HomeMy WebLinkAbout2014-00670 - addn/remodel/repair CITY OF ORONO 1111 j� � ��� 111 III ll IIO 111 1(Ill I I 1O�� 1
014 - 00670 *
2750 KELLEY PARKWAY DATE ISSUED: 07/07/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1060 TONKAWA RD
PIN : 08-117-23-13-0019
LEGAL DESC : RYANWOOD
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 45,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
LOWER LEVEL REMODEL
APPLICANT PERMIT FEE SCHEDULE 628.00
PLAN REVIEW 408.20
WATER STREET HOMES, LLC STATE SURCHARGE(VALUATION) 22.50
1161 WAYZATA BLVD E
#208 TOTAL 1,058.70
WAYZATA, MN 55391- Payment(s)
(612)850-4002 CHECK 7969 1,058.70
Minnesota State License#: BUIL-BC390906
OWNER
LANSING, WILLIAM& MEGYN
1060 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 use.
7/ 7 /
Applicant l'ermitee Signature Date Is ued By Signature Date
7979
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
O q ' Mailing Address: Permit number: a,(�I L( --O 17(07 0
/ PO Box 66
* (4.1Crystal Bay, MN 55323-0066 Date received: 6-AO "I V
Street Address: Received by: 14"°'
2750 Kelley Parkway Plan review fee: �/
/-r Orono, MN 55356 dY
�1'Iil•C �t"�
Total Fee: /05E.70
Main: 952-249-4600 Fax: 952-249-4616 -
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: /0 be 7 ,434- j4--3 /2 o4Q
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? D Yes IN 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: Ai S n?J 7— ilewl of r GL 'Q
State License# $c 3 90 906 Expiration Date: 31,,,jzy/I—
Lead Certification Number: A/,9- Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) Olaf 2 4 s--6 . 41 co-t_ (office) (42,vki t$S`0 • y are__
Mailing Address: iii4 e• w dip* fy L V' #20 i City: u�� ZIP:f 7 f
Contact Person: 1jtk C, v f_- o,ie Applicant is: /(,`ontrac / Homeowner (circle One)
Email and/or Fax: ,etC�L Li "crrtivAsrade7--///04t3. con..
PROPERTY OWNER INFORMATION:
Name: h/6e 4,9,,•i i La--
Phone (day): (AL Z) S'/ i , /O/S"' 6 I1/Lf/
Address: /0 60 7'000. /'G44 City: o20N0 ZIP: J5S%'.?3 0
Email and/or Fax: L3l(L a. c Com- ,6—"7,47L • C0i?-N..
PROJECT INFORMATION: Overall project description: to uJ a. L-64144 ?E 4rildld,0✓4rjht( ' /SOP LQ&6 t
Type of Project: Any earth movement may also require 2 L
❑ Door(s) !`i' Remodel E]Fire Damage MCWD review&permits:
CIRe-roof, asphalt ❑ Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑Re roof, cedar
❑ Restoration ❑Water Damage Deephaven, MN 55391
❑Re-roof, other(specify) ElSiding CIOther: (specify) Phone: 952-471-0590
0 Window(s) Fax: 952-471-0682
Estimated Construction Valuation of Project(excluding land) $ y-c, Get
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 i to annly update our records and records of other governmental agencies required by law. If
you refuse to supply the infor/. on,th/-�•pli -tion may not be issued.
Applicant's Signature: _ , . Date: &'ft? /r
Owner's Signature: \ 1106T '`-�—_ Date: 23/06/14
Last Updated:03/06/2013
- PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: 4 0 60 --lo 1.4 KA\N/ IZ Oa 6
Description of work: iZ C ivvN.dc:.teo Z_ \l L 1Z,A3••l blA
Septic review by: N )tA Date Approved:
Zoning review by: N 16 Date Approved:
Building review by: Date Approved: ( 30 – 19
Grading review by: A Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zonin.• Lot Area: SF/AC Width: Lot Coverage: SF %
Survey S •mitted: 0 Yes 0 No Date of Survey: Revised date(? •
Proposed Set• •cks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildi• •s Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 f-et= (Existing Contour)
Perimeter(linear feet) = 50%= #of Stories Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR C- WL SPACE:
The distance be -en the lowest FOR A BUI 'ING ON A SLAB FOUNDATION:
START WITH proposed floor(oft - basement or crawl
space)and the highe •oint of the roof. START WITH The distance between the top of slab and
If you have a... the highest point of the roof.
If you have a...
• GABLE OR HIPPED''OF(no • GABLE OR HIPPED ROOF(no
windows): Subtract half windows): Subtract half the distance
distance between the highe •oint between the highest point of the roof
of the roof to the low point oft - to the low point of the corresponding
SUBTRACTION corresponding gable or hipped r•• SUBTRACTION gable or hipped roof
(BASED ON ROOF • GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top oft - . between the top of the highest
highest window and the hig•-st window and the highest point of the
point of the roof roof
• ALL OTHER ROOF •ES(flat, •
ALL OTHER ROOF TYPES(flat,
mansard,etc):No- btraction. mansard,etc):No subtraction.
ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distanc- •etween the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basement/crawl s.-ce floor and the EXISTING the foundation.
GRADES) highest existin. •rade adjacent to the GRADES)
foundation 0- 10 feet(whichever is less). ' EQUALS Defined building height
EQUALS Defined • ilding height
Shoreland District MCWD Permit Received Average Lakeshore S back Met? Bluff
0 Yes 0 No 0 N/A D Yes 0 No
0 Yes • No 0 Yes 0 No • /A —
Permit Number: Setback:
Stormw. er Quality Existing Proposed Variance Required CUP -equired
Overt District Tier Hardcover Hardcover
DYes 0No DYe 1:1 No
Type(s): Type(s):
Updated: January 2013A t o C �� c e
v:\forms\plan review checklist 2013.docx ,V il
REMARKS (in-house):
Fees to be Charged YES NO
Permit i/''
Plan Review Jr-
State
/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 = $
9i00
Estimated Construction Value: $ '*5, UUC)
Orono Inspections Required Work Requiring Separate Permits Required State Permits
O Site 0 Plumbing D Grading / Filling 0 Well
O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
O Footing 0 Septic 0 Water Connection
O Poured Wall 0 Fireplace 0 Sewer Connection
O Foundation Survey 0 Masonry 0 Lawn Irrigation
O Radon Rock Bed 0 Mfg.
% Framing 0 Other(specify)
O Insulation
O As-Built Survey
/171 Final
O Wetland Buffer
O 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 2013
v:\forms\plan review checklist 2013.docx
. -----116.3!4' TIME �/
CITY OF OROCCALLED IN
INSPECTION N SCHEDULED 7S 1' !�
PERMIT NO. ° it-�pb7b Co LETED
ADDRESS /e) ..4 "zii /0
OWNERLEPHONE NO -�� —V
CONTRACTOR c-. e�
>; DESCRIPTION i' eeoricede.L,
1..
Lu ❑ FOOTING ❑ PLUMBING Fl •L ❑ EXCAV/GRADING/FILLING
LLcr ❑ POURED WALL ❑ MECHANICAL:I ❑ LAKESHORENVETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
I, 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
LLJ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
Lk
i`
(7
cc
O
cc
u. -°-,-•..„,,,..„s„.„.,---
W v
cc
a
Q
2
W
Z
W
CC
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ RECT 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
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h i rs in advance. (95 '49-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.o?D/r-ao 6 70 COMPLETED P /y /6— /'
ADDRESS /L CO /G rl k
OWNER TELEPHONE NO.
CONTRACTOR I.4te--1 -5.Ori 2' 1„,s-'
DESCRIPTION ' ' ,eirAacifir/
❑ FOOTING 9 DEMO-FINAL 9 SEPTIC FINAL
❑ POURED WALL 9 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 9 PLUMBING FINAL 9 TREE REMOVAL
❑ RADON SLAB 9 MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL 9 PROGRESS
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ANAL 9 WATER HOOK-UP FOLLOW-UP
2 ❑ AS BUILT-SURVEY 9 SEWER HOOK-UP ❑ HARD COVER REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
LI CO//M''MENTS:/4 r-jol•t 4 h2 r fa.? 7'o - GsI,l lc�
a T l 4 ;t4 S G GLS<o
/y
)�r<. Gert4G - /01- - /9 -
0
Q /%) filov/O G C 5 �> t rf.(.�; /a r
V
WIr- CG nt.cac.£o c * fn se oDrrea
cc iee- 6 c t.Jd-1 11)roc lof P—
a Gp
r-rc i leA
LU ❑WORK SATISFACTORY:PROCEED ,cPROJECT COMPLETE
UdARRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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
Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call f• _ ., I - ion ours ilk advance. (952) 249-4600
Own: Contractor on '
Inspector. aro /
White Copy/Inspector's File Canary Copy/Site Notice