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2017-00354 - addn/remodel/repair
CITY OF ORONO * 2017 - 00354 * 2750 KELLEY PARKWAY DATE ISSUED: 04/21/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 225 TONKA AVE PIN 05-117-23-13-0051 LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK LOT 000 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 18,400.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) BASEMENT REMODEL APPLICANT PERMIT FEE SCHEDULE 340.73 SABEAN,JESSE PLAN REVIEW 221.47 AVESTATE SURCHARGE(VALUATION) 9.20 225 TONKA LONG LAKE,VE 55356- AFTER-THE-FACT FEE 340.73 TOTAL 912.13 Payment(s) CREDIT CARD 9791 912.13 OWNER SABEAN,JESSE 225 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 time for due ca , �/�j ApplicanOurnitee Signahre Date Issued By Signature Date (i' City of Orono Building Permit Application for New Structures or Additions r Mailing Address: Permit number: 0/7--0�3 0�T PO Box 66 1 VO Crystal Bay, MN 55323-0066 Date received: foZ / l Street Address:' Received by: y ,� 1 2750 Kelley Parkway c? �� Plan review fee. HO�� Main: 952-249-4600 Orono, MN 55356 Total Fee: a �� Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) � AA ,1 � / Job Site Address: oo'��c% —A—Low— o✓(D /44A 53 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 City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPVCANT INF RMATION: Name: State License # Expiration Date: Phone: cell CfL- – office Mailing Address: Ue— Cit : naKv Contact Person: 5q6021gApplicant is: Contractor / Homeowne (Circle One) Email and/or Fax: t,c sso_ So►loto✓t L3, ,w A, ( •ev-1,t PROPERTY OWNER INFORMATION: Name: E-�jeCkJA Phone(day): Address: City: " ZIP: 3<Jb Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: Q Pt 1.Type of Project 2. Proposed Use 3.Structure Ty4.Sewage Disposal& ❑ New Construction Sin le Famil with Water Supply � 9 Y ❑ Accessory Bldg./ ❑Addition attached garage ❑ Deck El Public Sewer[:1 Accessory Building El Single Familywith ❑ Ofce/Commercial ❑ RelocationQQ detached garage E Residence Other: (specify) �akIA A_f i t`n� El Septic El Family/Condo ❑ Retaining Wall(s) (Compliance certificate ❑ Public 4-feet or greater may be required) *"Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(specify) 15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.rninnehahacreek.org Estimated Construction Valuation (excluding land) $ Packet Last Updated: January 2016 Page 21 STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) a. Length(ft.)= _ Number of bedrooms= > 2. Occupancy: , b.Width(ft.)= _ Number of garage stalls: 3. Occupant Load: Areas in souare feet (� Attached= c. Basement= Lpr�UT Detached= 4. Type of Construcion: d. 151 Story = e.2nd Story= 5. Code Edition: f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applivable ❑ ❑ Building Permit Escrow Agreement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Completed Application Form ❑ ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations ❑ ❑ Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ ❑ Landscape Walls and/or Retaining Wall Plans ❑ ❑ Landscape Plan ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: Agrees to provide all information required or requested by the Building Department; Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; 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; Acknowledges the Escrow Agreement is completed and signed; • Understands 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. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: Owner's Signature: Date: Packet Last Updated: Janua2016 Page 22 PLAN REVIEW /CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: Z 2 l ��K� � � Permit No.:—Z-&1-7 --AOS 7— Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: 1� Building review by: Date Approved: Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot C erage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 S 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( S E W ) ( S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: E: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50 = 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 th owes,prop sed Slab at or above grade— START WITH floor(of the basement or crawl space) d measure from highest existing the highest point of the oof. START WITH grade to the highest point of the roof even if fill was brought in to elevate home. If y/AHER a... SUBTRACTION • LE OR IPPED ROOF(no Slab below grade—measure (BASED ON ws): ubtract half the distance from highest existing grade to the ROOF TYPE) en a highest point of the roof highest point of the roof. to point of the corresponding If you have a... hipped roof SUBTRACTION GABLE OR HIPPED ROOF • OR HIPPED ROOF(with (BASED ON (no windows): Subtract half the distance between the ws): Subtract half the distance ROOF TYPE) highest point of the roof to en the top of the highest the low point of the w and the highest point of the corresponding gable or hipped roof • THER ROOF TYPES(flat, GABLE OR HIPPED ROOF ard,etc):No subtraction. (with windows): Subtract SUBTRACTION Sybtract the distance between the half the distance between (BASED ON semenUcrawl space floor and the the top of the highest EXISTING Pighest 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. EQUALS Defined building height Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? ❑ Yes 13 No Permit Number: ❑ Yes ❑ No ❑ N/A 13 Yes No ❑ ❑ 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 Plan Review t/' State Surcharge �-- Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1 st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: l GiYV Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site Plumbing [3 Grading/Filling ❑ Poured Wall 13 Silt Fence/Erosion Control ❑ Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Septic ❑ Water Connection ❑ Fo ndation Waterproofing Other" �� (specify) ❑ Fireplace ❑ Sewer Connection n r /�' 44 [3 Masonry 13 Lawn Irrigation Insulation ❑ Mfg. ❑ Landscaping ❑ As-Built Survey ❑ Other(specify) Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well 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. Updated: October 2015 7•\fnrmc\n1nn ra\/IPU/rharlrlict 1 n-gn l n,rinry ORONO COPY Reviewed for Code r I Compliance ip of Orono Date 1 ` U Reviewer EXHAUST FAN VENT DIRECTLY OUTBID 5�I _� "7� t � 1 l --1 FIRE EXIT FfEQUIRED 20" MIN. CLEAR WIDTH ��<< 24" MIN. CLEAR HEIGHT 5.7 SQ. FT. NlN OPENING 44" MAX SILL HEIGHT Carbon monoxide detector required within 10 ft. ofi�(j all sleeping rooms. RECEIVED 61�e e ih kA-e q Al`K '12 2017 LING E DETECTOR CONNECTED TO A SOUND- CITY OF ORONO EVICE OR OTHER DETECTOR AUDIBLE-IN ING AREAS. RECEIVED APR 7 2 2017 mDamFAL o•catHEDR& C� �(D ORON CA rmnucnoirS7'U W L � a III o © o © III BA.2 Ulu RM. BDRM. z © 1 I BDRM. i ` O _ BA.t Q a m Rom gat ahsolttrt--.a i 0 — © Ilk- -------- ----- LIVING ROOM _� o ` BDRdf. 3 r------- KITCHEN N A ' � -- - ® � I MODULAR © o 0 0 (D c-r U) N �, . . UBD " s_ S P-2 SCHULT HOMES N - - . rhm MW .0 mo or vrt Eli-cc m , cv - N I JUL-29-2092 1329 P.13 . � /F7T\ ` „ Qp \, , // •\\\ a \\\\ "� \ \ / r CN TT AK- tv \ \ / • � � �C Z � Q+ `,`� i i m 1 ` -00 DATE TIME CITY OF ORONO CALLED IN �INSPECTION NOTICE NOTICE SCHEDULED PERMIT NO. _7—CC,35) COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRAC R 4 l � I ��1 DESCRIPTIO C � �� / ❑ FOOTING ❑ DEMO-FINAL �� �� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �JI/� I ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL `.' �f S❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI �f ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP WS ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v SITE ❑ IC INSTALL H(TRACTOR TO MEET YOU YES_NO MMENTS: U. � Q 12 W W ac W ❑WORK SATISFACTORY:PROCEED PROJECT 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. O PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cab for the next inspection 24 hours In advance. (952) 249-4600 Ownerr,ontractor on site: Inspector. 61 White CopyAnspector's File Canary CopyWe Notice