Loading...
HomeMy WebLinkAbout2015-00602 (add./remod./repair) CITY OF ORONO * 2 0 1 5 - 0 0 6 0 2 * „ 2750 KELLEY PARKWAY DATE ISSUED: 05/15/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3145 CASCO CIR PIN : 20-117-23-43-0028 LEGAL DESC : SPRING PARK : LOT 040 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 300.00 NOTE: (STOOP OVER FRONT DOOR) APPLICANT PERMIT FEE SCHEDULE 26.25 STATE SURCHARGE(VALUATION) 0.25 DOWNEY,MR.&MRS. CHUCK TOTAL 26.50 3145 CASCO CIR Payment(s) WAYZATA, MN 55391- CREDIT CARD 5549 26.50 OWNER DOWNEY,MR.& MRS. CHUCK 3145 CASCO CIR 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 onty the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized is not commenced within l80 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 inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ', ��-t1 `�y�-�-c �7�'✓l�� � /�1=� J� �-�-/ Ap ' n ermitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number. 2(� �v ` O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �— �S�!S Street Address: Received by: Z��t-'v � � � ti�, G` 2750 Kelley Parkway Plan review fee: �J lqkFSH��� Orono, MN 55356 Total Fee: 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: �j/�� C��( �! � d�' �,.-�"L� 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 I APPLICANT INFORMATION: Name: ���,v��' . State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER IN9 FORMl4TION: Name: �F4�Lc� l >Lv 1v �� Phone (daY): (�(Z- 3U '�'!- 9!i�7 c'1 Address � - , �� City: (,v Z�-� ZIP: 5�"�3 q Email and/or Fax: f C�� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding �0-6ther: (specify) Phone: 952-471-0590 Sr�✓p Gv ar Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or Estimated Construction Valuation of Project (excluding land) $ APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide all information required or requested by the Building Department; • 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; • 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 i ation is to annually update our records and records of other governmental agencies required by law. If ou refuse to su the i tion the a lication ma not be i -- ApplicanYs Signature: Date: � -� �'^/S Owner's Signature: Date: Last Updated:January 2015 PLAIV REVIEIN �HECKLlST FOR IVEIIV STRtJCTURES / ADDITiONS Address`. �1`�� �.�� �, E� Permit No.: Description of work: Y�J q �,1 5�� � �1 Date Rec'd: Septic review by: ��✓� Date Approved: Zoning review by: t�/ I� � Date kpproved: Building review by: Date Approved: - �� �.fJ eJ Grading review by: �/� Date Approved: oning District: Zoning File#: Reso#: Re Date: Zo ing: Lot Area: SF/AC Width: Lot Coverage: SF % ; Surv Submitted: � Yes Q No Date of Survey: R ised date � : Propose Setbacks: Front(La Rear(Street) � � � E W ) ( N S E W ) er Buildings � Wetland �� Side Side �; Defined Height: Peak Height: FFE: FF minus 6 feet= (Existing Contour Perimeter(linear feet) = 50% = L.F. below grade #of Stories FOR A BUILDING WITH A BASEMEIdT O CRAWL SPACE: FOR BUILDING ON A SLAB FOUNDATION: The distan between the lowest proposed The distance between the top of START WITH floor(of the b ement or crawl space)and START WITH slab and the highest point of the the highest poin f the roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPP ROOF(no (no windows): Subtract half windows): Subtract If the dista e the distance between the between the highest po t of the oof to the low point of the cor p ding highest point of the roof to SUBTRACTIGN gable or hipped roof the low point of the k corresponding gable or (BASED ON . GABLE OR HIPPED RO (wi SUBTRACTION hipped roof ROOF TYPE) windows): Subtract hal the distanc (BASED ON . GABLE OR HIPPED ROOF between the top of th highest ROOF TYPE) (with windows): Subtract window and the hig est point of the half the distance between roof the top of the highest • ALL OTHER OF TYPES(flat, window and the highest point of the roof mansard,et :No subtraction. � ALL OTHER ROOF TYPES SUBTRACTION Subtract the di nce between the (flat,mansard,etc):No (BASED ON basement/cr I space floor and the subtraction. EXISTtNG highest exi ing grade adjacent to the ADDITION Add the distance between the top GRADES) foundatio OR 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Defin buiBding height EXISTING grade adjacent to the foundation. RADES E ALS Defined building height Shoreland District MCWD Permit ��erage �.akeshore Setb ck B��� 11�et? ; Permit Number. O Yes � No � N/A � Yes O No ❑ Yes � o � N/A—see attached � S back: Stormwater uality Proposed Overla istrict �xisting Hardcaver y (%and sfl Hardcaver Variance Required CU equired Tier circle one %and s � Yes 0 No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:lforms\plan revia�v checklist 2015.docx ,. ,_ „s,,, rc e.- , - e � -�_._ ._ - -� :-- _ -- . -,..- .�...._.�_ --�-�-n-�-�---�-F•---•.�-�-. �� . ., d . , . . h•������,� ti REMARKS (in-house): ;. Fees to be Char ed YES NO #, Permit Plan Review a°, State Surcharge Investigation Fee SAC-Number of SAC Units x Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 15f Floor X = $ � 2nd Floo� X = $ i Garage X - $ �� Estimated Construction Value: $ ��� � - Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading/ Filling � Well ❑ Silt Fence/ Erosion Control ❑ Mechanical � Fire � Electrical ❑ Hardcover Removal 0 Septic ❑ Water Connection ❑ Footing � Fireplace � Sewer Connection 0 Poured Wall 0 Niasonry � Lawn Irrigation - � Foundation Survey 0 Mfg. � Landscaping � Foundation Waterproofing ❑ Other(specify) ❑ Radon Rock Bed 0 Framing � � Insulation � As-Built Survey inal ' � Other(specify) REMARFCS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES ❑ NO New: � YES � NO OFFICIAL REIV�ARKS -TO BE NOT�Q ON PERIVIIT AND INITIALLED � Updated: January 2015 �� � z:\forms\plan review checklist 2015.docx s t �� � � �,;.;;,��-. .- .r-. _�- � �_.. , � F � ,, � �,� �Lr��° P�y ���/ �,�� dl n � �o v�"�� S(l� :..�� � .�,!!� `' l � rrN � ��' .����.� � �o?"�- G��A�2 ,, �, s�! nl ,— _;;����r�"� %/g o�.u� f ����:� �� � r�t�.. c- � � �' N�C �-.S ;�� 9°'"`f 1', T� !� +�-:r�t.�.`=,�... ����.1� � _ .'�.-���'"A�L � S{-� ' ----"'� � \ �° '�•• �'' �. �� t ( � �� .` fl-//►��G°`E. ��.f'r.��...�' �� -�-.,_��,_ �J�t� ��f.��.. � �, � ��.�sy:; •(oP o� �>oTL i-� , j- / �`'-__ ZX c-� �, � '�--�-r2.,.. .�� 1�'v�`�"��.T - � � � I / f ��" � � Ndc� � � � = �- - ��co�,E'T -r'� �T��.< , f� � �.e� �����. l y.�_��--- ��'I C �,d��, �.�� cu � �{,c -r.< ;2 �..� � I � ��� `! j � c � _�`� t — ..:.���� �� �� � � � �� 3� i /� nnl � L/1 lJ�/v C7 � � � — � � REV� �E1�E� for �� � s s - +�4'�� �G�I�P�.A�,I��E �. � i � � PLAN �HECKED B DATE S -Lz-� � �� �:.� � � , ��z�p ; lrt� � ., ._ _ ��� �j- �$�lG... �v/'�, ��"� ? 3 �ou--� x 5 �w �v�_ - �S i�/�/-��"� _ ,-,r��-- / '� � a_.___�. ra � _. C'OIt1C."��'��� ��:� � `�,�4�� �i'.¢���/�:C � � � �` ( T /� TIME CITY OF ORONO CALLED IN �- �7� INSPECTION N ��HEDULED �—/ -/S PERMIT NO. S COMPLEfED ADDRESS �� � OWNER TELEPHONE NO �3 - Q CONTRACTOR � DESCRIPTION `� � ll� ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q�'F�MING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � )� a - �'7'� Cl�ocJ �U�✓ SZ�cp ' 0 � ��K� J�4�� �d��GS 4of�a�r� � � k�✓'04� >. �Q� � J S 4 ✓� .SC��EI�� - 0 � W Q �ES� - p ,� - z d� -� Cov� ✓ W � W 2 � J W,�vttK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 wnerl ntractor on site: ��l�t�� ector. ''�' White Copyllnspector's File Canary CopylSite Notiee