_�-�- Applicant is: Contractor / e ner (Circle One) Email and/or Fax: E ,.z� 3 SLyYv., PROPERTY OWNER I ORMATION: Name: r44"- ,� _ Phone (day): 41-"2,- l44,1 ,. ' Address Air. i Cit : ZIP: % 3 Email and/or Fax CrJ ARCHITECT/ ENGINEER INFORMATION: Name: fA.e r fk ` Phone (day): -1 G 1 -S H t- O( C50 Address: L D0 Wc.,,.-?c 'a\,1‘k. City: Gam\bl.er. ic.tk\ZIP: 5T1. L Email and/or Fax: 141- t,,1 i 1341 PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply 4 ew Construction ❑ Single Family with El Residence Addition attached garageara e/ • cessory Building ❑ Single Family with ❑0DgDeckBldg. ❑ Public Sewer ❑ Relocation detached garage 0 Office/Commercial ❑ Private Sewer Other: (specify) 0 Multiple Family/Condo 0Warehouse o Public 0 Storage 0 Public Water **Any earth movement may require 0 Commercial 0 Other(specify) MCWD review&permits. 0 Industrial XPrivate Well Minnehaha Creek Watershed District(MCWD) la Other: (specify) 18202 Minnetonka Blvd A►ti'�+ � Deephaven, MN 55391 PoLt 3�C�rl►j Phone: 952-471-0590 p IW red�.. Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ -` 66-6 Last Updated: 9/29/2009 �' i, ��) - 17- STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= ' - - �(� Number of bedrooms= 0 Wood/Frame ❑ Masonry b.Width (ft.)= 3Lt Number of garage stalls: 0 Metal Attached = 6Pole Bldg. Areas in square feet Detached = CF 0 On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = 0 Other(please specify): e. 2nd Story= f. '/Story = CNA = 1 .d .AA.3c.,( g. Total Area= s`b rr o,) REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable "( 0 Permit Application o 0 Proposed Building Plans ���'��I�'"ilk MN State Energy Code Calculations and Mechanical Code Requirements Form t O 0 Survey(meeting all requirements) .14 Stormwater Pollution Prevention Plan 0 Hardcover Calculation(s) ❑ Septic System Site Evaluation Report ❑ Access Permit ❑ Wetland Buffer Improvement Plan Engineered Plans for Retaining 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: / it U Last Updated: 9/29/2009 - 18 - Plan Review Checklist for New Structures / Additions f Address/ PID/ Legal: "f 12 I/'/ a, PeY) Description of work: /62%)`c S Vied Septic review by: 6 = Date Approved: Zoning review by: Mr �� Date Approved: V /1 // 2 Building review by: , ., #.. Date Approved: 4 - 23-JD Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot A a: SF/AC Width: /Depth: Survey Submitted: Yes D No Date of Survey: --7 -�`I/0 Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: (. �----1 Building Peak Height: # of Stories O .. YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the 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 of a the deck line of a mansard 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 highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existing grade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined building height EQUALS Defined building height y� Lot Coverage: /// SF Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff D Yes 0 No 0 N/A 0 Yes D Yes ' No 0 Yes 0 No /A /�/ Permit Number: Setback: Hardcover Zones ExistingProposed Variance Required CUP Re 'red 0-75' 1% 0 Yes (10o 0 Yes o 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx • Fees to be Charged YES NO Permit r/- Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ ZD,000 Orono Inspections Required Work Requiring Separate Permits Required State Permits D Site 0 Plumbing D Grading / Filling 0 Well D Hardcover Removal D Mechanical 0 Fire Electrical Footing 0 Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. Framing 0 Other(specify) 0 Oits-Built Survey Id Final O Other(specify) 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 PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx , ENARDow PAGE 1 OF 5 GOLD 30170457 CASHIER: SPECIAL ORDER CONTRACT 111111101111111111111111111 GUEST COPS PLEASE (II NT',..-XVIF- A T)f AFSS- ifis;F ;11.5.17 CAN I) m Iwo,.,76,1541..;mil .....,..--- c. :3,-,-..i.:!•:••! oimi WAYZATA RI Vii FA'c'•176lic-41-1 4,-. 147 ci-2r, 144,Ittrre.nrc pr STAPLE 01DE.\.,n.I.IFy.VIN ;.-4:!f. THANik YOt..1! , RECEIVE 1 , HERE. H.. .- \I ttl.,,2 l'r r.'".&," •,i II ;) .IAN,' THCF.Ari '.!..; !!.F:11 {4 DATE cii,. 1.it III-14 F:.i PFV111PTIcisa sr::i l \ 7 14!I..I t A.,.t%.NMI)PRI( Li. EACH ..r:_41.2.1'.. ate: ,....AP 4 i L2 SPEC77,1 CDEP 1 . !.. .c,'8 :6.2 2z.7a C•6 ER::E WN:TE EA2H :11:VERLAL RIDGE a,,..r. 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Al WWW•menarth.com • i If thii.it.a itartail iliallp,.csli-akeliglf!. oill NliSe,Ii••4... .,clirr,41•Pt;-p•-I.,4I7 PIP; ••Ir. ...IL• L•71.I..4 2..*It Pi 4.4:.1,t4,,Ir I•r.i1.1 Airifil..1 t .4.1............11‘.It A4g.,-,A, 'attrAter ..,f rir•I ItInk 4.,..••,..,,.,•., ....et o-,1-..0,,,-- .Al.1.. .4 4111:41•4ifirvii0itit Whig%lentil tut. NIctuit ib.it 4 titkot PO.4 J.4,4..41 r16.4104444t1I e....likr•jai g7,141,'X it tets-Li ti SP.t•I•I Pi•tt-p,La*•4•.4”..-.1 nul rripumilhic fur...ibmialers serr km%in flu. VOUR PURCHASE OF THE MERCHANDISE ON I HIS C ON MAC I C ONS1 IT UTES yard. 1,.. 1 TERMS AND CONDITIONS LISTED IN THE CONTR ACT. IIMEN2111111111114111 • . DATE k/CITY OF ORONO CALLED IN 949—7/j(� TIME INSPECTION NOTICE SCHEDULED PERMIT NO. -(U I /(COMPLETED ADDRESS ,' � l )moi (1t)--1,01c�. OWN ERTELEPHONE NO. 3 � -4/4z- -R CONTRACTOR / ( - ld S C cYn i` DESCRIPTION - LSO T/J .� /e S tied ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q.) ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W W CC P. r-. 0 cc 0 z cc / Q(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice en.-5-re... ...._ ,g /1 (40 TIME OF ORONO CALLED IN INSPECTION NQTICE SCHEDULED it f /D 9;3 0 PERMIT NO. i 0-00670 COMPLETED ADDRESS z-/(720 /wMP� -e/L7MK - 1 .%( OWNER 7T PHONE NO��-33.6- x.5-03 CONTRACTOR (�%(/� S DESCRIPTION * - r" alais W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAFILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS h /W Q ❑ FRAMING DMECHANICAL FINAL El TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ ADON SLAB 0 WATER HOOK-UP 0 PROGRESS FINAL 0 SEWER HOOK-UP 0 COMPLAINT ✓ El DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP T • ❑ DEMO-FINAL CISEPTIC INSTALL ❑ HARD COVER REMOVAL v ElPLUMBING RI ❑ SEPTIC FINAL LIFOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W a 0 f r.. 8 _T r 5 7- ,A -t` t_-. j ('( -1i-1 c ,:r 1 O W cc Q toW Z W cc j Lu ❑WORK SATISFACTORY:PROCEED XROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP 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. L-t/ -.r. 13 Os White Copy/Inspector's File Canary Copy/Site Notice D T TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED Ofd 1 PERMIT NO. /4—©�7O COMPL�ET,ED,.,, ADDRESS '/772 Q t,( OWNER TELEPHONE NO. f 7 386 ` O3 CONTRACTOR Ad DESCRIPTION Frg r3 1 ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W C CC O CC O W CC W W cc DcWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W EllCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP 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. `-IL. (// 1 -des White Copy/Inspector's File Canary Copy/Site Notice O 00 N AU U_' -5 1-0 10 CITY OF ORONO 33 I 33 N.W. CORNER OF . j" ' •., SEC. 31-118-23 LjJ � I N I o 00 I O o �� I .ss 1.79 S 89048' 56" E CERTIFICATE OF SURVEY FOR CATHERINE M. MEHAFFEY IN THE NW 1/4 OF SEC. 31-118-23 ._HENNEPIN COUNTY, MINNESOTA ..... 221.12 ........ 949.00 543.80, NORTH LINE OF NW 1/4 OF NW 1/4 OF SEC. 31-118-23 uQ-- • 'f -- - RIGHT—OF—WAY PER / HENNEPIN COUNTY .."STATE AID HIGHWAY ro NO. 6 PLAT 5 01 0- -_ moo i l� 0 LEGAL DESCRIPTION OF PREMISES . .AO That part of the Northwest Quarter of the Northwest Quarter of Section 31, Township 118 North, Range 23 West of the 5th Ktp /0, Principal Meridian, lying north of the Watertown—Minneapolis IO Road, and westerly of a line described as follows: Commencing at the Northwest corner of said Northwest Quarter of Northwest ,dJ Quarter; thence East along the North line of said Northwest Quarter a distance of 949 feet to the point of beginning of the line being described; thence deflecting right 121 degrees 17 minutes to the centerline of said road, and there ending. o denotes iron marker 3 7. 1 1 _ _� S 89016' 54" W Bearings shown are based upon an assumed datum. N 89016' 54" E This survey shows the boundaries of the above described property, 39.85 the location of an existing house, driveway, septic mound, and tank covers, and the proposed location of a proposed building thereon. It does not purport to show any other improvements or encroachments. NOTE: There may be additional road easements for County Road No. 6 in the Southeast corner. No title information has been furnished. DESIGNED REVISION DATE DESCRIPTION DRAWN ECD CHECKED MSG - 10-182 0 :N �• 26.0 PROPOSED' BUILDING 0 Ilk \jd'o0 / BLACKTOP DRIVEWAY 0 ( EXISTING �\ SEPTIC MOUND /x r • H#2 \ FUTURE SITE \ TM X #2 1-4 sSJ�01Srs 1 6'0 •1 3 o� - O �• --------- - lblb 'Q<,O 06 71 2. I .. I�--------------------------------------- ......................... ----.. o, HOUSE OPNKS TICO #4720 t' TAMC Opp 0 A) C9 10 CORNER FALLS ................. IN PAINTER CREEK 184.08 /18, �— ..............................•-- ho• w p4n4i a zonal P4. e Plan Review Date: _ 100 50 0 50 100 S C A L E I N F E E T GRONBERG & ASSOCIATES, INC. CONSULTING ENGINEERS, LAND SURVEYORS, & SITE PLANNERS 445 NORTH WILLOW DRIVE, LONG LAKE, MN. 55356 952-473-4141 t=om ;--- I hereby certify that this survey was prepared by me, SCALE or under my direct supervision, and that I am a duly 1 "=50' registered Civil Engineer and Land Surveyor under the _ laws of the State of Minnesota. DATE 7-21-10 - - JOB NO. Mark S. Gronberg Minnesota License�� Number 12755 10-182 1(,76?® MAi6f*Mvc, Zd