HomeMy WebLinkAbout2010-00439 - remodel master bathroom CITY OF ORONO PERMIT NO.: 2010-00439
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 07/15/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 511 FERNDALE RD N
PIN : 36-118-23-13-0012
LEGAL DESC : FAIRWAY VIEW
: LOT 000 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 23,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING AND ELECTRICAL(STATE)
REMODEL MASTER BATHROOM
ADV.PLAN REV[EW PAID 6/8/]0 2010-00438 $249.28
APPLICANT PERMIT FEE SCHEDULE 383.50
MARK A. PERRY STATE SURCHARGE(VALUATION) 11.50
15100 42ND AVE.N.
PLYMOUTH, MN 55446- TOTAL 395.00
(763)404-2794
Minnesota State License#: 20130224
OWNER
CAPECE, BARBARA&MARK
511 FERNDALE RD N
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsij�#e fq�assur(G�all required inspections are
requested;n e�nformaf►ce-a��iffi tbe�State Building Code.This permit may be
a
revoked y U�.for$►i2 �use.
/ �j,� _
_ s.''4� rfrEL���c—' l �l (� ���-�"�"�'�. l l
�Applicant Permitee Signature Date Issue By i nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
� � ��'�Iai� �
� City of Orono � � h
�
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
j—_—� Mailing Address: ,QOlD-4��3�l
/��� PO Box 66 Permit number:
�Q � O� Crystal Bay, MN 55323-0066 Date received: (p --8- /O
�� �°"'`�`' ` Received b
,� `�� >,' Street Address: y-
�'� � ''�� G~ 2750 Kelley Parkway Plan review fee: c?O/D -OD�38
�Rg�H�g�'� Orono,MN 55356
� ---- �a q.2x �
- -" Total Fee:
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 retumed. (Please print)
GENERAL INFORMATION: r� , )
Job Site Address: S�� l-e1�hA�� l�°.d ^�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a specia/event permit is�equired with Police DepaRment and City Counci!approva/60 days prior to the event. Shutt/e bus service will be
required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLI ANT INF RM��N:
Name:
State License# 2.0(3C�2'�- Expiration Date: c�3 ZO( � G��I��
Phone: "7(03-�4�xl-- 2��1 office Ma�n- '�r- (vl2-�](v4 -'S33O cell a�,{5
Mailin g Address: 1 �I� <{-2 ,A�J E � � C i t : l ✓n o v� Z I P: S S �
Contact Person: �-�-- Applicant is: ontrac or / Homeowner �c�.ue o��
Email and/or Fax: yY1 Z[7C%�'t(�'v� � W15 y� ,C:;:�vr�
PROPERTY OWNER INFORMATION:
Name: �f�cl�L-- �/}f���
Phone (day): s2— ' f3 �, q
Address: � � f-��.J�/�� �� D /l� � City� {,J �y�;� ZIP� ��� 1 �
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
��tS�� ��� MCWD review 8 permits
❑Door(s) �Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven,MN 55391
❑Siding ❑Restoration ❑Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Re-roof ❑Fire Damage www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ 2����� , oe�
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 staif 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
re uired b law. If ou refuse to su I the inf matio , e a lication ma not be issued.
--�'
ApplicanYs Signature: Date: ��' /�8 �-'�'��
Last Updated: 05-04-2009
� Plan Review Checklist for New Structures / Additions
Address/ PID / Legal: SI ) /�1L'��2nd rL{2(�;. ��
Description of work: i�`�T�-'+ 5�. Yv�-��'a�..='L
Septic review by: _ (�i �f� Date Approved:
Zoning review by: �1 i r� Date Approved:
Building review by: �5������i_.�r Date Approved: � G - �l:�
Grading review by: � /U 1 r-} Date Approved:
Zoning File#: Resolution #: Resolution Date:
'.Zonin District Fire Department Post Office School District
I
Zoning: Lot Area: SF /AC Width: ,Depth:
Survey Submitted: ❑ Yes ❑ No Date of Survey: � /
Pro osed Setbacks: '
Front (Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings � Wetland
� Side Side
Building Defined Height: Building Peak ight:
FOR A BUILDING WITH A BASEMENT OR C�QWL SPACE: OR A BUILDING ON A SLAB FOUNDATION:
START I the distance between th�,�asement floor/ START the distance between the slab and the
WITH crawl space floor and the hlghest roof peak, WITH highest roof peak, the top of the comice
the top of the cornice of a fla oof, the dec of a flat roof, the deck line of a mansard
line of a mansard roof, or the u ermos roof, or the uppermost point on a round or
oint on a round or other arch-t ro other arch-t e roof
SUBTRACT half the distance between the high�t SUBTRACT ! half the distance between the highest
� window and highest roof peak o��pit ed window and highest roof peak of a
roof � itched roof
SUBTRACT the distance between the b�ement floor/ ADD the distance between the slab and the
crawl space floor and the fxighest existing highest existing grade within the
grade within the founda n or 10 feet, foundation �
whichever is less. EQUALS Defined buildin hei ht
EQUALS � Defined buildin he t
Lot Coverage: SF %
Shoreland District MCWD Permit Received Average L keshore Setback � Bluff
❑ Yes ❑ N � Yes ❑ No 0 N/A ❑ Yes ❑ o ❑ N/A I ❑ Yes ❑ No
Permit Number: Setback:
Hardcover Z es Existin Proposed j Variance Requi d CUP Required
0-75' � ❑ Yes ❑ No ❑ Yes ❑ No
75-2 0' I Type(s): Type(s):
250- 00' I
500-1000'
REMARKS (in-house): � C I•-f-v4r`► '
t..
Updated: 07/01/2009
z:\forms\plan review checklist.docx
Fees to be Char ed YES NO �
Permit
Plan Review
State Surct�ar e ✓
Investigation Fee
SAC— Nwmber of SAC`Units
Sewer Connection
'Water'Conhection
Park Fee
.Site Jnspection
Other(specify)
Miscellaneoas Fees
Calculated By:
UBC: Construction Type:
S uare Foota e $ er S uare Foota e I
Basement X = $
1S Floor X = $
2� FIOOr X = I $
Gara e X = $
Estimated Construction Value: $ ��! OG�C>'`=
Orono Inspections Required Work Requirinq Separate Permits Required State Permits
❑ Site ,�Plumbing ❑ Grading / Filling ❑ Well
� Hardcover Removal ❑ Mechanical ❑ Fire p'Electrical
❑ Footing � Septic ❑ Water Connection
❑ Foundation Survey ❑ Fireplace ❑ Sewer Connection
,0" Framing ❑ Masonry ❑ Lawn Irrigation
S' Insulation ❑ Mfg.
❑ Wall Board ❑ Other (specify)
❑ As-Built Survey
p�Final
❑ Other (s ecif )
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
z:\forms\plan review checklist.docx
� DAT TIME V
CITY OF ORONO CALLED IN 8"��
INSPECTION NOTICE �y SCHEDULED '�7'�� d%3-O
PERMIT NO,�D/D���'7 COMPLETED
ADDRESS ��� ��L��e � ��/ •
OWNER TELEPHONE NO.��Z 7���3�U
CONTRACTOR ���l������
�; DESCRIPTION /����'��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o � �3 � � �_�1_�,.;�'v
�
� -�i nr� �' I�� ..� .� �r�� �� "v�S
� �� Q�n .�-P �Z� C� C rC
W
�
Q
�
Z
W
�
W
�
j
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
���ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ZORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONW�TNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on si :
Inspector. ���� ���
White Copyllnspector's File Canary CopylSite Notice
�� � � i/DA�I ' I TIME V
I.ITY OF ORONO CALLED IN
INSPECTION NlOTI/CE `/ �, SCHEDULED �I �� �
PERMIT NO.4�[L'!C"�LLry�� COMPLETED
ADDRESS �� � ��%�'� ��,�,` � I�CI �I
OWNER TELEPHONE NO. ��a ��t� -��'�,
CONTRACTOR ���C.� f� f l �P�1�
� /'
�: DESCRIPTION ,�� �CZ � 1 ���Y.�'L�C ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ��-� /�.�.h ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL _ ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUM RI ' ❑ SEPTI- FINAL ❑ FOUNDATION/REMOVAL
� OWNER/ ONTRACTOR�Q#EET YOU:�YES_NO
� COMMENTS:
� .. . ,�. �. �--� �� ,
a ,= s� �. =�.J ..a � v � � (.J ,3 :� (���.: �r`��
�
�
O
>.
�
° ��,'�c� K�S A.� c� c��- � � ��� � � c- �tc�r�
w -
� -.�� 5 -� :� � � P �+
Q
�
z
W
�
W
�
j
O
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
0 PACA�2RECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTIOfV REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. �i`(;/r l � J �
White Copy/lnspector's File Canary CopylSite Notice