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Home My WebLink About2016-00036 - addn/remodel/repair CITY OF ORONO * 2016 - 00036 * •• 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS 1025 TONKAWA RD PIN 08-117-23-24-0003 LEGAL DESC CARLWOOD LOT 002 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 5,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN REMODEL NOTE: CALL FOR FRAMING AND INSULATIN AT THE SAME TIME. INITIAL: K2 APPLICANT PERMIT FEE SCHEDULE 123.87 PLAN REVIEW 80.52 REVISION LLC STATE SURCHARGE(VALUATION) 2.50 153 E LAKE STREET WAYZATA,MN 55391- TOTAL 206.89 Payment(s) (952)540-7150 Minnesota State License#:BUIL-BC639027 CHECK 11617 206.89 OWNER ANDRDA MESSINA,HUGH NEESON& 1025 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 m revoked at any time for ue cause. _ App cant Pennit6e Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) A, Mailing Address: Permit number: �Of VO PO Box 66 ( ✓' Crystal Bay, MN 55323-0066 ft4l Date received: ! 'L 44 Street Address: CV' ,� Received by: y G� 2750 Kelley Parkway ` Plan review fee: t kES HO Orono, MN 55356 g � Total Fee: i 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: 1cj2l�) *T)Q4A\LJN Zo Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes 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: \SloO LLC State License# Expiration Date: 3 i I Lead Certification Number: Expiration Date: (for work on homes that were constructe prior to 1978 Phone: (cell) (office) Mailing Address: J 62D LAS 21-9-rl_ L=_4Sr- City: ,ip -Z-A•jA ZIP: Contact Person: Applicant is: n rac or / Homeowner (Circle One) Email and/or Fax: j��f 1�1 t✓. �ZC1Slc1 Mr.I ,(,CM PROPERTY OWNER INFORMATION: Name: -!UC-�4 (16-IL-St7tJ Phone (day): -2s -3l1}q Address: \CLS City: d12CN�o ZIP: w-�S3�(si Email and/or Fax: OE�ij e- rN,i4sL cc s 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) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacree .or 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 of this information is to an ally update our records and records of other governmental agencies required by law. If you refuse to supply the inJQPKhatiQjm, e aDpli2gion may not be issued. Applicant's Signature,- Date: Owner's Signature: Date: l �l Last Updated:January 2015 Afo }�►Gi ( �� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ffz— Permit No.: Description of work: Date Rec'd: Septic review by: We Date Approved: Zoning review by: Date Approved: Building review by: Date Approved:too Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % f Survey Submitted: 0 Yes 0 No Date of Survey: ,' Revised dateM: Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N `,S E W ) ( �/Ss E W ) Other Buildings Wetland `Side ide 't Defined Height: Peak Height: F FFE minus 6 feet= (Existing Contour t Perimeter(linear feet)= 50 L.F. below grade Basement? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE' FOR A BUILDING ON A SLAB FOUNDATION: The distance between t e lowest proposed Slab at or above grade— START W ITH floor(of the basemenor crawl space)1and measure from hi°hest existino the highest point of a roof. ` START WITH grade to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION /GLE HIPPED ROOF(no Slab below grade—measure (BASED ON Subtract half the distance from highest existing grade to the ROOF TYPE) he highest point of the roof highest point of the roof. point of the corresponding If you have a... ipped roof SUBTRACTION • GABLE OR HIPPED ROOF • R HIPPED ROOF(with (BASED ON (no windows): Subtract half Subtract half the distance ROOF TYPE) the distance between the he top of the highest highest point of the roof to ndow and the highest point of the , the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, ' GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON be emenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof t • ALL OTHER ROOF TYPES EQUALS Deflned building height subtraction. etc):No Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 0 Yes 0 No 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 s 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): 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 = $ 1St Floor X = $ 2nd Floor X = $ Garage ,X�-� = $ Estimated Construction Value: $ 60 Orono Inspections Required Work Requiring Separate Permits 0 Footing 0 SitePlumbing 0 Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control 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 Insulation 0 Mfg. 0 Landscaping 0 As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) O Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release ofescrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 7•\fnr clnlan raviaw rhar4lict 1(L9(N ri rinry C -_5 MI(r TWIF CITY OF ORONO CALLED IN INSPECTION NOT E � ,��y� SCHEDULED -7-29�6 PERMIT NO. �01L 41!!XO ETED ADDRESS /Da� y/'G;Il OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION 7 t~N ❑ FOOTIN ❑ DEMO-FINAL ❑ SEPTIC FINAL [:3 POU D WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FO DATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS I SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO C COMMENTS: y 17 W0. i j O i O Q W Q; J WKSATISFACTORY PROCEED ❑PROJECT COMPLETE ❑1EC l'WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY J CORRECT WORK CALL FOR REINSPECTK)N TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUE i ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ( 2) 249-4600 Ownerr,ontractor on site: Inspector. White Copyllnspector's File Canary Copy Notice I