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 ,
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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:
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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