HomeMy WebLinkAbout2013-00214 - addn/remodel/repair CITY OF ORONO * Z 0 1 3 - 0 0 2 1 4
2750 KELLEY PARKWAY DATE ISSUED: 04/15/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
AIA DRESS : 4655 TONKAVIEW LA
PIN : 07-117-23-32-0064
LEGAL DESC : REG.LAND SURVEY NO. 1036
LOT MB BLOCK MB
PERMIT TYPE ADDITION/REMODEL/REPAIR
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDN/REMODEL/REPAIR
ACTIVITY 434-RESIDENTIAL
VALUATION $ 60,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
BASEMENT FINISH-REMODEL MUDROOM&ADD WINDOW
ADV PLAN REVIEW COLLECTED 4/4/13 2013-00213
APPLICANT PERMIT FEE SCHEDULE 756.75
COLFAX COMPANIES,INC. STATE SURCHARGE(VALUATION) 30.00
206 MINNETONKA AVE S
WAYZATA,MN 55391- TOTAL 786.75
(952)7464380
Minnesota State License#:BC636394
OWNER
LICURSI,ANGELO&RACHEL
4655 TONKAVIEW LA
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 constriction is
suspended fora 'od of 180 days at any time after work has commenced.
The app icant is re ponsible for assuring all required inspections are
reques i cont rmance with the State Building Code.This permit may be
revoke y f e for due cause.
/S
App cant ermitee Signature Date Issued By Si nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.A PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
s/Permit Number: TON�r AV I ` w SNE
cription of work: �I'�►SGw�c1NT I—I r��s N f M drt o o we �x �e�a�� A-46 W I&)6 ' A-
Septic review by: N I iA Date Approved:
Zoning review by: N I A Date Approved:
Building review by: Date Approved: q-10 " ?4 t 3
Grading review by: N 1 A Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zo'g: Lot Area: SF/AC Width: Lot Coverage: SF _%
Survey ubmitted: 0 Yes 0 No Date of Survey: Revised dateM:
Proposed etbacks:
Front(Lak Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FF minus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50%_ #of tories Ok? DYES
FOR A BUILDING WITH A BASEM T OR CRAWL SPACE:
The 'stance between the lowest OR A BUILDING ON A SLAB FOUNDATION:
START WITH propo floor(of the basement or crawl
space) d the highest point of the roof. START WITH The distance between the top of slab and
If you have's....
the highest point of the roof.
If you have a...
• GABL HIPPED ROOF no . GABLE OR HIPPED ROOF(no
windows): ubtract half the windows): Subtract half the distance
distance be en the highest poin between the highest point of the roof
of the roof to th low point of the to the low point of the corresponding
SUBTRACTION corresponding ga a or hipped of SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED OOF 'h (BASED ON GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract he ROOF TYPE) windows): Subtract half the distance
distance between the to the between the top of the highest
highest window and th ig st window and the highest point of the
point of the roof roof
ALL OTHER ROO TYPES(flat, • ALL OTHER ROOF TYPES(flat,
• mansard,etc):N subtraction. mansard,etc):No subtraction.
ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distan between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basement/crawl s ce floor and the EXISTING the foundation.
GRADES) highest existing de adjacent to the GRADES
foundation O 0 feet(whichever is less). EQUALS Defined building height
EQUALS Defined b ding height
Shoreland District MCWD Permit Received Averagk Lakeshore'Setback Met? Bluff
D Yes 0 No 0 N/A 0 Yes 0 No
O Yes D D Yes D No D N/A
Permit Number: Setback:
Stormwate uality Existing Proposed Variance Require CUP Required
Overlay strict Tier Hardcover Hardcover
0 Yes 0 0 Yes 0 No
Type(s): TIP
(s):
Updated: Januarych NO /'
v:\forms\plan review checklist 2013.docx lJ C�
REMARKS (in-house): --
Fees to be Cha ed r,,,;tit SES
.
.mow_.
Plan Review
Investigation Fee
Other(specify)
S uare Footage $per S uare Footage
Basement X = $
1't Floor X = $
2"d Floor X = $
Garage X = 1 $
Estimated Construction Value: $ (o O
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site Plumbing 0 Grading/Filling 0 Well
0 Hardcover Removal Mechanical 0 Fire W Electrical
0 Footing 0 Septic 0 Water Connection
0 Poured Wall Fireplace 0 Sewer Connection
0 Foundation Survey 0 Masonry 0 Lawn Irrigation
0 Radon Rock Bed Mfg.
Framing Other(specify)
,Insulation
0 As-Built Survey
)a Final
G Wetland Buffer
• Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: 0 YES 0 NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms\plan review checklist 2013.docx
City of Orono �T 786 . 7-�
Building Permit Application for Maintenance / Renovation
- (windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: <�)D/3
�., PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a t Street Address: Received by:
�� o~ 2750 Kelley Parkway Plan review fee: /3-O e>aI3
�9kESHot'� Orono, MN 55356 tri 111
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
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: iqp55 7,o_yb V CW Zq riG
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/APPLICANT INFORMATION:
Name: Q/70X ,I7-i ?/ /IC_.
State License# Expiration Date:
Lead Certification Number: Expiration Date.-
(for
ate:(for work on homes that were constructed prior to 1978
Phone: - -4-3,6,0 (office) to 17--Zo - Z 987 (cell)
Mailing Address: City: ZIP:
Contact Person: CfA Applicant is: Contracto / Homeowner (Circle One)
Email and/or Fax: �?/CSG �(e/ axGD '!') 95? 7V&- #383
PROPERTY OWNER�I'N"F"ORMATION:
Name: �h9r�D 4 IRQtl�c /Gl[✓5/•
Phone (day):
Address: w City: r or)O zip: 553
Email and/or Fax r'Q��, ��•C! . ��m
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.org
Overall Project Description: Q /7 j-�r' - a'k"4AZ / &Ve etvm o 0 A0
Estimated Construction Valuation of Project(excluding land) $ /00i coo
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 informhinnorrmation
which generally cannot be given to either the public or the subject of the data. Our l
purpose and intended use of this is to annually update our records and records of other governmental agencies
re uired b law. If ou refu sthe information,the application may not be issued.
Applicant's Signature: Date:
Last Updated: 08-09-2011
,A — DATE TIME
CITY OF ORONO CALLED IN G��
INSPECTION NOTICE SCHEDULED .5'/3- / 3tQ_
PERMIT NO.,-2'/013- a;/ COMPLETED
ADDRESS 76,y5 7—ex ,a V l ezu LrL,
OWNERnn__ ��++ TELEPHONE NO.,612 —702- zRk7
CONTRACTOR-4I�
DESCRIPTION Era m t h qi
FP
tW ❑ FOOTING ❑ PLUMBINCIANAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q El TREE REMOVAL
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
i ❑ 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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O �<WORK SATISFACTORY:PROCEED ARILAdJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
L)CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. f
White Copy/Inspector's File Canary Copy/Site Notice
VDATE TIME
CITY OF ORONO CALLED IN !0
INSPECTION NOTICE SCHEDULED
PERMIT NO /`rr COMPLETED
ADDRESS
OWNER TELEPHONE NO /tea -d48'
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O El TREE REMOVAL
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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w ❑CORRECT WORK&PROCEED ❑�ROJECT
UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:_U7
Inspector. is AoV
White Copy/Inspector's File Canary Copy/Site Notice