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HomeMy WebLinkAbout2018-00368 - addn/remodel/repair CITY OF ORONO 1111 1 II 1 1 * 2750 KELLEY PARKWAY * 2 DATE 0 0 3 6 8 ISSUED: 04/06/2018 ORONO,MN 55356- (952)249-4600 FAX (952)249-4616 ADDRESS : 2755 CASCO POINT RD PIN : 20-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD.NO.265 : LOT 007 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 25,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 433.67 STATE SURCHARGE(VALUATION) 12.50 KUHL DESIGN&BUILD,LLC TOTAL 446.17 1515 5TH STREET SOUTH HOPKINS,MN 55343- Payment(s) (952)935-9469 CHECK 30131 446.17 Minnesota State License#:BUIL-BC390161 OWNER BASKFIELD,MICHEAL&SHARON 2755 CASCO PT RD 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 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 180 days of the date of issuance,or if construction is suspended for a period of 180 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. ;ter__ ifFApplicant Permitee Signat Date Issu :y Signature Date LfILy VI VI VI IV Building Permit Application for Maintenance/ Replacement/Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) W o Mailing Address: Permit number: 00(8p0;36 r POBox66 Crystal Bay, MN 55323 0066 Date received: 3-��v Street Address: Received by: Q 2750 Kelley Parkway Plan review fee: o2U1.Orono, MN 55356 vors-Q 036,9 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us T-I t1 /7 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: ,765 '4, ,o j6,/,t)7 JoA® Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeserNo If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus vice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: CiJAZ 2) /lair.) aft Lt State License# /3(.3F0):57 2) /,g Expiration Date: j31/j9 Lead Certification Number: /097-37/q, -' Expiration Date: 11/01/25' (for work on homes that were constructed prior to 1978 Phone: (cell) 6'`Z—Zo '/..-67y2._ (office) 95Z- g35' Yr6.7' Mailing Address: /5)5 3,,,/j 6`eti i f City: /e)ti,US ZIP: -53-31/1? Contact Person: ))/gti ve p-1,/ Applicant is: ontractor+)/ Homeowner (Circle One) Email and/or Fax: 2,4, i4.0Az,6e- ,�y,,),6„,..)z,b)f,L�/�? PROPERTY OWNER INFORMATION: Name: ,,//4 4,-'S .241) Phone (day): 61Z- 'fid 7 // iO Address: 1_;i14 O O>,i4 7,,i4/ City: 4f7 4A2 ZIP: 533 B ' Email and/or Fax: /� ` ,40,, Z,/i-2A , . PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) emodel 0 Fire Damage MCWD review& permits: ❑ Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd 0 Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345 0 Re-roof,other(specify) 0 Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 _.__ 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �D�I> 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 you refuse to suppl the i .rmation,the a lication ma not be issued. / Applicant's Signature: *# Date: 3��5// Owner's Signature: Date: PLAN REVIEW CHECKLIST//FORUNEW STRUCTURES / ADDITIONS Address: Z.7 4-5 �Sce PO `P i-- /ZmctV Permit No.:Z4-'©O 3 Description of work: Date Rec'd: 3/x//8 Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: c.„--7 6--.7.e.t->o.." Date Approved: dr t./z_/16 Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Are •� SF/AC Width: Lot C erg: SF Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitte\ 0 Yes 0 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: , FE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 5010= L.F. below grade Basement? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement pr crawl space)and measure from highest existing the highest point of thte roof. START WITH grade to the highest point of the 1J roof even if fill was brought in to If you have a... elevate home. / SUBTRACTION • GABLE HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distancefrom highest existing grade to the ROOF TYPE) between the highest point of the roof highest point of the roof. to the low point of the corresponding If you have a... ga a or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • ABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low 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 SUBTRACTI Subtract the distance between the half the distance between (BASED ON basement/crawl 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 mansard,etc):No EQUALS ` Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: CIYes 0 No 0 N/A 0 Yes 0 ❑ Yes CI No No • 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required (circle one) (% and sf) (% and sf) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit l/ Plan Review l/ State Surcharge Investigation Fee tom` SAC—Number of SAC Units Other(specify) (/� Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ • Garage X = $ Oo Estimated Construction Value: $ Z-.Z 6e Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site Plumbing 0 Grading/ Filling ❑ Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace ❑ Sewer Connection Framing 0 Masonry 0 Lawn Irrigation ❑ Insulation 0 Mfg. 0 Landscaping ❑ As-Built Survey 0 Other(specify) )![ Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well 7 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. 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G ,ID DATE TIME CITY OF ORONO ,,/CALLED IN INSPECTION Nn ig,y 2-/�S( SCHEDULED g-'031-1-1b'- 1/; 36 PERMIT NO. �'6/ e" OMPLETED �Q /� ADDRESS c 7, te 7 iZe OWNER - E E NQ. - �'bcf`� CONTRACTOR J' P� 1ld 41 DESCRIPTION 4 5IiL is t,14 W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION _ 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS I+ 4INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ✓❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Rer►i�e.I ccf Q. a ` crte e-444%cs ,..5 eat;/e. n / cc U Pia/I've .d/a c-454,, �lot < ,,- F. -c 4s-e- 4. Fis,t c..sip. rre -6,©.vs iffO utak - cc W Iez - oK vc2 Z Gyre - G:tK CC) bel 6/KUe W CC Cl W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. ? /n,t 4! White Copyllnspector's File Canary Copy/Site Notice /i 0 D T TIME aCITY OF ORONO CALLED IN ��g INSPECTION NOTICE SCHEDULED / 3: 36 PERMIT NO. -DI bg COMPLETED ADDRESS 7 5:5- 4/n-74 / OWNER Q eELEP74E NO 2-'-;:(3;1120_° CONTRACTOR %���' "�- L 5/1Ql DESCRIPTION FYins/77 lL 0 FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL ElWATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO 9 COMMENTS..I, re 1.7/,.tx- <✓ I--cr/"f" c ei c cIf;I, cx, /, ,,',k CC -7i, ri L4, s f 1,r e d I..v, -f1 0 W 1 /'// r) ccc Q z W z W cc 0 WQ 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 FORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. Gi / White Copyllnspector's File Canary Copy/Site Notice