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Home My WebLink About2014-00841 - addn/remodel/repair . ' CITY OF ORONO * z 0 1 4 - PJ 0 8 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3065 CASCO POINT RD PIN : 20-117-23-34-0011 LEGAL DESC : SPRING PARK : LOT 056 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPA[R PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOl�1 TYPE : ADDN/REMODFL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 20,000.00 NO"CE: DF,CK REP[,ACI;Mf?N'I�-IN-KIND APPLICANT PERMIT FEE SCHEDULE 339.25 PLAN REVIEW 220.51 MICHAEL MARUSHIN STATE SURCHARGE(VALUATION) 10.00 2937 MARYLAND AVE S ST LOUIS PARK, MN 55416- TOTAL 569.76 Minnesota State License#: BUIL-BC649287 Payment(s) CHECK 920 569.76 OWNER NEVERMANN, ERIC 3065 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This pemiit is for only the work described and does not grant permission fbr additional or related N�ork which requires separatc permits. All provisions of laws and ordinances govcrning this type of work shall be compied with whcther or not specified herein.'I�his permit will expire and become null and void if construction authorired is not commenced within 180 days of the date of issuance,or if construction is suspended Yor a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all requircd inspections are requested in confomiance with the State Building Code.This permit may bc revoked at any time for due cause. �� g I3 l �9;� � S! � l �/ Applicant Permitee Signaturc Da e Issued y Signature Date � . � City of Orono ��. � � �'� Building Permit Application for New Structures or Additions MailingAddress: Permit number: d� `� �a y �A, PO Box 66 � 'V� Crystal Bay, MN 55323-006 Date received: Street Address:� �� l Received by: F ,� 2750 Kelley Parkway Plan review fee: c,` Orono, MN 55356 ��/ _ t�'rfSHv�� Main: 952-259-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us �l� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � SCO dl�� 0 � 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 approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPL C NT INF RMA ION: Name: � e 1 P State License# 2 Expiration Date: 20 Phone: cell - office Mailing Address: 37 ! J Cit : I�i q ZIP: Contact Person: Applicant is: Contractd / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFOR ATION: Name: .E�� 1 Phone (day): ZO - 0 � Address: �' Cit : Q� /� ZIP: �3q� Email and/or Fax r c .CO ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of pro�ect: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8 Water Supply ❑ New Construction � Single Family with ❑ Residence ❑Addition attached garage �arage/Accessory Bldg. � Public Sewer ❑Accessory Building ❑ Single Family with Deck Relocation } detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) PC A[f h�l ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage j7�J Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �Q� O�o Packet Last Updated: 04/19/2013 Page 22 of 23 ! � ' � STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= � Number of bedrooms= ❑Wood/Frame b.Width (ft.)= I� Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1 St Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclo ed A licable ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ,0 ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: �%Ll.� Date: O Owner's Signature: Date: Packet Last Updated: 04/19/2013 Page 23 of 23 � � PLAN REVIEVU CHECKLiST FOR N�V'I STRI�CTU�ES / ADDITI�1dS Addr�ss/PermitNumber: �� %�.�� 9�+ �� Description of work: �� " �� 'd�ePA� Septic review by: �!d� Date Approved: Zoning review by: �/s'� Date Approved: Building revisw by: � a"'"�-- Date Approved: � � � ' ��'� Grading review by: ��' Date Approv�d: Zonin District: Zoning File#: Reso#: o Date: „ � Zoning: Lo rea: SF/AC Width: Lot Coverage: ,�� SF _% � / Survey Submitte � 0 Yes � No Date of Survey: i� Revised date � : Pro osed Setbacks: � Front(Lake) Re (Street) ( .N S E W ) ( N S E �, ) Other Buildings Wetl�nd Side Side Defined Height: Peak ight: FFE: ;� FFE minus 6 feet= (Existing Contour) ,� Perimeter(linear feet) = 50%�\ ,��of Stori�s Ok? � YES � N� FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: '�.. The distance between the lowest p` FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or craJr� �;� space)and the highest point of the roof. \ The distance between the top of slab and START WITH the highest point of the roof. If you have a... �' GABLE OR HIPPED ROOF(no � �' If you have a... ' windows): Subtract half the r.`� � GABLE OR HIPPED ROOF(no : distance between the highes fioint windows): Subtract half the distance of the roof to the low point�he � between the highest point of the roof SUBTRACTION corresponding gable or hi ed roof to the low point of the corresponding (SASED ON ROOF SUBTRACTION gable or hipped roof • GABLE OR HIPPED R OF(with �,,\ (BASED ON • GABLE OR HIPPED ROOF(with t TYPE� windows): Subtract h f the ROOF TYPE) windows): Subtract half the distance " distance between th top of the � between the top of the highest � highest window ar�the highest ,� window and the highest point of the point of the roof� roof • ALL OTHER Fj�OF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,et�if No subtraction. mansard,etc:No subtraction. ADD ION Add the distance between the top of slab Subtract the dis nce between the BASE .ON and the hi hest existin rade ad acent to SUBTRACTION � � 9 9 9 1 (BASED ON EXISTING basemenUcra i space floor and the EXISTIN � the foundation. GRADES) highest exis g grade adjacent to the GRADES a;, foundation R 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined uilding height � pr 6 Shoreiand District MCWD Permit Received Avera e Lakeshore Setback Me � Bluff 0 Yes 0 No 0 N/A � Yes � No 0 Yes � N O Yes 0 No 0 N/A —� Permit Number: S back: ; Stormwater Qu lity Existing Proposed Variance Required CUP Require ;° Overla District r Hardcover Hardcover 0 Yes � No � Yes No _� Type(s): Type(s): > y: Updated: January 2013 v:\forms\plan review checklist 2013.docx �": ; C,;.':J`"^�R.T''?e"tF� , yr-�'i t ;":.�""':""'�R"ry"-T'"#^';, ...�-�.""�'k'.._..a_..+....x.^, ?,'.."'a't.,�,.,�� ,J"3'�°S;^la`"X^•�'7.qzu4�., ..�,,,' .'Y_T,."";'q r. �:o�•�j+.�..!w �?A',aM!w. ',.w±;'°,;...�'}1.��:,. � REMARKS (in-house): Fees to be Char ed YES NO �y Permit �`" Plan Review �1�"� State Surcharge �"' investigation Fee : SAC—Number of SAC Units �' Other(speciiy) � � S uare Foota e $ er S uare Foota e Basement X - $ F 1 S` Floor X = $ 2nd Floo� X ' $ Garage X - � � _ Estimated Construction Value: $ �� k Orono lnspections Required Work Requiring Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading / Filling � Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical �'Footing 0 Septic 0 Water Connection � Poured Wall � Fireplace � Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed � Mfg. �' Framing � Other(specify) � Insulation � As-Built Survey �Final 0 Wetland Buffer � Other(specify) REMARKS (in-house): ' Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx ( Y�� DATE �� T�ME `✓/ `� CITY OF ORONO CALLED IN � Z�}C `�x� INSPECTIO ��1 SCHEDULED � � Q�— PERMIT NO. COMPLETED ADDRESS �5 �O�SCc� �Pt' 2d' OWNER TELEPHONE NO.�� '�3 �� J CONTRACTOR �� I�� DESCRIPTION �C�-- �^�� l� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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: a Jh �°atK u�caP�e•s��.� v-� le�P�� , ��d? — j ^' /1 O _�_� �/'La �t%J E �CrtiJ CA-d dL�� L.�/�(I��S ). � (�KQC✓ � l� � � a �'o��acs 4�� ,Or�tCe. �roµ�eNcPs ��a�.tS ��StS � � �� i�Y)C !-it•t f:/av�r 6 F _ Q � ^�r.b�—�aJ�•—�� a t c W � G or r a�-� �+ /��,�� ..�1� W � � J � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. ^^� White Copyllnspector's File Canary CopylSite Notice ��- ✓ — -� =_"� DATE TIME CITY OF ORONO CALLED IN -�/� INSPECTION NO I E _G��sCHEDULED 9-3-/S� T�i- PERMIT NO. � connP��E� ADDRESS � C� � � '`� OWNER '�-� � TELEPHONE N0.1��7�3 -a�� CONTRACTORn�� l�'��l �; DESCRIPTION �G��'� ^ �� lL,�F� OOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��' 6� � �a �P k -�'�s. s,ze ..�Q�� ak a - - � J � � P�OV�D e M`H, • '�ro'Z�� G�td��C -� S�O�e CO ve+a-f t � � �6r TrO��wc y��l�.� /'bG� f�o�.��»s rJt,K - W '� Q G�a Y,��w . .�.�ti -�,o� ia��, �.��1 � �1 D,st+�G�t d�l �a45� Sc�G � ��r ��d w� �lc��s � p�/6b� `�d .dOt.�/�R� j (3� Son� -��y�s (,vt'l( �7� /'dU<D�D Da� dr.1Ns� d l'C�✓r��-f G� /�c�r N6scfisfC W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � `�O_RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O�O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. `"' White Copyllnspector's File Canary CopylSite Notice C�� D TE '/� TIME CITY OF ORONO CALLEO IN g'If/�" INSrECTION I�OTI E p SCHEDULED � -/ l!=a0 PERMIT NOdO/ �DDO�� COMPLEfED ADDRESS �� OWNE��u�'�"�'�-� TELEPHONE NO.��' 7�3'a�� CONTRACTOR _i�� ; DESCRIPTION (��G� � � ❑ FO NG ❑ PLUMBING FIN L ❑ EXCAV/GRADING/FILLING Q � URED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y AMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � i� � � �'� �� , � o � � -� �f , � 0 � W � Q � 2 W � W � j W ❑W SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in dvance. (J52� 2 9-46�0 �—� OwnerfContractor on site: ` Inspector. White Copyllnspector's File Canary CopyfSfte Notice