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Home My WebLink About2010-00139-1 inspection is with 00138 CITY OF ORONO PERMIT NO.: 2010-00139 � ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssUED: 03/29/2010 952 249-4600 FAX: 952 249-4616 REPRINTED ON 5/13/2010 ADDRESS : 2650 COUNTRYSIDE DR W PII� : 04-117-23-12-0014 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 006 BLOCK 002 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SPORTS COURT< 120 SQ FT NOTL: OTHER INSPGCTION: AFTI:R SILT FENCE IS INPLACE AND CORNFRS OF SPORT COURT,S[DE AND REAR PROPGRI'Y LINES AI2E MARKED. ANY FENCE AROUND SPORT COURT CANNO"1'BE OVER 6'HIGH APPLICANT LAND ALTERATION 50.00 JORGENSON, ROBERT TOTAL 50.00 2650 COUNTRYSIDE DR W LONG LAKE, MN 55356 OWNER JORGENSON, ROBERT 2650 COUNTRYSIDE DR W LONG LAKE, MN 55356 { Ci � V'� AGREEMENT AND SWORN STATEMENT {�� The wark for which this permit is issued shall be performed according to ��.,� the approved plans and specitications,applicable City approvals,and thc State 13uilding 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 construclion 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. I� I he 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. � ( i V / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � CITY OF ORONO PERMIT NO.: 2010-00139 � � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [ssuEn: 03/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2650 COUNTRYSIDE DR W PIN : 04-117-23-12-0014 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 006 BLOCK 002 PERMIT TYPE : USER DEFINED PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) ACTIVITY : O/S GENERAL NO"I'E: OTHER INSPECTION: AF"I�F,R SILT PENCE IS INPLACE AND CORNERS OF SPORT COURT,SIDf?AND I2GAR YROPER"fY LINES ARE MARKGD. ANY I�GNCE AROUND SPORT COUR�I'CANNOT I31?OVER 6'HIG►1 '� APPLICANT LAND ALTERATION 50.00 JORGENSON, ROBERT TOTAL 50.00 2650 COUNTRYSIDE DR W LONG LAKE, MN 55356 OWNER JORGENSON, ROBERT 2650 COUNTRYSIDE DR W 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 specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this 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 construction is suspended for a period of l80 days at any time aRer 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 revo d at any time for due cause. j` u �v��r � � � � A plicant Perm e Si ature Date Issued By Signaturc Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. • ,��,�` City of Orono FOR CITY USE ONLY �Y,, "r P.O.Box 66 Date Received: Permit# !�►U� � � , ��°,ti,,� � 2750 Kelley Parkway �V� � dl�'�ti�� C stal Ba MN 55323 � L� a ,� `"- F rY Y> �^' Amount: ' $ �� C.U.P Filed: _['i� ��ti�` (9sz>249-a600 � • n_ $ �� ,ati�q ( � � � �� Approved By: �G� Site Plan: �'�" Recommends: A roval [� Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site/Owner Inforniation: Site Address: L- � ��% ��-�'��`��t.�,. ��°�� Owner: _� �Y 1 <� LYi.;iC�'1`=>c-�ti'1 Mailing Address: L��L C �•�-��-, Sic� City: Zip: 5`> �> � Home Phone: �I'r�L -``�7� " � ��-"�' Alternate Phone: ��'k � ��; '�� 1�"��S�r�„tv,� . , Conhactor/Applicant Informatioii: Contractor/App.: ��►rYl Z Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: ` �XPES QF II�ER DEFINED°PERMITS ❑ Stairway to Lake ❑ Retainin� Walls ❑ Tempararv Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined * (Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $ * Estimated Cost: $ ❑ Docks-One Time(tvo„-r,ake Mtka) ��Land Alteration .y�,,,,=.,X,�-1- ❑ Zonin�Review General—User Defined Surcharge General—User Defined ��e:�•.,✓� General—User Defined ❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00 *ESt1ri18fCd COSt: $ �5�.0� (Needs Site Plan) General—User Defined ❑ 501+CublC Y1[ds ❑ Residential- $30.00 $50.00 (Needs C.U.P.) ❑ Tree Removal Genera]—User Defined * Within 0-75' -$30.00 I herUy apply for a User Defined Permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the Ordinances and Codes of the City and with the State Building Code;that I understand this is not a permit and work is not to start without a permit;and that the wark will be in accordance with the approved plan. Applicant Date (User DefinedPemtit 05/08/09) City of Orono Building Permit Application for New Structures or Additions � Mailing Address: I Permit number: �g�� o2D10-OG13� PO Box 66 / ��\\ Crystal Bay, MN 55323-0066 Date received: 3��Z��D ��, � �� '�'��,�<;_�;.� �� StreetAddress:' �� Received by: � S c�t ��,ry�y��. �� 2750 Kelley Parkway Plan review fee: � 5$. $(o PoC,3-� -lo ` 9riE�o�� Orono, MN 55356 a,o-ov�3g 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;. l � Job Site Address: �� U-�1 � (�.Q �r, j� ��}� Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ Yes No /f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi/ e required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City ZIP Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER I FORMATION: Name: ` ,�- S1JY' Phone (day): C � —� Address: � I C� y Cit : ZIP: �.3� Email and/or Fax " � V � ARCHITECT/ ENGINEER INFOR ATION: Name: � �� (,� 3 m1�'l � �l .S Phone (day): Address: � cLl� �S C Cit : C�C.�'j�ls'�/!��ZIP: ��3� Email and/or Fax: O15 � � tf� _ �� PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & ❑ New Construction �'Sin le Famil with �Nater Supply 9 y ❑ Residence ❑ Addition attached garage ❑ Gara e/Accesso Bld ❑ Accessory Building ❑ Single Family with ❑ Deckg ry g' ❑ Public Sewer _Q.Relocation � v✓,,(_ �U� 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&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 Estimated Construction Valuation (excluding land) $ Last Updated: 9/29/2009 - 17 - STRUCTURE INFORMATIOiV: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= � Number of bedrooms = ❑Wood/Frame ❑ Masonry b. Width (ft.)= � Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in sauare feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 15t Story = ❑ Other(please specify): e. 2"d 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 A plicable ❑ Permit Ap 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 Buffer Im rovement Plan � En ineered Plans for Retainin Walls 4 feet or above � ❑ Plan Review Fee � 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; • 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. ApplicanYs Signature: �� Date: �- /�— /� Last Updated: 9/29/2009 - 18 - Fees to be Char ed 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 Foota e $ per S uare Foota e ' Basement X = � 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits l��ite ❑ Plumbing � Grading / Filling 0 Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire 0 Electrical � Footing 0 Septic � Water Connection � Poured Wall ❑ Fireplace ❑ Sewer Connection � Foundation Survey ❑ Masonry � Lawn Irrigation 0 Radon Rock Bed � Mfg. 0 Framing ❑ Other(specify) � Insulation � As-Built Survey �Final C�Other(specify) __ REMARKS (ln-house): �' �_`�� '� � �(X.✓ 5 � �� r rlC-� �Vr p/Hr� /aYr� �UrYI�'S o� `7 7 C�i✓� �G��Y I', I 1'�/-h'I�(� /'Iv�(1� S iCl� /�C� G�E�Y Pr�r�c��{y l�{'�e'.� l Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) ��u ��;�� .� r��:;�y� ��,-� c��c� �-� ��,��1 1>�-_ �� - � ' ��c�� Updated: 09/11/2009 z:\forms\plan review checklist.docx Plan Review Checklist for New Structures / Additions � � Address/ PID/ Legal: .,e� !� �(� �b ��`?��y�•�aQ j�� Description of work: `7i��c%�^f ('L'-c_�/� �t , �� y/�+. �-,_��C � Septic review by: __ � V� Date Approved: � � /�7- �� Zoning review by: �/' � Date Approved: � "- � � - l L� Building review by: �� Date Approved: �� t �-rC� Grading review by: ( ��- Date Approved: � " �� ' ��') Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: 2• L �� SF/AC Width: �?� t Depth: `�`r�] Survey Submitted: Yes ❑ No Date of Survey: �'�f( (/ 1� Pro osed Setbacks: Front(d.a�k� Rear(&tree�t�' ( N S E �) ( N S C�.` W ) Other Buildings Wetland Side Side h�.l7�F;,l h,�.�-c� � (�` `1 Z' f� ., e� :�1�=�� I �� 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-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT I the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: j�1� SF % I Shoreland District MCWD Permi Received Avera e Lakeshore Setback Bluff j � Yes No ❑ N/A � 0 Yes ❑ No 0 Yes C3'No ❑ Yes ❑ No ❑ N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Required 0-75' 0 Yes ❑ No 0 Yes ❑ No 75-250' Type(s): Type(s): 250-500' I 500-1000' REMARKS (in-house): '�vV�r�f�it� r'�:_�/�je,;G;�., �1�;� �r�'��;��'L'� �jC'c" az �� ,,, �S Cv c.l� � � f 5� { ' �/ �� - �°v�M�.�✓' O L9�3� Q /- �x C�1t,F� ic�, ,�r vi�vY�cl r c. �c��-C �s -� Updated: 09/11/2009 ��+ �<� �/Z� ha/ f ai�S � ` / z:\forms�plan review checklist.docx �� -��rh�� d r�G.�� '",v vva�lL�C� l✓I i c��,S �t e Hlrry r/ fi�C,�sLn L I n i�(�c: �r-r�rh10 Christine Mattson From: Christine Mattson Sent: Tuesday, November 24, 2009 9:56 AM `� To: 'gerijorg@msn.com' Subject: FW: Sport Court and Fire Pit Permit Geri, How big of a sport court are we talking about? Within the RR-1 B zone, structures over 1,000 sq ft require a 30' side yard setback and a 50' rear setback. Between 750 - 1,000' the setback is 15'. A 6 foot fence is allowed. If the fence is over 6' in height the setbacks are 30' side yard and 50' rear yard, engineered plans for the fence are required and a variance is necessary. Once we know the size of the court and have it drawn on the survey we could better advise, but as for right now, I know your big concern is the wetland buffer. We believe instaliing a sport court would cause enough land disturbance and would result in more hardcover draining toward the wetland, therefore still triggering the buffer requirement. For the answers regarding your fire pit questions, I'm forwarding this email to our Building Official, Lyle Oman to address. Chris� -----Original Message----- From: Geri Jorgenson (mailto:gerijorg@msn.com] Sent: Wednesday, November 18, 2009 3:29 PM To: Christine Mattson Subject: Sport Court and Fire Pit Permit Hi Christine: It was nice seeing you today. Here are some of my questions about putting a sport court and fire pit in my backyard. 1. The sport court would be in my side back yard where the land is pretty flat today. Between house lower level walkout and west side lot line. Not behind house like pool. It would have a fence and lighting with it. From what I believe the rules are, I don't believe it triggers any wetland issue, please advise. 2. What are the setback requirements (although I think we will be way far away from those. Are there rules on fencing? Is it in the general building permit? 3. Firepit- we are debating between a wood burning pit and a gas fire pit. What are the restrictions for both as par as set back, distance from house and permit needed? Thank you for helping me out on these issues. Geri Jorgenson 2650 Countryside Dr. W Orono, MN 55356 i , . f� To: Peter Zimmerman - �/ From: Evelyn Turner �• Date: March 17, 2009 Subject: Refund of Plan Review Fee— Permit#2010-0138 (For permit#2010-139) (Copy of permit attached) Please issue a check to refund this plan review fee. This permit will be a land alteration permit not a building permit, so a plan review fee is not required. The application was signed by Geri (Mrs.) Jorgenson.