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Home My WebLink About2016-00614 -addn/remodel/repair CITY OF ORONO * 2 0 1 6 - 0 0 6 1 4 �w 2750 KELLEY PARKWAY DATE ISSUED: 06/01/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 755 TONKAWA RD PIN : 05-117-23-33-0003 LEGAL DESC : AUDITOR'S SUBD.NO.217 : LOT 001 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 25,000.00 NOTE: INSULATION ONLY-THI CTOR WAS HIRED TO ONLY DO INSULATION NOTE: DO NOT COVER.INITIA . APPLICANT PERMIT FEE SCHEDULE 43.67 PLAN REVIEW 281.89 KUHL'S CONTRACTING STATE SURCHARGE(VALUATION) 11.50 1515 S 5TH STREET HOPKINS,MN 55343- TOTAL 72.06 Payment(s) (952)935-9469 CREDIT CARD 2216 72.06 Minnesota State License#:BUIL-BC195769 OWNER SARAH BUSTON,JULIE BROWN 755 TONKAWA RD 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 ofa date of issuance,or if construction is suspended for a peri of 180 y at any time after work has commenced. The applicant is resppnsible f9k as ring all required inspections are requested in conforniance w0i the tate Building Code.This permit may be revoked at any time or du cause. Applicant PerntVe Signature Date Issue B Signature Date S � o ` *"- 2 o v • * � �,Ft�` CITY OF ORONO j ve BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS Mailing Address: Permit number: �2 0 O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � Street Address: Received by: 90 y� L 2750 Kelley Parkway Plan review fee: I�kESH09- Orono, MN 55356 �,�I Main: 952-249-4600 Total Fee: 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: 75-5— Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes F24 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: Co:�,� —+ANG State License# TSG 1!S-7(oCExpiration Date: O Phone: (cell) (office) Mailing Address: M35' S.. City: ZIP: SS3 Contact Person: ' iijApplicant is: on c or / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFQRMATION: Name: ,\ Phone(day): Address: 75S 'j�„��c,Q J City: OKouv-p ZIP-5S-35--L, Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & [INew Construction Single Family with ElAccessory Bldg./Garage Water Supply ❑Addition attached garage ❑ Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation �) detached garage �91 Residence ❑ Private Sewer ❑ Other:(specify) Tres ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water "Any earth movement may also require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse El Private Well Minnehaha Creek Watershed District(MCWD) Eleci Other: s 15320 Minnetonka Blvd (specify) E] Other(specify) Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahapEggk.org Estimated Construction Valuation (excluding land) $ �� • �J Last Updated. January 2015 STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame b.Width(ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 1 s`Story = ❑ On-site Prefab e.2nd Story= ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Building Permit Escrow Agreement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Completed Application Form ❑ ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations ❑ ❑ Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ ❑ Landscape Walls and/or Retaining Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANVOWNER 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: Owner's Signature: Date: Last Updated: January 2015 1515 South 5th Scree l� f, Hopkins, MN 55343 l / T 952.935.9469 ;ol-eF 952.258.8300l ((( Luk e4kuhldesignbuild.com w ww.kuhldesignbuild com gnu% ESTIMATE Reviewed for Code Date 5.13.16 Compliance City of Orono Attentlom Brown Remodel Project/ Date /Project title:755 Tonkawa Road,Orono MN 55356 G/ Kuhl Representative:Luke Peppie Project description: Insulation package Reviewer /zaua General notes I. Permits are NOT included and provided by others 2. Pricing reflects all framing prepped,cleaned and ready for drywall 3. NOT responsible for previously sprayed insulation currently covered by drywall 4. Flat roof area above mechanical room is NOT included in base;see option I Base Bid I. Install 3"closed cell spray foam(R-21)at the exposed exterior wall cavities 2. Cover exterior windows,doors and finishes with poly to protect from over spray 3. Install low expansion foam around windows and doors 4. Caulk plates and poly edge conditions to framing for air sealing purposes Ceiling insulation 1. lnst9tlb"dosed cell spray foam(R-42)to the underside of the roof decking creating an unvented"hot roof' 2. Caulk side by side framing for proper air sealing(gaps< '/,") 3. Seal framing gaps> '/,"using Siga Corvum tape to provide air seals ****Note:spray foam must be covered by drywall or other thermal barrier(by others) Performance testing 1. Pre Drywall blower door and infrared quality assurance inspection n5V cc 1'r0n m �, /I n0 <f- &? V- -er rwelch ®rsman A Quarter Century Of Craftsmanship May 20, 2016 Roger Peitso City of Orono 2750 Kelley Parkway Orono, MN 55356 Welch Forsman Associates was hired as theg eneral contractor for the addition/remodel project at 755 Tonkawa Rd, Orono. We applied and received a permit for this remodel, permit number 2016-00136. We will no longer be the general contractor on this job. We have completed the project through framing,the framing inspector was scheduled for 5/20/16. We would like to fill out the necessary paperwork to get our name removed from the permit and receive some documentation from the City of Orono indicating the name change. The current plan set on file in Orono and on site can be used by others. Please contact me if you have any questions. Thank you. Peter Welch 612 2210841 i v E TIME CITY OF ORONO CALLED IN /— INSPECTION NOTICE c HEDULED —1 — A0'13 PERMIT NO. LETED ADDRESS OWNERTE EP70ENO10-_ 3� CONTRACTOR 3Z DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS- cc G/G��o �, r24 �04.✓l � �l�C� — fs cc Q Cor✓QC a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NkPECTION REQUIRED.CALL TO ARRANGE ACCESS. 11 for the next inspection 24 hours in advance. (952) 249-4600 Owner ctor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice C 2r— _ TIM�/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED — PERMIT NO. OMPLETED ADDRESS G OWNER LE ON N07 O CONTRACTOR252 O DESCRIPTION �� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL VEION SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION MING ❑ MECHANICAL FINAL ❑ RATED WALLS LATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT QL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QZ a Gh J O O W cc Q 2 W W d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE U, RRECT 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 ❑CITATION ISSUED 11STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i dvance. (95 Owner/Contractor on site: Inspector. White CopylInspector's File .nary Copy/Site Notice