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HomeMy WebLinkAbout2013-00914 - addn/remodel/repair , , CITY OF ORONO * z 0 1 3 - 0 0 9 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2925 CASCO POINT RD PIN : 20-117-23-31-0050 LEGAL DESC : SPRING PARK : LOT 096 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) REPAIR FIRE DAMAGE � APPLICANT pERMIT FEE SCHEDULE 191 JS DRIGGS, DONALD A STATE SURCHARGE(VALUATION) 5.00 2925 CASCO PT RD WAYZATA, MN 55391- TOTAL 196.75 OWNER DRIGGS, DONALD A 2925 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and speciYications,applicable City approvals,and the State E3uilding Code. This permit is for only[he work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied wi[h whether or not specitied herein.This permit will expire and become null and void if construction authorized 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested i on ormance with the State Building Code.This permit may be revoke i or due cause. / C / lb l / .J ��� /l �G � Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono �� ��z� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailrng Address: Permit number: c7D(3-- Od ! PO Box 66 Crystal Bay, MN 55323-00 Date received: Street Address: Received by: y�, � 2750 Kelley Parkway �I��`�� Plan review fee: ��,L Orono, MN 55356 d,�+ � `qkBSH� �'J � q�. �5 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: � �� �,,,� � Job Site Address: ' � ,,ct.�c_.� U �-u �� �� 11 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes -�Vi-o 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/APPL�ANT INFORMATION: Name: ' `J r�,�.�►o-1i,Q tQ- �fC, lol�l — 6Lt�n E�"�- State License# �— Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed piior to 1978 Phone: cell) C1j�- �U -(o p� (office) 5,,4,.,.-�.�_ Mailing Address: �� p - � J,[ City: L ZIP: Contact Person: � f, i Applicant is: Cont ctor / Homeowner (Circle One) Email and/or Fax: ��� PROPERTY OWN FORMATION: � Name: �c��1w��t-C 1`l� lJ��loC� Phone (day): C��, -� �,-l� __ (o-� nt� Address� � y, ��� City:���� �, ZIP: 5����_ Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel �e Damage MCWD review 8�permits: ❑ Re-roof,asphalt �air ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ LU.Dt�v - 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 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 ou refuse to su I th � atio , he a lication ma not be issued. Applicant's Signature: - % Date: / - � ` �� Owner's Signature: �, Date: G/ - � '��� Last Updated: 03/06/2013 .� P��AN REVIEI�V CHE�FCLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �� 2� C�,.�C� ��B N T �� Description of work: � i�iE ��,/���% �✓� 6�. Septic rewiew by: 1(\► I ►� Date Approved: Zoning review by: !'� � _ Date Approved: Building review by: Date Approved: �� �d ' ��� � Grading review by: � Date Approved: r Zoning District: Zoning File#: Reso#: Reso Date: Zo ' : Lot Area: SF/AC Width: Lot Coverage: F _% Survey S mitted: � Yes � No Date of Survey: Revised te ? : � Pro osed Set cks: Front(Lake) Rear(Street) ( N S E W ) ( [V S E W ) Othe uiidings Wetland Side Side Defined Height: Peak Height: FFE: FFE ' us 6 feet= (Existing Contour) Perimeter(linear feet� = 50% _ #of S ries Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance betwe the lowest F R A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the asement or crawl space)and the highest int of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED R F(no . GABLE OR HIPPED ROOF(no windows): Subtract half th windows): Subtract half the distance distance between the highes oint between the highest point of the roof of the roof to 4he Iow point of th to the low poin4 of the cortesponding SUBTRACTION corresponding gable or hipped oo SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half e ROOF TYPE) windows): Subtract half the distance distance beriveen the p of the between the top of the highest ' highest window and e highest window and the highest point of the }°` point of the roof roof • ALL OTHER OF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,e :No subtraction. ADDITION Add the distance between the top of slab ii Subtract the tance between the (BASED ON and the highest existing grade adjacent to SUBTRACTION basemenU wl space floor and the EXISTING the foundation. (BASED ON EXISTING highest isting grade adjacent to the RADES �' GRADES) found on OR 10 feet whichever is less. � ( ) E ALS Defined buflding height EQUALS D ned building height t Shorelancl Dist ' t MCV11D Permit Received l�vera e Lakeshore Setbac Met? Bluff � Yes � No 0 N/A 0 Yes 0 No � Yes 0 No � Yes 0 No 0 N/A Permit Number: Setback: Stor ater Quality Existing Proposed Variance Required CUP Requir Ove a District Tier Fiardcover Hardcover � Yes 0 No � Yes No Type(s): Type(s): �= Updated:p January 2013 �� � � � v:\forms lan review checklist 2013.docx ��� �<; , ;�Y, , , .. , ;& x. .�:, .��.. '. � L �� . . � x���_ Y�: REMARKS (in-house): Fees to be Char ed YES �� NO Permit � Plan Review � � % �ta�e Surchacge ��= Investigation Fee 5AC—Number of SAC Units q���� Other(specify} � S uare Foota e $ er S uare Foota e Basement X = $ 15�Floor X = � 2nd FIoOr X = $ Garage X = $ Estirnated Construction Value: $ ��o �d� � ' Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site lumbing � Grading/ Filling 0 Well � Hardcover Removal � Mechanical � Fire � Electrical � Footing � Septic 0 Water Connection � Poured Wall ❑ Fireplace � Sewer Connection 0 Foundation Survey � Masonry 0 Lawn Irrigation { � adon Rock Bed � Mfg. Framing � Other(specify) Insulation � -Built Survey Final � Wetland Buffer � Other(specify) REMARKS (in-house): � Other Review: Reviewed by: Date Appcoved: ; ;. Access: Existing: 0 YES � NO New: � YES 0 NO ; OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED � � Updated: January 2013 v:\formslplan review checklist 2013.docx � v`� '�' C� D TIME � CITY OF ORONO c,a� �'��iN ! ' P� INSPECTION�OTICE cy SCHEDULED _'�� . .� PERMIT NO. D13��v t �� COMPLETED ADDRESS �9a S ��CO �7'� /�()' OWNER �lM I�L�Y�TELEPHONE NO. gsZ Z70 �p7� CONTRACTOR U � � DESCRIPTION Fra�1 � t� � � ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPlA1NT � ❑ 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 � //'e M � � o `�� a � n n _' � J _n � 0 � W � Q � Z W � W � � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ECT WORK 8 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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ( � � White Copyllnspector's File Canary CopylSite Notice i`/� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. .�d/3 - DCy9��/ COMPLETED !b'o�a-/y ADDRESS v�`T d�J'� �liSC9 �` /�D OWNER ��� Q�14s s TELEPHONE NO. CONTRACTOR . >`; DESCRIPTION �� �'C ��t.s rG�1o•/ � l� ❑ FOOTING ❑ PLUMBING FtNAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y O O FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � O DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �i'r✓1-� /�Gla[�A/ i-4��a�c0 �`' G2 �! t Q r � � {'�rc � !vls.o xL`�a.�, 0 �. � ° �D D�fe �to�e ' W � Q � Ca S� Crc� l�ro.t.0 C�r� �<l 7d bGif�s l� z . . � GL' �l n�l �n�e�t+�n, k>cfl��, !� �4�- S � o r r�� e �i�r j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ,❑�/S'TOP ORDEH POSTED.CALL INSPECTOR �[JSPECTION REQUIRED.CALLTO ARRANGE ACCESS. v � Ca11 for the next inspection 24 hours in adva �. (952) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSite Notice