Loading...
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) � �jcysP, 34 X15>�D 83VILL i1V,,+v 3!PG ! O J f;NYid 41H.[.d3-gM •A1c'!n3.! _!i� F�!: v .. - ��:�. e 1 fle;�^^s c;��.L'ei�l ea •apo !uoa Elnj ul eLOp dna ' y:n.4} ll.i R a -c ..JJ 35311.).. _�� ❑ ��SSS �Isl/ c� � r�v O L4 ; tJSQ�!(18 OiTS/»/-1 10 p.VV.--WA gyp/ 07 , 0 4 c� -i-,svz5F cam, �l ,� City of Orono � Planning 8�Zoning Plan Review i Site Plan Review Date: Z� Cf APPROVED ❑APPROVED WITH REVISION(see notes) DENIED / Sita � oma`/ �h t p I -- I I I I ��4 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 cc \ W Q_ O �J U_ CC //1�i?2'�S :5 T C e i- /fie f u 2 W z W QC Z) 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