The URL can be used to link to this page

Home My WebLink About2016-00634 - addn/remodel/repair CITY OF ORONO * 2016 - 00634 * 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016 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 $ 50,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) NOTE; SAME PLAN AS ISSUED WIHT PERMIT 2016-00136 APPLICANT PERMIT FEE SCHEDULE 715.92 STATE SURCHARGE(VALUATION) 25.00 SARAH BUSTON,JULIE BROWN TOTAL 740.92 755 TONKAWA RD Payment(s) LONG LAKE,MN 55356- CHECK 7074 740.92 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 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 time for due cause. Applicant Permitee Sigfiature Date Issued Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY i (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: Permit number: 2d i (o a O PO Box 66 Crystal Bay, MN 553 3-0066 Date received: Street Address: Received by: yF 2750 Kelley Parkway -�— J Plan review fe L `gkFSHOOrono, MN 55356�� T 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 infor ation must be submitted. Incomplete applications will be returned. (Pleas rint) GENERAL INFORMATION: -f Job Site Address: -I ` rt F c�w6. ��1 ► a 01 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes LYNo 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: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNERIN ORMATION: Name: &,-,( R. I7 r o Phone (day): - �bk 3 , O Address: S r It, ►-Jc,- City: ZIP: SS 35 Email and/or Fax: 0 VJ,1 ap vee 1 C�n^ ii PROJECT INFORMATION: Overall project description: -� ^ �e Y Qo-�u v-�?� ;Door(s) e f Project: Any earth movement may also require 914emodel El Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) �// 15320 Minnetonka Blvd El Re-roof,cedar E!Kstoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ So I 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 required by law. If you refuse to supply thli4riformation,the applicatiorj may not be issued. Applicant's Signature: Date: U ►�R Z ) 10l Owner's Signature: Date: Last Updated:January 2016 �� // PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS �/�ma Address: �./ �(��L�Q wQ /� Permit No.: Description of work: Date Recd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: jg Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot verage: SF aha Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?)' Landscape plan submitted? Yes 0 No Landscaper• Pro osed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak eight: FFE: FFE minus 6 feet= (Existing Contour Perimeter(linear feet)= 50°0= L.F. below grade Basement? 0 Yes 0 No, Stor' s FOR A BUILDING WITH A BASEMENT OR CRAWL P CE: FOR A BUILDING ON A SLAB FOUNDATION: The distance be en the lowest proposed Slab at or above grade— START W ITH floor(of the base nt or crawl space)and measure from highest existina the highest poi of a roof. START WITH grade to the highest point of the roof even if fill was brought in to If you have ... elevate home. SUBTRACTION • GAB OR HIP ED ROOF(no Slab below grade—measure (BASED ON win ws): Subtr ct half the distance from highest existing grade to the ROOF TYPE) be een the high st point of the roof highest Point of t e roof. to a low point of he corresponding If you have a... g ble or hipped ro • GABLE OR HIPPED ROOF SUBTRACTION • ABLE OR HIPPE ROOF with (BASED ON (no windows): Subtract half ndows): Subtract alf the distance ROOF TYPE) the distance between the between the top of th highest highest point of the roof to window and the highe t point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TY ES(flat, GABLE OR HIPPED ROOF mansard,etc):No subtr tion. (with windowls): Subtract SUBTRACTION ubtract the distance between a half the distance between (BASED ON asemenUcrawl space floor and he the top of the highest EXISTING ighest existing grade adjacent U the window and the highest GRADES) rundation OR 10 feet(whichever's less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS efined building height subtraction. EQUALS Defined building height Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback BluffMet? 0 Yes No Permit Number: 0 Yes 0 No 0 N/A 0 Yes No 0 N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf %and sf 0 Yes O No 0 Yes O No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee L� SAC-Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X - $ 1 st Floor X - $ 2nd Floor X - $ Garage yX, - $ i C60 Estimated Construction Value: Orono Inspections Required Work Requiring Separate Permits 0 Footing 0 Site Plumbing 0 Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control 0,Mechanical 0 Fire 0 Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation FInsulation 0 Mfg. 0 Landscaping 0 As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) 0 Well XElectrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release o escrow money an as-built survey and hardcover calculations must be submitted and approved. 2tAt 6 Z01(D-60� Updated: October 2015 7-We%r c\nlan raviome,rharlelict 1(-7(11.rinry