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Home My WebLink About2018-00040 - addn/remodel/repair i CITY OF ORONO * 2018 - 00040 * 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2018 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 4751 TONKAVIEW CT PIN 07-117-23-32-0012 LEGAL DESC BERGQUIST&WICKLUNDS PARK LOT 000 BLOCK 003 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 14,656.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ADDITION OVER DECK APPLICANT PERMIT FEE SCHEDULE 278.77 PLAN REVIEW 181.20 NEW TOWN EXTERIORS N NE TONKAXTERI COURT STATE SURCHARGE(VALUATION) 7.33 TOTAL 467.30 MOUND,MN 55364- (612)221-0952 Payment(s) Minnesota State License#:BUIL-679621 CREDIT CARD 1875 467.30 OWNER KOUBSKY,FRANK&SUSAN 4751 TONKAVIEW CT 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 thic 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 request rmance ate Building Code.This permit may be re ed at �v l App lic t Permitee Signa Dat Issue y Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) O A, Mailing Address: Permit number: �t/ �� l YO PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: tiF L� 2750 Kelley Parkway Plan review fee: t�kESHOOrono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 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: p e4,, , 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/Aff LICANT ORMATION��(Name: ate/ State License# Ca4L7=9(2 3L Z Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) o — (office) Mailing Address: q7City: ;._ ZIP: C!0(- .51214 4 Lain A J_ Contact Person: Applicant is: ontractor Homeowner` (Circle One Email and/or Fax: PROPERTY OWNE"FORMATION: Name: J 8 Phone (day): Address: City: ZIP: (p Email and/or Fax: • 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: 952-471-0590 Fax: 952-471-0682 RWindow(s) www.minnehahalmk:4mr� - Estimated Construction Valuation of Project(excluding land) $ oo APPLICANT ACKNOWLEDGEMENT: A 12 2018 • Agrees to provide all information required or requested by the Building Department; CITY OF ORONO • 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 annual) update our records and records of other governmental agencies required by law. If you refuse to supply-%e info lication may not be issued. j Applicant's Signature: Date: Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: U 7 % I / [f� ,a'1/I l (>iE!/ �'(— Permit No.: 74 t?`(9 06U Description of work: gjdz- klyl (/' !/ � Date Recd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Grading review by: Date Approved: Zoning District: Zoning File M Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/NA Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Sur�y: Revised date(?): Landscape plan submitted? 0 Yes Landscaper: / 0 No/None proposed Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildina Hei ht Analysis: Distance Between First Floor and defined Top of Roof*(See"building height" (a) definition): First Floor Elevation from building plans):/ (b) Highest Existing ground level (per survey)or 10'above lowest ground level, (c) whichever is lower: Difference between b and (c)*: (d) DEFINED HEIGHT *If highest existing adjacent grade is bove FFE-Height is(a)-(d): (e) *If highest existingadjacent rade i below FFE-Height is a + d Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % ands % and s 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit Plan Review - State Surcharge l� 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: Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control OMechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal �z Fireplace ❑ Water Connection ❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection ❑ Waterproofing/Drain tile �m Mfg. ❑ Lawn Irrigation ❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping Framing ❑ Septic Insulation ❑ As-Built Survey ��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: June 2017 z:\forms\plan review checklist 06-2017.docx YYY DATE TIME ITY OF ORONO CALLED IN -�� V/ INSPECTION NOTICE x SCHEDULED PERMIT NO.oZ 01 S-D 0U 6 COMP ED ADDRESS 41 I OWNER TELEPHONE NO o 7SoZ CONTRACTOR Q(.� OGO K 3Z DESCRIPTIONiera-m W ❑ FOOTING ❑ DEMO FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: �i.'t G✓c ♦r� �r'�� :72-f � O W ac Q W Z W R W--UANORKSATISFACTORY PROCEED ❑PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN 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 OwneNContractor-o-nsisite: Inspector. r/r.� ��/) x White Copyllnspectors File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTIONOTICE^,,`�' SCHEDULED PERMIT NO.s201 — JCX/T O COMPLETED ADDRESS �/7�I � l?�P�4 ><^ OWNER TELEPHONE NO. CONTRACTOR �� Jl�✓� �X� DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ 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 _ Z OWNERICONTRACTOR T(kE_ET YOU:—YES_NO y COMMENTS: -Si 1-)•'1) � 0� O� �✓�i9�/rT S�rJ i/L p,� 0 LL G J O W _❑/WORK SATISFACTORY:PROCEED L1 PROJECT COMPLETE CC % 40RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W / 0 ❑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 1:1 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the4next'nspection 24 h urs in advance. (952) 249-4600 Owner/Contractore: Inspector. White Copylinspector's File Canary Copy/Site Notice