HomeMy WebLinkAbout2009-00251 - shed CITY OF ORONO PERMIT NO.: 2009-00251
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 05/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS 591 NORTH STREAM RD
PIN 25-118-23-34-0004
LEGAL DESC NORTH STREAM
LOT 001 BLOCK 001
PERMIT TYPE ACCESSORY STRUCTURE
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE SHED
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 1,000.00
NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE)
RELOCATE A PLAYHOUSE-MUST BE AT LEAST 19 FROM HOUSE.
APPLICANT PERMIT FEE SCHEDULE 41.25
THE VILLAGE CRAFTSMEN HOME REPAIR PLAN REVIEW 26.81
3121 JERSEY AVE S
ST.LOUIS PARK,MN 55426- STATE SURCHARGE(VALUATION) 0.50
(952)474-0981 TOTAL 68.56
Minnesota State License#:20094705
OWNER
JAEGER, SANDRA
591 NORTH STREAM RD
WAYZATA,MN 55391
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
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 not
commence ithin 180 days o the date f issuance,or if construction is
suspend fo a period of 1 ays at time after work has commenced.
Thea c is re ons i r as ri all required inspections are
req t d i conf an ith t S to Building Code.This permit may be
r�rev ked a y t' e f e ca e.
��9/
p icant PermiteE S a ure Date Issued Tly Sign ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number:
'¢+U\ PO Box 66
Crystal Bay, MN 55323-0066 Date received: 2 Z o
Street Address:' Received by: T
2750 Kelley Parkway Plan review fee:
L�rtE$xog� Orono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee:
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: 9i /"/a&7--1 S /'7 m.9 /�
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 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/APPLICANT INFORMATION:
Name: 44, - die- c.y 4rG (f-,7i2.4 /-7'si"h e All 010"",7da /1 eg-'4iV
State License# p eq 4q _ p Expiration Date; ,2Q p O
Phone: ,z office /.Z - -k& 7 -_?.21 cell
Mailing Address: Or"Z_gsal #09 C i t6grz ovo,s 4*?IP: .6.f y-Z
Contact Person: ,q v, ✓v/„�, o n Applicant is' ontractor omeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:
Phone (day):
Address: �S'y / ��,-a,¢� --V7-,e2, la,j_?1 City:
Email and/or Fax
ARCHITECT/ENGINEER INFOR ATION:
Name: ! '
Phone (day):
Address: Citv. ZIP:
Email and/or Fax.-
PROJECT
ax:PROJECT INFORMATION:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
❑ New Construction Single Family with Water Supply
9 y ❑ Residence alr�h
❑ Addition attached garage 4K-QaFaya/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
elocation 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) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $
-20 -
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= 0 Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Width (ft.)= Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 1 sc Story = ❑ Other(please specify):
e. 2"d Story=
f. '/2 Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Permit Application
❑ ❑ Proposed B ilding Plans
❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form
❑ ❑ Survey(meeting all requirements)
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation(s)
❑ ❑ Septic System Site Evaluation Report
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Improvement Plan
❑ ❑ Engineered Plans for Retaining Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ Other el T L7
e_
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: Date: 6-1,g
-21 -
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DESCRIPTION OF WORK.
ZONING REVIEW BY.w �� DATEAPPROVED:W p`ZY O
BUILDING REVIEW BY.• ( DATEAPPROVED: O
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes &,--' No
PLAN REVIEW Yes�f No SEWER CONNECTION
STATE SURCHARGE Yes / No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No t/' SITE INSPECTION
Number of SAC Units OTHER (spec)
ZONING CHECKLIST Zoning District.~
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres, 2. U Width Depth
Survey Submitted: Yes V No Date of Survey: S Q
Proposed Setbacks: g f
Front(lbuke). 1`f Right Side:
Rear(Street): Left Side: no /C�asQ-/ fp
Adjacent Structures: M17. la Welland.-
Building
etland.Building Height: Def
NHgt. 04 Peak Hgt. j�t'ypC� "Al Xlgye,
Lot Coverage: /1�' 5 n��11 "` �P-►' /��p
Grading: Staff Approval Date: By: Council Approval Date: Fye
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: MCWD Permit:
Avg. Setback: Bluff Setback. Lot Coverage:
Existing Proposed
Hardcover: 0-75' O�
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
33
BUILDING REVIEW CHECK LIST
UBC: 'CONSTRUCTION TYPE:
Sq Footage $Per Sq Fig
Basement x =
I st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 10 600 00"
Inspections Required. Work Requiring Separate Permits:
Site Plumbing Fire
_ Hardcover Removal Mechanical Water Connection
tC Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
y Final Grading/Filling Electrical(State Permit)
_ Other
e
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REM, (TO BE NOTED ON PERMIT): US h 2. f4L /PsS /C)
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City of Orono �
Planning 8�Zoning Plan Review
i
Site Plan Review Date: Z�
Cf APPROVED
❑APPROVED WITH REVISION(see notes)
DENIED /
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CITY OF ORONO CALLED IN 5X
L Wcq TIME
�2
INSPECTION NOTICE SCHEDULED
PERMIT NO. a O CG-CO,�I COMPLETED
ADDRESS �T��V 3_4 Com'-,: fYl
OWNER CONTR.
TELEPHONE NO. Lo a
�- DESCRIPTION
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLIN
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WET S
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTIO
Q ❑ FINAL ❑ SEWER HOOK-UP
❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO '
COMMENTS: f 4 11�L kc"g
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LUEl WORK SATISFACTORY:PROCEED %PROJECT COMPLETE
W
El CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR L1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.- LA�as -
White Copy/Inspector's File Canary Copy/Site Notice