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2011 - 00721 - shed
CITY OF ORONO PERMIT NO.: 2011-00721 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/12/2011 (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 8/12/2011 ADDRESS : 320 WOODHILL RD PIN : 02-117-23-13-0005 LEGAL DESC : EDGEWOOD PLACE : LOT 002 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION : $ 40,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) SHED ADV.PLAN REVIEW PD 7/25/11 2011-00720 $373.26 APPLICANT PERMIT FEE SCHEDULE 574.25 KEENAN& SVEIVEN, INC. STATE SURCHARGE(VALUATION) 20.00 15119 MINNETONKA BLVD. TOTAL 594.25 MINNETONKA,MN 55345 (952)475-1229 Minnesota State License#: 7252 OWNER PAULUCCI,GINA 322 WOODHILL RD WAYZATA, MN 55391- 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. / / Sem Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF ORONO PERMIT NO.: 2011-00721 I. 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/12/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 320 WOODHILL RD PIN : 02-117-23-13-0005 LEGAL DESC : EDGEWOOD PLACE : LOT 002 BLOCK 001 g PERMIT TYPE : ADDITION/REMODEL/REPAIR AO (-- PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 4344trSIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) SHED ADV.PLAN REVIEW PD 7/25/11 2011-00720 $373.26 APPLICANT PERMIT FEE SCHEDULE 574.25 KEENAN&SVEIVEN,INC. STATE SURCHARGE(VALUATION) 20.00 15119 MINNETONKA BLVD. MINNETONKA, MN 55345 TOTAL 594.25 (952)475-1229 Minnesota State License#: 7252 OWNER PAULUCCI,GINA 322 WOODHILL RD WAYZATA, MN 55391- 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 aus-. .A ! �l 1c l e9 ll i pplicant Permit-/igna re Date Issued :y $_nature (, Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions —�` Mailing Address: Permit number: ab II—61)72-1 0,7\ Cr Box 66 Crystal Bay, MN 55323 0066 Date received: 7-ZS- /(A !'s*-. fit,.» Street Address:- Received by: 66 5(-Ole* ,�, i ; Gti� 2750 Kelley Parkway .Plan review fee: 37 3 , U, pd GC— \t g� Orono, MN 55356 � EsHo ao/l 0072.0 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: _. /,?/ / '1°---- r i Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? n Yes 1 No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT��INFORMATION: Name: = %�1/1l) 11 SVS(Vi "1 /NC- . State License# 7252. Expiration Date: ?jr Si 12. Phone: —1•7$.- 12 2!J (office) (cell) Mailing Address: / //q onet v� � tirci1 . City: OiWole/lth kg ZIP: Z3¢,$- Contact Person: atVpke,.. Applicant is: o rac oy / Homeowner (Circle One) Email and/or Fax: ej e 1'SL/}i ,b 4/2cH • C,0II14 PROPERTY OWNER INFORMATION: Name: Gt f�GG/ fCC[� 4GI Phone(day): 9 — "AL`,- — ,'i Address: '3 wool( /y / - Roil c City:aV)fO ZIP: �Tj,9r eliEmail and/or Fax ARCHITECT/ ENGINEER INFORMATIO Name: if-e8140/0 V12llf/bl / in{_, 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 FAccessory Building ❑ Single Family with ❑ Deck Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Private Sewer ❑ Multiple Family/Condo p Warehouse ❑ Public of Storage ❑ Public Water *"Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review& permits. f Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) Other�pecify) 18202 Minnetonka Blvd C�1(/!►'/'l Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ 40,i9a6 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= 0 Wood/Frame n Masonry b.Width (ft.) 4, t Number of garage stalls: ❑ Metal Attached= 0 Pole Bldg. Areas in square feet Detached= ! ❑ ICF 0 On-site Prefab c. Basement= ❑ Off-site Prefab d. 1st Story = 49-1 ❑ Other(please specify): e.2nd Story= f. '/z Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable LJ' 0 Permit Application L9' 0 Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form 121' 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ 0 Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ 0 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; • 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 agreement to ensure completion of the as-built survey and all site improvements. Applicant's Signature: � Date: 7/A5/// f Plan Review Checklist V I[/ for New Structures / Additions Address/ PID/ Legal: 2j?.() W� Gl gaged O Description of work: P Z( rk Septic review by: i ri �) Date Approved: F — 1 r t 1 Zoning review by: Date Approved: el I ( Building review by: ( Date Approved: 3'- (c)— t 1 Grading review- by: Date Approved: Zoning File#: Yom" Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area:5 f SF/AC Width: , Depth: 2 12 Survey Submitted: Yes ❑ No Date of Survey: (( Proposed Setbacks: Front(Lake) dip,treet) ( N9S E W ) ( N S E W ) Other Buildings Wetland ( Side Side i 4— +l id' klA,C e, Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ 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 Lot Coverage: NA- SF % Shoreland Distr." t MCWD Permit Re -i_-'• Average Lakeshore Setb k Bluffcv !s3 ❑ Yes ❑ No , • 0 Yes ❑ Yes No 0 Yes 0 No /A Permit Number: Setback: Hardcover Zones Existing Proposed Variance R uir d CUP Requ' ed 0-75' 0 Yes No 0 Yeslo 75-250' f" 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 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: $ 110 000. 00 Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. Framing 0 Other(specify) O Insulation O As-Built Survey Y Final O Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO EMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) •r-om. _ - - - ter,----:/L�=�.1���_�_ Jti- grLa�7��i i���� •� �-�-'�.- t711, 2 0� , u�b i t 11/-` • ( �Z 0o Gil G �� SIJ Updated: 09/11/2009 z:\forms\plan review checklist.docx DAT TIME CITY OF ORONO CALLED IN ' "I INSPECTION NT/I,Cw77/ SCHEDULED AF/./PERMIT NCOMPLETEDADDRESS L v ZO OWNER TELEPHONE NO. '`/ CONTRACTOR a.-(A7 U " ven /�/ / DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS • 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP i0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc Q. cc O W W z W cc d WCC El WORK SATISFACTORY:PROCEED14410JECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oti BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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 on s'te: Inspector. White Copy/Inspector's File Canary Copy/Site Notice j__ TIME CITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED • PERMIT NO —"I on w/COM ED ADDRESS 3 )O ce--Ai L OWNER TEL iHONE NO. pm CONTRACTOR �L/e/ w/I —jdL DESCRIPTION977-I .51/Lf 1.44 ❑ FOOTING 0 PLUMBING FINAL II EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ■ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W a CC O CC O W CC W W CC d W D9.WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • 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 on site: (A-a—it27 Inspector. White Copy/Inspector's File Canary Copy/Site Notice «v' _ PA TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / r// PERMIT NO. al)/!- // COMPLETED ADDRESS E O U3ga- 1t(I /e/,, OWNER T LEPHONE NO. 01 CONTRACTOR �.i / j• >; DESCRIPTION ? (7/l/t3 W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING LL. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING 10 MECHANICAL FINAL TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTI `FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:, YES NO o COMMENTS: CC W 0- CC CC O CC O W CC W W CC O ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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: j Inspector. (A--' !1 White Copyllnspector's File Canary Copy/Site Notice 11137PAULUCCI DRAWING proposed 8-1411 11-137 32a ce�aacClu2.e 9d 411 'SURVEY AND TOPOGRAPHIC DETAIL FOR LINA PAULUCCI 1 AND 2, BLOCK 1, EDGEWOOD PLACE AND TRACT I, R.L.S. NO. 1098 HENNEPIN COUNTY, MINNESOTA city of Orono Planning & Zoning Plan ,Ravi Site Plan Review Date: 4PPROVED Q APPROVED WITH REVISIONS (see n0tes) Q DEN ED Staff: Vk-601-1-A N LjF T- �� zM z P W t0 � L zz Z Lr) O=JN ~x 2z° �- Z� cv Lu - a o Tract I, Registered Land Survey No. 1098 files w of Registrar of Titles, Hennepin County, Minnesota. QvjJa aX This survey shows the boundaries of the above described VO and a topographic surve of a portion of the property. property, Y p p p Y• �° - m�W U. OWz Ua-UI¢- • Iron marker found ��O o Iron marker set W �Q Z zZ =QQ2 Datum: Mean sea level �N>:; ao_�- o Q Existing contour line �Zo w o oc�CM wZ_ WW � N mz�Z .. ZWZ0Lo N LjF T- �� zM z P �Cn 40 80 160 zCy- oLi SCALE IN FEET a W (n 2 M Z W U) Z W U Z Z 2 Aut lu Li11 O LLLL I. Z O U LEGAL DESCRIPTION: o � Z a O=JN ~x 2z° Lots 1 and 2, block 1, EDGEWOOD PLACE; � o ALSO Lu - a o Tract I, Registered Land Survey No. 1098 files `� 2, a g of Registrar of Titles, Hennepin County, Minnesota. a LOU OW (0 Z' This survey shows the boundaries of the above described xWUp °_'_ and a topographic surve of a portion of the property. property, Y p p p Y• �° - m�W It does not purport to show any other improvements or encroachments. LU a Ua-UI¢- • Iron marker found W z <o W a W o Iron marker set W �Q Z zZ =QQ2 Datum: Mean sea level o Q Existing contour line w o �Cn 40 80 160 zCy- oLi SCALE IN FEET a W (n 2 M Z W U) Z W U Z Z 2 Aut lu Li11 7_382 520 VV00ft Ei r-0-- Oct --0074U; 2DII.6©94(o 4-2001co -oo&b