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Home My WebLink About2009-00615 - shed � CITY OF ORONO PERMIT NO.: 2009-oo61s ' 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: 10/02/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1995 FOX RIDGE RD PIN : 03-117-23-13-0005 LEGAL DESC : FOX RIDGE : LOT 001 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION : $ 2,800.00 NOTE: ADV. PLAN REVIEW FEE COLLECTED 2009-00613$57.53 9/22/09 APPLICANT pERMIT FEE SCHEDULE 88.50 KIELEY, THOMAS STATE SURCHARGE(VALUATION) 1.40 1995 FOX RIDGE RD TOTAL 89.90 LONG LAKE, MN 55356 PAID WITH CC# 9737 OWNER KIELEY, THOMAS 1995 FOX RIDGE RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The wark for which this permit is issued shall be performed 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 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 no[ 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. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1�.�'��, �� 6� cz �c 7 �� App icant Permitee Signa re Date I s s u e d I 3 y S n a[u r e D a t e SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , �,��- ' a ;t�i�D�( City of rono Building Permit Application for New Structures or Additions g9.9� Mailing Address: pCr —0��p�.�" Og,�,�0 PO Box 66 Permit number: B Crystal Bay, MN 55323-0066 Date received: I �;�;�T_ ' 'a �� ;;,, a, I StreetAddress:' Received by: �'�c, '^ �� 2750 Kelley Parkway Plan review fee: .57, 'S 3 h r�4,�ESKpg�'4' Orono, MN 55356 �q� —0ob13 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in fufl and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��S 5 �t�,�- �Z,J�� Will this be a Parade of Homes, Remodelers Showca es Fiome or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shuttle bus service wil/be requrred unless appficant demonstrates su�cient on-site parking is avai/able. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: 1� Name: ��.�--�--`,�-�tNy �c�U� �� t 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: < <'<< e �'� `o�2 "(,� l ^� U 0 Z Name: �ti o .,..�f � j�' � Phone (daY)� �jsz - Y � ?—�4"� 7� - Address: ( �g� /_�;� (Z,'�r� ,� �• City: Q�G�`--> ZIP: �j�� Email and/or Fax -��j q�--� � ��}�,,, , � �,� ARCHITECT/ 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 ❑ Garage/Accessory Bldg. ❑ Public Sewer �Accessory Building �p�'�2 ��.�J ❑ 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 i ❑ 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) $ z��J o�- Last Updated: 6/22/2009 - 19 - . 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.)= 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: N ot Enclosed Ap 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 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 alternafive 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 applicafion 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 generalfy 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: Date: Last Updated: 6/22/2009 -20 - � Plan Review Checklist for New Structures / Additions Address/ PID/ LegaL l`�55 E=OX �2i �0(o�, �b/.�-� Description of work: S'F}N� Septic review by: Date Approved: Zoning review by: Date Approved: 9-2�-oq Building review by: Date Approved: 5'- �- °`1 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: 0 Yes � No Date of Survey: Pro osed Setbacks: Front(Lake) Rear(Street) ( N S C� W ) ( N S E � Other Buildings Wetland Side Side lu� ' 3 � Ic�c� Ziu 3-r ' _ Building Defined Height: ('. I�. 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 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: SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff ❑ Yes 0 No ❑ N/A 0 Yes ❑ No � Yes �f No Permit Number: � Yes 0 No � N/A 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' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx 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 Square Foota e Basement X = $ 15t Floor X = $ 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: $ 2'�f3c� �—" Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing 0 Grading / Filling ❑ Well � Hardcover Removal 0 Mechanical ❑ Fire � Electrical 0 Footing 0 Septic ❑ Water Connection ❑ Poured Wall 0 Fireplace ❑ Sewer Connection 0 Foundation Survey 0 Masonry � Lawn Irrigation 0 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 0 NO New: ❑ YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx � � , f ' . • . . ., • � ' ' . ,�. , . . . . • -� 5�.�� . � � . . � � . .. . . ��,, �,,,\ , � ��►�� • . , . ,� (�e . . {. , � . , , I ' . . I4 x Z certiti�at.�.'or"surra�► .t . �r� . ��b ��.� S►.�� ror c. P,►�t r n�k r�-,�', ��°,«�. a�.H�`�.k. P or Lot 1, Elocie l�, t�o�c asa�. D n $I oc IC f heruloptn COtmty; N3ID�lOsota �% i"�.�� `�.��R U.� � !t'�. . ' ��. �,-aC� . � '►+� - , �' � IY ; a _ _.`!o;✓�GOIr .zsov�v.i � I .. �� - � •- , ' - __ .._, .(b - i . • . , � • � ' . , . , . .« � , . Q ' J , . n. . . , . , . . ' � ' � � � � � � o � V.L% . � v \ '' " , � . � ...... . ... ... - • `wt'i �. M• s.�. � � � : � - ._.. . 9 � . ' � � - + Er,il:n � • t �� K� � � o , , `�`i� sS�' "-t' w ..... ...... : ......�� ..... .'iµ .. �r , I• � • f`. ' ' • � . O ' �' • , , . � � � w � �.Ct'AO� � R�700' �P.�'� � � ' YlSO4� ro , � �9� ^.�� .Z p' ' Z7.0� 49 4S' � . . . . .� . � . t_-�._� . � [,;_s', . . � . � . Road � ,. �` . • . R�q�- ' . � : ' � ��/ ,, �� rn� �� J��- -- , '- -_.... ,� •. !f� ' �; ,—_`__-�' , • • ' . . . . %� ' � • ' . . . . .� ' , , :` , � � .. . . , ' r I her�b�r certity thet thia is a �ra� ai�d corr��t repreaet�tatloo of a � surrey of the bounder�ies ot` Lot 1� aloc�c 1, Fox Ri�ge, and the loca- �� tion of all exi8ting Duildinga Lherson. It doee noC parpor't 'Lo ahow � �" �,�ather ixpromememta or encroschmenta. � � . . � . • . . City of.Or�no � , � � , ' � . Pianning & Zoning Plan Review � . . , �Site Plan R�view Oate:T��' �=�-;k'��'�L; . � � �' • c( -'i�-C�3 7 � p APPROVF�Ie: 1" .- 5Q� y"" ❑APPROVEpsWiTF{REy1�I�Qt�j(see rrotas) Gordc�n R. Coffin R�eg . Ob4 0 DENIED o i Iron me�rker � alrta R.' R�hder�•• 8eg, lio.13295 p. _ ,� Spot elevation La� Sm�eycrQ•aud Plac�rtera Staff:w.�� Lottg Lak�� ltirueevata