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Home My WebLink About2013-00174 - addn/remodel/repair CITY OF ORONO * Z QJ 1 3 - 0 0 1 7 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2773 CASCO POINT RD PIN : 20-117-23-23-0018 LEGAL DESC : SPRING PARK : LOT 131 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY j;�L�:�/s'�UILDING-UNp�E�FINED �- VALUATION : $ 17,000.00 NOTE: SEPERAT�PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) REMOVING WALL AND FIREPLACE- NEW KITCHEN APPLICANT PERMIT FEE SCHEDULE 295.00 LARSON,REED PLAN REVIEW 191.75 2773 CASCO POINT RD WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) 8.50 TOTAL 495.25 OWNER LARSON, REED 2773 CASCO POINT 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 addition��j related work which requires separate permits. All provisions of la�v�nd drdinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and, e n II and void i�'construction authorized is not commeryced within 80 days of Yhe da[e of issuance,or if construction is suspenc$ed for a petiod of 18Q days at any time afrer work has commenced. The appiican[isfiesponsible for assuring all required inspections are requeste�d ih conforman,eC with the State Building Code.This permit may be revoke t any time;for due cause.,�.- —� ��" � / / � / / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , City of Orono Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��3 ` bD � 7� �v 0,� PO Box 66 Q il � Crystal Bay, MN 55323-0066 Date received: .J-/� �3 �a �j �, i Streef Address: Received by: uS �� "N*, G� 2750 Kelley Parkwa �\� Plan reviewfee: t9g�s_Ho�`''� Orono, MN 55356 �� 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 will be returned. (Please print) GENERAL INFORMATION: � �2� Job Site Address: �� -� � . �-� .. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes, a special event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus rvice ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wrll not be allowed. CONTRACTOR/APPLICAN INFORMATION: Name: {�' �J(,�,�� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 . ---- � Phone: _ (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��_k�I� �� Phone (day): �— r� iz� Z-z �', ��s'�- c�t �' �` ress: _?`7� �Z �4--� �T. I{� y'��- ZIP: S SJ�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require �Door s `�Remodel MCWD review&permits: � ) ❑ Fire Damage � � Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other s ecif Phone: 952-471-0590 ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 Window(s) www.minnehahacreek.orq Overall Project Description: (�y�,t�fi� kC� w;4( � � � f �,Q,w �� Estimated Construction Valuation of Pro ect(exctu ing land) $ ��_��J�� , ; 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 are asked to provide on this application is classified by State law as either private or confidential. Private data is in ' ' y ca not be given to the public but can be given to the subject of the data. Confidential data is in rmation whi�,h.-cfen rally ca ot be given to either the public or the subject of the data. Our purpose and intended use of is informafion � to ann y update our records and records of other governmental agencies re uired b law. If ou refuse to u I the' ormati ,the a lication ma not be issued. ApplicanYs Signature: V /� Date: �1 � , � � Last Updated: 08-09-2011 �LAtV FZE�PIEIIV Ci�ECKLIST FOR 1i��11� S1'RUCTURES / ADDITIONS Address/Permit Number: �� s�� u�i�� a @�� Description of work: ��.. ��'�+��`� �w�- � '�� `` Septic review by: _�d � Date Approved: Zoning redievv by: ,"�i t� Date Approved: Building review by: r '�s�..�a Date Approved: .� `� � � �� °�� Grading review by: ��i�"'� Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC 1Alidth: Lot Coverage: SF _% ; Survey Submitteci: 0 Yes 0 No Date of Survey: Revised date(?): Pro osed Setbacks: Front(�ake) Rear(Street) ( N S E W ) ( N S E W ),< ` Other Buildin�s Wetland Side Side a Defined Height: Peak Height: FFE: -� FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ -`#of Stories Ok? 0 YES a FOR A BUILDIPtG VNITH A BASEMENT OR CRAWL SPACE: 's. The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATIOPI: START WITH proposed floor(of the basement or crawl - space)and the highest point of the roof.:`� START WITH The distance between the 4op of slab and If you have a... • the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(nb . 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 of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPEp ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with NPE) windows): Subtract half the ROOF TYPE) windows): 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 r.00f roof • ALL OTHER ROOF TYPES(flat, • 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 EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). � EQUALS Defined buElding height EQUALS Defined building height Shorelarrd District NICIhID �ermi� Received �avera e Lakeshore'S.etback 11Ae�? �luff � Yes � No � N/A � Yes � No � Yes �: No � Yes � No �. N/A Permit f�umber: Setback: ` Stormwater G$uafity Existing Proposed ��,e�� equired CUI�f�equirec! Overla District Tier k�arcicover F�ardcover s. �! Yes � No � Yes ❑ No � Type(s): Type(s): r Updated: January 2013 v:\forms\plan revievv checklist 2013.docx REMARKS (in-house): Fees to be Char ed YES NO Permit ��` Plan Review State Surcharge -�''� � Investigation Fee SAC—Number af SAC Units �' Other(specify) S uare Foota e $ er S uare Foota e Basement X - $ 15i Floor X - � 2nd Floo� X - � Garage X - $ Estimateci Construction Value: $ t �p� ��: `��_ Orono inspections Required Work Requiring Separate Perrr►its Required State Permits 0 Site ,�'Plumbing � Grading/ Filling 0 Well � Hardcover Removal Q Mechanical � Fire �Electrical 0 Footing Q Septic Q Water Connection � Poured Wall � Fireplace 0 Sewer Connection 0 Foundation Survey Q Masonry 0 Lawn Irrigation 0 Radon Rock Bed � Mfg. 3,ff�Framing � Other(specify) ;;; „�Insulation � As-Built Survey �Final 0 Wetland Buffer 0 Other(specify) REMARK� (in-house): Other Review: Rediewed by: Date Approved: �►ccess: Existing: � YES � NO New: 0 YES � NO OFFICfAL REMARKS -TO BE I�OTED ON PERMIT ANQ INITIi4LLED ; Updated: January 2013 v:\forms\plan revievv checklist 2013.docx DATE TI,M\E/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ,221_3•vDt��! COMPLEfED -�6 " 3:bo ADDRESS eZ?73 �45cv f'�-RD• OWNER TELEPHONE NO. r n ' CONTRACTOR � DESCRIPTION �c��on� •�'��L, ��.��' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �T'T4WAL O SEWER HOOK-UP p COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. �,FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: I"e✓w,:t' /tO�t•/ �c{.�e� �O CE l< �'o� � � _ a -t-1!'la� /�sQ e�L�iaw. � � O / � �IC�cS� C�(l �6 SG/�ecQ�� 4 o . '" /� W ��jl� I.K��lGcliLo�, GeJ t'f�.,w 6V QGQc,� ' � Q z C�t�l- jsa -a�r -yCoa :� sc�C��.� a� � i"�'!.. .ti � ��o•cs i W � rjd �5rr� /�os.�e � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / � Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: /YOXE`• Inspector. � ! .� � White Copyllnspector's Ffle Canary CopylSite Notice �/� .�t� D TE ME CITY OF ORONO CALLED IN 9 " ��`�� INSPECTION ICE SCHEDULED9.��--L� PERMIT NO. �L3��7� COMPLETED ADDRESS � OWNER � TELEPHONE NO�Q�� 7�7�� CONTRAC OR �; DESCRIPTION `� G�l'�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:�{:� . r�.•�a� l - �0�/3-�J� � �n��. � �oi3 - a�a rG o P�4 � ao�3 -�as� � �i,��. F,Ku— �s - av - � 0 � Q l� l,vai ,� �S c�,T,o%z�� — � . w n � fc✓�� 'c�rl�� W � � � � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED G IS UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: �e`'� � � Inspector. � White Copyllnspector's File Canary CopyiSite Notice � DATE TIME ✓ CITY OF ORONO CALLED IN _�3 INSPECTION NOTICE (��S HEDULED �G-f�-�i-/_3 � PERMIT N0. � �� r'COMPLETED ADDR SS P OWNER LEPHO E NO�P�'�a�j7�'��l' CONTRAC OR � �` � j; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINA E AV/ RA FILLING Q ❑ POURED WALL ❑ MECHANICAL I KESHOR TLANDS � ❑ FRAMING ❑ MECHANICAL 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO / � COMMENTS: aU -�O I% � W a � � O a � O � W � Q . � 2 W � W � � d W� /�(QRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q52) Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice