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Home My WebLink About2016-00229 (add./remod/repair) � - CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 2 2 9 * DATE ISSUED: 03/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3131 CASCO CIR PIN : 20-117-23-34-0007 LEGAL DESC : SPR[NG PARK : LOT 044 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIV TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) [NTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 201.32 PLAN REVIEW 130.86 WAHLIN, AL&TAMI STATE SURCHARGE(VALUATION) 5.00 3131 CASCO CIR WAYZATA,MN 55391- TOTAL 337.18 Payment(s) CHECK 12980 337.18 OWivER WAHLIN,AL&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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of I SO days at any time after 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. �c,��=. 3 /i �I 1� � � � ✓ ��h Applicant Permitee Signature Date Issue B Signature Date . . �.��y vi vr u� �v . BuHding Permit Application for Maintenance/Replacement/Remodel - Residential ONLY (i.e. w�r� :�, doe►rs, : ��-roof, etc. - NO STRUCTURAL EXP�4��3i��+-�} OA' Mailing Address: Permit number: � �"-� � � `VO PO Box 66 Crystal Bay, MN 55323-0 6 � Date received: �� Street Address: ��/" Received by: y�, G� 2750 Kelley Parkwa �/� � Plan review fee� lqKE5H0�� Orono, MN 55356 � Total Fee: �3 7� l� 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 appllcations witl be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��3 � �aP�� G I(�L� O�L-QjtilO 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 Ciry Counci/approva!60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suflicient on-site parking is available. Non-permitfed events wil/not be alloweo'. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �ci�ie o�> Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��,N�}� �Jf►�}�..-1�t �' TAM 1 ��-�'f� w " 1�1 Phone(day): CD� a- `-I I L-I-'�3'lUl j�la-�i`i-Iq�7-� Address: 31�l C��-C� GI(Lc:L� CitY: (xL��r�� ZIP: �"�Gi � Email and/or Fax: -i-C�m�Wr��;r� � i C�Gt.�'��GU�,,n PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require �Door(s)f I��RIO� ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ 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(specity) ❑ Siding $�Other: speci ) _ Phone: 952-471-0590 ��-p� LLS� Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ' 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 the information,the a lication ma not be issued. ApplicanYs Signature: �n�r-� �� w,;�� Date: ��y"�� Owner's Signature: � � ', �� Date: �- `�-�� Gn -�l�o ��(� PLAlV FZE�/IE�l1/ CHECKLiST FOR I�IEIIV STR�JGTIJRES / ADDITIONS , . Address: �l � I l��.S� ��e Permit No.:�l(,e` dD�� / Description of work: /�G/df'!�(�� ( Date Rec'd: Septic review by: Date Approved: 1 Zoning review by: Date Approved: ' Building review by: Date Approved: �� Grading review by: Qate/�pproved: Zoning Qistrict: Zoninc� File#: Resa#: Reso Date: Zoning: Lot Area: SF/ C VWBdth: Lot Covera . SF °/o - Survey Submitted: � Yes No Date of Survey: Revised date ? : Landscape plan submittec!? � Yes 0 No Landscaper: Proposed Setbacks: 5 Front(Lake) Rear(Streefi) ( N S E W ) ( S E W ) Other Buildings 1llletland ide Side �: '3 Qefined Heig�t: Peak H�6ghY: F E: FFE minus 6 feet= (Existing Contour Perimeter(linear feet) = 50% L.F. below grade Basement? ❑ Yes Q No, Stories FOR�4 BUILDING WITH A BASEMENT OR CRAWL SPAC FOR A BUILDING ON A SLAB FOUNDATION: The distance between e lowest propo d 31ab at or above grade— START W ITH floor(of the basemen or crawl space)an measure from hiqhest existinq the highest point of e roof. START WITH rq ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE R HIPPED ROOF(no Slab below grade—measure (BASED ON windo ): Subtract half the distance from highest exisling grade to the ROOF TYPE) betw n the highest point of the roof hi hest oint of the roof. '' to th low point of the corresponding If you have a... a e or hi GABLE OR HIPPED ROOF ;` g pped roof SUBTRACTION � z • BLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half the distance between the indows): Subtract half the distance ROOF TYPE) highest point of the roof to between the top of the highest the low point of the window and the highest point of the roof corresponding gable or hipped roof ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract ? SUBTRACTION Subtract 4he distance between the half the distance between r (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. De£ned building height EQUALS � Updated: October 2015 z:\forms\plan review checklist 10-2015.docx -,�,.>,�:�„F.- . _ �.,��.:�a�,�-,,��.�u,,.��; , . . , .. �� ' Average Lakeshor�Setback � Shoreland District MCWD Permit �et� Bluff � � Yes 0 No Permit Number: 0 Yes 0 No 0 N/A � Ye No � � � N/A—see attached Setback: f e ; Stormwater Qualit Existin Pro osed s Y 9 P ?' Overlay District Tier Hardcover Hardcover Variance Required CUF Required f- circle one % and sf % and sf � 0 Yes � No � Yes � No �; 1 2 3 4 5 Type(s): Type(s): � � - �. Fees to be Char ed YES NO � P�rmit �'` � �lan t��view t/ � State Surcharge �,,,./" � Investigation Fee l/� �, � S,4C—Number of SAC Linits {�� = Other(specify) �� €' S uare Foota e $ per S uare Foota e �; Basement X = $ � 1 St Floor X = $ � �- 2nd Floor X = $ � Garage X = $ 1 � � Estimated Gonstruction Value: $ l �i�� ,: � � Orono Inspections Required Work Requiring Separate Permits €° �' � Footing � Site Plumbing � Grading/Filling �`. � Poured Wall � Silt Fence/Erosion Control Mechanical � Fire ` � Foundation Survey � Hardcover Removal � eptic � Water Connection ; �;, 0 Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection � Framing ❑ Masonry � Lawn Irrigation ��` Insulation � Mfg. � Landscaping 0 As-Built Survey � Other(specify) e � Final � 0 Lathe Reguired State Permits � Other(specify) k° � Well Electrical r k e � REMARKS (in-house): � � # �:; OFFICIAL REMARKS -TO BE NQTED ON RE�MIT AND INITIALLED: t � See �uilder Acknowledgement�orm «: � �. 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. �' F _: Updated: October 2015 ,: �� •\fnrmc\nlan ravio�ni rhacklict 9(1_9M5 rinev