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
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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 - $
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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 �� �
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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:
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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