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Home My WebLink About2014-01093 - shed r � CITY OF ORONO * z 0 1 4 - 0 1 0 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2250 FRENCI-[ LAKE RD PIN : ]0-117-23-22-0012 LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN : LOT 001 BLOCK 002 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY : 328-0THER NONRESIDENTIAL BUILD[NGS VALUATION : $ 6,000.00 NO�CF:: IN KII�'D SHED REPLACl?M}?N"I� APPLICANT PERM]T FEE SCHEDULE 132.75 PLAN REVIEW 86.29 ERPELDING, MARK&URETCi�EN STATE SURCHARGE(VALUATION) 3,00 2�50 FRENCH LAKE RD WAY'LATA, MN 55391- TOTAL 222.04 Payment(s) CHECK 6235 222.04 OWNER ERPELDING, MARK& GRETCHEN 2250 FRENCH LAKE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Che�vork for which this pemiit is issued shall be performed accordin�to the approved plans and specifications,applicable City approvals,and thc State Building Code This permit is for onl��the work described and does not grant permission for additional or related work which requires separate permits. All provisions oClaws and ordinances goveming this type of work shall be compied��ith whether or not specified hereia 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 atter work has commenced. The applicant is responsible for assurino all required inspections arc mquested in conformance with the State Quilding Code.'I�his permit may bc revoked at any time for due cause. � v � , , Applicant Pe itee Signature Date Issu By Signature Date / � CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O� Mailing Address: Permit number: p?�/�t'�d�� PO Box 66 '/ � Crystal Bay, MN 55323-0066 Date received: �'a�3"� Streef Address:� Received by: y � 2750 Kelley Parkway Plan review fee: `� � Orono, MN 55356 `�KESH�� Total Fee: �p��,�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and ali required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: _ , --, Job Site Address: � � 7�` �!<j.^� �•' �.�, �� '�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 7�No If yes, a specral event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle 6us service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR 1 APPLICANT INFORMATION: �, • Name: ��`►'��r�� L �",) i: U v�� State License# Expiration Date: Phone: cell �i 5 2 � � 6 `i E office Mailing Address: zt 5� rrr c� yt ci Cit : (%�� c ZIP: 5� 3 �'� 1 Contact Person: h��.-k- E , � 1 ,u Appiicant is: Contractor / �fiomeowner:;.��c��ie o�e� Email and/or Fax: ; M�r p t( � �ru� �� ` �� PROPERTY OWNER INFORMATION: �;�I � �—� �l� .'Ac Name: � r ` � I Phone (day): �; 5 � �� 5 2 3 �' S� Address: z2 S� f�,c.�c , 1s;6,� I1 C� Cit : C��f �✓�O ZIP: c� � 3 9 I Email and/or Fax ►` wr �c-_�� a �� ' � ° � ARCHITECT/ ENGINEER INFORMATION: Name: ��, ��,. , .� �,�n' �l��^�S - r�� (,�rrtc �/►'� O�aJ'+c,�tin�y Phone (day): 3 v� � 6 3 `�Y 3 5 �� Address: �r' � 7 ,`) .�- c f� �c� R o t`� � Cit : S�. 7�t.: � ZIP: Email and/or Fax: ��r '�, � ��,�n rl C �i�� (i% c,+��1 <a�� 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) � Ot�er. (SpeCify� , 18202 Minnetonka Blvd 5' F�'��.�� ; �+(� Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or $ DG Estimated Construction Valuation (excluding land) �� • "'� � r STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= i� Number of bedrooms= �Wood/Frame b.Width (ft.}= �� Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 15t Story = ❑ On-site Prefab e•2�d Story= �,Off-site Prefab f. '/z Story = ❑ Other(pfease specify): g.Total Area= �� G' REQUIRED SUBMITTALS: All of the information must be submitted in order for your appfication to be processed: Not Enclosed A plicable ❑ ❑ Permit A licafion ❑ ❑ 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 Calcufation s ❑ ❑ Se tic S stem Site Evaluation Re ort O ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Pians 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 appfication being aware that upon faifure to do so, the staff has no alternative but to reject it unti(it is compfete; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 subjeet 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 completion 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: Owner's Signature: %�� 1'L Date: _�'� `� � �Y PLAN REVIEVII CHECKLIST FOR NEW STRUCTUi�ES / ADDITIONS Address/Permit Number: ZZ�C7 lr=PZc;NC �� -� �� O � Description of work: �r� ��6�� E i�"�� '�°'� ��`'��'"�� ` Septic review by: �"f�� Date Approved: � Zoning review by: •�o Date Approved: �' Building review by: ��--- Date Approved: � ' � � � � C� Grading review by: �`/�Y Date Approved: � Z ing District: Zoning File#: Reso#: Reso Date:� Zonin Lot Area: SF/AC Width: Lot Coverage: SF,�_% Survey Su itted: � Yes � No Date of Survey: Revised dat�(?): � Pro osed Set acks: ,�,. Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B�dings Wetland Side Side � � Defined Height: Peak Height: FFE: FFE mi��feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Storie�'� Ok? � YES � � FOR A BUILDING WITH A BASEMENT OR CRA L SPACE: � The distance betwe the lowest FOR A BUILDING ON A SLAB FOUNDATIOI�: START WITH proposed floor(of the sement or crawl �' space)and the highest p t of the roof. �r START WITH The distance between the top of slab and �� If you have a... �� the highes4 point of the roof. If you have a... • GABLE OR HIPPED R00 (�o . GABLE OR HIPPED ROOF(no , windows): Subtract half the �; windows): Subtract half the distance distance between the highest p t /y between the highest point of the roof of the roof to the low point of the � to the low point of the corcesponding 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 TYPE,fi(flat, mansard,etc:No subtraction. mansard,etc):No subt�ction. ADDITION Add the distance between the top of slab SUBTRACTION SubVact the distance betv� en the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space fJbor and the EXISTtNG the foundation. GRADES) highest existing grad�adjacent to the GRADES foundation OR 10 f�et(whichever is less). QUALS Defined building height EQUALS Defined buildirbg height �- Shoreland District MCWD Permit 12eceived Avera e Lakeshore Se ack Met? Bluff �., �0 Yes 0 No � N/A 0 Yes 0 No 0 Yes � No 0 Yes � No 0 � Permit Number. Setback: � � Stormwater Q ity Existi�g Proposed Overla Qistr' t Tier Hardcover Hardcover ��riarrce Required CUP Re ired � Yes 0 No � Yes � No Type(s): Type(s): � Updated: January 2013 v:\forms lan review checklist 2013.docx f F' �w�, '� � ��.4�"� �, rl f�� k,'Tw".,�;s .''' "". `..Tn.. .„P z�. ,....... �'d''`rsT '�Pr��Y^ <�3'Y y..'ls ' .s9�"`.� ^L." _ �� . ' REMARKS (in-house): Fees to be Char ed YES NO Permit Plan Review State Surcharge Investigation Fee � SAC—Number af SAC Units Other(specify} S uare Foota e $ er S uare Foota e Basement X = $ 15`Floor X = $ 2nd FI00(' X = $ � Garage X = $ Estimated Construction Value: $ (��,��r 7`� 3` Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing 0 Grading/ Filling � Well � Hardcover Removal � Mechanical 0 Fire � Electrical � Footing � Septic � Water Connection t � Poured Wall � Fireplace 0 Sewer Connection 0 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: t ,.. Access: Existing: � 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 � � T � C�� DATE TIME ,�� CITY OF ORONO CALLED IN /.Z B'�'� INSPECTION NOTICE HEDULED ��,��/D-/� PERMIT NO�� -O/Dy,.�MP�ETED ADDRESS S� OWNER T.ELEPHONE NO.�ZSa �/3 3 - CONTRACTOR G� S � DESCRIPTION �/�� '''�� t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WEfLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a o —=s/« cS n C2�rC/eL� Sf�,�i - � r,��,r�. �� – �� ° /.c)o r� •ylD l�'� – W � Q z .QG�.%ytc� .rrri,/ W � W � J � ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK&PROCEED CJ ISSU CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOPORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �:`. White Copyllnspector's Ffle Canary CopylSite Notice