HomeMy WebLinkAbout2014-01138 - shed CITY OF ORONO * 2 0 1 4 - 0 1 1 3 S *
' 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2010 COLIN DR
PIN : 03-117-23-21-0014
LEGAL DESC : KELLEY GREEN
: LOT 001 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE . SHED> 120 SQ FT ;�
ACTIVITY . S � a � 1
���'�j� - /C L'�'
VALUATION : $ 4,890.00 �-�� �����
NO"I�1:: 10 X 14 SI�IEU
APPLICANT PERMIT FEE SCHEDULE 1 18.00
PLAN REVIEW 76.70
BEAUDET, DOUGLAS& DEENA STATE SURCHARGE (VALUATION) 2.44
2010 COLIN DR
LONG LAKE, MN 55356- TOTAL 197.14
Payment(s)
CHECK 5072 197.14
OWNER
BEAUDET, DOUGLAS & DEENA
2010 COLIN DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMEIYT
I'he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State[�uilding Code. This pennit is tbr only the work described and does
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing U�is type of work
shall be compied with whether or not specitied 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 consfruction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring all requircd inspections arc
requested in conformance�cith the State L3uilding Code.'I'his permit may be
revoked at anv timc for duc cause.
,� i
�0�.�����u�u�U�`;?� ;��f ��� �-v �y �v , /�� �
Appticant Permitee Signatw�c Date � Issue I3y Signature Date
City of Orono ��
Building Permit Application � 1� �
for New Structures or Additions
Mailing Address: �v��
���0 PO Box 66 ( Permit number:
Crystal Bay, MN 55323-0 `�, Date received: ��' �
V'
Streef Address:' �I� Received by:
-� ,� 2750 Kelley Parkway
yF ��, Ptan review fee:
c,` Orono, MN 55356 ' �
l�KESHO�� Main: 952-259-4600 Total Fee:
Fax: 952-249-4616 wvwv.ci.orono.i�n.us
This application form must be compteted in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �,G I O �c���v� r�✓�', ��o vr�r , � �� vr .���� _
Will this be a Parade of Homes, Remodelers Showcase Home or ot er Display Home? Yes No
!f yes,a special event permit is required with Police Department and City Counci!approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be apowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: Cit : IP:
Contact Person: Applicant is: Contractor / Homeowner �ci�ae o�e>
Email and/or Fax:
PROPERTY OWNER INFORMATION: p
Name: IQs l 'u f ��t �c��r ,
Phone(day): ,� � "', ��
Address: UiU -/H �,.�� Cit : G � � ZIP: ��.���
Email and/or Fax h �-a � p ���✓yr c�; !, C c�r»
ARCHITECT/ENGINEER INFORMAT ON:
Name: `��l P .S�t Nv S��i�
Phone (day): — 3 /
Address: s -1 , . �-�c.� Cit : (.���r � /.�G�r ZIP: s /� �
Email and/or Fax: e h l,c a � �i K,` � C,a
PROJECT INFORMATION: Descri tion of ro�ect:
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 ❑O�ce/Commercial (�j Private Sewer
❑Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage ❑ Public Water
**Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial �Private Well
Minnehaha Creek Watershed District(MCWD) [�Othe}': (SpeC�Y) I
18202 Minnetonka Blvd 4i Q EK U,���( �Y�e��
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek or
Estimated Construction Valuation (excluding land) $ �, O /Q • �G
Packet Last Updated: 04/19/2013
Page 22 of 23
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. 1�`Story = / �f U
❑On-site Prefab
e.2"d Story= "'
❑Off-site Prefab
f. '/z Story = -'
❑Other(please specify):
g.Total Area= /`�U
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our a lication to be rocessed:
Not
Enclosed A licable
❑ 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
❑ ❑ Wetland Bu er Im rovement Plan
❑ 0 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;
• 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 altemative
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 recorcls and records of other governmental agencies
required by law. If you refuse to suppty 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
Certiticate of Occupancy is requested, a temporary Certificate of Occupancy may be Issued upon recelpt of a�10,000
escrow to ensure completion of the as-buitt survey and all site improvements.
� '� /�
'f � � �/C/
ApplicanYs Signature: �,���'� `�_-w . �2-"J Date: �T €' T
Owner's Signature: Date:
Packet Last Updated: 04/19/2013
Page 23 of 23
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: ���o ��� ��
Description of work: B f� �- 6�-( S'l�-�
;;'
Septic review by: •� • Date Approved:
� Zoning review by: - �'• Date Approved: /U p>�' �y
{:
Building review by: Date Approved: / �'�0 ' '`�
� Grading review by: ���- Date Approved: r
�
Zoning District: �,�� �� Zoning File#: -�— Reso#: ---- Reso Date: �
Zoning: Lot Area: �. ��f �/AC Width: ���l Lot Coverage: (1 f�SF _%
Survey Submitted: �Yes � No Date of Survey: � '�e�,m� � Revised date(?): "
Pro osed Setbacks:
< Front(Lake) Rear(Street) ( N S (� W ) ( N S E � Other Buildings Wetland
Side Side
�c� ' '#' 6 20` �j � ` `� � � y �" E�o � � �r'�
Defined Height: �• 1� Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
''� Perimeter(linear feet)= 50% _ #of Stories Ok? 0 YES
F� G WITH A BASEMENT OR CRAWL SPACE:
x .� The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATIO�k'�`
�.:
START WITH roposed floor(of the basement or crawl
spase�and the highest point of the roof. START WITH T istance between the top of slab and
` 'the highest point of the roof.
If you have a:r��y �^" If you have a...
s • GABLE OR HIP OOF(no �� GABLE OR HIPPED ROOF(no
� windows): Subtract hal�tRe�� • windows): Subtract half the distance
�' distance between the highest poiltt-�. � between the highest point of the roof
of the roof to the low point of the `"-� -="
SUBTRACTION corresponding gable or hipped roof - � to the low point of the corresponding
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 OF TYPE) windows): Subtract half the distance
distance between the top of tt�e''� T� between the top of the highest
highest window and the.�est �- window and the highest point of the
point of the roof ..,Y roof
• ALL OTHfFt O�TYPES(flat, • ;�OTHER ROOF TYPES(flat,
ma sa�d,etc):No subtraction. mans�rcl,etc:No subtraction.
ADDITION Add the distance een the top of slab
SUBTRACTION S ect the distance between the (BASED ON and the highest existing e adjacent to
(BASED ON EXISTI asemenUcrawl 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
EQ Defined building height
Shoreland Di�trict MCWD Permit Recei�red Avera e La�keshore Setback Met? Bluff
� � Yes 0 No N/A P O Yes �No
� Yes � No � Yes 0 No � N/A
Permit Number: Setback:
` Stormwater Quality Existing Proposed �ariance Required CUP Required
, Overla District Tier Hardcover Haedcover
0 Yes �� No � Yes No
€��t��,� � � TYPe�s)� TYPe(S):
Updated: January 2013
v:\forms\plan review checklist 2013.docx
�
REMARKS (in-house):
Fees to be Char ed YES NO
Permit �`'"
Plan Review �`
State Surcharge
5 Investigation Fee
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
` Basement X ' $
1 S'Floor X = $
Znd Floo� X - �
Garage X - $
� ��� ��
� Estimated Construction Value: $ �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site 0 Plumbing 0 Grading / Filling � Well
0 Hardcover Removal 0 Mechanical � Fire � Electrical
� Footing 0 Septic � Water Connection
0 Poured Wall 0 Fireplace � Sewer Connection
� Foundation Survey � Masonry � Lawn frrigation
0 Radon Rock Bed 0 Mfg.
0 Framing 0 Other(specify)
0 Insulation
� As-Built Survey
Final
0 Wetland Buffer
0 Other(specify)
REMARKS (in-house): '
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES � NO
" OFFtCIAL REMARKS -TQ BE NOTED ON PERMIT AND INITIALLED
�
�
Updated: January 2013
v:\forms�plan review checklist 2013.docx
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sP�cs
36"x;�3" �3Aafters 2'e.c.
t0,�_ 2�1x36 Door 24x36 7i 16"OSB Roof Deck
Vfndov�� Opening 1Nindov 5i8"Smart Fanei Engmeered Siding
Engineered Smart Trim 8 Fascia
2xa Wal!Framing 2'-0"o.c.
7 1i2"5 Ply 2x p'ate beam
5?8"Pressure t�eated plywood floor
deckinq
2x4 Pressure treated floor ioists 1'-0"o.c.
' dx4 GC Pressure Treated Skids
14'� "
R����'��� fi�r ��t�� ������.,��,�
PLAN CHECKED B �DATE / a ""' " �y
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�tB" Smart Panel Siding 10'-8"
7116" O.S.B. Roof Deck-Sheathing 72" W X 74" H 7'-0"
.30-yearAsphait Shingles Door Opening
�c4 Collar Ties 4' o_�.
14'-0'
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/� DAT� � / TIME
CIN OF ORONO CALLED IN 7
INSPECTION NOTICE ��CHEDULED /:,2- D� -�f�---�
PERMIT NO. d���'���3�" COMPLETED ,
ADDRESS aa�v (�4`� clJf� �
OWNER u-d�' TELEPHONE N07(o3 --243-3 l97
CONTRACT
�: DESCRIPTION �/'LJ�-� J��
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS
�
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
"� �❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/fiEMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �-�i�J��S -� /l� -�✓esc..� l-eK�e -
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE
W ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANEN7
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
Owner ntractor on site: �['/��
Inspector. ��-,,��ti�
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