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Home My WebLink About2012-01016 - addn/remodel/repair , CITY OF ORONO * z ID 1 2 - 0 1 0 1 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3038 CASCO POINT RD PIN : 20-117-23-43-0055 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMI'I'TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: MOVG DECK,SIDING AND WINDOWS APPLICA1vT PERMIT FEE SCHEDULE 191J5 KAVANAGH, DONALD PLAN REVIEW 124.64 3038 CASCO POINT RD WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) 5.00 TOTAL 321.39 PAID WITH CC# 3410 OWNER KAVANAGH, DONALD 3038 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The�a�ork fur��hich this permit is issued shall be performed according lo the approved plans and specifications,applicable City approvals,and the State Buildina 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 whethcr or not specified herein.This pennit will expire and become null and void if construction authorized is not commenced within 180 days of Uie date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I'he applicant is responsible for assuring all required inspections are requested i conformance with the State Building Code.This permit may be revc �cd a v time for due cause. ' O / /� / /� � � A �eant Permitec Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. �� E�e�� ,��r��c�� €- ��a�c� � �er�c��a�� (�i�a��.p�, �oa€-s, siair��, �-�-ra�f, ��c.} /�� Naiirng Adaress: Permi't numb�r: %i'�v .� � PO Box oo � � � �� py �\\ Crystai Eay, MN 55323-0�66 i Qate received: �� I�.a � � �� a.�� SireetAddress: I`Received by. `\� , �'�'� �� 2750 Kelley Parkway L�� . � Pfan:reviewfee: ` -�.rrEs�o4w� Orono, MN 55356 Mair,: �52-249-4000 �ax: 952-249-4010 �,nnr�,,.� . Total Fee: i orono.mn.us This application rorm must be comqleteo in rull and all required informaiion mus; be submitted. fncompfete appficaiions wil( be returner�. (Please print) u�.t�`r2AL INFORM,�4TIOR: Job Site Address: p � S W 3 � .�j �-- �� Wiil this be a Parade oT Fiomes, Remodefers Snowcase Home or other Dispfay Fiome? ❑ 1'es ' �io If yes, a special event permit is required with Pofice Depanmenf and City�ounci(aoprova!60 cays prior to tne event. Snuttte bus service wil/be required unless applicant aemonsrrates sufiicienf or-site par'rcing is available. Non-oermrtfed evenrs wil/not be alrowed. CONTRAC�'OR!a.PPLICANT INrOP,MATIOIt'.: fv a m e: ��J �L-'9 v i}�.I�'G�'r State Licer,se � �xpiration Qate: Lead Certificafion Number: Expiration Qate: (for work on homes fhat were construcfec'prinr io 1978 Phone: �'j S a - �-�-`7 I - �i 1 Lv � ioft��P) Co < � - Lv (�i - /d (..o a ��> Naiiing Address: �?o � �, G/�S �:a �D� ; .� j ►2f��i� City: p.�2ar-�:.� Zlp js��i � Contact Person: �J N �L�}�-�..,�-c�(-f- Appiicant is: Contractor r' Homeowner (Gircle Une) Email and/ar Fax: � �L�}�/ Cw, � � Its i < <�� PROP�R i Y OWN�R I � RMAfIOI�: N a m e: .�--, �-'fi�-�1-(,.�,1 Phone(day): �v t a- L,v c �`t 1 a Lo � � Address: �::, 'S -�, CJ}�5 c� Q� , .� � 20 Ciiy� �/�:�v.� � ZIP� S�S �"z � Email and/or Fax � t4 J � ��t S � , L.-. � PR�,l�CT IN��RM�t,TIOR: Type of Project: � � i Any earth movement rr�a�r require ❑ Door(s) I, ❑ Remodel I ❑ Fire Qarnaqe � MCWD review &permits: I ` I Ninnehana Creek Watershed District(MCWD) ❑ Re-roof, asphalt � ❑ Repair ❑ Storm Damage � 1 E202 Ninnetonka Bivd � ❑ Re-roof, cecar � ❑ Restoration � ❑V�,'aier Camage �I Deepraven, MN 55391 � I ! i Pnone: 952-471-Q590 I ❑ Re-roof, other(speci'ry) '� �Siding � ❑ Other. (soecify) I Fa;; 952-47i-0o82 �� e��L I �-Window( �„ �7�C /d c��c-� j www.minnehahacreek orq � �ve;all Projec� DescriqiioR: =siirr,ated Cor.s"trucfion Vaivaiior of �ro�ect (Ax^fu�iing �and) � � �� (; S� � � r4�'PLI�;�I�T �^k'oi�011�►!�E?��fVV=P�i: � Agrees to provide all informafion required or requested by the Buifding Department; i • :;ertiTies tnat the inTorrr�afion suppiied is true and corre�t to the best of his/her knowledg�. Tne appficant recogniz�s tha: tney � are sofely responsible for submitting a compiete appiicaiion beinq aware that upor failure to do so, tne staff has no alternaiive � but to reject it unfil it is compleie; I � � Some or all of tne iniormafior tr�at you are asked to provide on tnis aopGcation is ciassified b�� Staie iaw as eitner privat� or I � �onfideniial. Private da;a is information wnicn gene;aliy cannot be piven to the pubiic but can be given to the subiect of the I , da�a. Conridentia! dai2 is information wnicn qene�aliy cannot b� given io eitner thF pubiic or tne subiect o` tne data. Gur j � j ourpose and intended use of this inTormation is to annualfy update our recores anc records o� otner povernmen;al agencies � j fEQUlf�d bV�BV�� i yOIJ f�TLIS�t0 SUpDIV ttl2 IfliOffl'i8TI0R thE BDp�I"BTIOC� IT8\� f10I DA ISSU"d j ,� AppiicanYs Signaiure: '� �r - Caie: l� "��-��} Last Uodatea: D�-dS-20^1 � Plan Review Checklist for New Structures / Additions Address/ PID I Legal: _�� 5� ��iti ' Description of work: ('YwU� � (t�c',C--t.,� a i v� ��^'`� 7' c.�% ��.,.�j Septic review by: !�� Date Approved: Zoning review by: � �%...�- Date Approved: ,� � �J � "�� - Building review by: �� Date Approved: r G' / U� � 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: Survey Submitted: ❑ Yes 0 No Date of Survey: Pro osed Setbacks: Front (L-a�e) Rear-(S#�es�) ( N S E � ) ( N S �� W ) Other Buildings Wetland Side Side `..�� ' � C�3 i 2 Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the 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 round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT hatf 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 floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoretand District MCWD Permit Received Average�Lakeshore Setback Bfuff ❑ Yes ❑ No 0 N/A ❑ Yes ❑ No ❑ Yes ❑ No � Yes ❑ No ❑ N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Required 0-75' ❑ Yes ❑ No ❑ Yes ❑ No 75-250' � Type(s): Type(s): 250-500' 500-1000' I REMARKS (in-house): Updated: Q9/11/2009 z:\formslplan review checklist.docx Fees to be Charged YES NO , :P.ermit I . , : Pfan Review ::`Sxa#e Surcharge.. � 1 k �. I ..'"A`i '(.r*eA�� . fnvestigation Fee ;•�S��. '��,lyrraber�n#:�A"C�U�l�ts "' ''�;�1�"� `��„�'?� ``r�"nz��-`��",.�,�:�'= Nc r"'�a�� ."�n��l�=ni�`'� . �Sewer Connection �Ila�e�r��nec�imn�t r� � -� � � Y�� h. 4� ,,�.�_ ,;,�� ,n��+�..n,��,:'i��,��'�,;��' ��.':�4�, Park Fee :�l��i+1�.��1011'�`a s��.+.x��- a��; �� :�� ..,., �:� - �r`'�`r.,:t� �_.� �u,�� '" ;a..._ 4�. �t ._ .. . . _ �._, ; .: __, Other(specify) ��Masce'Ila�r�e�.us�Fee,s �-�� ,,,•. � r �'�'�,��r�+�� r � � �, � , : �.... . .,t.�_.. �.�_. . ,. .�.��,� � :.a,� .�. ,�.�..z �,� ��,�.�. �h� �-a�� Calculated By: Square Foota e $ per S uare Foota e Basement X = � 1 St Floor X = � 2"d Fioor X = � Garage X = $ Estimated Construction Value: � ( � , ' � ,� :c> Orono fnspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well 0 Hardcover Removal ❑ Mechanical ❑ Fire � Electrical Footing ❑ Septic 0 Water Connection 0 Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed ❑ Mfg. raming � Other(specify) � Insulation D As-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES ❑ NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND IN(TIALLED BY PERSON PULLING PERM(T) Updated: 09/11/2009 z:\formslplan review checkfist.docx � CERT'I�ICATE OF SURVEY � ° ��' T' I � � ,. FOR: d/�7 � , . �� Q,� � ,� � ��►� a�� ,� � , ,- � ��l��- �� ,; �(�� ° ❑ h4-�s'�-4��'`�� i+�VITi.; �'«��!°�S ❑ �i�;�=��` ��D �Ro' �' _ �� -- �d �, 53.��- �' �&T� ;�- �v- ;� � e .� �� 9�^ �!/ V V� � �/ � � O � i � � �� ~� . �_, /i 2� , �l � ��9 ��' �=1,PD.✓ MOn! � y�P� '� �q \ , 3i•� �` F,� � ; _2 ��b _ �- �� E��S N°' ti �.� � 0 5 �8. �; 3 � �Z x 6.Z _ . �,N�, f7oaP '. , . � �� "``` � ,�ou � � �L �[ �ooe�e . / . M1 �c-7 �^V \ fl� � �J` s 5s' P a !" ' �� :-t:, � .�y . � . � � \ : ., �� ;� .30 38 c,�sca � ,er� � '- - G��o��o � � ,� , i �. . . ,. � , ,, , w,,.�. � � � . �� . . . L dT�' /S7 A�v� /S8, �, `--� �� 1�1��,c/s,�'��°S .l'c��3,o�t��J�o,v QF . .'�.� � S��/�t/G �.4�'�� oTS� L�!r'.�" � �. " /yJ/n/�FTo,vlf�9 �1�'�o,�Oi,vG �..�� ' TD �L�97— D F �E�o.e.C� ,- _ � `> / � .T I hereby certify that this pian, survey or report was. JOB ti SCNQB d RG prepared by me or under my direct supervision and that I am ,/ ,.r,.. fV D SU�V EYt h1 G 8�uly Registered Land Surveyor under the laws of the State Book- Page oi Minnesota. ltvC. Z� -�/ s�a�e ��'• �• s3� Date: �� y � �9� Registratfon No. 14700 � ��_ 3Q'� " 472'..2'21 Oslano, M11 55329 � ,-- �°�� ;'��;l��r..r� �€�� ;� ��'��,i�l'��:. �� .: ---- - �. � � �/ �.. 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