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Home My WebLink About2015-00060 - addn/remodel/repair 111111111111111111111 nil 111111111111111111111 .. CITY OF ORONO * 2 0 1 S - 0 0 0 6 0 ,, 2750 KELLEY PARKWAY DATE ISSUED: 01/26/2015 ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS 970 TONKAWA RD PIN 08-117-23-12-0002 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 235,000.00 NOTE: INTERIOR REMODEL SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 1,960.09 WELCH FORSMAN ASSOCIATION STATE SURCHARGE(VALUATION) 117.50 6026 PILLSBURY AVE S TOTAL 2,077.59 MINNEAPOLIS,MN 55402- Payment(s) (612)827-4455 CREDIT CARD 1460 2,077.59 Minnesota State License#:BUIL-BC005890 OWNER BAKER,GARY 970 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 revo at any time for due cause. f A-19 Pe Signature Date Issued By Signature Date City of Orono Essuilding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �O . ` Mailing Address: Permit number: /3_— IVO PO Box 66 Crystal Bay, MN 55323-0066 Date received: `�nn� '`S Street Address: Received by: 1. G� 2750 Kelley Parkway Plan review fee: ldk@sHo�� Orono, MN 55356 D� g — Total Fee: _.. ........... Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us v 7 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: -10 ( ,/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes KNo 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: tk)f�L" State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (otZ- 2�(— 2 1 -7 Mailing Address: &U2-4 1:>( City: M jam(-<�, ZIP: �5 (q Contact Person: T- _S_P A-4 Applicant is: or Homeowner (circle one) Email and/or Fax: r�toM w L_4 'r4 PROPERTY OWNER INFORMATION: Name: Phone(day): Address: C4-70 -V,,.i,:�-qWA PJ3 City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑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) $ 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 067is—irgorruatiog is to annually update our records and records of other governmental agencies required by law. If ou refuse to upply theXhfIWfnqJipn,the application may not be issued. Applicant's Signat re: Date: Owner's Signature: Date: Last Updated:January 2015 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 1-70 TdNYV-AW A 6A-0 Permit No.: Z01J-00(3&'0 Description of work: r2jL-WWto&-T, Date Rec'd: ►- �- ►S Septic review by: N I A Date Approved: Zoning review by: N/ A Date Approved: Building review by: —0,P- Date Approved: ! -Z3- ?,-a IS- Grading review by: tJ r A Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: ,,,��— ing: Lot Area: SF/AC Width: Lot Coverage: SF Surve ubmitted: 0 Yes 0 No Date of Survey: Revised dat Proposed tbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B Ildings Wetland Side Side Defined Height: Peak Height: FFE: /FFEmin feet= (Existing Contour) Perimeter(linear feet)= 50%= F. below grade #of Stories FOR A BUILDING WITH ABASEMENT OR CRA SPACE: FOR A BAB FOUNDATION: The distance betty n the lowest proposed The distance between the top of START WITH floor(of the basemenNr crawl space)and START WITH slab and the highest point of the the highest point of the?bQf. roof. If you have a... If you have a... • GABLE OR HIPPED RO (no GABLE OR HIPPED ROOF (no windows): Subtract half windows): Subtract half the ' lance the distance between the between the highest point of th oof highest point of the roof to to the low point of the corresponds SUBTRACTION gable or hipped roof the low point of the corresponding gable or (BASED ON GABLE OR HIPPED ROOF( SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the tance (BASED ON GABLE OR HIPPED ROOF between the top of the hig st ROOF TYPE) (with windows): Subtract window and the highest int of the half the distance between roof the top of the highest • ALL OTHER ROOF PES(flat, window and the highest mansard,etc):N subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distan between the (flat,mansard,etc):No (BASED ON basementJcrawl ace floor and the subtraction. EXISTING highest existin rade adjacent to the ADDITION Add the distance between the top GRADES) foundation O 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Defined ilding height ISTING grade adjacent to the foundation. G DES EQ LS Deflned building height Shoreland District MCWD Permit Average Lakeshore Setba Bluff Met? 0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No 0 N/A—see attached Setba Stormwater Qual' Proposed Overla Distr' t Existing Hardcover y (%and d Hardcover Variance Required CUP Requl Tier circle e %and s 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx REMARKS (in-house): Fees to be Charged YES NO Permit i" Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 15t Floor X = $ 2nd Floor X = $ Garage X = $ o+� Estimated Construction Value: $ Z 's-,0 ot) Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 SiteP umbing 0 Grading/Filling 0 Well 0 Silt Fence/ Erosion Control mechanical 0 Fire Electrical 0 Hardcover Removal 0 Septic 0 Water Connection mooting 0 Fireplace 0 Sewer Connection 0 Poured Wall 0 Masonry 0 Lawn Irrigation 0 Foundation Survey 0 Mfg. 0 Landscaping 0 Foundation Waterproofing 0 Other(specify) 0 Radon Rock Bed ,I"Framing insulation 0 As-Built Survey )31"Final 0 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 2015 z:\forms\plan review checklist 2015.docx l� + ATE t E CITY OF ORONO CALLED IN — _5 INSPECTION NOTICE SCHEDULED PERMIT NO. Dzo COMPLETED ADDRESS /� mllmda2t OWNER a TFAMPHONEN00W CONTRACTOR � � " �11w_ DESCRIPTION �Z,JG�2'�iYl f W ❑ FOOTING ❑ DEMO-FINALU ❑ SEPTIC FINAL Q ❑ POUR WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FO DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARDCOVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: O O O W Q 2 W W cc j O WRKSATISFACTORY PROCEED ❑PROJECT COMPLETE cc W RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN C3 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance 49-4600 OwnedContractor on site: Inspector. White Copynnspector's File Canary Copy/Site Notice