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
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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
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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 ' ���
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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 �� � �
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REMARKS (in-house):
Fees to be Char ed YES �� NO
Permit
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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
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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
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� 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:
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� 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:
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� o r r�� e �i�r
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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