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HomeMy WebLinkAbout2012-00565 (add./remod./repair) . CITY OF ORONO * 2 0 1 2 - 0 0 5 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3235 CASCO C[R PIN : 20-117-23-43-0014 LEGAL DESC : SPRING PARK : LOT 019 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATIOl�1 : $ 25,000.00 NOTE: SEPERATE PERMITS REQUIRGD: ELECTRICAL(STATE) PUT WINDOWS IN A SCREEN PORCH APPLICANT PERMIT FEE SCHEDULE 413.00 DANBERRY COMPANY PLAN REVIEW 268.45 4410 SHORELINE DR SPRING PARK, MN 55384 STATE SURCHARGE(VALUATION) 12.50 (952)471-0532 TOTAL 693.95 Minnesota State License#: 1868 OWNER SILUS, STEPHEN& ELAINE 3235 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 specificat�ons,applicable City approvals,and the State E3uilding 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 wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if eonstruction 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 eonformance wi th tate Building Code.This permit may be revoked at any time for du�' au � /'f � ��(� �l �,y l/ Z / / App1ic�� rm' e Signatur Date Issue y Si ature Date S PARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . C��y af Q�-o�o �Buifding Permit Appiica�ion for Nlainter�ance / Renovation (windows, doors, siding, re-ro�f, etc.) Mailin Address: /� � -- - 0 PO Box66 Permitnumber. %�'� �� -C �-�:�i���� �� � /� � ��I Crystal Bay, MN 55323-0066 �: Date received: ���G�IG�. I`a � ���,-� �, Streef Address: �1" '�'1'(/ Received by. �(� \�'�n t��' ti� 2750 Keile Parkwa �' � r � Y Y Plan review f e: (, � t`�kEsxo4'� Orono, MN 55356 �� Totai Fee: / _��� �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us IP This appfication form must be compieted in full and all required information must be submitted. incomplete applications will be returned. (Please print) GENERAL INFORMATION: , Job Site Address: '�._�;' ��sr /��t c��� G � r Will this be a Parade of Homes, Remodeiers Showcase Home or other Display Home? ❑ Yes [}i�o !f yes, a specral evenf permit rs required with Po(ice Departmenf and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates suffcient on-site parking is available. Non-permitfed events wil/not be allowed. CONTRACTOR/AP ICAN INFORMATIOI�: Name: �/`�(` JLt ; ��� �G9 r State License # G � � Expiration Date: Lead Certification Number: Expiration Qate: (for work on homes that were constructed rior fo 1978 Phone: 5 Z —y'7yj �—j j � (office) �� 2 Z��D �/ C � (cell) Maifing Address: �y/ � �u� i ..{.�,,� City: � .C� , ZIP: ��� � Contact Person: ����'i Appficant is: ractor / Homeowner (Circle One) Email and/or Fax: \��= j= n��, ,^(�' C�rT` � ��-�l �,C��� PROPERTY OWNER INFORMATION: Name: S f �-�,,� 5 j l�5 Phone(day): c.f"� � ,— � '7 �� a Address: �j'Z�j S✓ L " ��,� C r`,,— City: �l��..-��— ZIP:S� ��� Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement rrzay require ❑ Door(s) [�model ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Re air Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fY) ' ❑ Sitling ❑ Other. (specify) I Fax: 952-471-0682 indow(s) www.minnehahacreek.orq Overall Project Description: ;,� �,�; j„� �Y.,�:S '� � S�y,.p.� �� Estimated Construction Vafuation of Project (excluding fand) $ Z vi� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide al!information required or requested by the Building Department; • Certifies that the informafion suppfied is true and correct to the best of his/her knowledge. The appiicant recognizes that they are soiely responsible for submitting a complete applicafion being aware that upon failure to do so, the staff has no alternafive 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 confideniial. 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 informafion is to a u Ily update our records and records of other governmental agencies re uired b law. If ou refuse to I the informa , e ao lication ma not be issued. AppficanYs Signature: C� ��1 Date: �- (J � Last Updated: 08-09-2011 � ~ Plan Review Checkiist for New Structures / Additions Address/ PID/ Legal: ��-�� C.�s� C �tt. Description of work: Vii „�����.� ��,� 5 ,..�� . , �c��2L�-1 Septic review by: �i 1 i� Date Approved: Zoning review by: NI A Date Approved: Buiiding review by: S t,� ��hr,�,t� Date Approved: � -L i - ZL i Zs G r a d i n g r e v i e w b y: �► 1� D a t e A p p r o v e d. Zoning File#: Resolution#: Resolution Date: ,, Zonin District Fire Department Post Office School District . Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: `�.. 0 Yes ❑ No Date of Survey: Proposed Setbacks: Front (Lake) Rea�Street) ( N S E W ) ( N S E W ) Ot r Buildings Wetland `� Side Side , Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SRi�CE: FOR/�• UILDWG ON A SLAB FOUNDATION: START WITH the distance between the basemenf`f�oor/crawl � ART the distance between the slab and the highest space floor and the highest roof peak,`�he top of , WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of�a, the deck line of a mansard roof, or the mansard roof,or the uppermost point on a�rb,und uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest wind an� � SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof / � and hi hest roof eak of a itched roof SUBTRACT the distance between the basement fl or/crawl `� ADD the distance between the slab and the highest space floor and the highest existi�g grade within existin rade within the foundation the foundation or 10 feet, whic ver is fess. UALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: � SF % Shoreland District MCWD Permit Received I Avera e-Lak hore Setback Bluff / ❑ Yes ❑ No 0 N/A �� ❑ Yes � No � Yes ❑ N9' ❑ Yes ❑ No� � N/A ,� Permit Number: Setback: ,�` HardcoverZones Existin Proposed Variance Required CUP Required 0- 5' � Yes 0 No ❑ Yes 0 No ��5-250' Type(s): Type : 250-500' 500-1000' REMARKS (in-house): /l/�v �/-f/}�G�'_ Updated: 09/11/2009 z:lfortns\plan review checklist.docx Fees to be Charged YES NO :-Permif ,,,:,. � .���+ _ ��:� ,, . ,., , . , ; ,. v; , � , ..:� . ' .�. ..�.:: r,. " i:' _.,-. .'�.,':_:V Plan Review �' `State`Surcharge ,�= , { -,��.� ,���,�,�� J .� �. �,.��'� investigation Fee :sS�,9,C-;Nli mber:of�SAC.0 n its :,;��_�, Sewer Connection P ��i'P.'��`�i���.Ci���'�„���'�ti'`��m��.^+`���i '��" _ � 5 E'` ry�+"�� r�a 7� t ,:'�� ,�. r � ��.A .. _.7 0 � :. ,� .., � ..r , xE� ' . . . ._._ - _... . .,. Park Fee ";,xS7te�ln e��ion �� �` _ ,�n..� Y� ���;,� ,� +,�a� ��� ��,,.,�v.�,��.�, � ����,. ,��� _ .���'.�"��� ��„��� , f,�,�"� '� ��. � � .: r �; Other(specify) �AYlasce�1anEo.us�F��es�,��;��,:�+r�F ;�� -�..,������� �r �� ,,,�� � � � �s, n� , - ,.v,. — ._hi�.`Y�, �k�.��.,. .€ �� �ty -� � �1:: '"me�ifi'"r;'. w� dZs,.��,'�s Calculated By: Square Foota e $ per Square Foota e Basement X _ � 1St Floor X = � 2nd Floo� X = � Garage X _ $ Estimated Construction Value: � �ZS; L� �''= Orono inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing 0 Grading / Filling ❑ Well � Hardcover Removal ❑ Mechanical � Fire �' Electrical ❑ Footing ❑ Septic 0 Water Connection 0 Poured Wall ❑ Fireplace ❑ Sewer Connection � Foundation Survey ❑ Masonry � Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. :C'�Framing ❑ Other(specify) � Insulation � As-Built Survey ,�Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Exisfing: � YES 0 NO New: ❑ YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERM(T) Updated: Q9/11/2009 z:\forms\plan review checklist.docx D TIME �/ CITY OF ORONO CALLED IN ��� INSPECTION NO�EDOL/` SCHEDULED — ��Z :DO PERMIT NO. Z� �� COMPLETED ADDRESS 3Z 35 Cas c.o CI^ OWNER TELEPHONE NO. �!Z ZSD ���� CONTRACTOR �-�r-h�ru C� >: DESCRIPTION �Y�G�.N1(VLL� — w�yKWlNS L�� Po 1� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW�WORK SATISFACTORY:PROCEED C7 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice