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Home My WebLink About2014-00012 - addn/remodel/repair •- CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 0 1 2 DATE ISSUED: 01/21/2014 ORONO, MN 55356- 952) 249-4600 FAX: 952) 249-4616 ADDRESS 205 TONKA AVE PIN 05-117-23-13-0053 LEGAL DESC N/A : LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 60,800.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) LOWER LEVEL FINISH APPLICANT PERMIT FEE SCHEDULE 764.25 BOYER BUILDING CORPORATION STATE SURCHARGE(VALUATION) 30.40 TOTAL 794.65 3435 COUNTY ROAD 101 Payment(s) MINNETONKA,MN 55345 CREDIT CARD 8002 794.65 (612)475-2097 Minnesota State License#: BUIL-2988 OWNER VAUGHAN,TIMOTHY&NATALIE 205 TONKA AVE 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signat a Date Issued y Signature Date City of Orono q� A � Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �0 Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: - 7-/4- Street -Street Address: �„'N",1 f Received by: y� 2750 Kelley Parkway -40Plan review fee: 1 ykfSHo 1-1G Orono, MN 55356 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: 3( TvidC� kq V\;I,q_ c , ( `,„ 0- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Flo 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/APPLICANT INFORMATION: Name: t-1C'1,. (3v 0,t \rV i; C.J'ro 0;c,. State License# 61cyo 2�q 1_k J Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 5� (office) 4 -L-t 75 - t SS Mailing Address: OCity: VJA -v l� ZIP: Contact Person: :1 o✓✓1 \.�,,_,�� Applicant is: ntract�/ Homeowner (circle One) Email and/or Fax: c "XL PROPERTY OWNER INFORMATION: Name: TI Y✓i )- C-C✓h Vlk w Phone (day): -'j:5a- 4t71-`?-j71J Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) 21 r emodel ❑ Fire Damage MCWD review& permits: ❑ Re-roof, asphalt ❑ Repair ❑ 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.org 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 you refuse to supply the information, the application may not be issued. Applicant's Signature: 1 Date: 1 GI�Zt:�)/kf Owner's Signature: Date: Last Updated: 03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 170, T4NKA flVL Description of work: Lipo-3%;E vZ UI✓ U e l___ Septic review by: /y 14 Date Approved: Zoning review by: lvl,4 Date Approved: -- Building _review by: DateApproved: Grading review by: /V//Y Date Approved: Zoning District: Zoning File#: Reso M Reso Date: Zoni • Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Su itted: E3 Yes 0 No Date of Survey: Revise date(?): Pro osed Setb ks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Othe uildings Wetland Side Side Defined Height: Peak Height: FFE: FFE m' us 6 feet= (Existing Contour) Perimeter(linear feet) = 50%_ #of Sto es Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance betweaikthe lowest FOR BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the bqsement or crawl space)and the highest p t 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 RO (no GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest int between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roo SUBTRACTION gable or hipped roof (BASED ON ROOF GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highe window and the highest point of the point of the roof roof ALL OTHER ROOF TYP (flat, • ALL OTHER ROOF TYPES(flat, • mansard,etc):No subt ction. mansard etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance be en the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basement1crawl space or and the EXISTING the foundation. GRADES) highest existing grad djacent to the GRADES foundation OR 10 f t(whichever is less). EQUALS Defined building height EQUALS Defined buildin height Shoreland District CWD Permit Received Average Lakeshore Se ack Met? Bluff Yes D No 0 N/A 0 Yes 0 No D Yes D No O Yes D No �\N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP equired Overlay District Tie Hardcover Hardcover 0 Yes 0 No 0 Yes E3 No Type(s): Type(s): Updated: January 20 v:\forms\plan review checklist 2013.docx (� REMARKS (in-house): Fees to be Charged YES NO Permit - Plan Review State Surcharge n1i vestigation Fee SAC—Number of SAC Units . Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 624 000 o Orono Inspections Required Work Requiring Separate Permits Required State Permits • SitejrPlumbing 0 Grading/Filling 0 Well 0 Hardcover Removal eMechanical 0 Fire Electrical 0 Footing 0 Septic 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 Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx v TE TIME CITY OF ORONO CALLED IN INSPECTION%TICVf SCHEDULED PERMIT N l COMPLEr ADDRESS OWNER P ZONE NO v CONTRACTOR DESCRIPTIONc�� tj_ ❑ F TING El PLUMBING FINAL ElEXCAWGRADING/FILLING Q ❑ OU WALL ❑ MECHANICAL RI ElLAKESHORE/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 ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS: QC W a J O QC O W cc Q 2 W Z W 2 j d WW *CORRECT RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. ( 52) -4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice DAT TIME CITY OF ORONO cAttT� - 4/ INSPECTIONNO��CE SCHEDULED <27 PERMIT NO.ova o ED — ADDRESS OWNER TEL O E NO&R3103-58,59 CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS C ❑ 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 ❑ PLUMBING ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL Z OWNFA NTRACTOR T YOU: YES—NO y COMMENTS: ac o ,�i�sc tc.sf� R est �K W cc Q W W J d LU ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContmctor on site: ` e Inspector. e Copyllnspectoes File Canary CopyMe Notice TE TIME CITY OF ORONO �N — INSPECTION NOTICE SCHEDULED PERMIT NO. -AV%22OMPLETED ADDRESS OWNERPONE NO. CONTRACTOR Ae5fW_4JA DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP El DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS- a symoKe S - DiC' l v - GK oE4�esC 0 v, W cc Q kJa r K Co rK lam• ` J d W� ❑WORK SATISFACTORY:PROCEED 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. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call fnr the t inspection 24 hours in advance. (952) 249-4600 Owne ntractoron sit lD wl Inspector. White Copyllnepectoes File Canary Copy/Site Notice