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Home My WebLink About2015-01388 (add./remod./repair) . CITY OF ORONO * z 0 1 5 — 0 1 3 g e * 2750 KELLEY PARKWAY DATE ISSUED: 11/24/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3287 CASCO CIR PIN : 20-117-23-43-0044 LEGAL DESC : WINSHIPS SUBD SPRING PARK : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 13,098.00 NOTE: DETACHED GARAGE-SIDE,ROOF,MOVE DOOR AND ADD WINDOWS APPLICANT PERMIT FEE SCHEDULE 26332 PLAN REVIEW 171.16 SONDERGAARD FORCIER BUILDERS LLC STATE SURCHARGE(VALUATION) 6.55 P O BOX 208 VICTORIA, MN 55386- TOTAL 441.03 (612)849-4187 Payment(s) Minnesota State License#: BUIL-BC627292 CHECK 8611 441.03 OWNER STRUCK,JAN& SARAH 3862 NORTHERN AVE SPRING PARK, MN 55384- 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 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 wi[hin 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 ny ti for due cause. . /Y�� `z `��"�-S IC.� � l/ ��`�l-L� pli t Permitee Signature Date Issued ignature Date - City of Orono Building Permit Appiication for Maintenance i Replacement / Remodel ,�"� O "' Mailing Address: Permit number c�/�� U U ;% �- N��\ Po aoX ss � ! � Crystal Bay,MN 55323-0068 Date received: �U"� �- S i � ,! Sheet Address: Received by: y`�� :/' 2750 Keiley PaiicwaY Plan review fee: G ' Orono,MN 55356 {� \\lqkFSH��E-�� '��U� �1___-- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 This appfication form must be completed in fu11 and all required informati�n must be submitted. incamplete applications will be returned. (Please prinf) (3ENERAL INFORMATION: . 1 Job Site Address: 3 a� 7 �SC:.�b �t �'C-1� Will thls be a Parade of Homss, Ramodelars Showcase Home or other Display Home? Yes No !f yes,a speda/ev�ent pemM is n�quirod widh Police Depafinent anaf Cily Council approva/60 days prror to the evertt. Shuttle bus seivioe wili be required unless applrcant demonsbates sulFrcient on-site parking!s avaAable. Non-pennitt�ed events wiN not be allowed CONTRACTOR/APPLICANT tNFORMATION: Name: So r�c�e.r' a.ar� �o r�.i er' j�c.c%1 cp�'S L L�C'_� State License# xpiration Oate: 3 — 3 � — 17' Lead Certification Number• Expiration Date: (for work on homes thaf were constructed pHor fo 19T8 Phone: (celi) 612-L�3�!�l-�-!18 7 (office) 952- �f�3-�3 �/9 t Mailing Address: p X Q� City: �J��. r�a� ZIP• � Contact Person: s'b►�e r c�,Cx.f' Applicant is: Coniractor / Homeowner �ci.�e o�e� Email and/or Fax: ' Sp n et- M a i • �m PROPERTY OWNER INFORMATION: Name� �p�v� �- �j� �`�"r'►.�G�G Phone(day): 95�- Z�.I-05�3 Address: �Q(p 2. ►�(o,r-r 2rn �v�n u� ciry:$�p,�i nq Pc�,r'�S z�P� SS.,3 8 Y Emai!and/or Fax: 5-}-r�LLG 'SS3 S y(� 4�'►'+Ct�. c-o M � �y,�p�le, "oo� PROJECT INFORMATION: Overail ro ect do� tion: C.'b-L�� " 5�cRe Y'oU�adr� it7�►u�C�OS Type of Project: ' �/ , A�y esrth movement may also require �,��`� MCWD review&permits: � �Q door(s) ❑Remn� I � �mage �Re-roof,asphalt r' 'i��i�' l ,�li emage Minnehaha Creek Watershed District(MCWD) � 18202 Minnetonka Blvd ❑Re-roof,cedar . �k/ �� j„�� nage Deephaven,MN 55391 t"'- � V� Phone: 952-471-0590 ❑Re-roof,othe�(specity� , p � �fY) Fa�c: 952-471-0682 U✓� �� Estimated Construction Y, ��';,`I�L� �andj 8 �-� � � APPLICANT ACKNOWLEL �' . Agrees to provide all informa ,.�red or requested by the Building Department; • Cerfifies that the information supplied is true and correct to the best of hisltier knowledge. The applicant reoognizes that they are solely responsible for submitting a complete application being awa�e that upon failure to do so, the staff has no attemative but to rejed it until it is complete; • Some or atl of the informatiori that you are asked to provide on this application is classifled by State law as either private or confidential. Private data is infoRnaGon which genera(ly cannot be given to the public but can be given to the subject of the data. Confiderttial data is infvrmation which generaNy cannot be given to either the public or the subject of the data. Our�rpose and intended use of this infiorm 'on is annually update our records and records of other govemmental agencies required by law. If ou refuse to su I n Rna� .the licatiom m �ot 'ssued. ApplicanYs Signature: _ Date: 0�'�" �S� 2-�� Owner's Signature: Date: � l�� 2�- Last Updated:January 2015 , . PLi4N F�EVIEV1/ CFiECKLISI` FQR NEW STRUCTUf�ES / ADDITIONS Address: �Z�j 7 � SG� Ct`'G�e Permit No.: Description of work: Date Rec'd: Septic review by: /� � �2i(/�� Ud(l��e Approvecl: Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: /�l�/�— Date Approved: ' Zoning District: Zo ing File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Cove ge: gF o� Survey Submitted: � Yes � No Date of Survey: Revised date � : Landscape plan submitted? 0 Yes 0 No Landscaper: Pro osed Setbacks: Front(Lake) Rear(Street) ( N E W ) N S E W ) Other�uildings Wetland �ide Side Defined He6ght: Peak Height: F�E: FFE minus 6 feet= {Existing Contou � Perimeter(linear feet) = 5 /o = L.F. below grade ,, Basement? O Yes 0 No, St ie FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance een the low st proposed Slab at or above grade— START WITH floor(of the b sement or cra space)and measure from hiqhest existina the highest int of the roof. START WITH rade to the highest point of the roof even if fill was brought in to If you ha e a... eievate home. SUBTRACTION • BLE OR HIPPED ROO (no Slab below grade—measure (BASED ON 'ndows): Subtract half th distance from highest existing grade to the ROOF TYPE) etween the highest point the roof hi hest oint of the roof. to the low point of the corre ponding If you have a... gabie or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF with (BASED ON (no windows): Subtract half windows): Subtract half the istance ROOF TYPE) the distance between the between the top of the highes highest point of the roof to windovr and the highest point f the the low point of the roof corresponding gable or hipped roof � • ALL OTHER ROOF TYPES(fl t, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is le ). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Qefined building heigh4 ,,,� EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx _ �._ _.�r _ _ . f�.--.-�-�_... ,-.�.�- . .:.,,-_.-�-- ..-�-- �.,�� .<.,,,.. .. _ - . . Shoreland District MCWD Permit Average Lakeshore Setback gluff Met? Permit Number: 0 Yes � No � N/A � Yes 0 0 Yes � No No � N/A-see attached Setback: Stormwater Quality Existing Proposed � Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one %and sf % and sf ❑ Yes 0 No 0 Yes � No 1 2 3 4 5 Type(s): Type(s): ,, Fees to be Char ed YES NO Permit Plars Review � �, State Surcharge Investigation Fee SAC-Number of SAC Unit� " Other(specify) Square Foota e $ per S uare Foota e Basement X - $ 1 S� Floor X ' $ 2"d FIoO� X - $ Garage X - $ Estimated Construction Value: $ ! /� � G� Orono Inspections Required Work Requiring Separate Permits � � Footing 0 Site ❑ Plumbing 0 Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control � Mechanical � Fire 0 Foundation Survey 0 Hardcover Removal 0 Septic ❑ Water Connection ❑ Foundation Waterproofing � Other(specify) � Fireplace 0 Sewer Connection Framing 0 Masonry ❑ Lawn Irrigation � Insulation ❑ Mfg. � Landscaping � As-Built Survey ❑ Other(specify) Final ❑ L the Required State Permits � Other(specify) 0 Well 0 Electrical REMARKS (in-house): �' -TO BE NOTED ON PERMIT AND INITtALLED: � OFFICIAL REMARKS � See Builder Acknowledgement Form � � Prior to release of escrow money an as�built survey and hardcover calculations must be submitted and approved. � f � �' Updated: October 2015 �•lfnrmc\nlan ravia�ni rharklict 1(1_9(11 F rinrv