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Home My WebLink About2014-01046 (add./remod./repair) CITY OF ORONO * z a 1 4 - 0 1 0 4 6 * t 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3229 B CASCO CIR PIN : 20-117-23-43-0003 LEGAL DESC : REG. LAND SURVEY NO. 1333 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 64,000.00 NOTG: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) REMODEL MASTF,R [3A"1'l l APPLICANT PERMIT FEE SCHEDULE 786.75 FAIR& SQUARE REMODELING STATE SURCHARGE(VALUATION) 32.00 210 EAST DEAN AVE TOTAL 818,75 CHAMPLIN, MN 55316- Payment(s) (612)245-5826 CREDIT CARD 6339 818.75 Minnesota State License#: BUIL-BC638907 OWNER SWANSON, KENT& MARY 3229 CASCO CIR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable Ciry approvals,and the S[ate 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 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 authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance��ith[he S[ate Building Code.This permit may be � revoked at any time for due cause. `2� ` � 9/�//� ��,�--�- c�ce� � � pplicant Permitee Signature Date Issued By Signature Date � CITY OF ORONO � . g-� � BUILDING PERMIT APPLICATION �I FOR NEW STRUCTURES OR ADDITIONS �O� Mailrng Address: Permit number: �� '-�/� PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: , 'l — � � Street Address:' '� Received by: ��, 3 Cl y � 2750 Kelley Parkway G�� Plan review fee: ��-U/D 7�`� `�� ,� Orono, MN 55356 (�� kESH�� 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 wiil be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��,�q $ �� o C��G�Z 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 pnor to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be allowed. CONTRACTOR!APPLICANT INFORMATION: Name: Fat� .1- So �a �e.w�odz�i•�5 --- State License# �C b3�q 0'1 Expiration Date: D 3 �3 I l�o i b Phone: (cell) 1�(2- 5y�- g 33� (office) (o I 2 -2�(S-S$2 6 Mailing Address: 2 o E Av Cit : Ch1 l�n Z�P� 531b Contact Person: � JQ c arlSa� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: _T� �'a:r� ah� S�u�r rewodel � cow� _ PROPERTY OWNER INFORMATION: Name: Kcn-� av� d Su2.y Sw�arscsr; Phone (day): ZIP: ss39 I , Address: 32Zq T3 Casco Ci�cl� City: D�ono Email and/or Fax S�a,�5�7 � a o I Co n.� ARCHITECT/ENGINEER INFORMATION: Name: htar k NQ.sse-I- Phone (day): Address (032� EI►ti. 't're,� A�v CitY: �xc.t,�s�or ZIP: 55331 Email and/or Fax: �ar k l� N�53c� ,'�rrL.; �e�,-e �o►� PROJECT INFORMATION: Description of project: vn � ��f' �� 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction �Single Family with �('Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. �] Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation �'�" - t� detached garage ❑ Office/Commercial ❑ Private Sewer [�Other: (specify) 1�0��i't�. ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage l$Public Water **Any earth movement may also require ❑ Commerciai ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Othef: (speCify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ (o�{ 040 STRUCTURE INFORMATION: � 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= �,1Nood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 1 St Story = ❑ On-site Prefab e.2"d Story= ❑Off-site Prefab f. '/z Story = ❑Other(please specify): g.Total Area= �. �E REQUIRED SUBMITTALS: All of the information must be submitted in order for your app(ication to be processed: Not Enclosed A plicable ❑ Permit A lication �l ❑ Pro osed Buildin Plans ' ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ! ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan p ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER 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 appiication 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; �' • Understands some or all of the information that you are asked to provide on this appfication 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. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: �/��/�� Owner's Signature: Date: F'�,AN REVIEW CHECKLIST FOR NEW STRUCTUi�ES / ADDITIONS Address/Permit Number: ,:9 �`�; , G��.��, �, � -.� r�_ �, L�� j,E;�� y i Description of work: �� x� ��=s t .�.�� ; �:� �=�-:v�..� Septic review by: %��- � �� Date Approved: Zoning review by: ��,f��"�' Date Approved: Buiiding review by: ��1� ��` ��<��-:=� Date Approved �%� � `e ' -�:6�� Grading review by: � ��'0��"�� Date Approved: ,s Zoning District: Zoning File#: Reso#: Reso Date: �� r'� Zoni : Lot Area: SF/AC VNidth:� Lot Coverage: SF �%� , Survey S mitted: 0 Yes � No Date ofi Survey: Revised date(?1;,�i"� Pro osed Set ks: %� F, F Front(Lake) Rear(Street) � N S E W ) ( N S E W ) Other Buildin�s I101etland �ide Side s� Defined Height: eak Height: FFE: FFE minus 6 feet� (Existing Contour) Perimeter(linear feet) _ �� 50% _ #of Stories O�f? � YES � FOR A BUILDING VIlITti A BASEMENT OR CRAWL CE: i�� ,� The distance between the west FOR A BUILDING ON'A SLAB FOUNDATION: START WITH proposed floor(of the base nt or crawl space)and the highest point o e roof. START WITH The distance between the top of slab and the highest point of the roof. If you have a... If you have a... � • GABLE OR HIPPED ROOF(no y � . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point � between the highest point of the roof f of the roof to the low point of the �� t to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with � r'g (BASED ON o GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windov✓s): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof ,c' roof • ALL OTHER ROOF TYPES(flat, s°� • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. � mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the / � (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenVcrawl space floor and the .;- ISTING the foundation. GRADES) highest existing grade adjacent to�2 G DES foundation OR 10 feet(whichevgY is less). EQ LS Defined tauilding height EQUALS Defined building height � �� . � Shoreianc! District MCN�lQ Perrr�it Receivec➢ Avera e Lakeshore Setba k Met? Bluf� 0 Y,Es � No 0 N/A � Yes 0 No � Yes � No � � Yes � No � N/ j P�rmit Number: Setback: Storrnv�rater Qua6ity _ ' Existing Proposed Vari�o�ce Required CUP Re uired Overla District Tier Hardcover Hardcover � �� Yes � No � Yes � No Type(s): Type(s): � Updated: January 2013 v:\forms\plan review checklist 2013.docx � � REMARKS (in-house): Fees to be Char ed YES .y.�-' fV0 Permit �.=_"`� Pian Review w.:-� - �tate S�archarge �`'`` Investigation �ee ' SAC—Nurr�ber of SAC Units � Other(specify) S uare Foota e $ er S uare Foota e Basement X � $ 15t Floor X = $ 2nd Floo� X - $ Garage X - $ Estimated Construction Value: $ ��;;_``�,a �i.�� Orono Inspections Requirec� Work Requiring Separate Permits Required State Permits 0 Site ,�Plumbing � Grading/ Filling � Well 0 Hardcover Removal -% 0 Mechanical 0 Fire ,��Electrical 0 Footing � Septic � Water Connection 0 Poured Wall � Fireplace � Sewer Connection � Foundation Survey 0 Masonry � Lawn Irrigation � adon Rock Bed 0 Mfg. Framing 0 Other(specify) � Insulation � 0 As-Built Survey � ��. ��Final Wetland Buffer 0 Other(specify) REMARKS (in-house): � Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND tNITIALLED #. Updated: January 2013 v:lforms\plan review checklist 2013.docx . " � �I�I �� D TE TIME CITY OF ORONO �cALLED IN d INSPECTION N TICE SCHEDULED - — ./ � U PERMIT NO.'" D/ - ID �OMPLET ADDRESS ��°�-ZGI l�(i' OWNER TELEPHON 0.��1 w�� CONTRACTOR � � DESCRIPTION �� -��'�C�JL, W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FO DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ RAMING ❑ MECHANICAL FINAL ❑ PROGRESS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d W ❑WORK SATiSFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advan 2� 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File anary CopylSfte Notice DATE TIME � CITY OF ORONO CALLED IN /t�=�i-� INSPECTION NQTICE /� CHEDULED � - _,/� PERMIT NO.�i v�O� PLETED � ADDRESS � � OWNER LEPHONE NO. �a��7 8� CONTRACTOR b S , � � �; DESCRIPTION � W ❑ FOOTING ❑ PLUM8ING FINA ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORFJWEfLANDS y Q ❑ FRAMING ❑ MECHANICAL FI ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAfiD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W 2 Q � 2 W �C � j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. J � Cail for the next inspection 24 ho rs in dv . 9 ) 24 - � OwnerlConUactor on site: Inspector. White Copyflnspector's Ffle Canary CopylSite Notiee �J� C� Q�, DATE TIME � CITY O ORONO CALLED IN '-' INSPECTION �TICE Q SCHEDULED / — � �ERMIT NO. �- �T� COMPLETED ADDRESS� S(',�--C1 r OWNER TELEPHONE NO.�� 7'r��'?� CONTRACTOR � '� ! >`; DESCRIPTION � , '" ' `�+� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �LUMBING RI ❑ SEPTIC FINAL ❑ UNDATION/REMOVAL � WNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: " � W � J "'� � O A � / `� O � W � Q � � / Z W � W � � O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTC MPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTI ICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION T PORARY V BEFORECOVERING PE MANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKE INSPECTOR WILL REfURN ❑S P ORDER POSTED.CALL INSPECTOR �CITATION ISS ED NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �,` / V Call for the next inspection 24 hours in advance. ) 249-46�� OwnerlContractor on site: ' Inspector. White Copyllnspector's File Canary CopylSite Notice