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Home My WebLink About2012-00606 - addn/remodel/repair , CITY OF ORONO * 2 0 1 2 - 0 0 6 PJ 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2012 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 FOX ST PIN : 02-117-23-31-0009 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 013 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 50,000.00 NOTE: SEVERA"CE PERM[TS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(S"I�ATE) REMODEL-REROOF-RES[DE ADV PLAN REVIEW PAID ON PERMIT#2012-00605 IN THE AMOUNT OF$�65.01-CK#5085-BASED ON$75,000 VALUATION CHANGED FROM 75,000 TO$50,000-CREDIT OF$121.87 FROM ADV PLAN REVIEW DGDUCI F.D FROM PGRMIT FEE. APPLICANT PERMIT FEE SCHEDULE 559.88 ABD Consulting Services, LLC STATE SURCHARGE(VALUATION) 25.00 P.O. BOX 1 F MTKA TOTAL 584.88 MINNETONKA, MN 55345- OWNER ABD Consulting Services, LLC P.O. BOX 1 F MTKA MINNETONKA, MN 55345- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicablc City approvals,and the State Buiiding Code. This permit is for only the work dcscribed 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 whe[her 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 afrer work has commenced. 'I'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be �p.�� revoked at y time for due cause. 1� � � , � , � Z � . �'�� L icant rmitee Sign Date �'�� C`� � � [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �� 5� Cit of Orono �q�� . y �� Building Permit Application � � . �� for New Structures or �4dditions Mailing Address: � � � ��C�� ' �,0,�\ PO Box 66 Permit number. �'�� `�- �%' Crystal Bay, MN 55323-0066 Date received: (�i • , vZ O�` y-� O 1 Received b �✓_ �I„� "�� - _ ,, ,J Street Address:' y� - - ��,�.,t y�;,�j,,��ti�' 2750 Kelley Parkwa r� �?G'/;�-��5 Plan review fee: �� '�J' � n � � # \gESHo Orono, MN 55356 ` b�j -- __, �=_=- 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 returned. (Please print) GENERAL INFORMATION: Job Site Address: ,��(� ��(�j� C1��9��i�17 ��'�� Will this be a Parade of Homes, Remodelers Showcase�Home or other Display Home? ❑ Yes [�o 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: State License# Expiration Date: Phone: � (� (office) (cell) Mailing Address: �/ City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER IN OR ATION: � �/ � Name: l�l �X�' 'l�' 1��. Phone (day): � --S ' — ss: ,�, Cit : ZIP: Emait and/or Fax e y�� ' /� --� ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZI P: Email and/or Fax: � PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction 0 Single Family with �tesidence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building �ingle Family with ❑ Deck ❑ ocation ��,(� � detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) Q�1�1�U.l.�t' ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water "*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or � Estimated Construction Valuation (excluding land) � '��_ Eju� W�� STRUCTURE INFORMATION: � 1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms=� �-�/ood/Frame b.Width(ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= /L �/ Detached= � ❑ ICF d. 1 s�Story = /��l ❑ On-site Prefab e.2"d Story= �//_�� ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= '�� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclos A licable ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other: 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; . Acknowledges 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. ApplicanYs Signature: C,�''�Z� �Date: � � / , � /��y�� Owner's Signature: Date: � � �� Pian Review Checkfist for New Structures / Additions Address/ PID / Legal: � 3�� r� x Description of work: ��U��.- �:�'C.k�,�c,'�� Si 1��:, Septic review by: /�/�►� il.•�"` Date Approved: Zoning review by: /Ui'✓'� Date Approved: Building review by: 5��,ns,..� Date Approved: �T-2�' - � �� Grading review by: ,�' � Date Approved: Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District \ Zoning: Lot Area: SF/AC Width: 'Depth: Survey Submitted��. � Yes ❑ No Date of Survey: Proposed Setbacks: �'�. Front (Lake) Rear''(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � Building Defined Height: �\ Building Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA : FO A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement flo /crawl TART the distance between the slab and the highest space floor and the highest roof peak,the op of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a �, the deck fine of a mansard roof, or the mansard roof, or the uppermost point on a rourlc� uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window nd SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/ rawl DD the distance between the slab and the highest space floor and the highest existing gr e within existin rade withinthe foundation the foundation or 10 feet, whichever'�iess. EQU S Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MC Permit Received � Av_erage�Lakesh re Setback Bfuff ❑ s � No � N/A � ❑ Yes 0 No ❑ Yes 0 No � ❑ Yes ❑ No N/A ,Aermit Number: Setback: Hardcover Zones Existin Proposed Variance Required CUP Required 0-7�' ❑ Yes ❑ No 0 Yes � No 75-250' TYPe(S): TYPe(S): 250- 0' 500-1 00' REMARKS (in-house): �11�� C�-�� Updated: 09/11/2009 z:lformslplan review checklist.docx Fees to be Charged YES 'NO Pecm it ,,,,.- . ,:j � Plan Review l 'S#ate_Surcharge I =�� Investigation Fee =�S�AC ;�Num`ber�of-`SAC.Un'its �,,:,; �T � ��,;k . ��, -_ Sewer Connection s �Ifa�e��n�aec�in.r��.��-�:n � u�,��"��";�'`��:`��"��-��;��;�'".��..��' � Park Fee fhs.5'I�i��IIS @�LOII`�'}^`k'�� e�� o-"�,� �5 ,. � Y� �, �ry ,� ��1� �� r'- w .„..,u+:� ., :�.�h u... 97"tt��s�'�R`�i.'K2� ... Y � ��^�y��r�� }P�.'+' �� ..,p�' Other(specify) ��IIYf�scel;la�neous�Fses .�>.�� -��`�� a4�`-��'�F�,�,�^?,��n�:��r��ni�. ��3��,�x.��€ Calculated�By: S uare Foota e $ per Square Foota e Basement X = � 1 S' Floor X _ � 2nd Floo� X = � Garage X _ � c Estimated Construction Value: � -��Oc�� " Orono Inspections Required Work Requiring Separate Permits � Required State Permits 0 Site J�F'lumbing ❑ Grading / Filling 0 Well ❑ Hardcover Removal �Mechanical ❑ Fire Electrical � Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey ❑ Masonry � Lawn Irrigation ❑ Radon Rock Bed ❑ Mfg. ,0'Framing � Other(specify) �'Insulation �� As-Built Survey �inal 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: 0 YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checkfist.docx . ` �� O�� ABD Consulting Services LLC P.O.Box 1F Minnetonka Mn 55345 Ann Lindberg 952-567-1365 1380 Fox St, Orono Mn 55391 New exterior As shown on the d�awing New roof /�rd?- �/l�P/LD�cJ� `S�`'3n'1 � r 5 C�1�3 7� �� V /-�-�P c.� c�—�� C� , ;7--} ,Sv (Z .}-P� Master Bedroom and Bath As shown on drawing A�.1� �v�leQr� P�c�1�' _ Add new main floor Bath As shown on drawing New kitchen As shown on the drawing `� Finish new upper level bath Finish new basement As shown on the drawing 1�--- Cost of renovation$�;688� � So, �� SPECIAL NOTE SEE ATTACHED SHEET FC�R Gc?-� �.,r.o�� o��,� C4DE REQUIREMENTS ' �5a '�` ,��3� ,�,. ��,,�'�s �:'�^�' ,�'� '��',�.k�t� ��"'� � !�'� �""G ��g k:.�a�� : x� � '` � � " � � i ..,,-1 'a�� "wc-� ;}�'�� 't� �.-a ��- . x ' "��"� �'�,�`<r �+:� � " ,�� i ` � � l s� rFq3'q� ��.��"�m,.,��a c r3.� .,r ,yr � ��,�, , � `v�� : .F 'J p -s �`�� :2��1�J" "`�'N':''"� 1 � �5.3^ "�y u �-�'� � � �` °�` � �+�_' " ,"+7�' r� r'$ � � k. �"`f ,�' ,� �.�� .,��@ � $y� .,y'�r �,?`r 'Y� : , ! ;_ � S`� �> I .r� � ,+z �"�""� ,� +' _ °� �`"r��' � � ��.-. `" r;� "; ;.. . i�' V .� � �� ' �.. t� t r �x �. , �- -��-- _. _. � � � r� i":��r 'a -� �.� �- . . 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' _ , . �.; ... « _ . .. . ... : _ � �,; �Wn, � ��-� � BACK ENTRY KITCHEN OFFICE verify this dimension - — - — - — — — — _ — _ � 288 DINING BATH HALL UNDER CLOSET FAMILY UP 1380 FOX ST EXISTING PLAN 06.23.12 1 5"TRIM 8.SX24D PANTRY 33WX30DX72H REF I I I B'ACK ENTRY I I �— Rd/MIC DN � � I KITCHEN I 10225 CLG I I I I � MST BDRM � � � ,� y �w � M� C � \ ,��,t � `� � '�� C :.� •^, I SINK I ( � �,1�t,��' _ L � � � V .�.� 23"H — — — — — � �J t..J S O F F I T - -- — — — — — — — — — — '"'� lT �. CROWN �, MOLDING ~� I � �J -- ��1 �` �i � 1 �;�i I J� �� M� C MST BATH 6oxso �)'_� �J� ��\'� TUB/ `t h _ Q` � �•J V DINING I SHR � � \� 0 �� Q JQ- ��-� ,' 2 FLOATIN L -` SHELVES �j-` � V\� ��,�� ;-�. R �� LINEN SHAMPOO J � � � I NICHE P POWDERr � � �� t ' �,� `' I 67. H W LL FAMILY UP 1380 FOX ST PROPOSED PLAN OPT 1 06.23.12 36 318 308 60X30 64� 2 U PSTAI RS BATH i ; ,-- �is �� x ��t�o��-�. � �� i1��dersid�e Of S�ir� Ar�d �a�ts _.. ___ . _ FAMILY � LAUNDRY �,�E�fAL N�� i � ATTACHED Si-IEET � � - �R �►�sc-.n�e,�.T ��tics5 uP :�DE REQUIREM�N7S � i ii ll ,� ;,_ . .. _ .. �. ___. ,.� R �A�� ; 5pEC1A1.., t�l4TE i i ��'"'E �E ATTACHED SHEET ROOM I I � ,R �.�—p�t l�(�t� ii � � �_�--�� a�DE REQU1REiV�ENTS� , � 30 �,i�� t�� }�,� � i��P C��t�.� ��'� MECH i� II � � I � �I �, 1 �r---- STORAGE �� TE TIME / CITY OF ORONO � CALLED IN � � INSPECTION N TICE �f/_ SCHEDULED �� /U�-� PERMIT NO. � COMPLETED ADDRESS � �� --� X �t � OWNER TELEP�NE NOn `7�a J��3�'S CONTRACTOR C7� �f-�� S�'N� >; DESCRIPTION ` ' �S �-� � C� �"1 f�Y1 ��GZ�P�Y�('ci'1� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/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 ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � �� ' t3� fi -�- �'.. S c� � ,9 -�-��;^iv 0 � 1'� �1 � �� r�C:/� 1?r ►^�1 � �'I�---�� (1,�r�e �� .� �.r� 4 W Q �'� c�C��'!✓��. � z W � W � j d W ❑WORK SATISFACTORY:PROCEED f; PROJECT COMPLETE � �ORRECT WORK&PROCEED :� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �,CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. 1.��,�,,. White Copyllnspector's File Canary CopylSite Notice `D�E TIME ✓ CITY OF ORONO �� CALLED IN INSPECTION NOTICE � ,e_�y SCHEDULED /- - �- //�.'�_ PERMIT NO.�/c�� COMPLETED ADDRESS (�$ � s��C �T OWNER TELEPHONE NO. 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