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Home My WebLink About2012-00314 - addn/remodel/repair • CITY OF ORONO _ 00314 * 2750 KELLEY PARKWAY * DANE ISSUED: 04/25/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 1560 TANGLEWOOD RD PIN 26-118-23-32-0012 LEGAL DESC TANGLEWOOD LOT 003 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) MASTER BATHROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 339.25 PAT FAITH 4011 GLENDALE DRIVE PLAN REVIEW 220.51 EXCELSIOR,MN 55331- STATE SURCHARGE(VALUATION) 10.00 (612)760-0628 TOTAL 569.76 Minnesota State License#: BC637448 PAID WITH CC# 1606 OWNER BUHMAN,DION&TANYA 1560 TANGLEWOOD RD LONG LAKE,MN 55356- 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 co formance with the State Building Code.This permit may be revoked at an, til for dl+e taus Applicant Permitee Signature Date Issue By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED WVE. City of Orono Building Permit Application for Maintenance / Renovation windows, doors, siding, re-roof, etc. MlaN g Address: Permit number ?l10 —&0 Q,�O Box as Crystal Bay,MN 55323-0086 Date received: Street Address: Received by- 2750 y2750 Kelley Parkway Plan review fes: Orono,MN 55356 ��q•�� Main: 952-249-4600 Fax: 952-2494616 www.ci.orono.mn.us I Total Fee: This application form must be completed in full and all required information must be submitted. Incomplete applications will be istin, a& (Please print) GENERAL INFORMATION: r-- Job Site Address: -'WkLL Roi o a rnd ME Will this be a Parade of Homes,Remodels howcase Home or other Display Homed Yes No N yw a spadaf avant parmk Is requred with Polfoe Depwbnent and Cfly Coundi approval W dapplor to the event. Shuft bus wiB be required trdess apptcant dairmatretes wffidant on-de padd►g is aveft*. Nw-permuted events wo not be slowed. CONTRACTOR I APCANT FORMATION: Name: State License Expiration Date: Lead Certification Number. AjAr - C1 y4?oo1- 1 Expiration Date: '90 15 (for work an/comes that were constructed prior to 1978 (Cell) Phone: ( _ (office) Mailing Address. City: ZIP: Contact Person: Applicant is. C / Homeowner tcrrca ono Email and/or Fax: Emrcn�RsnD 0 n-COM PROPERTY OWNER FORMAT L Name: I log rylnw Phone(day): t' 61 JL - City: ZIP: 5-535(� Address: /:�(yo 1Cxlb u-wd '( Email and/or Fax PROJECT INFORMATION: Type of Project: any girth movement nay require MC1WD review&permits: ❑Door(s) a Remodel ❑Fire Damage Minnahsha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Desoaven,MN 55391 ❑Re-roof,cedar ❑Restoration ❑Water Damage Phone: 952471-0590 ❑Re-roof,other(specify) ❑Skiing ❑Other.(sw*) Fax: 952-471-0682 wo w.minnehahacxeek.oro ❑Wfndow(s) Overall Project Descri on: M Estimated Construction Valuation of Project(exciudlnp land) $ 26,DDo APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all infom>ation required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of hWher knowledge. The applicant roc ognt ms that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no aftemative 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 fired by law. If you refuse to sqly the information,the application may not be issued. Applicant's Signature: Date: Last Updated: 08.09-2011 IL IL �2gMON� ONpN t101lp1 �� 7771 _ "AND Y BATH ' - curt tO Tf,. I F �p Linen Cj„t[fel� 1�.�1L Clo t -- CITY OF ORONO (,cwtoh �'o � l PROJECT: BUII_D1rJG t T PLAN REVIEW SMq�ri h h WS4ECTOR __:.:, ,_:: -'—�" - DATE �-0 I -- w - -- ,�i�tiT h;. �� M . td4 ':i36^ c!i+;Gi your I!?:<�'... '.�Jii. .ii�;":'ork st`12'i iAZ 1�..1f7� in Fitt: G<.G `i c ;ii 1 and 7Y�Nng GOO �c N'eeP THIS FLAN ScJC .�1)-E AT 15-3117'— -8'-81/7' —? SPECIAL DOTE 43EE ATTACHED SMZE't' � EP: Master BerooSSuds Opo; CODE REQUIRE1kAENTSrd �':� Plan Review Checklist for New Structures / Additions Address/PID/Legal: P961 '7—At%,6 C,(E-U j d 0 12AA4 Description of work: lm&,ST&A( ' J[�%N-Ty� \2w.ww�lJCC. Septic review by: A.11A Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning File* Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zonin Lot Area: SF/AC Width: Depth: Survey bmitted: 0 Yes 0 No Date of Survey: Pro osed S backs: Front(Lake) Rear(Street) ( N S E W ) ( N S f W ) 0th uildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FORA BUILDING WITH A BASEM\ENTQR CRAWL SPACE: FORUILDING ON A`SLAB FOUNDATION: START WITH the distance between a basement floor/crawl ART the distance between the slab and the highest space floor and the high s t roof peak,the top of 'WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the eck line of a the deck line of a mansard roof,or the mansard roof,or the uppermo oint on a round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between.the highe wind and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement fl r/ b�aawl ADD the distance between the slab and the highest space floor and the highest existin rade will'n existingrade within the foundation the foundation or 10 feet,which r is less. EQUALS Defined building height EQUALS Defined buildingheight Lot Coverage: SF Shoreland District CWD Permit Received. Avera Lakeshore Setback Bluff 0 Yes 0 No 0 YesXNo D NIA Yes 0 No 0 N/A .0 Yes 0 No Permit Number: Setback: Hardcover Zo s Existing Proposed Variance RequiredN, CUP Required 0-75' 0 Yes Cl No 0 Yes 0 No 75 0' Type(s): pe(s): 50-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z Vormstpian review checklist.docx Fees to be Charged YES NO _0 Plan Review M ,r -� r0.0 ww Investigation Fee Sewer Connection Park Fee Other(specify) -. Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X $ Estimated Construction Value: $ ?.4J 000 Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire Electrical 4103 0 FootingSeptic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. Framing 0 Other(specify) Insulation 0 As-Built Survey 413 Final Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 zAformsVlan review checklist.dom L DJ TIME CITY OF ORONO CALLED IN 'S'L/ INSPECTION NOTICESCHEDULED S- PERMIT NO,aO�o2-W 3 COMPLETED ADDRESS 16600 J OWNER ,,��,,,, TELEPHONE NO. 4014 760 062-e CONTRACTOR Al knAi DESCRIPTION A BMJ uj ❑ FOOTING ❑ PLUMBING FIN40 ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W Ccc cc J 0 W Q 2 W W cc d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC �gRECT WORK&PROCEED 11 ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP 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. White Copy/Inspector's File Canary Copy/Site Notice I — / a,+- D E TIME / CITY OF ORONO CALLED IN h_� INSPECTION NQTICE PERMIT NO. �(�/a /�SCHEDULED3 MPLETED ADDRESS �5 4 D OWNER T L HO ENO. a W—O&�U CONTRACTOR DESCRIPTION El FOOTING ElPLUMBING FINAL ❑ EXC V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS:P/ / a 60-3 54-1 W a 1(24C7 C+r Cc —ro&) 4L'A e 4 QV C-) ULW Cc Q 2 W W CI Uj ❑WORK SATISFACTORY.PROCEED _1<ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 13STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice