HomeMy WebLinkAbout2017 - 00729 - addn/remodel/repair CITY OF ORONO I 1 II II
1
* 2 0 1 7 - 0 0 7 2 9
2750 KELLEY PARKWAY DATE ISSUED: 07/06/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4575 WOLVERTON PL
PIN : 31-118-23-31-0007
LEGAL DESC : FOXFYRE ESTATES
: LOT 001 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 14,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE)
LOWER LEVEL EXPANSION
APPLICANT PERMIT FEE SCHEDULE 263.28
PLAN REVIEW 171.13
JOHNSON,REBECCA L STATE SURCHARGE(VALUATION) 7.00
4575 WOLVERTON PL
MAPLE PLAIN,MN 55359- TOTAL 441.41
Payment(s)
CREDIT CARD 9229 441.41
OWNER
JOHNSON,REBECCA L
4575 WOLVERTON PL
MAPLE PLAIN, MN 55359-
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 r e State Building Code.This permit may be
revoked any time for due
/7 7' �l7
App cant 1'etmitee ignature Date Issued :4'.ignature Date
City of Orono
Building Permit Application for Maintenance/ Replacement/Remodel — Residential ONLY
willuo' . ,,,„,- - NO STRUJCTURAL. EXPAtk,_
(� Mailing Address: bci'/l-0070 f
�0/V0 I PO Box 66
Permitnumber:
�,�}/ Crystal Bay, MN 55323-0066 Date received: inn ''-. 9-/-7
i i Received by_ v l
Street Address:
\ / 2750 Kelley Parkway Plan review f
�/ ., % Orono, MN 55356 T 1
-`�drstr�� Total Fee: ' [
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: O'er �/� Sc��Pr�Job Site Address: lS 7 ✓�E Ta t / ite oI'Ot
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes lNo
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus seill ce will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNERjNFORMATION:
Name: e tit4M fotkl'ISo/J j1/4/IE_
Phone (day): [I,44- -3A - .7 f y-s- 6/J "�1%9'3--7/e.
Address: vs-75 [,wL(A-= ri)/J tLific-G.a--- City: ()tooZIP: 5 s:TS y
Email and/or Fax: Ig -a.- e-gAz . e Vvl
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
E Door(s) ElRemodel 0 Fire Damage MCWD review&permits:
0 Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
0 Re-roof,cedar 0 Restoration ❑Water Damage Minnetonka,MN 55345
❑ Re-roof, other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
fig Window(s)
Estimated Construction Valuation of Project(excluding land) $ 1.-1,a00.
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 annua)ly update our records and records of other governmental agencies required by law. If
you refuse to supply th-;, formation, the a4 .:tion may n� be issued.
Applicant's Signature: 41110'-�4011r -Pdtilligr .GL. - Date: / J- ----- 9 (>1
iirr
Owner's Signature: ,,74 - i . Q4--4
Date: ( of �-�;7 7
Last Updated:January 2016 �'
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: 957ckyftt ,"1rpi /%c' Permit No.: ZOO"— X TZ 0—
Description of work: f!// turiiiY ,Ce4'e6 e1C�GIti tem Date Rec'd: 4/e.v1/7'
t • �
Septic review by: , X05,-/ .,,�%�'t Date Approved: 7/5/17
„,,
Zoning review by: Date Approved:
y
Building review by: C 0‘. Date Approved: 174-1/71!
Grading review by: Date Approved:
Zoning District: Zoning File#:
Resolution? Yes •eso#: Reso Dater, .. _ ' Signed: •s No Resolution/NA
Zoning: Lot Area: SF/AC Width: Structu-•I Coverage: SF %
Survey Submitted: CI es CI No Date of Survey: Revised date(?):
Landscape plan submitted CI Yes Landscaper: CI No/None proposed
Proposed Setbacks:
Front(Lake) Rear(Str•et) ( N S E W ) ( S E W ) Other Buildings Wetland
Side Side 7
-.
Building Height Analysis:
Distance Betwe;n First Floor and • -fined Top of (a)
RoQr,(See "buil•'ng height" defini on):
First Floor Elevati n (from build,g plans): (b)
Highest Existing gr,und level ser survey) or 10' (C)
above lowest groun, level, w ichever is lower:
Difference between .) and c): (d)
DEFINED HEIGHT If hig •st • isting grade is: (e)
above FFE-Height is(a)- d)
below FFE-Height is(a)+ 3 -
Shoreland District MC Pe it Average Lakeshore Setback Bluff
Met?
Permit Numb : CI Yes 0 No CI N/A CI Yes 0
0Yes 0 N No
0 N/A—se attached Setback:
Stormwater QualityExisting Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
CI Yes 0 No 0 Yes CI No
1 2 3 4 5 Type(s): Type(s):
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
Fees to tie Charged , . . •,. . '=YES NO,
Penrtit .; ..
Plan Review • ' ` '
i
Investigation Fee
• • SAAC-' nber of SAC Units ' t/
Other(specify)
• Square Footage $ per Sgtfire Footage
Basement X = $
1St Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ ��
Orono Inspections Required Work Requiring Separate Permits
O Footing 0 Site Plumbing 0 Grading/Filling
O Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire
O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation
O Foundation Waterproofing 0 Other(specify) 0 Landscaping
Framing
Insulation
O As-Built Survey
21Final
153(Lathe Required State Permits
O Other(specify)
0 Well XElectrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
O 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 2016
v:\forms\plan review checklist 10-2016.docx
Reviewed for Code
Compliance City of Orono
6/28/2017mo
�e Date 7 `..
Home owner Reviewer .‘,411,1111V.
Rebecca Johnson Lane
5 v'UG��dreti
4575 Wolverton Place
Orono, MN 55359 ) /1 o /
612-386-7445 Becky Lane l p 6111/470 a l 6 dray j5 a Av e C/
612-999-5418 Kelly Lane 1,051-4&v.1" v �,�,/,,
�✓ mid-(S e jC
ORDER WORK WILL BE COMPLETED 7
1. Electrician and plumber will pull their own permits.
2. WATER PROOF PERIMETER BLOCK WALLS WITH DRYLOK
3. INSTALL 2" R10 FOAM ALONG PERIMETER WALLS
4. FRAMING FOR FIREPLACE/WINDOW/DOOR/PERIMETER WALLS
5. ELECTRICAL WORK ON MAIN CIRCUIT BREAKER PANEL DUE TO WATER DAMAGE
6. INSTALL TWILIGHT- II INDOOR/OUTDOOR FIREPLACE
7. INSTALL 105"X73" WINDOW
8. INSTALL 36" DOOR
9. FINISH STEEL SIDING TRIM WORK ON OUTSIDE OF HOUSE
10. RUN RG-6 COAX TO THREE LOCATIONS FOR DIRECTV
11. INSTALL CABINETS
12. ELECTRICAL WORK (OUTLETS/LIGHT FIXTURES/FRIG/DISHWASHER/OVEN/HEATED FLOOR)
13. PLUMBING WORK(SINKS/DISHWASHER)
14. WAIT FOR INSPECTION
15. INSTALL DRYWALL
16. INSTALL COUNTER TOPS
17. INSTALL SINKS
18. INSTALL APPLIANCES
19. INSTALL ROCK TO ELEVATION ON FIREPLACE
20. INSTALL CARBON HEATING ELEMENTS ON MAJORITY OF FLOOR
21. INSTALL ENGINEERED WOOD FLOORING
22. INSTALL TIN CELING ABOVE BAR AREA
23. PAINT WALLS
24. INSTALL LIGHT FIXTURES
25. INSTALL BASEBOARD/WINDOW TRIM
EXISTING BLOCK WALL C ING SLIDING ODORIIMINIGGIGISIGNIIMIG
istrannistattmoimoy
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INSTALLING WINDOW,10S"X 73", ;INSTALLING DOOR,36". INSTALLING HEAT N-GLO TWILIGHT- _f ADDING 2X4
REPLACING EXISTING GARAGE DOOR. REPLACINGIEXISTING' 1 II INDOOR/OUTDOOR FIREPLACE. INTERIOR WADS
Carbon monoxide detector
required within 10 ft. of
all sleeping rooms.
INSTALLING LOWER CABINETS/COUNTER TOP 1
( l
SMOKE DETECTOR CONNECTED TO A SOUND-
ADDING FOAM ING DEVICE OR OTHER DETECTOR AUDIBLE IN
INsuuTION 2"R10 SLEEPING APNEAS. MUST BE WIRED.
III
con be- bca ®f ev,a -
INSTALLING SINK
ADDING 2X4rT ,,, 1®'
INTERIOR WALLS
ALONG EXISTING
BLOCK WALL
I
ADDING HEADER FOR
INSTALLING UPPER/LOWER 1 ��U�
�� � ��
SLIDING BARN DOOR
mamas
CABINETS
;INSTALLING LOWER
INSTALLING SINK -
ADDING 2X4
I lk ,
INTERIOR WALLS
1 INSTALLING INSTALLING
j
.DISH REFRIGERATOR
WASHER
ADDING FOAM ADDING FOAM INSULATION 2"'
I ADDING 2X4 R10 EXISTING BLOCK WALL Rebecca Lane Kelly Lane
ALONG INTERIex ALLS 4575 Wolverton Place 612-999-5418 cell
ISTING
BLOCK WALLOrono,MN 55359
612-386-7445 cell
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Please consult the manufacturer's
outdoor 6 installation manual for all details and Twilight II
lifestyles requirements before making a final Indoor/Outdoor Gas Fireplace
by hearth &home technologies design layout decision.
INSIDE OUTSIDE INSIDE OUTSIDE BTU/HR
MODEL DEPTH GLASS SIZE
WIDTH WIDTH HEIGHT HEIGHT INPUT
TWILIGHT- Actual Framing Actual Framing Actual Framing Actual Framing Actual Framing
II-C 35-5/8x21-1/2 38,000
43 44 43 44 46-7/8 47-5/8 46-7/8 47-5/8 24 23
Left Side Top Right Side
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GAS LINE 7— .4 43"[2092] I. 2-1/2j ELECTRIC' I
ACCESS [64] ACC ES
4-3/4" 4-1/2"� 1-1/4"
[121] [114] [32]
mommitaril
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BOTTOM OF LIP
AS SHOWN
Interior View Exterior View
42-1/8"[1070] 1
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Additional information can be found online at www.fireplaces.com
• •
MINIMUM FIREPLACE CLEARANCES FRAMING DIMENSIONS
Note:Framing dimensions assume use of
AREA TO COMBUSTIBLES 1/2"[13]thick wall coveting materials on
On inches) exterior of framing only,and j[Q sheetrock
on interior of framing.Adjust framing
CLEARANCE TO CEILING/OVERHANG See mantel projections and dimensions for interior sheathing i�
clearance to combustible diagrams (such as sheetrock). Interior
COMBUSTIBLEMON-COMBUSTIBLE FLOOR 0 ,�` Fra ing
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SIDES OF APPLIANCE 1/2APPLIANCE LOCATIONinEtenor
Insulated1111
GlesyEnvN pe ( 47-5/8"114 [1210] [1 10][1210]12"(13x — `•/e>< _,.._,m,3 ExteriorMirdmu1m I 1_43""°921— Minimum Framing 'Minimum"024 _ _SeeNot. 'Mey a arty Nnplh hom i m24"[9,9J 'Q'Mirrimum
�� NOTE Appliance may be installed flush on exterior,interior or �� ¢, `
--1 anywhere in between Any projection of the appliance interior or r 4C 1/8
exterior must have a properly co structed chase surrounding the V' U 1\/
appliance.the extern musk have proper flashing and 1172]
finishing to ensure an insulated envelope.
—firf WARNING!Risk of Rrel The exterior side Flush tip J
CANNOT be recessed into the framing Interior
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Projection
[14) -
Mnim°m CLEARANCES TO COMBUSTIBLES
43"11o921 --•
Glace R
thr(run
—I_ Minimum
•24"[614
Meximujn
Glass Flush to Exterior Insulated Envelope From top of hood to ` ,
ceiling(interior)or •
MANTEL PROJECTIONS - INDOOR
overhang(exterior) 1
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CEILING99-1/2"
NON-COMBUSTIBLE BOARD t A 1;a '•Vs
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HOOD 7-5/9
I To Overhang:Vinyl:64-5/16"[1634]
T ,� r.x r Y Non-Vinyl:35-5/16"[897] [13]
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Measurementsa`eInInches. COMPLETE INSTALLATION OF NON-COMBUSTIBLE
FACING MATERIAL (OUTDOOR SIDE)
MANTEL PROJECTIONS- OUTDOOR °FACfNG ,
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MINIMUM CLEARANCES PRODUCT LISTING CODES
Vinyl Non-vinyl complete and is subject to change
A 36" 12 without notice.Product installation
US ANSI 221.50 2014 must adhere strictlyto instructions
B sasrls" 35-5116"
CAN CSA 2.22-2014 accompanying product to avoid risk of
fire and potential injury.
Additional information can be found online at www.fireplaces.com
outdoor Lakeville,MN Web:fireplaces.com
lifestyles Phone:888-427-3973 952-985-6000 C UL U{UM
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