HomeMy WebLinkAbout2014 - 00361 - fence CITY OF ORONO II 11 II I it 11 11 II II 11 II 1 11 II
2750 KELLEY PARKWAY DATE ISSUED: 05/29/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2850 WEAR CIR
PIN : 33-118-23-34-0008
LEGAL DESC : ROLLING MEADOWS 2ND ADDN
: LOT 002 BLOCK 002
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FENCE CC (,J� /p
ACTIVITY . _ • • •1 • - _ ° ' - : . -- �/J W41 -r
VALUATION : $ 1,500.00
NOTE: 8'FENCE
APPLICANT PERMIT FEE SCHEDULE 57.50
STATE SURCHARGE(VALUATION) 0.75
EUGSTER,NICHOLAS& MARIAH
2850 WEAR CIR TOTAL 58.25
LONG LAKE, MN 55356-
Payment(s)
CASH 58.25
OWNER
EUGSTER,NICHOLAS&MARIAH
2850 WEAR CIR
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.Th. permit may be
revoked at any time ft5i due caus-
,� J
Applicant e ee Signa ure Date Issued y Signature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION .)y
FOR NEW STRUCTURES OR ADDITIONS
�o V Mailing Address: Permit number: DIV ETOL(;)
Cr Bax 66
Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
2750 Kelley Parkway Plan review fee:
Orono, MN 55356
r�kFSHO ..5 F,
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 INFORMATI N:
Job Site Address: rte-i_.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes n 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 will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: kk-57
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:Phone (day): 3 (/
Address: City: - -.y ZIP: 35
Email and/or Fax /.)te_(-<, t=�X,S �M/�[C� e �—r.2
ARCHITECT/ ENGINEER INFORMATION:
Name: it"
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project
1. Type of Project 2. Proppd Use 3. Struc Type 4.Sewage Disposal &
Water Supply
❑ New Construction Single Family with esidence
❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑ Accessory Building ❑ Single Family with ❑ Deck
❑ R,Aocationr detached garage ❑ Office/Commercial rivate Sewer
[�6ther: (specify) I—e7 tj. J L"i—fe'Cl< ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrialiva
rte Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.org
Estimated Construction Valuation (excluding land) $ 1')
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= Number of bedrooms=
❑Wood/Frame
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached= CI Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1st Story = ❑ On-site Prefab
e. 2nd Story= ❑ Off-site Prefab
f. 1/2 Story =
❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Encl ed Applicable
❑ Permit Application
❑ ` Proposed Building Plans
❑ 111 MN State Energy Code Calculations and Mechanical Code Requirements Form
❑ Survey(meeting all requirements)
❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation(s)
O Septic System Site Evaluation Report
❑ Access Permit
❑ 'Wetland Buffer Improvement Plan
O -Engineered Plans for Retaining Walls 4 feet or above
❑ / Plan Review Fee
O f Application Escrow&Agreement
O Other:
APPLICANT/OWNER 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;
• Understands 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.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
Applicant's Signatfare Date: /y
Owner's Signature: 400r Date: �� /
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: 2.'S 0 w (.77A(2.t'Z Ct rt Gl.E..
Description of work: 0 E C.`ll1C.ls Me-e-'r yOrz1vJc1f4'r, 5 l'tvc-r)&r SJz,-- A cid
Septic review by: fV//4 Date Approved:
Zoning review by: - 0 Date Approved: `- 3-0- / y
Building review by: - 0 - Date Approved: i .3ii-1 y
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _%
Survey Submitted: ❑ Yes ❑ No Date of Survey: Revised date(?):
Proposed Setbacks:
Front(Lake)— Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
10 a-r y 0 ' -r- 4-ri.) ' -+- Yd , fi
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = #of Stories Ok? ❑ YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement or crawl
space)and the highest point of the roof. START WITH The distance between the top of slab and
If you have a... the highest point of the roof.
If you have a...
• GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the highest point between the highest point of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF • GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat, •
ALL OTHER ROOF TYPES(flat,
mansard,etc):No subtraction. mansard,etc):No subtraction.
ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation.
GRADES) highest existing grade adjacent to the — GRADES)
foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined building height
Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff
❑ Yes 0 No 0 N/A 0 Yes 0 No
0 Yes 0 No 0 Yes 0 No 0 N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overlay District Tier Hardcover Hardcover
❑ Yes ❑ No ❑ Yes ❑ No
Type(s): Type(s):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
•
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ /,,.f
Orono Inspections Required Work Requiring Separate Permits Required State Permits
D Site D Plumbing D Grading/ Filling D Well
D Hardcover Removal D Mechanical D Fire D Electrical
D Footing D Septic D Water Connection
D Poured Wall D Fireplace D Sewer Connection
D Foundation Survey D Masonry D Lawn Irrigation
D Radon Rock Bed D Mfg.
D Framing D Other(specify)
D Insulation
D As-Built Survey
inal
D Wetland Buffer
D Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: 0 YES 0 NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms\plan review checklist 2013.docx
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DENOTES PROPC)SF-D CONTOUR
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEGSCHEDULED
PERMIT NO.i6/1-/- oc3/'/ COMPLETED ''.G.?AS -45
ADDRESS c'75 CS kie4✓ C,r -
OWNER .i •' -- 4I PHONE NO.
CONTRACTOR
DESCRIPTION ic;7rYe-
44, ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
14.
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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 AL 0 WATER HOOK-UP �FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_A,4006,,,-
YES_NO
2 COMMENTS: '7L4i � `lo/€e v A/' t c47/f-a✓ t
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W 0 WORK SATISFACTORY:PROCEED '''�0,PROJECT COMPLETE
CCW
0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. l#--- -4(
hite
eCopyllnspector's File Canary Copy/Site Notice