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Home My WebLink About2010-01077 - addn/remodel/repair � CITY OF ORONO PERMIT NO.: 2010-01077 2750 KELLEY PARKWAY . ORONO, MN 55356- DATE ISSUED: 1U10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3065 CASCO POINT RD P[N : 20-117-23-34-OOII LEGAL DESC : SPRING PARK : LOT 056 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPCRATE PF,RMI"CS REQUIRED: ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 191.75 TROY SWANSON PLAN REVIEW 124.64 3040 CASCO PT RD WAYZATA, MN 55391 STATE SURCHARGE(VALUATION) 5.00 (952)484-8261 TOTAL 321.39 Minnesota State License#: 20638575 OWNER RISIC,JAMIE 3065 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according lo 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 pcnnits. 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 authorizcd is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsibl � ss ring all r�fitred' pections are requested in confo ce with the St�te Bwid -6de.This permit may be revoke • time for due e�irse"�� - � - ;.... l /�J/ i� l l Applicant Per te ignature Date Issue By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB Cit of Orono o � . Y . . C ��ql� Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ; O�,i,�,�0 PO Box 66 Permit number: ;� �C' /G'�7 7 � Crystal Bay, MN 55323-0066 Date received: �� ,� /C? ,� �� ''� 's;-rz"� �, Street Address: Received by: �'�, �'� '�r ti 2750 Kelle Parkwa o Y Y Plan review fee: rqkESHO�'� Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: �� , 3 � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: i�' Job Site Address: ,�J�� '� �� ,� 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 prior 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 INFORMATION: Name: G'�'y� �^ ,:� :�d_ State License# �;��: 3� � �� Expiration Date: " j ,Z v i Phone: S's� Lj�' �'�c � / office � cell Mailing Address: �3� /;� _ .��:s�� /%�' City: i ��_,�. z.,�..��,. ZIP: �,��.�. /, Contact Person: A plicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��-/�,L�;y�,�;-��-�/ �`r-- PROPERTY OWNER INFORMATION: � _ Name: �=. y,,� ,� � ��r�� i /�;,�-i �' Phone (day): � � � r .._� Address: 3��"��: `�-,�c� �l Cit : ��%��;�_ ZIP:�,��,�,� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) �Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /��;J , �u 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 information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally ca e given to either the public or the subject of the data. Our purpose and intended use of this information is ta�rinually up te our ecords and records of other governmental agencies re uired b law. If ou refuse to su I the information, the a 1i�atfon ma nottfe`Ssued. �,.% Applicant's Signature: =.i� �'.- - - --f3ate: /� -' .� -' /c� �� LastUpdated: 05-04-2009 • Plan Review Checklist for New Structures / Additions ' Address/ PID/ Legal: 3�(oS C�SC.o �a,,�, ; �� Description of work: f A (��t1+''�— �j iy 5 = �;- �.^i,� r1 Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: l� Date Approved: r�� `7 - l(7 Grading review by: _ � /� Date Approved: Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: SF /AC Width: Dep : Survey Submitte . ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: i Front (Lake) Re (Street) ( N S E W ) ( N S E W ) �her Buildings � Wetfand Side Side Building Defined Height: Building Peak Heig . FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: FOR�UILDING ON A SLAB FOUNDATION: START the distance between the bas ent floor/ ART the distance between the slab and the WfTH crawl space floor and the highes oof peak, WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, t deck of a flat roof, the deck line of a mansard line of a mansard roof, or the uppermo roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e roof � SUBTRACT haff the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a p ched window and highest roof peak of a roof itched roof SUBTRACT the distance between the base ent floor/ A the distance between the slab and the crawl space floor and the hi est existing highest existing grade within the grade within the foundatio or 10 feet, , foundation � whichever is less. EQUALS Defined buildin hei ht � EQUALS Defined buildin hei t Lot Coverage: SF Shoreland District MCWD Permit Received Average Lakeshore Setba k Bfuff ❑ Yes ❑ N � Yes ❑ No ❑ N/A p Yes ❑ No ❑ N/A � Yes ❑ No Permit Number: Setback: Fiardcover Z nes Existin Proposed Variance Required P Required 0-7 � ❑ Yes ❑ No ❑ Yes ❑ No 75- 50' Type(s): Type(s): 2 -500' 50 -1000' � REMARKS (in-house):_ /✓0 (�.�,q,�,�;� Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO ' , . .. Paerr��t,. _ - - Plan Review �/' � ��te':5�ur.c�ar e . Investigation Fee S;4C-�:Numbe�r of'SAC'U,n:its - Sewer Connection °;�Ilfater:�:C�onnec#aon Park Fee ��ite�lnspection , Other (specify) �INisce,I la neolis:Fees Calculated By: UBC: Construction Type: ! S uare Foota e $ er S uare Foota e � Basement X i = I � 15 Floor X - $ 2" FIOor X - $ Gara e X = $ I Estimated Construction Value: $ ( 0,l�c�U ptl Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire Electrical ,�Footing ❑ Septic ❑ Water Connection ❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection �0 Framing ❑ Masonry ❑ Lawn Irrigation �Insulation ❑ Mfg. � Wall Board ❑ Other(specity) 0 As-Built Survey ,�Final ❑ Other(s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMfT) Updated: 07/01/2009 z:\forms\plan review checklist.docx fi C � c� �/ qATE _,_. TIME `' CITY OF ORONO CALLED IN �l��S �U INSPECTION NOTICE SCHEDULED �t��' �. �/i PERMITNO. .-�c j .'IG "C%��,7� COMPLETED ADDRESS �C�(�� C�C2 ��' (G ��` �c-�- OWNER -TI"-C:��[�'TELEPHONE NO. �� SZ��I CONTRACTOR �� jn(�-� � � >; DESCRIPTION l-I� ;T I I�!�-�I ��`� � � � cx<<�� ❑ FOOTWG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIt�G�� Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU:�YES_NO � COMMENTS: � W � � � O \ �r � �\.� i%� T '/t y�� I c� I� � �� Q� � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHiN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIOtV REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � �� White Copyllnspector's File Canary Copy/Site Notice � � � �� DATE TIME CITY OF ORONO CALLED IN � 1,� J 1�I( INSPECTION NOTICE SCHEDULED ��r�f�/�I PERMIT NO. ::��Ir,-h�D�7�� COMPLETED �� ADDRESS ��1' � �G�--�CC� pG' /�"!� "� OWNER TELEPHONE NO. � ��4 �Z�C'� CONTRACTOR �� U .��Y'.26� � DESCRIPTION �r� ��I � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO , � COMMENTS: �L 1 (� �' �t� �,�� ; I�.Q� (j��, .. W � � � J O � � O � W � Q � Z W � W � � W�jd'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W/O CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnertContract Inspector. White Copyllnspector's File Canary CopylSite Notice