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HomeMy WebLinkAbout2012-00625 - addn/remodel/repair CITY OF ORONO * 2012 - 00625 * 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 295 TONKA AVE PIN 05-117-23-13-0028 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 $ 4,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) RECONSTRUCT/IMPROVE FINISHED BASEMENT APPLICANT PERMIT FEE SCHEDULE 103.25 FRANK,CORY&SARAH PLAN REVIEW 67.11 295 TONKA AVE LONG LAKE,MN 55356- STATE SURCHARGE(VALUATION) 2.00 TOTAL 172.36 PAID WITH CC# 4762 OWNER FRANK,CORY&SARAH 295 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 w' a State Building Code.This permit may be revoked at any time f cause. / App scant Pe ure Date rms ignatIssued By S' tore to SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: f PO Box 66 Permit number: — Crystal Bay,MN 55323-0066 Date received: —71211 Street Address: Received by: Z Gtiti 2750 Kelley Parkway Plan review fee: __llla/v`E7 -/A _i t`�XEsBog� Orono,MN 55356 Total Fee: 72 , 'j 2 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �Z This application form must be completed in full and all required information must be submitted. C. Incomplete applications will be returned. (Please print) �l GENERAL INFORMATION: Job Site Address: c/J TOn i Orono, A Af SSSS Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o 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: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: 'TonkA koe City: ct-a no ZIP: Contact Person: ,r r �y✓L Applicant is: ContractorHomeowner o-de one) Email and/or Fax: �+ �i nrtiC o Ct v✓1C�i( - Cow d i PROPERTY OWNS INFORMATION: Name: Phone(day): Address: 99 5- 7-0.1 6-\ A rnC City: 0,^C"no ZIP: S3`35_�- Email and/or Fax gyp, )c rA�l2 ek/ f r�vr PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑Door(s) Remodel ❑Fire Damage Minnehaha Creek Watershed District(MCWD) j ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 El Window(s) www.minnehahacreek.org Overall Project Description: d ,}LSI M roc �h� bn v 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 tion,the application may not be issued. Applicant's Signature: Date: Y Last Updated: 08-09-2011 Plan Review checklist for New Structures Additions Address/PID/Legal: Z� Tc�Nlch i4wP Description of work: 6A54A-4A,1- J::; ry 1s la Septic review by: N/A Date Approved: Zoning,review.by: ! Date Approved: Building review by Or Date Approved: '7- 2 " 1 Z Trading review by: Date Approved: ZHing File#: Resolution#: Resolution Date': Zoning District Fire Department Post Office School Dist-etet Zoning: of Area: SF/AC Width Depth Survey Submitted: D Yes D'No Date of Survey; Pro osed Setbacks: Front(Lake) Rea treat) N Side V ( N Side W ') Oth uiidings W1 etland' Building Defined Height: Building Peak Height: #of Stories 00: DYES FOR A BUILDINGWITH ABASEMENT OR'CRAWLSP E: FOR-Aqk LDING ON A SLAB FOUNDATION: START WITH the distance:between'the';basemerW r or/crawl ST T, the distance between'the slab and-:the highest .Space`floor.and:the highest roof peak,t top Of /; TH roof peak,the top,of the cornice of a flat roof, the cornice of a flat roof,the.deck line of athe deck line of a,mansard roof,orthe mansard roof,or the uppermost point-on a ro d uppermost point on around or other arch-type or other arch a roof roof SUBTRACT half the distance between-the SUBTRACT half the distance-between_the highest window highest roof peak of a`itched roof and highest roofpeak of a pitched roof SUBTRACT the distance between the basement floor/ wl DD he distance between:theslab.and the highest space floor and the highest existing gr a within existin rade within the foundation the foundation or 10 feet,.whichever' Jess: EQ S Defined building:hei ht EQUALS Defined.buildin bei ht Lot Coverage: SF Shoreland District UqWD Perrnit�Received Avera a Lakeaho °Setback " 131luff es 0 No D N/A D Yes D No D Yes D `No D Yes D No D A /Permit Number: - Setback: Hardcover Zone Existin Proposed Variance Reqluired NqUPRequired 0-75' D Yes D No D Yft, D No '75-290" Type(s): Type(s): _ 2V-'500 560-10 09 :REMARKS (in-house): /VD C/-�►w.r� Updated: '09/11/2009 z 1formsoan review checklist.docx Fees to be Charged YES NO, 1 WN Plan Review NOW 'H .. -. t.. .,c.... Investigation Fee Sewer Connection Park Fee Other-(specify) Calculated By; Square Footaa '$,per Square Footage Basement X = $ 1 st,Floor X Is 2"d Floor X = $ Garage X = $ Estimated Construction Value: $ 41000 ".1 Orono;inspections Required Work Requiring Separate Permits Required State'Pennits 0 Site iumbing 0 Grading/Filling D Well 0 Hardcover Removal 10D Mechanical 0 fire Electrical 0 footing 0 Septic 0 Water Connection 17 Poured Wall 0 Fireplace 0 Sewer Connection -0 Foundation Survey 0 Masonry D Lawn Irrigation D Radon Rock Bed 0 Mfg. ,XFramin9 0 Other(specify) Insulation D As-Built Survey ,or'Final 0 Other,(specify) REMARKS (in-house): Other Review. Reviewed by: Date Approved: Access:Existing: :0 YES 13 NO New: .O YES ONO REMARKS(TO BE:-NOTED ON PERMIT AND INITIALLED BY PERSON-PULLING PERMIT) Updated: 09/11/2009 z Vormslplan review checklist.docx 0,� DATE TIME v CITY OF ORONO CALLED IN Z' %Z INSPECTION NOTICE SCHEDULED PERMIT NO. 2Q Z - d D6 LS' COMPLETED ADDRESS 4 4-< �Q c ' ,/ w-e--` OWNER 12,i� TELEPHONE NO. �o i� �f�Z' (-AG CONTRACTOR & W-9— DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING It Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Q Z INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ 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 COMMENTS: cc W cc a _ A� cc O W QC Q Z W z W CC d LUXWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED 1-1ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 OwnedContractor on sit Inspector. X11 l White Copy/Inspector's File Canary Copy/Site Notice