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HomeMy WebLinkAbout2012-00476 - addn/remodel/repair CITY OF ORONO * 2012 - 00476 * 2750 KELLEY PARKWAY DATE ISSUED: 06/05/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 4740 TONKAVIEW LA PIN 07-117-23-23-0035 LEGAL DESC VALEKS SAGA HILL ADDITION LOT 001 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,200.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) PARTIAL BASEMENT FINISH APPLICANT PERMIT FEE SCHEDULE 177.00 HOMES BY LAUREN,LLC PLAN REVIEW 115.05 8465 11-TH STREET S COTTAGE GROVE,MN 55016- STATE SURCHARGE(VALUATION) 4.10 (651)983-1987 MISC FEE 0.00 Minnesota State License#:BC340327 TOTAL 296.15 PAID WITH CC# 8052 OWNER SCHMITT,NICHOLAS 4740 TONKAVIEW LN 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 . e for due cause. Applicant Permitee Signature Date Issued beignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono �- '� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) 'l Mailing Address: Permit number: 'Qv O•�0 PO Box 66 O Crystal Bay, MN 55323-0066 Date received: a Street Address: Received by: �� o~ 2750 Kelley Parkway Plan review fee: L�kESAO, Orono, 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: 4711C) _TbrtKa, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes X 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: Home.0 C'I 1_c,:;.-en IL LC State License # (�C 3,(C �2—r Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ( -5 I- `i k3 19 7 (office) 7 C 9 R 3 -)1 7 (cell) Mailing Address: Ali(5 'cf Sc• City: z ZIP: 3 sc iL Contact Person: Le.uiei,\ Applicant is'- on racto / Homeowner (Circle One) Email and/or Fax: h' cmy��6;e 14urzn r_—_ {�i �rnu1c l cc r" PROPERTY OWNER INFORMATION: Name: [L ;c KPhone (day): Address: �I 7�C l—c nl�� V.zi~; 4_e n_Q_ City: cr) he ZIP: SS 3 6`� Email and/or Fax 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 El Re-roof, other(specify) Phone: 952-471-0590 (sp y) ❑ Siding 4c Other: (specify) Fax: 952-471-0682 ❑Window(s) _•{-• t eir_s www.minnehahacreek.org •c Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ f ? 0,0 O o 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 re uired hv law. If ou refuse to su I the information, the application may not be issued. Applicant's Signature: L--L-L�, Date: Last Updated: 08-09-2011 Plan Review Checklist for New Structures / Additions Address/PID/Legal: q?YO T 0-1V'OCA Un;F?,l Description of work: f�/9Rnr �3.4s�� ✓: =,�,iT�,r Septic review by: N/A Date Approved: Zoning review by: #.,*1,41 Date Approved Building review by: AA- Date Approved: -S-=3/-7_4j 41L Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire'De artment Post Office Sc of District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitte Yes No Date of Survey: Proposed.Setbacks: Front(Lake) ar(Street) ( N S E W ) ( N & E W Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: F ABUILDING ON A SLAB FOUNDATION: START WITH the distance between the base r floor/crawl START the distance between the slab and the highest' space floor and the highest roof pe the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck lin f a the deck line of a mansard roof,or mansard roof,or the uppermost point o round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest windo nd SUBTRACT half the distancebetween the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/ rawl ADD the distance between the slab and the highest space floor and the highest existing gr a within existing rade within the foundation the foundation or 10 feet,whichever' "less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF Shoreland District MCVO Permit Received Average keshore Setback Bluff 0 Yes 0 No 13 Y D Yes 0 N/A Yd's 17 No 17 N/A a Yes 0 No 17 0 PIem7lit Number: Setback: Hardcover Zones Existing Proposed Variance Require CUP Required 0-75' 0 Yes 0 No G Yes G No 75-250' Type(s): Type(s): 250-50 500-1000' REMARKS (in-house): /1/0 Gs4-fty✓61e Updated: 09/11/2009 z>\forms\plan review checklist.dom Fees to be Charged YES N0- xWOROW WIN Plan Review r4 ._ .« „� Investigation Fee : Sewer Connection Park Fee Other(specify) Calculated By: Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X _ $ Estimated Construction Value: $ o, 20 v°= Orono Inspections Required Work Requiring Separate Permits Required State Permits • SitePlumbing 0 Grading/Filling 0 Well • Hardcover Removal Mechanical 0 Fire Electrical 0 Footing e0 Septic 0 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. raming 0 Other(specify) nsulation 0 As-Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 zAforms\plan review checkiist.docx Nb� i-0 �q 4ui`lN LLC- 5-1- LCS1- tiS- 3 - 197 LI, l'" win�0Lj b<hibbr�h� r r/ K- --V e- i.•1,ich S CuTr,v��� ni SW �f SPECIAL NOTE 6� 3b SEE ATTACHED SHEETn COGS 36`" 3 x �,bzr�i4s s A RECTLY Showar S�cI� CITY OF ORONO B!11LPIN a PE, IT�EVIEW NSPECTO; Roo rL i M n Tall b2 done sof•on•a Coda. mtao_[in the review. KEEP THIS PLAN SEET ON Sill E Al ALL TWIES City of Orono FOR CITY USE ONLY `r P.O.Box 66 L 2750 Kelley Parkway Date Received: 0.Z Time: Crystal Bay,MN 55323 ?� k (952)249-4600 �aeao REQUEST FOR PROPERTY INFORMATION Internal, City Use Only Property Information: Type: residential ❑ Commercial I n Address: �� I V n rG( 1 w� WKL-1 Requestor: Name: Li"D� Company(if applicable): Address: City: Zip: Home Phone: Alternate Phone: Questions regarding the above noted property: -�o Vm- wz� - o Imo. - OrV VCari. ? (�- 6 fV v:\chris mattson\request for property information form.doc Last Updated: August 28,2007 Ov '� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED2 PERMIT NO.o7D/a—�O`�7� COMPLETED ADDRESS V 7 410 707C,�cZ-c � OWNER TELEPHONE NO.(5/ 9&3 /NY CONTRACTOR __JJ-&� / � < DESCRIPTION k::o4 c'c-Pcz tU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ 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 v ❑ 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 y COMMENTS: W a J O cc O W W C: Q 12 2 W Z W cc Uj -OrNORKSATISFACTORY:PROCEED ElPROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑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 OwnerlContra *,,:, Inspector. White CopylInspector's File Canary Copy/Site Notice e)1�_ 06 q 7(0 �ef_ DTIME P CITY OF ORONO 4b/,1-60 I o CALLED IN AT INSPECTION NOT a_�bSOg SCHEDULED 772 :-:3'r7 PERMIT NO. COMPLETED ADDRESS 7 770 L/L� OWNER // TELEPHONE NO. CONTRACTOR �� 110 : DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J Q PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a V ej 0 LL W cc Q W Z W W W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ItrSUE CERTIFICATE OF OCCUPANCY ❑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 Owner/Contractor on site: Inspector. White Copyllnspectoes File Canary Copy/Site Notice