HomeMy WebLinkAbout2016-00526 (add./remod./repair) CITY OF ORONO * Z 0 1 6 - 0 0 5 2 6 *
2750 KELLEY PARKWAY DATE ISSUED: OS/24/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3131 CASCO CIR
PIN : 20-117-23-34-0007
LEGAL DESC : SPRING PARK
: LOT 044 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTI V ITY : 434-RESIDENTIAL
VALUATION : $ 2,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE.F,LECTRICAL(STATE)
BASEMF,NT FINISH&BATH
APPLICANT PERMIT FEE SCHEDULE 77.40
WAHLIN,AL&TAMI PLAN REVIEW 50.31
3131 CASCO CIR STATE SURCHARGE(VALUATION) 1.00
WAYZATA, MN 55391- TOTAL 128.71
Payment(s)
CHECK 12998 128.71
OWNER
WAHLIN,KENNETH&TAMI
3131 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
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
permits. All provisions of laws and ordinances governing this rype of work
shall be compied with whether or not specified herein.This permit will
expirc and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
(�v �'l�� 11 � � r� ,l�
Applicant Permitee Signature Date Issued B ignature Date
` Vlly VI VI VI IV
Building Permit Application for Maintenance/Replacement/Remodel — Residential ONLY
� :-:� =az�i�5���w��, ��oi°s, sit�irsg, ��-�js���, �-���,. -- ��� �:.,�';��.;�;�'�9���. �����d� k`z;,��)
��q, Mailing Address: �1� c�
l VO PO Box 66 Permit number. L_(.::( - -� �%_, Z�-
a, I'r„ Crystal Bay, MN 55323-0066 Date received: �", i �- / (c-
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�`y`�� Street Address: Received by:
y �
�, G� 2750 Kelley Parkway Plan review fee:
�qk�sHo��, Orono, MN 55356 /� �, `_�
Total Fee: 7
Main: 952-249-�600 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 appllcations will be returned. (Please print)
GENERAL INFORMATION: �!-J i C�l��/C� G �lr-� 'C�-P%11}�
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Dlsplay Home? ❑ Yes No
!t yes,a special event permit is required with Police Department and City Council approva!60 days prior to the event Shuttle bus service will be
required unless app/icant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: - �L�-1N�-N �/-�N'L.j1 ti �" _T?�Nl� �-3�l—!`/�� V.��1'�Yt._t�.l.
Phone(daY): �,P 1�--� I '--�-'�-1 b`1 (..p\� �j !°�- ) ��
Address: �131 C�SC� C�l�LL.1�� City:�--(�Q ZIP: j,�j"���
Email and/or Fax:
PROJECT INFORMATION: Overall pro�ect description: ���`-s � '"� ��} f-`�r�, - �� - ;��-i � �
Type of Project: Any earth movement may also require
❑ Door(s) �Remodel ❑ Fire Damage MCWD revlew&permlts:
❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345
❑Re-roof,other(speclty) ❑Siding �Other: (s ecify) Phone: 952-471-0590
� -��� w��,5 i Fax: 952-471-0682
❑Window(s)L�� � www.m'nnehahacreek.or
Estimated Construction Valuation of Project(excluding land) $ � ' "'--
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Ce�tifies that the information supplied is tnae and correct to the best of hislher 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 altemative 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 the information,the a lication ma not be issued_
ApplicanYs Signature: Date:
Owner's Signature: Date:
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PL�l� �EVIEVN GI�ECl�(LIST FQR NEIl1� STRUGTURES / �A,DDlTIONS
Address: ,.,7 f ��' f �Ct�('�L� �r �^c; l� Permit No.:
Descriptionofwork: �j���i^�'�C��ii nP,l�'2C�cl �l DateRec'd:
Septic review by: /y � Date Approved:
Zoning review by: �. Date Approved:
/
Building review by: ��� Date Approved: G l
Grading review by: Date ApprovecJ:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC 1Midth: Lot Coverage: SF %
�urvey Submitted: � Yes � ❑ No Date of Survey: Revised date ? :
Landscape plan submitted? � Yes ❑ No Landscaper:
Proposed Setbacks:
�
Front (Lake) Rear(Street) ( N S E W ) ( N% S E W ) Other Buildings Wetland
� Side �� Side
�
�
'� Defined Height: Peak Height:�_ FFE: FFE minus 6 feet= (Existing Contour
Rerimeter(linear feet) = 0% = L.F. below grade
Basement? ❑ Yes ❑ No, Stori s
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATIQN:
The distance between the:io est proposed Slab at or above grade—
floor(of the basement or cra I space)and measure from hiqhest existinq
START WITH the highest point of the roof. rg ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED R OF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest poi t of the roof hi hest oint of the roof.
to the low point of the co responding If you have a...
gable or hipped roof SUBTRACTION ` GABLE OR HIPPED ROOF
GABLE OR HIPPED RO F(with (BASED ON (no windows): Subtract half
� the distance between the
windows): Subtract half t e distance ROOF TYPE) highest point of the roof to
between the top of the hig est the low point of the
�' window and the highest p nt of the corres ondin
roof p g gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtractio . (with windows): Subtract
i SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and th the top of the highest
EXISTING highest existing grade adjacent to t window and the highest
GRADES) foundation OR 10 feet(whichever is ss). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
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Updated: October 2015
� z:\forms\plan review checklist 10-2015.docx
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�� Shoreland District 111�CWQ Permit Average Lakeshore Setback Bluff
� Met?
� Permit Number: 0 Yes � No � N/A 0 Yes �
� Yes O No No
� N/A—see attached Setback:
E Storm�nrater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
0 Yes � No 0 Yes � No
1 2 3 4 5 Type(s): Type(s):
�;
�`
� Fees to be Char ed YES �!O
�;: Perm it ✓
�. Plan Review j/
�
� State Surcharge �r^
� Investigation Fee f/
I
�' SAC—Number of SAC llnits f�"
�; Other(specify} (i—
� Square Foota e $ per Square Foota e
�- Basement X = $
1 St Floor X = $
� 2nd FIoO� X = $
Garage X = $
;�
Estimated Construction Value: $ �, ���
Orono Inspections Required Work Requiring Separate Permits
� 0 Footing Q Site ❑ Plumbing ❑ Grading/Filling
l ❑ Poured Wall � Silt Fence/Erosion Control 0 Mechanical ❑ Fire
�. ❑ Foundation Survey ❑ Hardcover Removal ❑ Septic ❑ Water Connection
� � Foundation Waterproofing ❑ Other(specify) � Fireplace ❑ Sewer Connection
4
�z - .�Framing � Masonry 0 Lawn Irrigation
'' ❑ Insulation � Mfg. ❑ Landscaping
� ❑ As-Built Survey ❑ Other(specify)
Final
�
� Lathe Required State Permits
� ❑ Other(specify)
� Well ❑ Electrical
REMARKS (rn-house):
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� OFFICfAL REMARKS-TO BE NOTED ON PERMIT AND INtTIALLED:
�
� � �ee Builder Acknowledgement Form
�'
❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approveci.
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Updated: October 2015
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D E TIME�
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED '
PERMiT NO. �- S�COMP ED
ADDRESS
OWNE TELEPHONE N . � ��
CONTRACTOR
� DESCRIPTION � �L-.�
�
tu ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours' adva /I ) 249-46��
OwnerlContractor on site:
Inspector. -
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White Copyllnspector's File Canary CopylSite Notice