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Home My WebLink About2015-01124 - addn/remodel/repair CITY OF ORONO * z 0 1 5 — 0 1 1 z 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2015 ' ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 CASCO POINT RD PIN : 20-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD.NO.265 : LOT 007 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 5,000.00 NOTE: SEPARATE PERMITS REQUIRED: FIREPLACE,ELECTRICAL(STATE) NEW CABINETS,FIREPLACE,CARPET TO BASEMENT APPLICANT PERMIT FEE SCHEDULE 123.91 PLAN REVIEW 80.54 KUHL DESIGN&BUILD, LLC STATE SURCHARGE(VALUATION) 2.50 1515 STH STREET SOUTH HOPKINS, MN 55343- TOTAL 206.95 (952)935-9469 Payment(s) Minnesota State License#: BUIL-BC390161 CHECK 20970 206.95 OWNER BASKFIELD,MICHEAL&SHARON 2755 CASCO PT RD WAYZATA,MN 55391- 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 sepazate pennits. 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 authorized 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 aze �� requested in conformance with the State Building Code.This permit may be t any ti for due ca�se. �� --�, � ��,�l ��sz'�� (� � C� 7 C 1 — i i Applicant Permitee Sign re 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) �O�O Mailing Address: Permit number: �-U(S � 1 � � � PO Box 66 Crystal Bay, MN 55323-0066 Date received: i L�► L `�� Received b � � � /Street Address: ` �,�� y� ti�,� � � �I� I� 2750 Kelley Parkway \�� ;'�� Plan review fee: R ✓� ('�t,�C� t L I � Orono, MN 55356 /� �� '�fSH�� J Total Fee: Main: 952-249-4600 Fax: 952-249-4616 �1www.ci.orono.mn.us � This application form must be completed in full and all required information must be submitted. � �r,� ��r� Incomplete applications will be returned. (Please print) �« GENERAL INFORMATION: Job Site Address: _ ��j� C(�i�p P.�• � • 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 available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT/�IOI�: Name: K.�� 5� h 1_J�� State License# 0 Expiration Date: S•} , Lead Certification Number: Expiration Date: (for work on homes that were consfrucfed rior to 1978 Phone: (cell)4 i Z Z (office) ' • Mailing Address: �� City: ZIP: Contact Person: v� Applicant is: Con ra or / Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER IN ORMATION: � I� Name: 5 /h t � Phone(day): q Z. � Address: City: ZI P: Email and/or Fax: � 1 PROJECT INFORMATION: Overall pro�ect description: � �� '' Type of Project: y eart move ent may also require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 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 ar ask d ,fo provide on this application is classified by State law as either private or confidential. Private data is inf mation w ch nerally cannot be given to the public but can be given to the subject of the data. Confidential data is informatio� w ich ge rall can t be given to either the public or the subject of the data. Our purpose and intended use of this informaf ly pd o r records and records of other govemmental agencies required by law. If ou refuse to su I the infor � af m not be issued. ApplicanYs Signature: � Date: . � � Owner's Signature: Date: Last Updated:January 2015 PLAN I�EVIEI�V CHECKLIST FOR I�IEW STRUCTI�F�ES / 14DDITIONS Ad�lress: � �� ( ��°� �c�� Permit No.: Description of work: � 'L`� ,, �� Date Rec'd: Septic review by: Date Approved: Zoning review by: � �� A Date Approved: Building revievv by: � Date Approved: � l Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes ❑ No Date of Survey: Revised date(?): Proposed Setbacks: � Front(Lake) Rear(Stree ( N S E W ) ( N S E W ) her�uildings Wetland Side Side Defined Height: Peak eight: FFE: F minus 6 feet= (Existing Contour Perimeter(linear feet) = 0%= L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FO A BUILDING ON A SLAB FOUNDATION: The distance betw en the lowest proposed The distance between the top of ` START WITH floor(of the basem nt or crawl space)and START WITH slab and the highest point of the � the highest point of e roof. roof. ` If you have a... If you have a... � GABLE OR HIPPED ROOF • GABLE OR HI ED ROOF(no (no windows): Subtract half windows): Subt ct half the dista e the distance between the between the hig st point of th oof highest point of the roof to to the low point o the corresp ding SUBTRACTION gable or hipped ro f the low point of the (BASED ON . GABLE OR HIPP ROC� (with SUBTRACTION hipped oofing gable or ROOF TYPE) windows): Subtrac half he distance (BASED ON . GABLE OR HIPPED ROOF between the top of t e ighest ROOF TYPE) (with windows): Subtract window and the high st point of the half the distance between roof the top of the highest • ALL OTHER RO F T PES(flat, window and the highest point of the roof mansard,etc): o sub action. . ALL OTHER ROOF TYPES SUBTRACTION Subtract the dista e betwee the (flat,mansard,etc):No s (BASED ON basemenUcrawl ace floor a d the subtraction. EXISTING highest existin rade adjace to the ADDITION Add the distance between the top GRADES) foundation O 10 feet(whiche er is less). (BASED ON of slab and the highest existing EQUALS Defined bu'ding height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height ;; Shoreland District MCWD �ermit �verage Lakeshore Setback g�uff Met? 0 Yes p �o Permit Number: � Yes � No 0 N/A 0 Yes 0 No � ❑ N/A-see attached Setback: � Stormwater Quality Existing Hardcover Proposed Overlay District (%and s� Hareicover Variance Required CUP Required Tier circle one %and s Q Yes � No 0 Yes 0 No 1 2 3 4 5 T e(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx . _ _ � ` REMARKS (in-house): Fees to be Char ed YES NO Permit Plan Review � State Surcharge (/ ;!` Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ § 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing 0 Grading/ Filling � Well 0 Silt Fence/ Erosion Control 0 Mechanical � Fire Electrical � Hardcover Removal � Septic ❑ Water Connection 0 Footing Fireplace � Sewer Connection Q Poured Wall � Masonry ❑ Lawn Irrigation � Foundation Survey �Mfg. � Landscaping 0 Foundation Waterproofing Other(specify) Q Radon Rock Bed Framing � Insulation � As-Built Survey "� Final � Other(specify) REMARKS (in-house): r Qther Review: Reviewed by: Date Approved: Access: Existing: ❑ YES � NO New: � YES 0 NO - OFFIC!/�L REMARKS -TO BE f�OTED Ot� PERMIT'ANQ INITIALLE� Updated: January 2015 � z:\forms\plan review checklist 2015.docx � i �/ V DATE TIME CITY OF ORONO CALLED IN -�1� INSPECTION NQT CE SCHEDULED `y��.� PERMIT N � � � CnnPLEfED� ADDRESS --� � � �-� - OWNER TELE NE NO. 5a �� CONTRACTOR � � DESCRIPTION l (�� / ��J''i'lC�-I 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 Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v "kINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL � OWNEHICONTiiACTOR TO MEET YOU: YES_NO c�n COMMENTS: /�r�c.e�- �•�� - l-o�/-l a L• L, T re��Pe.G _ o - S n-ro�e aoe�� Go �Pet��.s - � '' ' �s/'�S.S - 6 K ' /1�1G i n��.1, C /��iQ•2�"2 � O _ D u�S��e �1��w� • e.q r c 55 /.��n�OotJ -' W � Q z �� kJor�C C'v�► ale� — W � W � � �edG�+v 6� 7'�/f/P� J � ❑WORKSATISFACTORY:PROCEED �6pJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca next inspection 24 hours in advance. (952) 249-4600 Ownerl o etnCon ' �� v�� Inspector. � � � White Copyllnspector's File Canary CopylSite Notice � � � b � DATE TI� CITY OF ORONO CALLED IN /D -Z�-/S INSPECTION NOTICE '/ SCHEDULED l�)--� � PERMIT NO.�D/S' ��"�`� COMPLETED ADDRESS a��.� �� = � �� OWNER ELEPF�Q�E NO�-� � -��g� CONTRACTOR � l � � DESCRIPTION Y � � ly ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL Q ❑ POUR WALL ❑ PLUMBI RI ❑ EXCAV/GRADING/FILLING O ❑ FOU DATION WATERPROOF ❑ PLUMBIN AL ❑ TREE REMOVAL Z ❑ DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING ❑ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � J O �. � O � W � Q � Z W � w � � J W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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D i � � � � �rn i � iii i — i � iii _� � i � iii � � iii i I � L�__� � � i rn _ - � �----�----1----I� - � I I I I I � , O II L I � � �--�---L--� I � L ---- � � C� / . � I O EXG ILING TO EMAIN " Iu, � '� U' ��, '- � � � � l C C �� ,3 70 70 Z z � rn �� n rn z � ,��N� r �� r ? rn �� y. rn � I rn = C> � h o A remodelin to the home of CAPYRIGHTKUHLDESIGNBUILD � � K U H L �f another cantractor will be using the plans for Zconstruction,it will firet be naccessery for hte �A D ES I G N home owner to(i]pey all design fees due ta Kuhl � M i ke & S h a ro n Ba s kfi e I d Oesign Build,and(ii)sign Kuhl Design Build � y BU I LD stendard copyright license egreament,a copy of 'r(�N ` 2755 Casco Point Road which will be mede available.When those �P conditions are satisfied,tha designs may be used 7575 3.STH 9L,HOPKINS " Orono, MN 55391 MN5530J 85].835.9189 withoutinfringementof Kuhl Dasign Builds'Capyright.