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
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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:
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GW�WORK SATISFACTORY:PROCEED C7 PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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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