HomeMy WebLinkAbout2011-01036 - shed , , CITY OF ORONO PERMIT NO.: 2011-01036
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE iSSUEn: 10/14/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 200 BEDERWOOD DR
PIIY : OS-117-23-12-0027
LEGAL DESC : AUDITOR'S SUBD. NO. 203
: LOT MB BLOCK MB
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SHED< 120 SQ FT
NOTE: * SHED MUST BE A"]�LF,AST 5 FEET FROM EDGE OF DRIVEWAY. G'�'L' (INITIAL)
*NO GRAD[NG ALLOWED. PLACEMENT OP SHED ON GRADE. C�•'G� (INITIAL)
APPLICANT STRUCTURE PERMIT 50.00
AZAD, ALISHAH TOTAL 50.00
200 BEDERWOOD DR
LONG LAKE, MN 55356-
OWNER
AZAD, ALISHAH
200 BEDERWOOD DR
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. "l�his permit is for only the work describcd and does
not grant pcnnission for addi[ional or rclated work which requires separate
permi[s. 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 conslruction authorized is not
commenced within]80 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible 1or assuring all required inspec[ions are
requested in ormance h the State Building Code.This permit may be
revoke ti e for d cause. �
G J° l /� l �o /� /Ol / l l
pli Permitee Signature Date Is d By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. . �,� �
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City of Orono � 4 �. � �:�o
Zoning Perr�7it Application __
------- - --- 1
Mailing Address: Permit number: �� - �����0__
_ --
- - - ---
� Q \\ PO Box 66 Date received: � l�
�� � � Crystal Bay, MN 55323-0066
-- -- — ---- ____
���Q ���, Escrow#and �t �
d�+-___� G�d�
` �'I StreetAddress amount: _ �
i -- -
��� }+��� _�� �„' 2750 Kelley Parkway Permit Fee:
��� � �•� ' ,tj�� G�/, Orono, MN 55356 �-� - --- --
�kESH�g'�� Approved by: _ ���f _
�U-SLI
Fax: 952-249-4616 Notes:
Main: 952-249-4600 - -�
_-- ------ - - - --_____ -- --- ___ ._-- -__ __
This application form must be completed in full and all required information must be submitted. (Please print.)
G�NERAL Ifv�ORMATION: `
Job Site Address: �C�O �U��U� � ��" • __
CONTRACTOR/APPLICANT INFORMATION:
Name: � Z�c� _ __
Phone: __�/�� �1 3 S' t S�/�- Fax: _
Address: �,pO����Wc)o p�"' City�r�_,.-.� ziP: sS356
Contact Person: __�� Contact's phone number �- 3 S-/S �-- _
Email Applicant is: Contractor eowne (Circle One)
PROPERTY OWNER INFORMATION:
Name: fF� �2�— -- -__ --- -----
____
Phone (day): _--� l2- 735�1 S_ 2 -- -- -----
_-
-- - -- -- -- --
MailingAddress _�C)v i e�e]�u1�Q ��� __ ___ ZIP:_____3�fo _ ____
Email and/or Fax �(, ,GIZu�� rnc hs� , C6w, _�____ _ __ ______
Overall Pro ect Descri tion:��d' � S l�e d v-�- G � .� ��
J p — �--------- --- ---------
,__ _ ����� ------
---------- --
; cn���� ___ *
; TYPE OF PERMIT COST
-Sox-- ----- - - - -- -- -- -
� Dock, Residential- Perrnanent dock on any lake or initial seasonal dock not on $30 + engineering review costs
Lake �4innetonka (permaner�t dock re uires CUP)
----�------- -- -- ----- --
� Dock, Currimercial $50+ engineering reviev��costs
� Es�row for erosion control and engineering review costs $2,000
_ _ _ __ ---- _ _ _- -------- --- ------- --------- -
I ; Driveway Permit(New or Replacement) No charge
I Also required is a Minor or Major Land Alteration Permit
- - — --- -------------------_--
r Land Alteration, Major (grading, filling, or excavating) more 500 cubic yards or $30
more than 10 cubic yards in lakeshore setback (also requires CUP) ,
Escrow for erosion control and engineering review costs As determined by CUP__
-- --- -t----------------- --- ------ _____--
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 revieev costs
Retaining walls measuring more than four feet (from bottom of footings to top of
wa!I) require a building permit. (Tiered retaining walls are considered one wall
i unless the walls are separated by twice the height of the lower wall.)
I [scrow for erosion control and engineerir�g review cosis $2,500
, _ __ __ . _ -- _ ___. _. ._ _
Stairway to Lake (New or Replacement) $50+ engineermg rev�ew costs
�! l Cserow for erosion control and en ineerin review costs $2,000
�_ _- --- -- --- ---- --g---g-- --- -------. --- ----- �__ .. --
' Structure PErmit for other structures not requiring a building permit but i $50+ engineering review costs 1
! ; reyulated by the zoniny code (including, but not limited to accessory c:�uilding of �
i less than 120 square feet, detached deck or platform and sport court)
� Escraw for erosion control and engineering review costs $2,500 __
F------- ------------------
i ______ ; 7ree ftemoval or inten�i�+e vec,�etation removai in 0 to 75 foot zone____ _ No charge_______ _____ __
(over)
�(� *Permit fee will be collected at
U�( the time the perrnit is issued.
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APPLICANT/OWNER ACKNOWLEDGEMENT:
• Applicant 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 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 F_scrow Agreement is completed and signed by Owner;
• 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 informa�ron pplied iS.�frue and correct to the best of their knowledge.
'/! �� -, � '`
ApplicanYs Signature: `�- - -��.�� �' Date: r -'�� � `�
� � � �� � �� _ �` � � � � !
Property Owner's Signature - �'`� � Date: -
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
I D�k, 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 lan or co of MCWD Erosion Control Permit
Stairway Yo 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 lan or co y of MCWD Erosion Control Permit ____
Tree Removal Call: 952-249-4600 to schedule inspection.
Last Updated: April,2011
' � Plan Review Checklist for Zoning Permit Applications
Address: ��� � �
� - �
Description of work: �
Type of permit: ��� U�,�I �
,
� / A
Zoning review by: Date Approved: � 6 I
Grading review by: Date Approved:
Other Review, Reviewed by: � vw�--- Date Approved: /C �� %.�>- =�-'-�-- i (
Zonin :
Zoning File#: ��y Resolution #: � �n _ Resolution Date:
,�
Lot Area 1 /i SF/ Width: ;�, ,��,,��„ Depth:
� �� �
Survey Submitted? � Yes ,�No Date of Survey:
�\ , Y1�W
Ua �c; �L ►c:. 5arv�,y
Existin Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Proposed Setbacks:
Front(Lake) Rear(Street) ( N(S/; E W ) ( N S E W ) Other Buildings Wetland
�3fde Si� �-+��t V�
�1.���� � � ���;
Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff
0 Yes � N/A 0 Yes o
� Yes � 0 0 Yes 0 �le� � N/A
Permit Number: �i Setback:
Hardcover Zones Existin Proposed Variance Required CUP Required
0-75' � Yes /� PJ� 0 Yes �—P�S
75-250' Type(s): Type(s):
250-500' /,.-' Zoning File#: Zoning File#:
500-1000' Resolution#: Resolution#:
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
Planning Review Checklist for Zoning Permit Applications
Page 2 of2
Cubic Yards
� f '
In Out Total
Haul Route? ? 0 Yes � No
Explain haul route in detail:
Fees to be Charged Amount Orono Inspections Required
Permit Amount � �
��,�,�i � Site
Escrow Amount 0 Hardcover Removal
�� � Footing
Signed escrow received? ❑ Poured Wall
N� � As-Built Survey
� Yes 0 No � Planting Plan
� tland � � ��
Escrow amount received? �!� Final � (N�
� � Other(specify)
� Yes ❑ No
Engineering review needed?
0 Yes �
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
MARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
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l� � � t5w� . ✓GG��-er�—� G� pv, _
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
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Menords Nominol Size AAunl Foundaticn Cubic Fee� Side Well Exterior loMx poin� Shingles I �I� '
SKU# (w z d x h) Size�w x d� Srorage Height Trim Sidin I
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b' 1 qf. 2 gal. 5 ,, � QI I
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See Building Moterials Teom Member for pricing ond availability �
Opiional occessories s{rown on page 7.All stated sizes are nominal dimensions. R�P n�N: _ ""__
Effective 3/O 1/1 1 SM000 1 Lot 37, AUDITOR'S SUBD/t/IS/ON NUMBER 203 described os follows: �
4 �" North Line of