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Home My WebLink About2011-01069 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-01069 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 315 TONKAWA RD PIN : 06-117-23-14-0021 LEGAL DESC : REG.LAND SURVEY NO.0540 LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 75,000.00 NOTE: SEPERATE PERMITS REQUIRED:MECHANICAL, ELECTRICAL(STATE) INTERIOR FINISH ADV.PLAN REVIEW PD$525.01 BY CREDIT CARD APPLICANT PERMIT FEE SCHEDULE 869.25 JENSEN HOMES STATE SURCHARGE(VALUATION) 37.50 601 CARLSON PARKWAY#1225 MINNETONKA,MN 55305- TOTAL 906.75 (952)475-0548 Minnesota State License#: 1156 OWNER Waycrosse,Inc. MACMILLAN,MARTHA E 15407 MCGINTRY RD W WAYZATA,MN 55391- 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 ing Code.This permit may be revoked at anr due caus Ilssu Applicant P ttee Sign re ate By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CP�, ,q �I ( City of Orono - � Building Permit Application for New Structures or Additions p Mailing Address: Permit number: 0PO Box 66 o Crystal Bay, MN 55323-0066 Date received: - f Street Address:' Received b y Seo d G o`i 2750 Kelley Parkway Plan review fee: \tag, og� Orono, MN 55356 \;Ess,� -nelpy _--- - Total Fee: 5 qO(o..7.5- 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: 315 7-oniKaWa_ Road , Orono Hd 55,35'(0 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No ff 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: jellS.Q1> F 4 o 0-)e S T.nC State License# // Expiration Date: 3-31-/5 Phone: 9 5 - `{-�►S -0'5+g' (office) (cell) Mailing Address: OI CGt.r 1 or i 1 as City: inna KA- ZIP: .5S,30.5 Contact Person: Ra4nd-y gad,02/Q 0Applicant is: ontractor Homeowner (circle one) Email and/or Fax: rar+d�t fenser,ho►rtie s. COm PROPERTY OWNER INFORMATION: Name: Mow ha_ Intl C 1V;//ari Phone(day): 9.5.l - 473- S(o73 Address: 3/5 7_,0rnA,14tAc>a- AdQoL City: arOr)O ZIP: 5-5 3 540 Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: RiL/C SDS _,4-C,6jAL+�5 Phone(day): &/.,� - 9/0 - 9G k Address: /o /3 5 '`f 7Y'h AL)e- City:/0/Vi'"0Uy-0(-) ZIP: 5,5rVi4;z1 Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ElNew Construction XSingle Family with Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer �-Other: (specify) F+n+bh'^9 eXrS'A El Multiple Family/Condo [I Warehouse J� 6 Gee. ❑ Public El Storage El Public Water Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minn h h creek.orn Estimated Construction Valuation (excluding land) $ 75- 000 - , 4 STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= 9Wood/Frame Masonry b.Width(ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= ❑ ICF ❑On-site Prefab c. Basement= ❑Off-site Prefab d. 1 Sc Story = ❑Other(please specify): e.2"d Story= Sdo C/os t r7�4 w CA el f. '/2 Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: flan e i e CMewc cl dor 166 tSf ct.ur�es :1 i �d i ions Address/:PID/Legal: J �� IC Description of...Work SiWQc L /.1.� ^�-_40 teptic review by r- Date IPproed b / an in Date' pprDarEd - iulldin `lreView b Ga«--= p� 9 Y. Date1 rovEd 9• Z 1 -'14 Gratlmg rEvlean bY. l Date-;e�p�roustl Zoning File# Resolution# Resolution.DAte : .tonin distract `1=ireD.e artment Tr t-'Qfflce Schodl'Disfir'ict �.Zonirrg: Lot Area: SF/AC Width: Depfih. Survey,.Swbrn' d. . `0 Yes r No bate.of.Suruey Pro oied' et.36 :front,(:Lake): ;fit r et)', }� N. Side ) i M fide ) er, uiIdings ilVllr3tland Blaldmg.Definetl`leigh :` Building.Peak fi #of Stories OIC?:' :YES FDR•A'BUILDIN.G,WITH7ABiASEMENT:DR'.icR�4WL'.SPACE:. t=70R•.1�UILDIAIGON'�ASLAB=FDUNDA76,10 V.' ` START IJVITH -.the.adistance between'the'basementflo ra START' the,-distance:`between theslabandithe.highest space floor antl:the highest.roofp he'top of uUIT:Fi roof;peak,:the#op.ofthe.corice nfia,-flat roof; the�comice.-of aflat roof the�ie Ine ofia 'thwdeck line of a.mansard roof,t;Irthe mansard,roof,or"hhe uppe t_ oiriton a round uppermost point on:a roond orntherarch=type -nr other-arch a roof roof" SUBTRADT half the distance:b en the•highest.window and SUBT T' .half:the,distance•between thetiighest�window hi hest roof• :eak- a:, itched rodf and`hi hest.:roof. eak of a�`itctietlrodf SUBTRACT -theili:ance een.the bassmentfloor/crawl ADD d Aanca:betweEn the slabar�rlthe.fiighest spaceo ndahe Highestiezisting;grade,within exis' rade withinthe�oundatiorithe-#ndation-.or`1Dfeet,,Whichever.as'.less. EQUALS - Defne ildin 'hei ht - :EQUALS U' ned:buildin hei ht .Lot Cove�e , ;SF Shoreiand District 1VIGliVD:ferinit Received _Avera a tLakceshvm setback 8iuff .10 Yes 'No .3 WA n Yes �-'No M 'Yes' 3 No YarS D 'No 'N/A Permit•Number: Setback: HarticDver.Zones ,: Ezistin Pra osed Variance>33e uicetl GUP Re wired . 0 Yes 0.'No :� Yes � No 75=250' Type(s): TyPe(s): 250=500' 500-100.0' REMARKS (in-house);�f gft4_ l'Atiriz �=t P,ite4 Vic% NU —+�Ni.�►�i / -jr t�-1 S Updated: ,09/1112009 z'VormMolan:review checklist:docx !Fees:.mb aCha, ed FJan:'Revjew <Inw�sfigation Fee r ;Sewer;=ir��e#ac�n: rPara<Free Ottrerp ecf�jr� h r C-diculated Bq r; uar ':F.00ta g �$ er;S uareoa 'Basement X 1 Floor _ 2'd Floor C' =Garage .;; _ Esfrma�ed Consfructiori'1� Iwe: 77 d l f. Ola aDrono'Inspections=l�eq ireii 1H�r1c teq�iiring epar�ateP�ermits ;�egairedcBtatwP.ernnts ;Sete n Plunblrrg' !Brading�'Filhng ',Ulllell 13 :HardcoveT•Remnvaj Arledhanical; � :Fare lectrical ."boating 17 Septic '„ 3 Water Correction fl Poured iNall 17. Fireplace .. .Sevver.Cdnnection ',f undation S.urmity D iVlasonry 1 'aarur lrrOF igafion ” adwri'R&b. ed l3 ' Ifg. ;;Fi- jng m Other(specify) LnsulationWI '1 iDie-iBuilt:Suru@y !:Final 'm ::Other.(specify) r. REMARKS i (n-house).: ,O:ther Revie�nr:'Revhewed.•bar: :Date Approved: Access-Existang 13 YES U:_,NO ;Neva. 3 'YES � NC REMARKS (TO BE.NOTED:ON PERMIT AND-INITIALLED BY IPERSO-N•PULL21NG`PERMIT) .Updated.<D91111200'9 z:\formslplamreview chec dist docx CITY OF ORONO CALLED IN TIME d/ � INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS �5 W'e_ OWNER TE VEPHONE NO. CONTRACTOR,,4�54,-Pt DESCRIPTION f A 7� -_7� ` L4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ 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 Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Qc W a Am— - o Acc te. 0 W cc Q z W Z W GW t1leMRKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED LlISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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: 0 - / Inspector. i / 213 White Copy/Inspector's File Canary Copy/Site Notice TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.',_-), e ! —t7I O(Dq COMPLETED ADDRESS -3Z5 / TZ-7 OWNER TELEPHONE 0.1-1/a CONTRACTOR > DESCRIPTION nd 14cri Cir ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ SEPT INAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:T YES_NO COMMENTS: rc W CL J O CC O W CC Q Z W z W CC d WW WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 11 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. tzt/�6:�'' 5 White Copy/Inspector's File Canary Copy/Site Notice 2.0 2.0 ol NSPO Lo TRANSFORMER co m STONE w - CY00) 6_3 4015 5.6 * EXISTING 46 HOUSE )ULDER EXISTING RE DECK 0- Lr 4G n STONE PLAY WALLS C, N HOUSE JACUZZI co 7 EXISTING N DECK STONE -,d NE OF SOUTH 132.00 FEET GAZEBO ALL - 7'2 NO BOULDER DCOVFR WALL STONE PATIO ROCK POND STONE Illu WALLS ER ING BOULDER STONE PATIO 2053 cipg)ING PLAN do N POOL u Bv PATIO (J 0 7, V 0 EAST LINE OF WEST 205.00 FEET 250-21 40 ``.— --' ^° — oo ----__~— —___---__---------__—�_—~ ----' 7 ew��'u�