HomeMy WebLinkAbout2010-01013 - 10x12 storage shed , CITY OF ORONO PERMIT NO.: 2010-01013
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE Iss[1Eu: 10/25/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3800 DICKSON EXTENSION
PIN : 17-117-23-31-0020
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK O10
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : SHED> 120 SQ FT
ACTIVITY : 328-0THER NONRESIDENTIAL BUILDINGS
VALUATION : $ 1,800.00
NOTE: SEPL'RATE PERMITS RGQUIKED: ELECTRICAL(STA"I'E)
STORAGE SIfED lOXl2
20 1 0-0 1 04 1-ADVANCED PLAN REV[EW WAS PAID I3Y OWNER-CI{ECK#953 1N THE AMOUNT OF$43.71
APPLICANT PERMIT FEE SCHEDULE 67.25
ADAM BLAIR, KELLY HARRISON/ STATE SURCHARGE(VALUATION) 5.00
3800 D[CKSON EXTENS[ON
SPRING PARK, MN 55384 TOTAL 72.25
OWNER
ADAM BLAIR, KELLY HARRISON /
3800 DICKSON EXTENSION
SPRING PARK, MN 55384-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issued shall be performcd according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pernuts. All provisions of laws and ordinances governing this type of work
shall be compied�cith whether or not specitied herein."I'his permit will
expire and become null and void if construction authorized is not
commenced widiin]80 days of the date of issuance,or if construction is
suspended 1or a period of 180 days at any time after work has commenced.
The applicant is responsjble for assuring all required inspections are
requested in con�ormance witly,�he State Building Code.This permit may be � �
revoked at any l�me f�r due se. �
. ;:� ��� ������ l�i��_�/l
`'�-�� �. / /
Applicant Permitee Signature Date � �
Issued By Signature Uate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. ID(���a
City of Orono
�Building Permit Appiication ��,�
for New Structures or Additions
�— Mailing Address: ( � �- ';i �1� �
g,0,�. PO Box 66
Permit number:
, Crystal Bay, MN 55323-0066 Date received: C � C'
���� �
�e�t;*-�,
� `�- Received by:
s„ -.,4�;_ �, StreetAddress:'
�'.�,t �A�,���� 2750 Kelley Parkway Plan review fee: �?j •Z �
9kESH0�' Orono, MN 55356 ap�p _ D/� �f /
-- 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: � � �d �/�l�s� E'�f
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
!f yes, a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLIC T INFORMATION:
Name: � ���li�''
State License# Expiration Date:
Phone: 2/f�-3¢3 - 6g� (office) (cell)
Mailing Address: o D��is � Exf Cit : S n R�rk S'� ¢
Contact Person: Applicant is: Contractor I (Circle One)
Email and/or Fax:
PROPERTY OWNER INF 'R ATION:
Name: �L�� g�9/�
Phone (day): 2 ( - ¢ — SS
Address: oa ���rsu� E�Cf City: S��} ��''/� ZIP: S S 3 �4--
Email and/or Fax �jd�M,�b(a,r C� 9��' • �
ARCHITECT I ENGINEER INFORMATION:
Name:
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 '�`6arage/Accessory Bldg. ❑ Public Sewer
�Accessory Building ❑ 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) gOther: (Specify) w�,�� /�Qr �� r¢� /¢
18202 Minnetonka Blvd Stev�•.5 e
Deephaven, MN 55391 v5i1^� ¢x�3h►� �c�p,I✓•
Phone: 952-471-0590
Fax: 952-471-0682 fa�nd`d�+�7 �3 ,1�-".�^-�fQ�
www.minnehahacreek.or �'���
Estimated Construction Valuation (excluding land) $ 00 �—
Last Updated: 9/29/2009
- 17 -
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.}= �L-- 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. 1S'Story = ❑ Other(please specify): �,E
e. 2"d Story =
f. 'h Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed Applicable
� ❑ Permit A lication
� �d 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 I
� � Access Permit
� � Wetland Buffer Im rovement Plan
� � En ineered Plans for Retainin Walls 4 feet or above
0 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.
Applicant's Signature: f Date: !�/2���
Last Updated: 9/29/2009
- 18 -
� Plan Review Checklist for New Structures / Additions
�--� :, ._
Address/ PID/ LegaL �,�C�� � ' � ��1 S� '� �-� .-�
Description of work:
Septic review by: Y V � Date Approved: ���'��" %Z>
Zoning review by: �i' -� {M C� Date Approved: l� -2-Z - f o
Building review by: Date Approved: � 0 -Z -z- t o
Grading review by: N �� Date Approved:
Zoning File#: Resolution #: Resolution Qate:
Zonin District Fire Department Post Office School District
�
Zoning: Lot Area: SF 1 AC Width: Depth:
Survey Submitted: ❑ Yes ❑ No Date of Survey:
Pro osed Setbacks:
i
Front(Lake) Rear(Street) � N Sid� W � I � N S E �) Other Buildings Wetland
Side �
�U � � � 0 ' � ! �� �
Building Defined Height: C9 � �� 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 i 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 pitched 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 I
I the foundation or 10 feet, whichever is less. EQUALS I Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: C�• � SF %
Shoreland District j MCWD Permit Received Avera e Lakeshore Setback Bluff
� ❑ Yes ❑ No N/A � ❑ Yes I�' No
�Yes ❑ No ❑ Yes ❑ No I�N/A
Permit Number: Setback: '�
Hardcover Zones Existin i Proposed Variance Re uired CUP Required �
0-75' � • � ❑ Yes ❑ No � ❑ Yes ❑ No
� 75-250' Type(s): TyPe�S�:
250-500'
� 500-1000' , I
REMARKS (in-house):
Updated: 09/11/2009
z:\forms�plan review checklist.docx
Fees to be Charged YES NO
'Permit ; , ,, �
Plan Review
State,Surcharge _ , ; :
Investigation Fee
,SAC=:�N.umber ofi:SAC:Units .; : , ,: ;:,
Sewer Connection
1Nater:'�onnection =` _
. .. �: _
Park Fee
�Site�{nspection
Other (specify) , _ _
Miscellaneous,Fees _ ... . , . „ , , ;; , :
, ... .__ _ . . . _
Calculated By:
� Square Footage ' j $ per S uare Foota e � �,
Basement X - $
1 St Floor X � _ $
2nd Floo� X � - �
Garage X - �
Estimated Construction Value: $ � �tl0 °�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Remova� ❑ Mechanical ❑ Fire ❑ Electrical
❑ Footing ❑ Septic ❑ Water Connection
❑ Poured Wall ❑ Fireplace ❑ Sewer Connection
❑ Foundation Survey ❑ Masonry 0 Lawn Irrigation
❑ Radon Rock Bed ❑ Mfg.
❑ Framing ❑ Other (specify)
❑ Insulation
❑ As-Built Survey
Final
❑ Other (specify)
�
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMfT AND INITIALLED BY PERSON PULLING PERM(T)
Updated: 09/11/2009
z:\forms\plan review checklist.docx
/ �� C<:%�"L/I TE TIME
CITY OF ORONO CALLED IN /O !-
INSPECTION N_OZ��D/� SCHEDULED
PERMIT NO. o1U ! �OMPLETED _
ADDRESS G
OWNE TELEPHONE NO�✓c'� -���ra
CONTRACTOR _
� DESCRIPTION °`���L�X " ��,�Q
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL R� ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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. ❑ FOL�OW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FI AL ❑ FOUNDATIOftl/REMOVAL
� OWNERICONTRACTO MEETYOU�_YES NO �
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GW ❑WORK SATISFACTORY:PROCEED Y'9��PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
G INSPECTION REOUIRED.CALLTO 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
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Certificate of Survey
for George P _ Norling
in Lot 1 , Bloch 10 , TOWNSIIE OF LANGDON PARK �rin.
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M �os� /.,�� o{ I hereby certifiy that this survey was
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Mark S . Gronberg Mn Lic . No _ 12755
Engineers , Land Surveyors and Planners
/Yo�fh /i'n� o��hc Long Lake , f�linnesota
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o,og , Date : 8- 14-89
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The West half �f Lot 1 Fxce�t fihe S�uth 15(? f��t � ��{' r;� � _� ���� C3V�'�.�j�� � �
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thereof , Block 1 0 , Townsit� of Lancr�7on P�rk . d '� � , , ,�.: s � , " i
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This sur��e�� shows ,the loc�ti�n of aJ_1 exi�tii�q hu�_ld- � �=SYf �''� � ;
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inqs and � �roposed �-�r3c3i_fii�n th�reon . rt cloes not pt�r- e�:��E�—_ P11_ _— �
por.t to sho�� anv other improvemPnts or Pn�r_oachments . �""'---w-�--�-—�.__.. ��`�—�-�--__. 1
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