HomeMy WebLinkAbout2017-00439 - addn/remodel/repair CITY OF ORONO
* 2017 - 00439 *
2750 KELLEY PARKWAY DATE ISSUED: 05/05/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 230 TONKA AVE
PIN 05-117-23-14-0029
LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK
LOT 000 BLOCK 002
PERMIT TYPE ADDITION/REMODEL/REPAIR
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDN/REMODEL/REPAIR
ACTIVITY 434-RESIDENTIAL
VALUATION $ 4,000.00
NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE)
BASEMENT FINISH
APPLICANT PERMIT FEE SCHEDULE 108.38
PLAN REVIEW 70.45
EVERLAST ENTERPRISES INC. STATE SURCHARGE(VALUATION) 2.00
4109 NORTH SHORE DR
MOUND,MN 55364- TOTAL 180.83
(952)472-7287 Payment(s)
Minnesota State License#: BUIL-BC591566 CHECK 6914 180.83
OWNER
Everlast Enterprises Inc
4109 NORTH SHORE DR
MOUND,MN 55364-
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.
2i C S -5 -
Applicant Pennitee Signatire Date Issued Boignature Date
City of Orono
Building Permit Application for Maintenance / Replacement/ Remodel - Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
Mailing Address.-,,, Permit number: `J '
PO Box 66
Crystal Bay, MN 55323-006 Date received: _2--C<-7
Street Address: n Received by:
S� G� 2750 Kelley Parkwayli Plan review fee: x 1
.m
kfSH0 Orono, MN 55356
/l
Main: 952-249-4600 Fax: 952-249-4616 www.ci.oronon.us Total Fee: / gV1 23
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: , To IfIK C)I-r>r\o M".?
Will this be a Parade of Homes, Remodelers Showca a 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 will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: FUert6LS Q.r- r i to S
State License# o Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (c 103 -$L-$ -0 T 48 (office)
Mailing Address: 1(i 0 4 f\)V-tK SKOrc bV,i City:(.dhU ZIP: S-3 io q
Contact Person: � ly\ Cte_;,,-y Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: W\ C P XJ 411-1,4"tn r.-F e V- s�S o C-C r,r\
P
PROPERTY OWNER INFORMATION:
Name: _F V-eP:�i
Phone (day): to 1a-
Address: Ili Dt-t-f SKo,^e City: r to C ZIP: S S 36(f
Email and/or Fax: i Qv e,.^6-,-T-ev\:I-,e (�•�i sc'S. c o✓r.
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ 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(specify) ❑Siding Other: (specify) Phone:
952 -471-0820
ElWindow(s) a5`M� �Grn �htS�` www.min nehahacreek.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: C Date:
Owner's Signature: Date:
Last Updated:January 2016
• PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: G- J Qot Aa L i Permit No.:
Description of work: 90-,017e.-C-� Date Rec'd:
6� `l
Septic review by: Seer Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: A17
Grading review by: Date Approved:
Zoning District: i ning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF
Survey Submitted: 0 Yes 0 No Date of Survey: _moi Revised date(?):
Landscape plan submitted? 0 Yes 0 No Landscaper:
Proposed Setbacks:
Front(Lake) Rear(Street) ( N`1, S E W ) ( NySide W ) Other Buildings Wetland
Side
ti
Defined Height: Peak Height: FF FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = OU70 = 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 owest proposed Slab at or above grade—
START WITH floor(of the basement crawl space)and measure from highest existing
the highest point ofth 'roof. START WITH grade to the highest point of the
roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION GABLE HIPPED ROOF(no Slab below grade—measure
(BASED ON window Subtract half the distance from highest existing grade to the
ROOF TYPE) betwe n the highest point of the roof highest point of the roof.
to the'low point of the corresponding If you have a...
gagl'e or hipped roof SUBTRACTION GABLE OR HIPPED ROOF
GABLE OR HIPPED ROOF(with', (BASED ON (no windows): Subtract half
• the distance between the
,mndows): Subtract half the distance ROOF TYPE)
between the top of the highest highest point of the roof to
r
i window and the highest point of the'i 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
SUBTRACTION 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
(flat,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?
0 Yes 0 No Permit Number: 0 Yes 0 No O N/A 0 Yes
e No 0
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
0 Yes 0 No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Fees to be Charged YES NO
Permit tf
Plan Review Lll�
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify) (�
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage �1X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits
0 Footing 0 Site 0 Plumbing 0 Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control " Mechanical 0 Fire
0 Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection
0 Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection
Framing 0 Masonry 0 Lawn Irrigation
Insulation 0 Mfg. 0 Landscaping
0 As-Built Survey 0 Other(specify)
Final
0 Lathe Required State Permits
0 Other(specify)
0 Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
0 See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
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20" Iif s v. Ct..`, �' Lit D T H 17'4 x 19'2
24" MIN. G ' ,NEIGH Family Rm
5.7 SO. FT. t l �;. PENIN CARPET
44" (\A; ' L I1iEIGHT u I, RIVERS Ili CTE:
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Pro o5ed LL Fam i I R
FIRE EXIT REQUIRED
20" MIN. CLEA'R WIDTH l DESKN& DRFFT
L DTCR CONNECTED TO A SOUND- r
!N C _ JROTHERDETECTOR AUDIBLE IN 24 MIN. CL+ -" b;EIGH
;LEL-FiNGARLAS.MUST BEWiR�D. 5.7 SQ. FT. E'A', DPENING i
44 MAX SILL HEIGHT
DATE TIME
CITY O RONO :CALLED
INSPECTION NOT (�3%SCHEWLED
PERMIT NO. 4� B0 COMPLETED
ADDRESS
OWNER oo TMP�IONE NO.
CONTRACTO
DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
%FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OM1NEROCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
11
W �
Q �ausG
K SATISFACTORY:PROCEED ❑PROJECT COMPLETE
Zcc
❑CbRRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATKNI ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ica for the next inspection u hours in mbarim (952) 249-4600
on site:
Inspector:
YfiNo6pi
yolnipeetw%FIN Canary Copyffift NcHc
DATE
TIME Y
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ajoll - 00937 COMPLETED �'`L5 •/� lob
ADDRESS "0 To K(ca 4.,,e
OWNER TELEPHONE NO.
CONTRACTOR �''�►'�t E'� •Pr•S cs 3nc.
DESCRIPTION • L• /�•��5`li �•�a L
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLING
O [3FOUNDATION WATERPROOF [3PLUMBING FINAL [3TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
r ZFINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W [3AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
4 ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OIN11461000NTRACTOR TO MEET YOU:_YES_NO
COMMENTS: 5lex,- -F,.�►:L - 5- Re)-17
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cc ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDrWNWRHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
;94Wa C nON REQUIRED.CALL TO ARRANGE ACCESS.
CaM for ft next hrspec*m 24 lours in advance. (952) 249-4600
on site:
Inspector: �,M-
WMle Copyfingwtoes File Conery Copyigft No 11
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. Gl7' 600ff3 COMPLETED � o1y� -/2
ADDRESS �O 76K-64 �'c -
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OVINEROCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
fSQ
0
0
W
Q;
Q
12
W
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UjC1WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑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 for"next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
white Copynnspector's File Canary Copy5ite Notice