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Home My WebLink About2018-00115 - addn/remodel/repair CITY OF ORONO * 2018 - 0011 2750 KELLEY PARKWAY DATE ISSUED: 02/12/201 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 980 TONKAWA RD PIN : 08-117-23-12-0001 LEGAL DESC : AUDITOR'S SUBD.NO.217 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 50,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) WINE CELLAR APPLICANT PERMIT FEE SCHEDULE 715.92 CYCLONE CONSTRUCTION STATE SURCHARGE(VALUATION) 25.00 5330 GLEN RD TOTAL 740.92 CHMASKA,MN 55318- Payment(s) CH 39 A, CREDIT CARD 2471 740.92 Minnesota State License#:BUIL-429008 OWNER SMITH,CRAIG 980 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 beco a null and void if construction authorized is not commenced i n 180 days of the date of issuance,or if construction is suspende ora riod of 180 days at any time after work has commenced. The app ant is sponsible for assuring all required inspections are request d in con rmance with the State Building Code.This permit may be revok at any me for due cause. l 2 A t Permit ignature Date IssuAfBy Signature Date CITY OF ORONO BUILDING / PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS t1 /� Mailing Address: Permit number: X01 �Ob f PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,a Street Address: Received by: / �.. ti� L 2750 Kelley Parkway Plan review fee: IA �yG'S 3S l'9kESHO Orono, MN 55356 �y�V 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: q X Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 4No 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: 0.0111 State License# Expiration Date: Phone: cell - office Mailing Address: Cit K-,4 ZIP: / Contact Person: MOLD VOUN6.5 Applicant is: (Contractor3/ Homeowner (Circle One) Email and/or Fax: M 1{4't-Ly C JGt,.onc ceVST0A.ALT'/oN CaN► PROPERTY OWNER INFORMATION: Name: Phone (day): _ Address: City: d12raN® ZIP: Email and/or Fax ('.�,SyN tti, b9M3 e •,Aa�oc, ARCHITECT/ENGINEER INFORMATION: Name: [� t 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 & ❑ New ConstructionWater Supply fX] Single Family with ❑Accessory Bldg./Garage ❑ Addition attached garage ❑ Deck ❑ El Public Sewer Accessory Building ❑ Single Family with ❑ Office/Commercial Relocation detached garage ❑ Residence ❑ Private Sewer Other: (specify) _WIND GI&� ❑ 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) ❑ Other:(specify) Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 0 Last Updated: January 2015 STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions (continued) 2. Type of Construction —r7— t/ / a. Length(ft.)= Number of bedrooms= k0l ameb.Width(ft.)= Number of garage stalls: G02a'Areas in square feet Attached = - 7c. Basement= Detached =d. 1 stStory = efab e.2nd Story= efab f. Y2 Story = ase 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 Yz 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 APPLICANT/OWNER 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: Z Owner's Signature: Date: Last Updated: January 2015 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � �2tq a//c( Permit No.: Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: - Date Approved: Grading review by: Date Approved: Zoning District: Zoning File M Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/N Zoning: Lot Area: SF /AC Width: Structural Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised dateM: Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildina Hei ht Analysis: Distance Between First Floor and defined Top of Roof* (See"building height" (a) definition): First Floor Elevation from building plans): (b) Highest Existing ground level (per survey) or 10' above lowest ground level, (c) whichever is lower: Difference between b and (c)*: (d) DEFINED HEIGHT *If highest existing adjacent grade is above FFE-Height is(a) -(d): (e) *If highest existing adjacent grade is below FFE-Height is a +(d) El e Lakeshore Setback Bluff Shoreland District MCWD Permit AveragMet? 0 Yes 0 No Permit Number: 0 Yes Cl No 0 N/A 0 Yes M 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 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit ;- Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1 s' Floor X = $ 2nd Floor X = $ Garage X = $ qv � Estimated Construction Value: $ 0(90 Orono Inspections Required Work Requiring Separate Permits ❑ Footing Cl Site ❑ Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control ❑ Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection ❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection ❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation ❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping Framing ❑ Septic Insulation ❑ As-Built Survey Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: June 2017 z:\forms\plan review checklist 06-2017.docx DT�E TIME CITY OF ORONO CALLED IN A INSPECTION NOTICE SCHEDULED PERMITNO.,;261 —001/5 OMPLETED ADDRESS �1�0 crn a- OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION "'E/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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: E7/e C , XZ o Rawl%,gI Aer BitiS .F 0/*wcc OX AE Ommufsfiv, — 0 Q cc #` Dig - 4a e�sa Uj0IYEIfiK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN 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 OwnedContractor on site: Inspector. --- White Copyllnspectoes File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICEI�D// SCHEDULED PERMIT N OMPLETED ADDRESS OWNER TELEPH99E NO- CONTRACTOR � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI [:1EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ;3�,NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: occ �eh�r�t�ro%tt of(. -& eove V- LU cc Q 2 W W cc J W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. rnc�ta — White Copy/Inspector's File Canary CopytSlte Notice