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Home My WebLink About2009-00623 - shed ' '� CITY OF ORONO PERMIT NO.: 2009-00623 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 09/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4060 DAHL RD PIN : 07-117-23-11-0020 LEGAL DESC : PIRATES COVE : LOT 016 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED A�T��TY 32g : .�- VALUATION : $ 2,000.00 NOTE: SEPF,RATE YI:RMI7�S REQUIRED: ELECTRICAL(S"I�ATE) 2 Y6'AR OLD EXISTING SHED FOR WHICH THE CITY HAS GRANTED A VARIANCE TOR THE SITE AND LOCATION APPLICANT PERMIT FEE SCHEDULE 73.75 NEVE, MR& MRS. JAMES STATE SURCHARGE(VALUATION) ].00 4060 DAHL RD TOTAL 74.75 MOUND, MN 55364- OWNER NEVE, MR& MRS. JAMES 4060 DAHL RD MOUND, MN 55364- 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 Statc I3uilding 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 goveming 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aher 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 r ked at any time for due ause. Gl,�s� ��d 3 � � r ' � G�il�(_ l�D�.� Ci plicant Permitee Signature Date �s By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions Mailing Address: I Permit number: /g,0,�. PO Box 66 , Q O\ Crystal Bay, MN 55323-0066 Date received: � � �� I� Received by: ';,� �' m c;;� �,� Street Address:' '�.�, '�"� �ti�'� 2750 Kelfey Parkway Plan review fee: L�kESH�4�/ Orono, MN 55356 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: Job Site Address: y0(vo �R�«-L� �-A , ��J�Q � �!� �s�� y 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 Counci/approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking rs available. Non-permitted events will not be alfowed. CONTRACTOR/APPLICANT INFORMATION: Name: SqM ES �� N�✓F� State License# Expiration Date: Phone: 9Sd-S y/ �/�3 9 �xY 1o�office) QSa - �E7��3G'78 ko►••a. cell) Mailing Address: d Go aA�I{-� � Cit : /�'t�ov�v0 IP: .t 3s� � Contact Person: S Nt,E S o(� Sq-c.K�E /V'E dE Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��,,.�v�,Q�e � a�a�a. �a�►�c 6��ckie tnc.ve. P nvadl.4 • c,o•-n PROPERTY OWNER INFORMATION: Name: .�M�t f�,s �, 1\f P✓E �i4-�-1<< E M• I�EdE Phone (day): 95�� Sy/-!�9 9 ex�' to-z- -k`f' �� Address: ,p Cit : M ov Nd ZIP: S�'3� Email and/or Fax ��,K,,n,p�.r� �+ ac✓a m_ c�a .Y. aa�r�nev.e (� casa e. . �ow� ARCHITECT/ ENGINEER INFORMATION: Name: G Phone (day): Address: City: ZIP: 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 ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer (� Other: (specify) �}Y�A�K mc.s �"�IFE,� ❑ Multiple Family/Condo ❑Warehouse ❑ Public � Storage � ❑ Public Water *'`Any earth movement may require ❑ Commercial ❑ Other(specify) � MCWD review&permits. ❑ Industrial ❑ Private WeIF Minnehaha Creek Watershed District(MCWD) , � Other: (specify) �/o� �y��G�l,1 18202 Minnetonka Blvd �e�sse, r Deephaven. MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ � Z. �ea� o �-x�J -� �"O �r c✓1�. Last Updated: 6/22/2009 a�� -� � f 'L k � - 19 - C�rty o_�/� Oronm kas c�� QreM�t�aL a� �/ct��el�tc-� �01� v.`,ti� t��'f'� t'� rs (ecq,'E� o`^. `r-{�.C. P f`op�f`�-y STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction � a. Length (ft.)= � Number of bedrooms= (�Wood!Frame � ❑ Masonry b.Width (ft.)= �O Number of garage stalls: ❑ Metal Attached = � !�, ❑ Pole Bldg. � Areas in spuare feet Detached= (�� ❑ ICF ❑ On-site Prefab , c. Basement= ❑ Off-site Prefab d. 15`Story = ❑ Other(please specify): e. 2"d StOry= f. '/Story = g.Total Area= (dA S/ � --b __ J REQUIRED SUBMITTALS: Ail of the information must be submitted in order for your application to be processed: N ot Enclosed A licable ❑ Permit A lication � dSl Pro osed Buildin Plans � MN State Ener Code Calculations and Mechanical 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 � 6a Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ t� 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 I • 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. \ /'� q ApplicanYs Signature: �.�'l,(-�4 �7 - �ate: g °� 3 d / LastUpdated: 6/22/2009 - 20 - � .-c� ��✓ �• DATE TIME CITY OF ORONO CALLED IN 9 � �� - INSPECTION NOTIC SCHEDULED �%""�— PERMIT NO. COMPLETED ADDRESS ��OC� ��--� �� OWNER � I�� CONTR. TELEPHONENO. �.�� — �7��3�7� � DESCRIPTION �� `�� ❑ FOOTING ❑ fv1ECHANICAL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. ❑ WATER HOOK-UP Z ❑ ❑ SITE INSPECTION Q �FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑ CORREC7 WORK 8 PROCEED �r I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice