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Home My WebLink About2009-00592 - shed CITY OF ORONO PERMIT NO.: 2009-00592 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 09/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1115 COX FARM RD PIN : 27-118-23-32-0016 LEGAL DESC : SHADOWOOD FARM : LOT 004 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED ACTIVITY : 328-OTHER NONRESIDENTIAL BU[LDINGS VALUATION : $ 2,000.00 NOTE: STORAGE SHED/PLAYHOUSE APPLICANT PERMIT FEE SCHEDULE 73.75 KOSTIAL, BRADFORD& SARAH PLAN REVIEW 47.94 1115 COX FARM RD LONG LAKE, MN 55356 STATE SURCHARGE(VALUATION) 1.00 TOTAL 122.69 OWNER KOSTIAL, BRADFORD& SARAH 11 l 5 COX FARM RD 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 duilding Code. This permit is for only the work described and does no[grant permission for additional or rela[ed 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 I 80 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 inspec[ions are requested in conformance with the State Building Code.This permit may be revoke�at�an �ti s for due c use. f �>� ��,� �� G,� � � Z_z� 2Uc�'J � i iD� Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � c.h� q— Z�—o� City of Orono Building Permit Application for New Structures or Additions O Mailing Address: Permit number: —D��9�� , ,j�.� PO Box 66 Q � O� Crystal Bay, MN 55323-0066 Date received: — �� `�� Received b � 1 a �' ��;�;,� �,iJ Street Address:� Y' �',�s, ➢'� �,� ' 2750 Kelley Parkway Plan review fee: t�'kE3H04� Orono, MN 55356 Total Fee: �c�a • lp g 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�1 � (,�� Will this be a Parade of Homes, Remodelers 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 11 be required unless applicant demonsfrates sufficient on-site parking rs available. Non-permitted events will not be alfowed. 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 INFORMATION: �, Name: ci �;Ol,;'G��l Ki� Ot � Phone (day): 3 --7 3 2- 2�15 L 12 . 7 5 I , � 323 Address: I115 CUx �=ar,-r, 120c� City: ��t"c?�U Z1P: 55351� Email and/or Fax KoS�-ir.�l S � i'YISn ,CD�'�'1 ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZI P: 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 � �Accessory Building Shc�I�(��UY�1�US(.' ❑ 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& permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) � Other. (SpeCify) i 18202 Minnetonka Blvd plav �S rGlLi� � Deephaven, MN 55391 TT�� n�JnE Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) � ") �� --- ��— Last Updated: 6/22/2009 - 19 - . STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= ' l7 Number of bedrooms=� Wood/Frame �Masonry b.Width (ft.)= � Z Number of garage stalls: ❑ Metal � Attached = � ❑ Pole Bldg. Areas in square feet Detached = � ❑ ICF ❑ On-site Prefab � c. Basement= � ❑ Off-site Prefab d. 15`Story = I��Z ❑ Other(please specify): e. 2"d Story= � f. '/�Story = 1� g.Total Area= �� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not ' Enclosed Ap licable � ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanica� Code Re uirements Form i � ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan ❑ ❑ , Hardcover Calculation s � ❑ Se tic S stem Site Evaluation Re ort � ❑ I Access Permit � ❑ Wetland Buffer Im rovement Plan � � En ineered Plans for Retainin Walls 4 feet or above O ❑ 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 altemative I� 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. 1 ApplicanYs Signature: �\��w'°d "'v` Date: -1 . � � 2v� Last Updated: 6/22/2009 -20 - , ' r Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: � ��5 GpX Ff}C�vv� ��yj Description of work: ��-}�..'� � �(.}4�,�A v � Septic review by: Date Approved: Zoning review by: •V Date Approved: S•�--'�- a� Building review by: • �. Date Approved: 9- 2/- v�f Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: ❑ Yes 0 No Date of Survey: Pro osed Setbacks: Front(Lake) Rear(Street) (U S E W ) (�� E W ) Other Buildings Wetland Side Side z�o '� �� -� 3� � � � � � �� ` � � r,� Building Defined Height: Building Peak Height: # of Stories Ok?: 0 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 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: (>.(c_ SF — % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � Yes ,0'No 0 N/A � Yes �No � Yes 0 No ❑ Yes ❑ No ,�N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Re uired 0-75' � Yes � No � Yes 0 No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09l11/2009 z:\forms\plan review checklist.docx r ' , Fees to be Char ed YES NO Permit �/ Pian Review � State Surcharge �/ Investigation Fee ,l SAC— Number of SAC Units Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees Calculated By: Square Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ 2,�o� � Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing � Grading / Filling 0 Well � Hardcover Removal � Mechanical � Fire � Electrical 0 Footing � Septic 0 Water Connection � Poured Wall � Fireplace 0 Sewer Connection � Foundation Survey 0 Masonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. �Framing � Other(specify) 0 Insulation 0 As-Built Survey J�Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ NO New: 0 YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx C� � ��C��" / �DAT TIME � _CITY OF ORONO ��CALLED IN � � INSPECTION NOTICE SCHEDULED � 5 � _.��f� PERMIT NO. ��-C%'�'� �cJ�OMPLETED ADDRESS �I ` J� � C-�`',�C �C�c_/��'Y� /Z� OWNER ��r�� _C�_� TELEPHONE NO.��'3 �`�"��5 CONTRACTOR /��i4 >: DESCRIPTION ��Qv1'1/� �f7P�C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FiNAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � j d !1Q� W /C7�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. '� � White Copyllnspector's File Canary CopylSite Notice 663571 // /,�� G' - i?��'L �lifl�_ L-L_.j , _. 1�ECElVE� , _ �- CERTIFICATE OF SURVEY FOR SEP 17 2009 � � FEATU�F�E �UILL��ER� . '�� 4F LOT 4, BLt�CK 1 SHADOWO CITY OF ORONO , OD FARM � � � � HENNEPIN COUNTY, MII�NESOTA � Covn t y � Road � �/o. 6 � __.. .._. .. ... . . . . ._ AV�/✓� Nf-j��H+�JL'i � 1� _. . ._. _ . .. _..._ .._. . __ . .... _Y.___.._ . � �� ____ _ _ . .___.___..__'_'__...___... .__— � _ _.'_' .__.__ ___._._. _. � .`„t�, y ,�, "�-- - ---_ _ _— . . .. . .. , �� . . .N 89°54 41"F 340.11 �� , 'o_ _ , . . . . - '✓�\.�, — �.:— ._ � — -- -� - - - -� - - - - — — — - - - - — - - - - � - � ��\a'�rxs �� 0�� 5 ,`ro-y �ase�� S1T� P1..AN ._.,� 4RADENt� ��►hl � � . L � �Afi�PRC�VE� S�tc.�4 � o �o- ; :•."o X;�� \ ",. r,. ❑ �PR�VEQ lMITN REMiSl0I�61 M , �� / ��`�.`--R-\\�,� � (�o�6J ``` ❑ Dl��f' � a�,xa�F°!_ � � , fl I � ,••' +! ay ppoq.sr �� ..�.. L:.... � � • i / L X 0 ' �� Q�� sB \�E ,o,,.� �, pet�r� �-z,_ �� __ ow �i �,e, SF �� . '��s . , . JB�, , . X 2 . �N' (o . . .. .,. . . . ,. . _ : , , �5 `� � ,,. / � � / r,o,:.�) r6`-/ � _ �. , ° X �-- - �ao '�a (ioo7.5) � _.. . _ . . . — � (�0�.9)'i (obs �~�joo8 S) ��- s-.� s7 .o / 3 .,. . .. , . , ..... . . (/o� , � . �- �.7,, i • . �OQ,� . � o � 1'�' ,`� , ��Q � 0 / �-z �pi- ,ti % � ol Q' o�°�s �d - ��A' � � � � o P4��"' a� �''sO•7: � rL �� . . ��.,, h\ \ . , . _ .. �ao, • na' ' '0� �� ,� \� ��;��F�'� � . ` , . . . \ \ . .o,P�Po .,TpUs `� ls '��(OII.I , . I J �1005�0� O � � �K A \ \ ffiT�C e�,�f /cbe�� zg33 e�y A^v� ��F`e Jc'd` O � (ioo o° �o v ?'r % 10 c�� V � \ 7,y) oy�a��q:; \ a . . �/6So � ` � . � _, , . .. �°B�(oo9.,) ) �O W� � . � / �� So• � �, ��o� � � CfTY� �� , , , ,00 .o � . � �,_ .� � , . . ��, ��, o � � .�7"�.��Ah�� . ��i��i�3� PLAg� , , �� ,� ... . ' �*�r'i�'`i��.?�'�.� I5xZ2 ��A�TloN , _ .. 3S>, \ o�.,.\ :� a`� � ` �.. r � � � e,�,�5 h ,\ 1, ¢�'��,t",�.i�r:-i� �;vji�� 3�ii<<�`��'�I� ... 66 � � ra�na9��eM � h• I� .� t� ;� � � , . . . . . /. -bo ;, �-, ,�.,� � �t;��Y J ..❑ i.�i��H�'�';�'' ��.) �,� ,v O E�' � � � /°' ,c`�"'�°,O .__ .. , 13A7� .. �-� �3 -03� . , � � oq.� ,. v , . . Q,a ��•� L� LEGAL DESCRIPTION OF PREMISES : . .. . _ . _. Lot 4', B1ock 1 , SHADOWOOD FARM , , so, . o : denotes iron marker. . .. , . ��o��.9J : denotes existing spot elevation , mean sea level datum �o�4.z : denotes proposed spot elevation , mean sea level datum N Bearin9s shown are based upon an assumed datum . �� CQ =. j0�/7Z rJQ.FT. � .I<c /N SaG-�000 �J'Frd,rCK Za,vF, I This survey intends to show the boundaries of the above described property , and the proposed, locatio,n. of a .pro.posed house thereon . It does not purport to sho�t any ,other . � � improvements or encroachments . , . .. . ,.. . . . ,. . . .: ,�� , , _ _ _ ._ . . . . Mf l F{�i �� `� ��r� ��`,�� i�OAoJ'fD ECF!/�l r/d.tJ.I . . . . ... . , � � j i?�_,t11J x Llf 1AtJ�1`�yt-f Lltl�! iJ G��,�G F = /av 9. o �' �FPFiUI �.. ) z� ra�ot .�,vo,�v� �oo9. ,g ❑ r��-'�'�,;�";,._�...` „�;� ;r�.r:,�r.��r .. , � . , ' �� B�fFM6•�.r = /Ooi.3 , . _ , • f � ._ ; , , . C�f � �--�� ' [� E (0=1 l—q 5 ii ► � �' Gx �-c�,� � �� , � � I hereby certify that this survey �vas prepared b�� m'e or uncier my direct's�iper- �nTE 9-29-95 � � � vision, and that I am a duly registered Ciyil Engineer and Lanci Surveyor under "� �� the laws of�the State of Minnesota.. . - . �� ` � SCALE � :5"0 _.-� 7 � �/,�i�� ., `�% -�/�-', ' _.. Mark S. Gronb�erg Minnesota License Number 12755 lo°No. Q5-35�' �-354