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Home My WebLink About2013-00558 - shed , R CITY OF ORONO * 2 0 1 3 — 0 0 5 5 8 * 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2620 FOX ST PIN : 04-ll 7-23-42-0010 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY : •�4-9-�-I�IITHEgBiJ-I�,QIAIC�-�ST&UGTUR-�� -, c,�-� `,�{ �,, , l�t ; � I'c�.. j�, <<--�r-�!' VALUATION : S ?,000.00 NO"1'E: 8 X 16 FOO�I�SE IFD � �`��'z.� � APPLICANT PERMIT FEE SCHEDULE 73.75 JAFFRAY, MR. & MRS. PLAN REVIEW 47.94 2620 FOX ST WAYZATA, MN 55391 STATE SURCHARGE(VALUATION) 1.00 TOTAL 122.69 OWNER JAFFRAY, MR. & MRS. 2620 FOX ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued sha(I be performed accordine to thc approved plans and specifications,applicable Ci[y 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 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 180 days a[any time after work has commenced. The applicant is res onsible for assuring al ired inspections are requested in conf ance with the St• uilding Code.This permit may be revoked at any 'm for due cau . � ��l � � � ,_ Applicant rmitee Signature Date Issucd By. �gnature Daxe SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . 1 —! � �-� -3 - t 3 �. . �,. CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O�O Mailing Address: Permit number: �l –��8 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �i–o?�,�.3 Street Address:' Received by: y�, G� 2750 Kelley Parkway Plan review fee� `�KESH�� Orono, MN 55356 Total Fee: � �j o�« (v� 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: � � �-� �o � S•�,��-� :, � �� ,� Will this be a Parade of Homes, Remodelers Showcase Home or ot er Displ y 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICA�T INFORMATION: Name: �I �Uv�t� State License# �— Expiration Date: Phone: (cell) �S�• �rl'1- '� 0�7 I (office) �� -_, Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: / Name: �ru D-�� ;.,( �t�y ��t�l'<� Phone (day): 5�� '��- �o� i Address: a 3D x Cit : ZIP: S Email and/or Fax � " � �� • � �; , ,n ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8� 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) ❑ Multiple Family/Condo ❑Warehouse ❑ Public Storage ❑ Public Water `*Any earth movement may also require ❑ Commercial Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) �],Other: Sp Cify) 18202 Minnetonka Blvd ; Deephaven,MN 55391 Phone: 952-471-0590 � I � Fax: 952-471-0682 www.minnehahacreek.or ; Estimated Construction Valuation (exduding land) $ ��vU � STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= � Number of bedrooms= � � (k��/�/ood/Frame f�� b.Width (ft.)= � Number of garage stalls: ❑ Masonry Areas in square feet Attached=�� ❑ Metal ❑ Pole Bldg. c. Basement= Detached=� ❑ ICF d. 15S Story = �� » ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/�Story = ❑ Other(please specify): g.Total Area= �� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable 6a ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ �7 Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ �l Access Permit ❑ �1 Wetland Buffer tm rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ � Plan Review Fee ❑ Application Escrow&Agreement ❑ Other: APPLICANT/OWNER 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; • Understands 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. • Agrees that in the event that weather or other conditions prevent the comptetion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: �� (� - v �1 '� Owner's Signature: Date: C! �" �� i c�t�� ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 2C�Z.d F' � � S i. Description of work: � � I(o ,SN L C� Septic review by: _�l /� Date Approved: Zoning review by: Date Approved: �� Z e -- 20�2- Building review by: Date Approved: (o�2�3 -ZO�2 Grading review by: (v�f3 Date Approved: Zoning District: R 2- i(3 Zoning File#: — Reso#: — Reso Date: � Zoning: Lot Area: `l• i2- 3F/AC Width: Lot Coverage: SF _°/a Survey Submitted: � Yes 0 No Date of Survey: �i `3► ' c�`1 Revised date(?): — o�! r�LC Pro osed Setbacks: Front(Lake) Rear(Street) l N S� E W ) ((f� S E W ) Other Buildings Wetland Side Side t `35� r25 � t �Zno' � Z`g� � + �S ' N�r�' Defined Height: o•)� Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff � Yes � No � N/A 0 Yes � No 0 Yes ,j�No 0 Yes 0 No �S N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover 0 Yes � No � Yes t9-No /V�� Type(s): i ype(s): Updated: January 2013 v:\forms�plan review checklist 2013.docx � • . REMARKS (in-house): Fees to be Charged YES NO Permit ,/ Plan Review � State Surcharge ''r`% Investigation Fee SAC—Number of SAC Units ,/' Other(specify) � Square Foota e $per Square Foota e Basement X = $ 15t Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 2,n�o °� • Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 Plumbing � Grading/ Filling 0 We�l � Hardcover Removal � Mechanical 0 Fire 0 Electrical � Footing � Septic � Water Connection � Poured Wall � Fireplace � Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. � Framing � Other(specify) � Insulation � As-Built Survey �Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�.3 "�� 5 � COMPLETED �/ ADDRESS v�6v�� z�C :S� � OWNER ��ii'-* ��S• ��Tt��l�it/TELEPHONE NO. 95Z- 507 -Sv�� ,� / R-��N.�P F F I�A`�d� (.` ��' ��✓ 'V.'��?/1'1S �Ga4�L�r G�iL. !�w. y �,-�� Td� ' � DESCRIPTION �� f� ' � � �� W ❑ FOOTING � P�UMBING FINAL p EXCAV/GRADING/FILL�NG � ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WEftANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �t�EINAL ❑ SEWER HOOK-UP � COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ��OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: a ,7'�o'w►Lt" �`a�d�� .f��7 � �"�!i' �ar' � � > -- � o �� '14� f<��ec�i��i �. � ° �C��'SSo��y ��%r,�c�`�.fe /s �"� W . 1 , � f�G!/1 _ � �/i C L '`f- � GPJi�1/.! Q 2 �/f'E' �+;r�;' r r1 c, �!/f� ` qi�/nC-"�t•s � < <= � r�11��E'f� %/1,$/c�� .5/fOr'1` Cs'{ �/�� Z`-'/'�.0 l.aJc�/� - j _` /!a i�'l s`c�f2`!c��l S' 1'��"''1'�, ►`'�� ' d W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑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 �SPECTION REQUIRED.CALL TO ARRANGE ACCESS. � � Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. L--� . �-- �- White Copyllnspector's File Canary CopylSite Notice �v ' �� DATE' TIME ✓ � CITY OF ORONO CALLED� � INSPECTION NOTICE HEDULED -�� =.�=�Y: PERMIT NO. 2-�l � �U��MPLETED ADDRESS ZC� �� ' OWNER � ' Q� TELEPHONE NO. /S�.�C7 ��I CONTRACTOR � DESCRIPTION � C�� ty ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �] MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �►� rI AS BUILT-SURVE', n c�WER HOOK-UP ❑ HARD COVER REMOVAL D��O-SITE � 'TIC INSTALL ❑ Fnl I��TiON/REMOVAL 2 J'v�iivewCOiVTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � , . W � � r � � a � J O Q � , � • V-f�V f, G r C 1 � e�/Gr,� � � �/'(�(/l 2 / y,��li.�G�l� �i9eGS• (. �� W c '� �� . Q T� � L(�oo Q 11ur r��w� �j�ove /iv �l.�r14 . z � r G� c t�� ve r� ��i6�c, ��-f� C/�.-.c�� oc- .� �e �..�G fLi� .�a�-F— . � �orrec�b- � c� �/ �o/ rc,,�s/J��v�. j a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CEFTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection hourfs in advance. (952) 249-4600 OwnerlContractor on site: l Inspector. White opyllnspector's File Canary CopylSite Notice