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HomeMy WebLinkAbout2015-01280 (add./remod./repair) CITY OF ORONO * z 0 1 5 - 0 1 2 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015 ORONO, MN 55356- (952 249-4600 FAX: (952 249-4616 ADDRESS : 3229 B CASCO CIR PIIY : 20-117-23-43-0003 LEGAL DESC : REG. LAND SURVEY NO. 1333 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: REPLACE DECK BOARDS WITH CEDAR. APPLICANT PERMIT FEE SCHEDULE 232.34 FAIR&SQUARE REMODELING PLAN REVIEW 151.02 210 EAST DEAN AVE STATE SURCHARGE(VALUATION) 6.00 CHAMPLIN,MN 55316- TOTAL 389.36 (612)245-5826 Payment(s) Minnesota State License#: BUIL-BC638907 CREDIT CARD 4709 389.36 OWNER SWANSON, KENT&MARY 3229 CASCO CIR WAYZATA,MN 55391- AGREEMENT AIYD 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 au[horized 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 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 an [ime for due cau e. ,, rC�l � � �% �" (� �,� .� ��� ������ � � r j / �� i i A icant Permitee 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) Mailing Address: Permit number: ^ �Q�� PO Box 66 � �� ' �� ' Crystal Bay, MN 55323-0066` Date received: /G ����J � Street Address: G� �- c�'�� Received by: ti�, G� 2750 Kelley Parkway �� �d� Plan review fee: `qxESH04� Orono, MN 55356 Total Fee: 3 �9', �� 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 pri � � � GENERAL INFORMATION: X -eV�'� Job Site Address: 322� � CzSc.O � �C�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service wi/l be required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Fai� -�' Sct,�a.r� �2u,✓�n.o��.�5 State License# �G�3 c�, c�p--� Expiration Date: 3/3� /1 l� Lead Certification Number: /�l�}T (D 5 ylb- � Expiration Date: ��� �� (for work on homes that were constructed prior to 1978 Phone: (cell) (o�2 - c���� _ g 33� (office) (o I Z —5(� 8 - 2 y�2� Mailing Address: 210 E ��.a v¢, City: G�,aw� li� Z�P� S 3 l lo Contact Person: .�5� ��`�� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: '�Q SS2 an�ai� aha.S�ivarerr��oda, . Co� PROPERTY OWNER INFORMATION: Name: K�r�.� -� 5�2y S�a�S� Phone (day): (9S 2) Y71- 7/DO Address: 2,2 $ CaSco C?.-c. C�tY� D�o-� o ZIP: S53`j Email and/or Fax: SwahS 0��� a ol• Cow., or Swavi QQ� c�o�. ccx� PROJECT INFORMATION: Overall pro'ectdescription: r �2C.e, c�.eCk l,�oa�ds � n �,.)ho�.e.. c�� wr-��� Type of Project: Any earth movement may also require MCWD review& ermits: ❑ Door(s) ❑ Remodel ❑ Fire Damage p ❑ 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 �J Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) R�l? �ZG� d2L�n9 www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ /02� DDp 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the i ation,the lication ma not be issued. ApplicanYs Signature:G--' � Date: �b s S Owner's Signature: Date: Last Updated:January 2015 PLAN I�EVIEW CHECKl�IST FOR NEW STRUCTURES / AQDITIONS Address: _ .��� � � � �.C��GC; �f�' �� Permit No.: Description of work: Date Rec'd: Septic review by: ,������' �� �f�°�C(sP Date Approved: Zoning review by: ; ,� Date Approved: 0 Buelding review by: Date Approved: l� � A `� Grading review by: ,I���� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes Q No Date of Sunrey: Revised date(?): " Pro osed Setbacks: � , Front(Lake) Ftear(Str et) ( N S E W j ( N S E W ) Other Buiidings ' Wetland ;: Side Sicle � Defined Height: Pea Height: FFE: FFE minus 6 feet= (Existing Contour Perimeter(linear feet) = 50% = L.F, low grade #of Stories ; ' FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A AB FOUNDATION: The distance be een the lowest proposed The distance between the top of - START W ITH floor(of the base nt or crawl space)and ART W ITH s�ab and the highest point of the the highest point o he roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIP ED ROOF(no (no windows): Subtract half windows): SubV ct half the distance the distance between the between the hlgh t point of the roof highest point of the roof to to the low point of e corresponding the low point of the SUBTRACTION gable or hipped roo (BASED ON . GABLE OR HIPPED OOF(with SUBTRACTION h pped oof'ng gable or �' ROOF TYPE) windows): Subtract h If the distance (BASED ON . GABLE OR HIPPED ROOF between the top of the ighest ROOF TYPE) (with windows): Subtract window and the highes oint of the ' half the distance between roof the top of the highest • ALL OTHER ROOF TYP (flat, window and the highest mansard,etc):No subtrac n. point of the roof • ALL OTHER ROOF TYPES � SUBTRACTION SubVact the distance between th (flat,mansard,etc):No (BASED ON basemenUcrawl space floor and th subtraction. � EXISTING highest existing grade adjacent to t ADDITION Add the distance between the top ` GRADES) foundation OR 10 feet(whichever i ss). (BASED ON of slab and the highest existing f EQUALS Defined building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height � Shoreland District �CWD P mit Average Lakeshore Setback Bluff Niet? C] Yes � No Permit Number: ❑ Yes � No � N/A 0 Yes � No � N!A—see att hed Setback: � Stormwater Quality �xisting Hardcover Proposed Overlay District (%and s� Hardcover ariance Required CUP Requireci ;; Yier circle one %and s � Yes � No � Yes � No 1 2 3 4 5 TYPe�s}: Type(S): Updated: January 2015 z:\forms\plan review checklist 2015.docx '`� � �. „o .�.w.... ��.�..`�?'�F�^:cc�t�Fst,-�z ,.- ��,.� s?���?�:���,."�.n,_ ' ,�_.,-. -a �"''��_�'_�,_�.�"'-_ - ._ .- _ . � REMARKS (in-house): ; Fees to be Char ed YES NO Permit �� Plan Fteview � � State Surcharge � Investigation Fee S/�C—IVumtaer of SAC Units � Other(specify) S uare Foota e $ er S uare Foota e 4.: Q, � Basement X - ". 1St Floor X = $ 2"d Floo� X - � Garage X - $ �� .� ��� � �' Estimated Construction Value: � � Orono Inspections Reguired Work Requiring Separate Permits Required State Permits � 0 Site � Plumbing 0 Grading/ Filling � Well ;" � Silt Fence/ Erosion Control 0 Mechanical � Fire ❑ Electrical - 0 Hardcover Removal � Septic 0 Water Connection : ❑ Footing Q Fireplace � Sewer Connection '-` � Poured Wall � Masonry � Lawn trrigation �; 0 Foundation Survey � Mfg. � Landscaping `> ❑ Foundation Waterproofing 0 Other(specify) ' 0 Radon Rock Bed : ' raming ❑ Insulation ❑ s-Built Survey Final - ❑ ther(specify) ' REIIAARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFICIAL REMAIZKS -TO BE NOTED ON PERMIT AND INITIALLED ; k Updated: January 2015 z:\forms\plan review checklist 2015.docx ,., > _ ,;�... ,__�. . .�,_ , .:.��,. . :, . , .:. _ , . _ : , _ � �, �; �� <<,w: _.,R. , s�_,: e .. , ..,..; _ _ ..,. ;:. . _ ���:�r,�+r� a�� �u. _ . . . ti . . �e�lacc �ec,�es lt�t �n-�i�^� ��cK �,� . � t ,,. r ������ ���'Y 1�"��c1�-,����t=' .1�_�-= ,e. � ; ���� .��.�' ��, �:� �, ` _ _ .: (p 'y%b- �G =' ) ! � �. �• k -��' R�vi��s�d for �ad� <" f / � �'' �` ���� � �f Complianee Ci�y �fiOrono / ,;.�...�,_�..� �°:..� _ �� � F^ � 6 � K , �g.� d.��.F ;�_. 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Call for the next inspection 24 hou in advance. 9-46�� OwnerfContractor on site: Inspector: White Copyllnspector's File Cenary CopylSite Notice �-) I / _��� TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED JC2=-�� � PERMIT NO. S����COMPLETED ADDRESS�a�,�0�� �/f/�1G�-� � � OWNER _ T EPH 0.���s�7 �3�7 CONTRACTOR � ��� `�� � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION �F&JtMING ❑ MECHANICAL FINAL ❑ RATED WALLS �❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �bG✓¢✓ �io� '��c b t�,e�,� .�rc4 a � ne� �-j3� - ��z•�K�P ,�i,e✓,�- o - a �� .��,e� �-�.��.� - '' �l� k�6Z l ex��� a �- � S� 7� s,�i��� b�...�- o � `i rac ,bo Gt- — Q �as'� ` OK �e r C-ot�t✓ a0�c l� � ,pY �PG�� ` ��liS�1c�S � df� ` �7 lK�f���SS�cr�se' W �S w4 I �S cfG4ss�m — � - �.r; :,t,.� f'.,+►�....� � 1s�C — W � � j d W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection�i�ours in advance. (g52) 249-460� OwnerlContractor on site: S Inspector. �`"'-' White Copyllnspector's File Canary CopylSite Notiee �. � 1 � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � SCHEDULED PERMIT NO.�n �-��-���`-'D COMPLEfED ADDRESS � � OWNER TELEPHONE NO. �� �y������ CONTRACTOR � � DESCRIPTION � � .��� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �iAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTHACTOR TO MEET YOU: YES_NO c�.� COMMENTS: ^� o� W � j //pt y-�a�L, — 0 � � ° �rov�e� �IGKS �✓ ����c. � ���.�--�-; W ' Q �'�d�lrLt.�f�oA�S � � Z W � W � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED '�FIJ6PECTION REQUIRED. ' "�_ Qy�' �"'�"'� � Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnedContractor on site: Inspector��"f� ''"' White Copyflnspector's File Canary CopylSite Notice