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Home My WebLink About2013-01257 - shed , ' CITY OF ORONO * 2 0 1 3 — 0 1 2 5 7 * 2750 KELLEY PARKWAY ppTE iSSU�n: 10/03/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4325 CHIPPEWA LA PIN : 31-118-23-42-0009 �,q� �� LEGAL DESC : CHIPPGWA �� ' � : LOT 001 BLOCK 001 f [ / PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY : 328-0THER NONRESIDENTIAL BUILDWGS VALUATION : $ 2,800.00 NOTE: S"I'ORAGF,SIiF.D TIIAT IS BEING MOVED. APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.40 PETRUSA, JOSEPH &JANELLE TOTAL 89.90 4325 CHIPPEWA LA ORONO, MN 55356- Payment(s) CHECK 9035 89.90 OWNER PETRUSA,JOSEPH &JANELLE 4325 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall bc performed according to the approvcd plans and specitications,applicable City approvals,and the State[3uilding Code. This permit is for only thc work described and do�s not grant permission f<�r addi[ional or related work which requires separate permits. All provisions of la�vs and ordinances governing this type of work shall be compied with whether or no[specitied herein."This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuanee,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. �- � �� ° ,� � J ,�c ; vYYtc� 1� Apphca Pe mitee Signature Date Issued By Signature Date � � � ` ,z� �� v City of Orono Building Permit Application �j �d � 8 for New Structures or Additions , Mailing Address: ,=, , �'`"*`; ��A,O PO Box 66 Permit number: '.�, � ' �_, ' i.,:� `V Crystal Bay, MN 55323-0066 Date received: ��/ `. StreetAddress:' Received by: c_��/c'�i_`1 ' �" � 2750 Kelley Parkway ! ' `, - • y � � �l�i�Y�(� �'�l Plan reviewfee: � ,' ' ��_-/C`� t �` �.� F! ��` Orono, MN 55356 ._ �,�� _ _ _ _ _ __ --- , _._ _ �kEg}{O� Main: 952-259-4600 " T Total Fee: 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: r . � .. �. , Job Site Address: ��,� 4..ti `��'` ^ � ' �.. �:;�.If_• �jr..�..'�,�1'�.i rr�1�.i )._7 _,/.]" Will this be a Parade of Homes, Rem elers 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 i be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRA�TOR/APPLICANT INFORMATION: Name: 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 INF RMATION: ..�- Name: �` �� - Y7 Q. `�' �J �Q... -�'_�YL��G�-y Phone (day): n� � � }� �r1 Address: ^�, � �� Cit : t,�'�►'�b ZIP: 5�.��`�• Email and/or Fax ,� �' � itj , C.�>�Y�l ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: _ ___ Email and/or Fax: PROJECT INFORMATION: Description of project: 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 �Private Sewer ❑ Other: (specify) ❑ 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 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or U'.� Estimated Construction Valuation (excluding land) � ��r� . 5J� Packet Last Updated: 04/19/20?3 ba� Page 22 of 23 / r \ 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 = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF , d. 1S`Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the ir�formation must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ 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 0 ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit s) ❑ ❑ Plan Review Fee ❑ ❑ 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; • :,��,�;��s ;;,�,.'.^e :nf�-,��tion supplied is tru= �:;�' ;;orrect to the best of his/her knowledge. The applicant recognizes that they are solely responsible �� submitiing d complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; i • 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. ApplicanYs Signature: Date: Owner's Signature: Date: Packet Last Updated: 04/19/2013 Page 23 of 23 �'' , ' PLAN REVIEW �HEC�LIST FOR IVEW STRUCTtJRES / ADDITIONS Address/Permit Number. �3 �-� �'��W� (�L�1�/" Description of work: ST��(�ce; .St+t�='� Septic review by: _ Date Approved: Zoning review by: �- � Date Approved: t�.-` �� ' �� Buiiding review by: �� Date Approved: 0 z - �� p � Y� radin iew . ��g� �: G g rev by• Date Approved: Zoning District: ��- l� Zonia�g File#�: �— Reso#: Reso Date: �' ' ��, Z Zoning: Lot Area: �OY?3 Z SF/RC Vl/idth: � . �1 Lot Coverage: SF,�:3% Survey Submitted: �Yes � No Date of Survey: t (-�� Revised date(?): f f- s�-A� � Pro osed Setbacks: Front(Lake} Rear(Street) ( � S � 1!V ) ( N S E �) Other Buildings Wetland Side Side �' e�� ' p��Z' �� ' e3a ' � �-� �! i� Defined Height: C9�� Peak Height: FFE: — FFE minus 6 feet= "' (Existing Contour) ;. Perimeter(linear feet) _ � 50% _ � #of Stories o�Ok? I�YES '; FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: � The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: t' START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. The distance between the top of slab and START WITH the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the , windows): Su alf the distance � distance between 4he highe�t point between, ighest point of the roof of the roof to the loy,r point of the t�?ow point of the corresponding SUBTRACTION correspondi�gable or hipped roof SUBTRACTION ,�table or hipped roof (BASED ON ROOF . GABL�-E�R HIPPED ROOF(with (BASED ON GABLE OR HIPPED ROOF(with TYPE) wipd'ows): Subtract half the ROOF TYPE) windows): Subtract half the distance �-Histance 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 i • 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 SUQ�4�P,CTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to ASED ON EXISTING basemenUcrawl 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 Deflned building height « � Shoreland District MCWQ Perm6t Receiveci Adera e Lakeshore Setback Met? �luff � ` 0 Yes � No �l N/A 0 Yes � No � � Yes � No 0 Yes � No �N/A Permit Number: Setback: �. Stormvvater Quality Existin� Proposed �rariance Required CUP Requiree! ' Overla District Tier Hardcover hBardcov�r �� Yes t�' No � Yes �' No ��g 'V�� Type(s): Type(s): Updated: January 2013 v:\forms�plan review checklist 2013.docx _ , � � b..� . � _ .. � m. _,- _ �_ ,. . ya..�� . _ -� - - _ _ _ . .� . ._ .. . .___ . . ... ...... r. _:., ,_.., �, _.,, _ ,. . � u.. _ v .. :_. .. ___�.�.�� . . . � _ REMARKS (in-house): � ;' `� Fees to be Char ed YES NO Permit Plan Review � State Surcharge Investigation Fee '' 5Q►C—Number o#SAC Units ' Other(specify} 1 ,< Square Foota e $ er S uare Foota e Basement X = � 15t Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � � � � Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading / Filling � Well � Hardcover Removal 0 Mechanical � Fire 0 Electrical ° 0 Footing 0 Septic � Water Connection h � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. � Framing 0 Other(specify) � Insulation 0 As-Built Survey J�Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � 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 �: DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under Minnesota State Statute 13.04 (see following page) to review private data on yourself. 6. Your full name is required to process this application or permit. `� �. ��t�'Y1.�,�l;�- � .P,� _ �('�.�(,�G�--� First Middle Last ��`� � ��-� Address �� i�� _��?`��I �i'S I� 33��. 0�37 City State Zip Phone I understand my rights as stated above. ._�_ _�'Z"G�l(..,.r Signat �e 1 Packet Last Updated: 04/19/2013 Page 20 of 23 . � , f� , � � �� s � l T r [�U ✓��"'� ��r�� ,�� L,,''—�__��.�cT _�C"��1� Ca�G3��__ �,��_...��!/c�� __G� _�� _' I ..�.��"'.r---....�..�—�...�_.�.—.�...�.._�..�- -- `J - . t —�iz-3o' 3v � �} ��- ~�' �-�i Yeor �T Shiryles � !� %��l /,/! � '�..,,\ 7J16" 059 Raof Sf�eeiir�g ,,,� T rG� � �,,,,, ��T —�_--�__--�--- �=^�ai�� __, � x+ " —�f— -_____.—-- --��-��'��:<,'� _ ----------{ �.�`\.. �' ��i�–i x�., t��sti �• .;� � ��s•' o.c. ��', � �i � � ,� / �.'x�`� Stud 2°x4" Sh:d '1-15/32" Fir i �-01 G�' O.C. @1 fi"' 0.�:. Plywood Si�inc� � �e v��u Y� av�~�2 � 7�1Q oSt3 s�t�-r-,,�v�_ � . 5r�a�2 f-2`x+►" So(e Plote ��3��#•� FI}•�a[x�tl 2�x4' Sole Ffote __y—__--_--- - — _--_ _`��,�7'eoted F.00r ..r.____.____ __.�,�f__.,. � Joist �66'' O.0 -.�_____ ..________.�`_____.� __�`� � _. .__ __.�__._.______ ^._�_.,� : Ireateo 4"x4" �'YPI��1L SI�,(.:'T:[�1� ��.�'�tt�� (?stJt�,.e�P��-� �E�Q�°�� 9' ��'� �4�u'''.:i:,:*:.� ��"�5�� pLAN CHECKED B G��r.�r,�-DATE iz–�6 - Zmi3 c � . AFFORDABLE PORTABLE STORAGE BUILDINGS 3 �� a- :��- _ � USELMANN'S i�i ;'��9'w �..' °= � r" ,,�. . i , • �": 3878 Hwy. 55 S.E. • P.O. Box 66 ,� ,-��J , Buffalo, MN 55313 �' �' �ir �` �a��.- , f:,�,.;,:.. (763) 682-6799 :� ,T'' .;!a,�� i+./ � t . 1 ;� Date �-��'�,� � Approx. Delivery Date �°� `>'� _....,-- , . . Sold To � t '��- _ �-._ ` .,. .�.. Phone No.� " ._ _ � _ Address � � City ';, -- - State ,, Zip = _. _ Directions -.__ _.,_ - -- _ � _ r�, � — • . � .i � !� �ri � � - - �� _ � _ � - .... � � .., - � _- . �— ' .-. � .. � _ :,%r"'"'�� L " Y3�t� ,_ .L' C„t . a J. 1� .r-�..� �e�i� S.j•�: 'r..`f��, ' �� ! � '^-__ . Load Door Facing.,�;;'❑ �Front �� ❑� Back� ❑ Driver's Side ❑ Passenger's Side QTY. DESCRIPTION PRICE AMOUNT 4�- , SIZE ' , STYLE � " . COLOR SHINGLES -�-- �'� ` �>�.� WINDOWS ❑ 18" X 27" ❑ 24" X 27" DOORS ❑ SINGLE ❑ DOUBLE GARAGE DOOR a BROWN ❑ WHITE 3/4" FLOOR � SHELVES 2'WIDE x LONG x $ PER FOOT LOFTS 4' WIDE x LONG x $ PER FOOT SHUTTERS COLOR �- ;�;:(� : _;f ; . 12" O.C. FLOOR JOISTS ❑ ,-�,�-, � r'tij � ,,,;;�/� • i , _ , .. ;�a .�x-.. ; .;^ ,. (�' _ �p, •� — DEDUCTIONS �� " �� - `�'�=�� 'r, .:, �f , � _, _�y ,> ..-; --�? � � SPECIAL INSTRUCTIONS � �;;;_ �',� , --- -.�- � !� .� ,-.,:� , ,, ., �,, ...�s _ -'a� �'� �� TAX '" � ;:;, ' TOTAL ,_.., p r .,��•, � ;; f , ,r t.� � 1 _ '' _... i�_ _M_�..,....,-.--�. , . � T ./'� � ./'�' � _; . t< _,� , -' Free Delivery withiny20 miles of sales lot. After 20 miles customer is charged $ per mile. I have read and agree that this order information is correct and understand the delivery date is approximate. CUSTOMER OR RESPONSIBLE PARIY DATE �;j � CRRTIFICATE OF SURVEY FOR -��3 Z � �,��eW� DALE RICHARDSON � � OF LOT 1 , BLOCK , CH I PPEWA RECEIVED HENNEPIN COUNTY, MINNESOTA NOV152013 CITY OF ORONO N 89°26'00" W 149.01 � . 1 2 PROPOSED SHED �o:o" 0 � N O O O M N � O O DECK DECK 0 lf� .. 34.4 -•- M ..-- -•. � ....................1�$ . M 41.7 � � � 28.2 co 55.3 � "-------•-------••-,�- 22.1 ........................................•-•-- � ° � EXISTING HOUSE � � � # 432� N � z ...------�s=9•---•-- 41.6 N O � o O O �( WELL � Q � W � � � a � g o m �; � � Z � � X w � ROAD EASEMENT SHOWN : ON COUNTY MAP o0 r� s9°��oc�� W 149.01 � � `" CHIPPEWA LANE N .. . �..w.a�p� LEGAL DESCRIPTION OF PREMISES: ��T� A� ��,�� Lot 1, Block 1, CHIPPEWA .�. SITE PLAN i � � � �� _ _._. QA►��lriE>a ��,,! � : denotes iron marker found �AP°R��D SNc:� ❑ A�Fy�OV�U �'JITH �i��lSION� o : denotes iron marker set � Q��P r` This survey shows the boundaries of the above described BY ��iw,y� property and the location of an existing house, deck, and DATE / z-i � - ?��3 driveway thereon. It does not purport to show any other im rovements or encroachments. I hereby certify that this survey, plan, or report was prepared by me S�-t`,�� GRONBERG & ASSOCIATES, INC. or under me direct supervision and that I am a duly Licensed Land Surveyor 1" - 30' CONSULTING ENGINEERS,LAND SURVEYORS, under the laws of the State of Minnesota. DP.T c SITE PLANNERS 7�I-�-S 3 445 N.WILLOW DRIVE ��-�5•"�� LONG LAKE,MN.55356 i�2� /�• 952-473-4141 .IOB RC. 13-412 Mark S. Gronber Minnesota License Number 12755 13-41 t