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Home My WebLink About2012-00970 - addn/remodel/repair ,� CITY OF ORONO * z 0 1 z - 0 0 9 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2829 CASCO POINT RD PIN : 20-117-23-32-0007 LEGAL DESC : SPRING PARK : LOT 116 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTI VITY : 434-RES[DENTIAL VALUATIOI� : $ 23,000.00 NOTE: SEPERATE PERMITS RH'QUIRED: PLUMBING, GLECTRICAL(STATE) BA I�HROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 383.50 K-D REMODELERS PLAN REVIEW 249.28 9272 YUCCA LANE MAPLE GROVE, MN 5531 1- STATE SURCHARGE(VALUATION) 11.50 (612)719-1843 TOTAL 644.28 Minnesota State License#: 1657 PAID WITH CC# 2410 OWNER PETERSON, BRUCE& MARY 2829 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 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 with whether or not specified herein.This permit will expire and become null and void if construc[ion authorized is not commenced within 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 conforma ce ith the State Building Code.This pennit may bc revoked t a y ti� fo u cause. � � ��l/�. �l� 2- �l 1 Z Applicant e itee Signature Date Issu� 13y Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. �� c� • �e��e�e�� E�er�E� �.p��b�ca��a� ��- ��€��ar�a�� 6 �e�c�� (vvi�ao�.��, �iaa�-�, si�ing, �-�-raof, ��c.) / �� M,aiiipg Adaress: � Permit number. � � 2 " `�-� �\ , `� Bo>: oo I � �� \ Crvstal Bay, MN 5�323-DOoo Qate re.,eive�: �- --� �� _,P�. � ��\� �tt�h�.� ti ; Street Address: I Receivea by: �� "� � 2750 Kelle�Parkwa t'"�`i��k� o� ) Y � Plan;r�vi�w f� . `�.r�E�sH�� Orono, MN 55356 I Mair,: 952-249-4000 �ax: 9:;2-249-4e10 ww�v.ci.orono.mn.us To:al Fee: ' / _ (�. � �( �P 7 0 This appficafion r"orm must be compl�ted in full and all required informafion must be submitted. fncompfete appficaiions will be returnec�. (Ptease print) ��t��RA� INrORIUlATIOn: �� .> 7 Job 5ite Address: ' -� G:�Y C�! Will t�is be a Parade of Homes, Remode��:rs Showcase Home or ot er Disp{ay �iome? I I Yes o !f yes, a special evenf permrf is required with Poiice Departmenf and Crty Council approval 60 cays prior to the event. Snuftle bus service will be required unless appiicanf demonsirates sufircient on-site par'Kmg rs available. Non-permrtted events wil!not be allowed. CONTRAC�OR!APPL CANT INF�RMATIOR': fvame: - � vY� ��l��d o State License # s� Expiraiion Qate: C� Lead Certir"ication Number: - Expiration Qate: l 1 /w . �_ Z F` - l'� (ror work on homes that were constructed prior fo 1978 Phone: �(P�j � �� G -�:�� 7 (office) �/ Z ' � 9 ' ,�� (cell} �aiiinc, ,�:ddress: `�o-� '�� YLGL,-9 .,�-,� .� �ity: �,g�J/� 6��,.� ZIP: �� c�' � Contact Person: �� tippiicant is: _ rac o / Homeowner �Girofe One) Errail and/or Fax: PROP�R i Y OWNER WF MATIO�i: Name: �, �� _ Phone (day): G�'�Z- � � �� Address: / 7 _ � �-'.�� i�c f� �� CitY� G/"�v� � ZfP' ��5��/ Email and/or Fax - � PR�?J�CT IN�O?M�t,TIOR�: iType of Project: � � i Any eartn movement rray require ❑ Door(s) � ��model j ❑ Fire Qamage � MCWD review&permits: I � � Ninnehaha Creek Watershetl Gisirict(MCWD) ❑ Re-roof, aspk�alt ❑ Recair I ❑ Storm Dama e � o 9 I 1E202 Ninn..toni:a Blvd ❑ Re-roof, cedar ❑ Restoration I ❑Water Gamage ; Deeohaven, Mh 55391 ; � I j Phone: 952-471-Q590 ❑ R�-roaf, other(specify) j ❑ Siding the�: oecify) � Fa�c 952-471-Oo62 I � ❑Window(s) i I ww�n�.minnehahacreek.orQ i Ove�alf Fro�ec� �escnptiaR: �siimated Cor.struciion Vafuaiion o� Project (exciucfing ;and} $ � -?j, GG a �`iPPLI��i��" �.C��f�EUi/ULc�:�`M�P��': i � Agrees to provide all inrorma'tion required or reques'ted by the Buifding Department; I • `.er'tir'ies tnat the inrormaiion supplied is true and corroct to the best of his/ner knowledge. Tne applicant recognizes tna: they are sofeiy responsible for submit�ing a comoiete appiication beinq aware that upor �ailure to do so, tne siaff has nc alternaiive �, but to reject it unfil it is complete; � j i � Some o� all of tne inrormation that you are askec to provide on tnis appiication is cfassiTied by State iaw as eitner private or j ! confidential. Private data is inTormaiior, wni�n qenerally cannot be given to the pubiic but can be given to the subiect of the � da:a. Confideniial cata is inTormafion which generali� ;;annot be given to eitner the public or the subjec� o� tne oata. Our � I purpose and iniended use of this informafion is tc annually update our records and records of other qovernmen;al agencies j reauired b��law. If vou reruse to supofv, e n ormafior,,the ap fication mav no:be issued. ' � Appllcant's Sigrature: Cate: z� f Z �ast Uodated: DH-a5-2D11 � • Plan Review Checkfist for New Structures / Additions Address/ PID/ Legal: Z�$�� C�S� �C�►NT �,�,/� Description of work: ,Q!�}�r}i 12.�VI�A r0�=Z Septic review by: N /V} Date Approved: Zoning review by: /V l 1/�► Date Approved: Building review by: �� Date Approved: y - Z.�J—2 0)Z Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District <Zoning: Lot Area: SF/AC Width: Depth: Su� Submitted: ❑ Yes 0 No Date of Survey: Proposed S acks: Front (Lake) Rear(Street) ( N S E W ) ( N S f W ) Ot r Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR AWL SPACE: FO BUILDING ON A SLAB FOUNDATION: START WITH the distance between the sement floor/crawl TART the distance between the slab and the highest space floor and the highest r f peak,the top of WITH roof peak, the top of the cornice of a flat roof, the cornice of a flat roof,the de fine of a the deck line of a mansard roof, or the mansard roof,or the uppermost p int on a roun uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest n and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a pitched roof SUBTRACT the distance between the basement or/c wl ADD the distance between the slab and the highest space floor and the highest existi grade wit ' existin rade within the foundation the foundation or 10 feet, whic ver is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District CWD Permit Received Avera •Lakeshore Setback Bfuff � Yes � No ❑ N/A � Yes ❑ No ❑ Yes ❑ No , ❑ Yes No ❑ N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Require CUP Required D-7�' ❑ Y�s ❑ No ❑ Yes ❑ No 75-250' Type(s): e(s): �' 250-500' � 500-1000' REMARKS (in-house): �/ L� ('(-�/arN(�� Updated: 09/11/2009 , z:\forms\plan review checklist.docx Fees to be Charged YES NO � :Per.mit Plan Review „ � ;�State��S�urc"har9� - �f� ��r .;f;� � . . . . . , ._ _ . T,. , ^ : ,� Investigation Fee �S�AC ':��N,urraber of<SA'C�tJ�i�#s ��"�'{�� °�,' t� � ~�� `�� ;�;�� :; _ + a� �Sv��M ,.�F�w,k-? ��ar�,�.�.�y� ��'u.&�a�; �d ,�. t,. ,:�aw�;` Sewer Connection +�t C�,Y.'P.T' '.��u�ni�.Ci�'�a'V,■u� 2° � r,,..,r ✓f"'�.'lrl,;� C� 1h��`�f��.._ ..��,:� _.�._ .�.�,-, _ �`.s�'J��i��'._..,c, ��%�.+�,.�.�*,'�.�J "+r�!.. i� Park Fee � � , , .°`�9��e�Ins�e�c�E�ion �, � , �. � . ��. �...�.,� -�.. � �..- , � �.,,, E , �c �,.. �,� '- 1 ' ` ..— . .. . .. . _ .:.z��., ,.,. �. ., _ _... Other(specify) �Ylfasce'11ar�eous��ee�s r��+�„��x�';`"'y'�*� ;� '�,,'� � ' -g �� k�;� .�� ..nx.��-a. .�.,�.-.�'�n .�4.;:�r.v�4��n+.'�.,';?. �'��'�A,�,�,�„i-�. '��s ,F � Calculated By: Square Foota e $ per Square Foota e Basement X - $ 1 S' Ffoor X = $ 2nd Floot' X = $ Garage X = � Estimated Construction Value: $ 23,u d �'�J Orono fnspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing 0 Grading / Filling ❑ ell ❑ Hardcover Removal ❑ Mechanical � Fire Electrical 0 Footing ❑ Septic D Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Founciation Survey 0 Masonry ❑ Lawn Irrigation � Radon Rock Bed ❑ Mfg. �Framing � Other(specify) 0 Insulation ❑ As-Built Survey �Final ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Exisfing: ❑ YES � NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review check(ist.docx ��L AT TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �Z-- � ' � PERMIT NO.a��a�9�o COMPLETED ADDRESS U�CS�a� C��C D � � OWNER TELEPHONE NO. ��Z 7l�� CONTRACTOR �� /L�' �-� �: DESCRIPTION �r� ��9 � k� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ PO ED LL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O R G ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z SULATION ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W a � � ,� � L � � iC._ � r��.-� C 0 � � � Q � z W � W � � d W��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on s' :� . Inspector. White Copyllnspector's File Canary CopylSite Notice CI � �`� DA E TIME V CITY OF ORONO CALIED IN �� a INSPECTION NOTICE. /sIcHE�u�Eo PERMIT NO. ��j��7l.cOMPLETED ADDRESS �� (:� !' T �G:,—1 // OWNER TELEPHONE NO. �'� � 7��`�� CONTRACTOR �/.� �(1�� DESCRIPTION �/%��_��L.[_�!'//�L?L�YI � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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 ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO �1 c � COMMENTS: ��_.E' �,�� a L�C�� /�YCr � /�� . � J O �• �. � �;�u�� c'S � 2 - cu � � �!�=` � r�f/fC E W � � , �V � /� tl � 2T•�- �---S W � W � � d W� �I WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. �� . /�s-��i'�, �� White Copyllnspector's File Canary CopylSite Notice