HomeMy WebLinkAbout2016-00408 - addn/remodel/repair CITY OF ORONO * Z 0 1 6 - 0 0 4 0 8 *
2750 KELLEY PARKWAY DATE ISSUED: 04/29/2016
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2195 FRENCH LAKE RD
pIN : 10-117-23-21-0006
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 15,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
INTERIOR REMODEL:UPDATING KITCHEN,MASTER BATH&LAUNDRY AREA
APPLICANT PERMIT FEE SCHEDULE 278•77
PLAN REVIEW 181.20
DALTON, MICHAEL&JENNIFER STATE SURCHARGE(VALUATION) 7.50
2195 FRENCH LAKE RD
WAYZATA,MN 55391- TOTAL 467.47
Payment(s)
CHECK 5005 467.47
OWNER
DALTON,MICHAEL&JENNIFER
2195 FRENCH LAKE RD
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 governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become nuil 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 l80 days at any time afrer work has commenced.
The applican[is responsible for assuring all required inspections are
requested in conformance with the Sta ui ' g Code.This permit may be
revoked at any ti i caus
� y � 0 �-�� � ���
Applicant Permitee Signature Date Issued ignature Date
City of Orono
Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY
(i.e. wi,: . Joars �e-raof, etc. — fV0 STRUCTUFZAL E�,
�O�O Mailing Address: Permit number. -� lv -� � �
PO Box 66
Crystal Bay, MN 55323- �1 Date received: _ I—
Street Address: � Received by: �
�. G� 2750 Kelley Parkway �'� Plan review f : `' � s't't"G� `�
`�tq �, Orono, MN 55356 V �
kES H�� Total Fee: � !��p�, � 7
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us r
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: ,�.1� 5 r a�J �a l„�v� ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes -Nd
If yes,a specia/event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be
required un/ess app/icant demonstrates sufficient on-site parking is avai/a6/e. Non-permitted events will not be allowed.
CONTRACTOR/APPL CANT INFORM�ATION:
Name: �,��,�-� , ' )R��•-�
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) � ��. ' �� 1-- y p��; (office) (�,i�,' ��� - ��l`� �
Mailing Address: �c� � ��,�,���� ��� �� City: ���,.��, � 3�
Contact Person: ,I(c ��,r,� , .. Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �q,�� ►�•o z`,�i C �.�n r���, � i;;r.•.
PROPERTY OWNER INFORM��TIk�: � a rr��
Name: I� �. , )�..,�,�.J
Phone(day): S��-�XI�-�eo�� � 6��- �3� - �c�i �
Address: a�y; ��c,�H l�,k r p City: ���..,.� ZIP: •�3�-� (
Email and/or Fax: � ���,,,�����,,L G��,�, .�;,.....
U��qTlr� K.F��.� � � s.�Tl� �j/►T Ik�4.cV^"' �r ��t 1
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) [�2emodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345
❑ Re-roof, other(speciiy) ❑Siding ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $
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 annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the information,th lication ma not be issued.
`� `'� d-'l
ApplicanYs Signature� ----••�-- Date:
Owner's Signature: , � - Date: �'
Last Updated:January 2016
a ,. ,
PLAIV I�EVIEW CHEGKLIS� EOFt NEV�I �Ti�UCTIJRES / /�D�iTIONS
Address: �� ��� ��C�/ICI� /��C�e �d`///'�i Permit No.�
Description of work: �p s�'il�?(��Q ( /��'l�h t`('(/` ��7�'I Date Rec'd:
1 � �
Septic review by: �Gf� ( /� Date Approvecf: � z
Zoning revievv by: Date A�aproved:
Building review by: Date Approved: �� l
Grading review by: Date Approved:
Zoning District: Zoning Fiie#: Reso#: I�ega Date:
Zoning: Lot Area: SF/AC 1llfidth: Lot Cov ge: SF %
Survey Submitted: 0 Y,�s ❑ No Date of Survey: Revised date � :
,�
Landscape plan submitted? Yes � No Landscaper:
Proposed Setbacks:
Front(Lake) Rear(Stree ( N S E W ) ( �! S E V1l ) Other Buildings 4Netlarrd
Side �ic�e
Defined Height: Pe Height: FFE: �FE minus 6 feet= (Existing Contour)
Perime4er(linear feet) = 50°0= L.F. belovY grade
Basement? 0 Yes � No, Stor'es
FOR A BUILDING WITH A BASEMENT OR CRA L S ACE: FOR A BUILDlNG ON A SLAB FOUNDATiOIY:
The distance t een the lowest proposed �lab at or above grade—
START WITH floor(of the ba ent or crawl space)and measure from hiphest existing
the highest poi of the roof. START WITH �S ade to the highest point of the
roof even if fill was brought in to
elevate home.
If you have ...
SUBTRACTION • GAB E OR PPED ROOF(no Siab below grade—measure
(BASED ON win ows): Su tract half the distance from highest existing grade to the
ROOF TYPE) be een the hi hest point of the roof hi hest oint of the roof.
to the low point f the corresponding tf you have a...
ble or hipped of SUBTRACTION ` GABLE OR HIPPED ROOF
• ABLE OR HIPP D ROOF(with (BASED ON (no windows): Subtract half
the distance between the
windows): Subtra half the distance ROOF TYPE) highest point of the roof to
between the top of e highest the low point of the
window and the hig st point of the corresponding gable or
roof
hipped roof
ALL OTHER ROOF T ES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtr ction. (with windows): Subtract
SUBTRACTION Subtract the distance between e half the distance between
(BASED ON basemenUcrawl space floor and he the top of the highest
EXISTING highest existing grade adjacent t the window and the highest
GRADES} foundation OR 10 feet(whichever less). point of the roof
• ALL OTHER ROOF TYPES
(flat.mansard,etc):No
EQUALS Defined building height subtraction.
� Definet!building height
� EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
a...: .m.+.�:e auei�-.=,.�..�,.., �,xaxiY+... .+n,:.•w.�...we-c.Y �..e-.e.:.... ��w�^tw:.m...._.rqym..F.�. �.�a.... .:K`"�r.� _ ., . .-. , z .. . . �`�v�P"'. .- .,i .
Shoreland District MC1I1lD Rermit Average Lakeshore Setback B��ff
MeY?
Permit Number: � Yes � No � N/A 0 Yes 0
❑ Yes � No No
❑ N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overiay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
� Yes � No � Yes � No
1 2 3 4 5 Type(s): Type(s):
� Fees to be Char ed YES NO
Perr�it s
Ptan Review
State Surcharge :/�
� Investigation Fee E
SAC—Number of SAC Units a.�
� Other(specify) °�
Square Foota e $ per Square Foota e
Basement X = $
9`
15t Floor X = $
2nd Fdoor X = $
` Garage X = $
Estimated Construction Value: � ���
,
Orono Inspections Required Work Requiring Separate Permits
0 Footing ❑ Site �Plumbing � Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control Mechanical ❑ Fire
� Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection
' ❑ Foundation Waterproofing � Other(specify) 0 Fireplace 0 Sewer Connection
4 �Framing � Masonry � Lawn Irrigation
fnsulation ❑ Mfg. ❑ Landscaping
� As-Built Survey ❑ Other(specify}
Final
❑ Lathe Required State Permits
� Other(specify)
❑ Weli Electrical
i:.
REMARKS (in-house):
OFFICl�iL RENiARKS -TO BE IVOTED (�N RERMlT AND INITIALLED:
:' ❑ See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
�.�F........�..I.... .............Mn..Llia-��/l 7l11F rinrv
�
Dalton Residence 2195 French Lake Road proposed Master Bath remodel
1. Demo entire area, remove existing vanities and tub and showers.
2. Remove Tile floors
3. Remove Sheet Rock
4. Construct New Wall for New Guest Bathroom on Northern end of space
5. Use existing Toilet space and sink space
6. Remove existing Baeda?
7. Add Tub and drain in this new Bathroom
New Master Area
1. Create new Water Closet on southern end of existing space. Will require construction of
new Wall
2. Enlarge existing shower area S`ABE�ED
3. New Vanities and Sinks in Place of where existing tub was located RER�
4. Replace Windows in existing bathroom �,�1ANUSAFET G�p C'
5. New tile throughout REQUIR
6. Create venting in new Water closet
Carbon t�oa��;ide F.::>>���c�:.�I�� Reviewed #or Code
required within 13 ft. o� Complianca City of Orono
all sleeping rooms. �' � �� '
Datie ``- �--�� �,
,,
Reviewer , '� � '"����"�`��'
,���� -�K"�s �i�f � ��P r�_� ;�v���� ��
� �I ��
�O�DEIECTOR CONNECTCD TQ A SOJND-
WO DEIACE OR OTHER CcTECTO��+UDlFi�1:�J
S�EEPING AREAS._�
�C��il �O � ,����eh��� :�j/��t¢ ��
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DATE TIME �-�j�/
CITY OF ORONO CALLED IN
INSPECTION, O,TIC , .� SCHEDULED �s,:_ '� ��
PERMIT NO `� COMPLET D
ADDRESS �� ��^� ' �C_G'S�
OWNER TELEPHONE NO. �C� Z�� ���
CONTRACTOR ��'"�
� DESCRIPTION r ' �`"`�� � �.��--'��"
ly ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q �.FRAMWG ❑ MECHANICAL FINAL ❑ RATED WALLS
� �LSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� . - .
� lJ� �ro���.� ,�lG. � ��n3�«t,a�. , v�r� • RT
o � In��¢�c�a�. ,� �/��L. L2Z'-�
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� - /'� a�<<�ia.. �O ��o •� 7'6 �r4 r��-iS f--
� �KS �s��[.L`.6.. �75����� ,
W
�
Q
�
2
W
�
W
�
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d
� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �(CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V ��EFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
lCa11 forthe next inspection 24 hours in advance. (952� 249-4600
Owner tractor on site:
nspector. �i / � �
White Copyllnspector's File Canary CopyfSfte Notice
�, ; �,� c�--- , ,
,QATE�� TIME U
CITY OF ORONO CALLED IN � /1
INSPECTION OTICE /SCHEDULED �5�/lo /I :,��
PERMITNO.' � '�� �y co PLETED
ADDRESS al� � 1C��'.�t � ��,
OWNER TELEPHONE NO��' °Z ��" ��
CONTRACTOR �� i���7�
i �
� DESCRIPTION -
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q a�FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�i COMMENTS: ��- �• - " b"� �
� .�► � f!JI/iC� � /ie 5�. �f.�'.�.`�dC GS ���li SSP�
0 �Y�(rt�w•:�< - t��r ,(��Q n ' �t��rr �!,� .�C+� . �
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° �h��L. � - �,� - �/� g- "4�
Q �1 D�sF�s�aD �4h ''��4.D t}- v�L�IG�eS or �'�rs��
� �D/�for�►.t si'a� �-` uh• �5�f�i;' �� X.t,p� !a i
a
� �Z�ro�e�o.e -�.�H.,r,�, .�� r,�.yr�cJ b,y �k5 -
� rv���� �c� s G`t•CC ��� f c�b -f`k �
JG �h4L Ivt4,K��.,,C/c4ry��s 4.-oco•�
W� ❑WORKSATISFAC ORY: E � ❑ PROJECTCOMPLEfE Q —�j���,►
�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
atl forthe next inspection 24 hours in advance. (952) 249-46��
wner tractor on site: �(�.� �
Inspector. � �"
White Copylinspector's File Canary CopylSite Notice
���� �
� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -�'s�7 ���i
PERMIT NO...��:I�.�'"GG�/C-� COMPLETED
—` T—_
ADDRESS �l � �� �-�-�:�-E`��- L-� ,�_ ,�c-�/
OWNER ��i EL`E�HONE NO. �'l� �a�� �7 C���'
CONTRACTOR
�
� DESCRIPTION ��L��`� l ���J��� /
tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
-STTE ❑ PTIC INSTALL
2 OWN RACTOR TO MEET Y'OU: YES_NO
y OMMENTS:
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� ❑WORK SATISFACTOR�F.PROCEED V��OJECT COMPLEfE
� ❑CORRECT NfORK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952 j 249-4600
OwnerlContractor�sije:
Inspector:_;/-'� �-
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