HomeMy WebLinkAbout2018-00190 - addn/remodel/repair T � CITY OF ORONO
%kz0 18 - QJPJ 19PJ *
2750 KELLEY PARKWAY DATE ISSUED: 03/30/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3412 SHORELINE DR
PIN : 17-117-23-43-0098
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 006
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL- BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
VALUATION : $ 3,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTR[CAL(STATE)
APPLICANT PERMIT FEE SCHEDULE 92.89
The Cookie Cup Store PLAN REV[EW 60.38
BANDKLAYDER,NICOLE STATE SURCHARGE(VALUATION) 1.50
3412 SHORELINE DR S.A.C. 2,485.00
WAYZATA, MN 55391- TOTAL 2,639.77
Payment(s)
CHECK 5015 1,000.00
CHECK 3243 1,639.77
OWNER
Germ-Tom Partnership
1107 HAZELTINE BLVD#535
CHASKA, MN 55318-
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 perrnit is for only the work described and does
not grant permission for additional or related work which requires separate
perrnits. 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 cause.
� �, �.
- �.C'�.c,���'� ' �, ,� � 3� � /�
Applicant Permitee Signature Date Issu By Signature Date
,
�
�
CITY OF ORONO.
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
,� StreetAddress:' Received by:
y�. G�'� 2750 Kelley Parkway Plan review fee:
�.�k�SHo��. Orono, MN 55356 `` ' ,
Main: 952-249-4600 Totaf Fee: ` •
Fax: 952-249-4616 www.ci.orono.mn.us
Tl�is applicati�on form mus#be comple#�J iri�tl t8�r�a`�`t�i�ir�id irifc�a��`��mitted:
Incomptete applic��n�witl#�1 r��l��a�'!; (Please print)
GENERAL INFORMATION:
Job Site Address: 3412 5horeline �rive. Navarre, MN 55391
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes X No
li 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 su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Ni col e Bandkl ayde r
State License# Expiration Date:
Phone: (cell) 917-690-6161 (office)
MailingAddress: 4518 Wilshire Blvd. City: Mound ZIP: 55364
Contact Person: Ni col e/Busi ness owne r Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: thecooki ecupstore@amai 1.com
PROPERTY OWNER INFORMATION:
Name: Court Macfarland 612-919-0743
Phone(day):
Address City: ZIP:
Email and/or Fax cre c out oo .com
ARCHITECT I ENGINEER INFORMATION:
Name: 7ulie ,4bramson- Plan
Phone(day): �1�T36��4,
Address: City: ZIP:
Email and/or Fax: j ul i eab ramson(�aol.com
PROJECT INFORMATION: Descri tion of ro'ect: Remodel from offi ce space to Ki tchen/�i ni ng Area.
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction ❑Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑ Public Sewer
�Accessory Building ❑ Single Family with �Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require 0 Commercial ❑Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse ❑ 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) $ 1 �j��
P _
Last Updated: January 2016
.
t
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued) �
a. Length(ft.)= Number of bedrooms= 2. Occupancy: �
b.Width(ft.)= Number of garage stalls: '�
3. Occupant Load: �
Areas in square feet Attached=
c. Basement= Detached= 4. Type of Construction: � ��
d. 15�Story = ✓,
e. 2nd Story= 5. Code Edition: ���� �jv �
f. '/z Story =
g. Total Area= �00 sq Ft.
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve —2 full size,to scale meetin ALL surve requirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ � Minnehaha Creek Watershed District(MCWD) Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin 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;
• Acknowiedges 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.
DocuSigned by:
ApplicanYs Signature: �GD�t, �aUn, (,ou.� Date: Z�Z2�2018
Owner's Signature: �J�r��VJ����� Date:
Last Updated: January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ,� `1��� ������� i7� ������ Permit No.•���`��/�
Description of work: ,��1�2C� (�� 1 Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: �� Date Approved: � �— l
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: 0 Yes � No Date of Survey: Revised date(?):
Landscape plan submitted? � Yes � No Landscaper:
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50%= L.F. below grade
Basement? � Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
START WITH floor(of the basement or crawl space)and measure from hiahest existina
the highest point of the roof. START WITH ra ade to the highest point of the
roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
(no windows): Subtract haH
• GABLE OR HIPPED ROOF(with (BASED ON the distance between the
windows): Subtract half the distance ROOF TYPE)
highest point of the roof to
between the top of the highest the low point of the
window and the highest point of the corresponding gable or
roof
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 basemenUcrawl 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
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
� 0 Yes 0 No Permit Number: 0 Yes 0 No � N/A 0 Yes 0
No
j 0 N/A—see attached Setback:
d
� Stormwater Quality Existing Proposed
' Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one %and sf % and sf
j; � Yes � No 0 Yes � No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Perm it (/�
� Plan Review ✓
� State Surcharge i/'
�i
j� Investigation Fee �.,,'
SAC—Number of SAC Units �� r i�
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1s1 Floor �X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ �� lYL`�V
Orono Inspections Required Work Requiring Separate Permits
� Footing 0 Site � lumbing 0 Grading/Filling
� Poured Wall � Silt Fence/Erosion Control Mechanical 0 Fire
0 Foundation Survey � Hardcover Removal � Septic 0 Water Connection
� Foundation Waterproofing 0 Other(specify) � Fireplace 0 Sewer Connection
Framing � Masonry 0 Lawn Irrigation
� Insulation � Mfg. 0 Landscaping
� As-Built Survey � Other(specify)
Final
� Lathe Required State Permits
� Other(specify)
0 Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
� See Builder Acknowledgement Form
O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
�•\fnrme\nlan roviow rhar4licf'I(1_9f11 F rinrv
�c����� �`'l ' . ��
� i� R�vi�w�d for Gc��`�
�Y�e'm� �b'�r"��im`�; ��� ,"�� �i" -t Comptiance City of �ro�a
oG��� ��� ������ ����
�C�� ��(P � Z�O'�',���, = �.�; pa� � � CERAMIC TILE WALL _
ff��l ��e � so�e.�y .�'t ` 1�s3 = :
�-� �� ` 15- BGGupUn,� Reviewer
1'-6"
Z D
�, MOVEABLE _/,, �, �
Z DISPLAY �/bU(� �' ➢ e
---- --------- -
m ��P09/'� ---�-� � \ �
�
��'��°�Se � � �
6'-0" D I
� f
l�ue� hQ�'d ls r � r
� �o'-a„ o \
� 3' X 6'8 � �
al� d��NS
_ � �,
����� ❑ �T ❑ �0
����� '� PREP �iABL °
� �i@��� ���e� '-4° W/ SINK �
������
� � �� ,
�J�` �N
��� /� //' � CERMAIC TILE ALL
n �c N ��� ,
� o �� �
� d� -�oo
� � � �
�� -
��� 3'-0" -o '-o'° —�
����
"� �
� n � c 24x60 STL STEEL ` T' �
�, � m ,
8,9 X 0,� m o = � � TABLE W/ SHELF z 'T' T' u
�,
� D � N �
T1 Z � m �
� �
Z
(- LX('1� ��QN�~�,�5 �
��[y'�'f� ,�c�-��i roa wJ H LD CL E
�e�{�yy,� �yy� !�._ 7� �-- TO RADIA OR 18'-10 1/4"
A POSSI LE 7'-0" MIN
1�'���'�l�h �.2!/'G� �Z-
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. "-'��`�v�"� COMPLETED z. /b
ADDRESS � I Z ������ L �O
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
ly ❑ 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
Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
_ ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ S BUILT-SURVEY ❑ SEWEFi HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
�
W
a
� �O y �
� • ..s
� r K
O
�
Q � r'� - �.�a �e l� z�
�
z
W
�
W
�
J
d
W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY
W
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING � pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�
.'
FIXTURE 4
STAINLESS
STEEL STAINLESS
STEEL 8" TEMPERED
$" TEMPERED LAMINATE
LAMINATE SAFETY GLASS
SAFETY GLASS
FIXTURE 2
VENEER CORE PLAM
PLYWOOD EDGE P�M
STAINED GRAY
POLYURETHANE FIXTURE �
TOPCOAT
VENEER CORE
PLAM PLYWOOD EDGE
� STAINED GRAY
� POLYURETHANE
' PLAM TOPCOAT
;
i
� PLAM (
VENEER CORE
PLYWOOD EDGE
STAINED GRAY
FIXTURE 3 PLAM POLYURETHANE
TOPCOAT
COOKIE CUPS FIXTURES 1-4
FRONT OF HOUSE SURFACE AND EDGE FINISH SCHEDULE
' NOTES:
1. ALL PLAM IS FORMICA GRADE 10 GENERAL PURPOSE BRIGHT WHITE#949 FOR NSF 35 COMPLIANCE.
�� 2. ALL KICKBOARDS PLAM FRONTS AND POLYURETHANE BIRCH PI.V BACKS.
3. ALL CABINET BOTTOMS POLYURETHANE BIRCH PLY UNDERNEATH CABINETS.
4. ALL DRY FOOD STORAGE CONTACT SURFACES CL4D W/PLAM 8 PLAM EDGEBANDING.
5. ALL NON FOOD STORAGE CONTACT SURFACES POLYURETHANED BIRCH PLY AND PREFINISHED BIRCH
� EDGEBANDING
6. ALL CABINET CARCASS EDGES L1VE EDGE BIRCH VENEER CORE STAINED GRAY AND POLYURETHANED.
. 7. ALL FACEFRAMES POLYURETHANE BIRCH PLYWOOD FRONT&BACK.PREFINISHED BIRCH EDNGEBANDING.