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Home My WebLink About2011-00798 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00798 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 1030 TONKAWA RD PIN 08-117-23-13-0015 LEGAL DESC REG. LAND SURVEY NO. 0617 LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 74,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) LOWER LEVEL FINISH APPLICANT PERMIT FEE SCHEDULE 861.75 KEITH WATERS&ASSOCIATES STATE SURCHARGE(VALUATION) 37.00 6216 BAKER ROAD SUITE 110 TOTAL 898.75 EDEN PRAIRIE,MN 55346- Minnesota State License#: 1508 OWNER BREMER,DENNIS&CYNTHIA 1030 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 confloyfriance with the State Building Code.This permit may be revoked at any tiqle for due cause. p' O / Applicant Pe a Signature Date Issued-By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. V" l X957 City of Orono �� 1 Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ap /_C7Q 0 PO Box 66 Permit number: 1 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 11_� L U 2750 Kelley Parkway Plan review fee: 5�P�• 1 �t`9kESH�� Orono, MN 55356 _— Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ' 771 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: IQ p 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 serve a will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INF MATION: Name: K-E t"14 ASSQClP�'T£S, WC. State License# f 5o8 Expiration Date: -31!S 1 126 L-2- Lead zLead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: q52--1741- OOO (office) (cell) Mailing Address: Z„ p City: ft.X! IP: 5 Contact Person: SkQP�14 Tt.LaLE(2 Applicantis: on ractor ! Homeowner (CircieOne) Email and/or Fax: y5&Rp ,4p @ k.E1TMUJA7EIZS relsq ! FAX ; 16 Z• 4174' dodq PROPERTY OWNER INFORMATION: Name: I�GNWI� Cc � 4N-%ttP2 . Pllik . Phone (day): (AZ - 881• (e'l I Address: 10 30 Td rJ kA W A 7-0oiND City: d"p ZIP: c), 3��{ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: = W , Estimated Construction Valuation of Project(excluding land) $ 71 q. 000 A0 b 44+r14 APPLICANT ACKNOWLEDGEMENT: VE 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 the information,the application may not be issued. Applicant's Signature: Date: Last Updated: 03-01-2011 Plan Review Checklist for New Structures J Additions Address/PID/Legal: 1 0 3 0 -10 ` 1Jr4 W A Description of work: _ iA W P/r= LeV LL 1g,N iS/ Septic review by: N 1A Date Approved: .Zoning review by: N/A 'Date Approved: Building review by: , Date;Approved: - 20 11 Grading L review by: /V/4 Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District - Fire'De artment Post Office -School:Di rict Zoning: Lot Area: SF/AC Width: De Survey Submid: 0 Yes 0 No Date of Survey: Proposed Setbac Front(Lake) :Rear(:Street) ( �N Side W ) ( N Side w ) Other Suildings Wetland' Building Defined'Height:_ Building Peak Height:' #of Stories Dk?:`'� YES FORA BUILDING WITHA13ASEMENTVOCRAIWL SPACE: ORA BUILDING ON A SLAB FOUNDATION: - START WITH the distance between t 3asementfiloor/crawl START the distance between the lab and he highest space floor and the high roof peak,:the top o WITH roof;peak,the top of the cornice of a flat roof, the cornice of'a flat roof;th eck fine of a the deck line of a mansard-roof,.or°the mansard roof,orthe.u,pperm t point on and uppermost point on;around or other arch-type '' or other arch-type roof roof .SUBTRACT half the distancebetween therhg indow and SUBTRACT half the distance:between the highest window 'hi hest roof peak of a itched roof I and highest roof peak of a itched.roof SUBTRACT the distance between the`basem t fl r/crawl ADD the distance between the:slab and the,highest space floor and the highest ex' ing gra within existingrade within the foundation the foundation or 10 feet,w ' hever is les . EQUALS Defined buildingheight EQUALS Defined building height Lot Coverage: SF Shoreland:District MCWD Permit Received Average Lakeshore Setback Bluff M Yes E3 ��/a Yes 0 No C1 N/A 0 No 0 N/A XS 0 Yes 0 No 17 Permit Number: Setback: HardcoverZ es Existing Proposed Varian .Re. uired CUP Re wired 0-7 13 Yes 13 No 0 Yes 0 No 7 250' Type(s): Type(s): 50-500, 500-1000' -MARKS (in-house): Ivd CLYAyvG Updated: 09/11/2009 z Vormslplan review checklist.docu Fees to be Charged111131 yES Np ;Investigation an Review Fee .,r. Sewer'Connection Park Fee Other-(specify) 'CalculatedBy; Square footage $ er.Suare-Foots e Basement X = $ 1t Floor X 2nd Floor = $ Garage X Estimated Construction Value: $ '7't-f,DOD Orono lnspections'Required Work Requiring SeparatePermits Required'State Permits D Site Arplurribing Grading/Filling 0 Well 0 Hardcover Removal i Mechanical 0 Fire 2KElectrical ,D Footing '`D Septic •3 'Water Connection 0 Poured Wall D Fireplace 13,SewerConnection D Foundation:Survey 0 :Masonry 13 Lawn Irrigation D Radon Rock Bed D Mfg. Framing D Other(specify) insulation 0 As=Built Survey XFinal D <Other(specify) REMARKS (in-house): Other Review. Reviewed by; Date Approved: Access.Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO'BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING'PERMIT) Updated: 09/11/2009 zAformslpian review checklist.dom � ✓, CITY OF ORONO CALLED IN G//pA`� TIME INSPECTION NOTIC,Edb g� SCHEDULED l _ 7—e-41 PERMIT NO. a O COMPLETED ADDRESS /0,30 -7 OWNER TELEPHONE NO.�a/ CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ElSEWER HOOK-UP E) COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W cc 0. 0 C�Iz o G cc 0 U_ W QC Q z W W oc Z) WRK SATISFACTORY:PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&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 ElSTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onte: Inspector. White Copy/Inspector's File Canary Copy/Site Notice / DATE TIME CITY OF ORONO CALLED IN ` IV INSPECTIONOTI E g SCHEDULED PERMIT NO.OZDl / 8 COMPLETED ADDRESS 10.E OWNER TELEPHONE NO.��Z CONTRACTOR >; DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ El DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc _ W CL ccO O - - cc U. W _ cc Q 2 W W -- CC Z) ,,// LAJ �QNO WRK SATISFACTORY:PROCEED PROJECTCOMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 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. White CopylInspector's File Canary CopylSite Notice