HomeMy WebLinkAbout2016-00254 - kitchen remodel . . � CITY OF ORONO * 2 0 1 6 - 0 0 2 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 03/17/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1510 GREEN TREES RD
PIN : 11-117-23-23-0015
LEGAL DESC : GREEN TREES ON TANAGER LAKE
: LOT 005 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMB[NG,ELECTRICAL(STATE)
K[TCHEN REMODEL
APPLICANT PERMIT FEE SCHEDULE 123.87
PLAN REVIEW 80.52
DANBERRY BLDG CORP. STATE SURCHARGE(VALUATION) 2.50
5413 MANITOU RD
TONKA BAY,MN TOTAL 206.89
(952)474-5990 Payment(s)
Minnesota State License#: BUIL-BC6389415 CHECK 8382 206.89
OWNER
STEVENSON, SCOTT
1510 GREEN TREES 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 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with t S te Building Code.This permit may be
revoked at any time for due ca s . `-
� � � / /
Appli it ignature Date Issued Signature Date
City of Orono
' Buil'ding Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSI(�N)
�O� Mailing Address: Permit number: �� 7"
O PO Box 66 /
Crystal Bay, MN 55323-0066 Date received: � -
Street Address: Received by:
� � 2750 Kelle Parkwa
yF G� Y Y Plan review fee:
t �, Orono, MN 55356
�kESHOR ' � (!J� U �
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: ,�, � � �r C � � �-}-r � E���, ��t l�'
Job Site Address: / �� � /, / �"�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �'F�o
If yes, a specia/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 availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APP ANTINFORMATION: /
Name: �. �c�-�r� 51�� ��; � '
State License# �L (� S�j y S Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that wer constructed prior to 1978
Phone: (cell) �; I Z ���� `7/� �' (office) �jS � L/ 7`, � �`7�i�'
Mailing Address: - � � City: �l. � � ��L ZIP: ���;_� �
Contact Person: � e t=F' Applicant is: dntractor // Ho. owner (CircleOne)
Email and/or Fax: v�� �� �;�� _ ��r v /� i,�,���, �,,-•� ��"
��
PROPERTY OWNER INF RMATION:
Name: � fi �7�c�.► c�-�i,-� S� �-�
Phone (day): �"' �Z 2 ���� ��
Address: / SI C% (�r� �c��� � ,^ ��-5 �f City: Ci/`�,'u'� ZIP: "'�c" �
5� � 1
Email and/or Fax:
� �
PROJECT INFORMATION: Overall pro�ectdescriptiorr. � � t'� -'� � ?�iY�� `���'rt� '�''�'-
Type of Project: Any earth move ent may Iso require
❑ Door(s) �emodel ❑ 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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ ��L''�'
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 gene ally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annu,�y update our records and records of other governmental agencies required by law. If
ou refuse to su I t i ormation, � lication ma not be issued.
Applicant's Signature: %�� ' � �:������� Date: /
Owner's Signature: '� Date:
Last Updated:January 2015 � - f� ��
, , PLAN REVlEW CHECKLIST FOR NEW STRUCTURES / ADDITION�
��
Address: / `?�(/ ��,����`� ��� ���permit No.: �������
a----
Description of work: ��� ����� ���'�������{ Date Rec'd:
Septic review by: Date Approved:
Zoning review by: -'r7 Date Approved:
��. � `'�y ,�i d=�� l , ��
Building review by: ��e ,.�- ��`�� � Date Approved:_ _� �' � ,'� �,�
� ;,
Grading �eview by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
� Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
�
Survey Submitted: ❑ Yes � No Date of Survey: Revised date(?):
Landscape plan submitted? ❑ Yes a 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 W ITH floor(of the basement or crawl space)and measure from highest existinq
the highest point of the roof. rq ade to the highest point of the
START W ITH roof even if fill was brought in to
If you have a...
elevate home.
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPEj between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
i; gable or hipped roof
SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (no windows): Subtract half
(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
roof corresponding gable or
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 Bluff
Met?
Q Yes � No Permit Number: � Yes 0 No � N/A � Ye No �
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay 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
� Perm it t..-�"
Rlan Review ��
Stat�Surcharge f,�-� -
Investigation Fee �%
SAC—Nutnber of SElC #i�its .-
Other(specify) -
S uare Foota e $ er S uare Foota e
Basement X = $
1� Floor X = $
2nd Floo� X = $
Garage X = $
� !r,„���% �m�
Estimated Construction Va{ue:
Orono Inspections Required Work Requiring Separate Permits
�
`� � Footing � Site Plumbing � Grading/Filling
� � Poured Wall 0 Silt Fence/Erosion Control � � Mechanical � Fire
�
� Foundation Survey 0 Hardcover Removal � Septic � Water Connection
�' 0 Foundation Waterproofing Q Other(specffy) 0 Fireplace 0 Sewer Connection
�'` Framing � Masonry � Lawn Irrigation
0 Insulation � Mfg. 0 Landscaping
� � O As-Built Survey 0 Other(specify)
Final
0 athe Required State Permits
0 Other(specify)
� Well �lectrical
,
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
� � See Builder Acknowled ement Form
�' 9
�. 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
�
€
Updated: October 2015
�•\fnrtne\nlan rcvicw rhaekliet 1 fl_9(11 F rinev
� �� �_ �������� ���Y E . h �
fi ::°�aU�h..:;. ''i t.,�.5���v
� C��n�lian�e ��ty of�rano
RE:lnvent}rourhame 15'-5"
�'t43
�uil�lingCorp.
STEVENSON RESIDENCE
1510 GREEN TREES RD
WAYZATA, MN 55391
3/11/2016 �sz Z3q - 4 SEASON PORCH
185 sq ft �.
,
5'-9" 105.5" CEILING ,a.
TILE � � -'
C � � i
6�, �e��,�,� � fh
�� �'m v- �l�l v�i ll���y
t fl _
15"TOP n.�tcu �ii:ase
�----------; o �
N
� (� n� O I �V
� �� i �SB33 � `�'
L - - - - - -� 3
� DINING � � �
22� s ft i KITCHEN r - -
�
0
106.5° CEILING ' �� 183 sq ft � �
WOOD r -,��- -r- - - -r- - - --�
i � i i �
.
i
r��/ � � v � t : � v��
�G� s '�e � a�'�� �- p- �- - - �� �� � , „
1 SMOF�pETEC70R CONNECTED TO A S!JUP;f�- i 2-9
��'rG, �'vG pEVICE OR OTNER DE;E,,;^ ,
�$•�, �L[EFI�d�;,.1R�:�,. �,r Rl,DI3LL-f;�
-
__�„ -
---....._... ...�.__._ o
�._....._..... ,�
. .__._ _.�._._____ �
cn
� � ' � 2 �
� ¢ � - r-
�.;, p i �n i
> i i REF. DBL. OVEN
F-
, �
, ,
'-------------'
I
I
� — — — — — — — — —
I
I � �
11' 13'-2"
�, PROPOSED LAYOUT �•�derrydui(d'u�corp.com
Builders License#20638945
2 S CALE: 1/4" = 1'-0" (8.5"X 11") 552-474-5990
2
f .
,
Rf:�nvenryourhQme 15'-5"
BuildingC�rp.
STEVENSON RESIDENCE
1510 GREEN TREES RD
WAYZATA, MN 55391
3/11/2016 � 4 SEASON PORCH
184 sq ft �
5'-9" 105.5" CEILING \
TILE �
�
6%
;� I �
�
W2442 W2442 i �SB3337� W2442 CW243
L B26 J; D.W. ; � � 14R DC
� DINING � .
N
�° 22� sq ft KITCHEN r N o
106.5" CEILII�'G �� 184 sq ft I � � �
WOOD , ^.�ti — — - —T - — --� �
���'� B3327 � ;RB3227 � �
� � : � c` vN
� � ' N �
��l — — - ��-- - — -� izp9„3
��'r
��
�
0
;
�
M
� N N r
M 3 � Bts I
I REF. DBL. OVEN
I
, ,
- �
--------------
�
i
i
� — — — — —
i
� .� �
11' 13'-2"
AS-BUILT �w.c�derrydui(dingcor�.cmn
A �uildets License#20638945
1 SCALE: 1/4" = 1'-0" (8.5"X 11") ������-�990
1
( _ � ���1X�f
i
^�AT TIM
CITY OF ORONO CALLED IN
INSPECTION N ,/SCHEDULED — __���.�
PERMIT NO. �o ��C MPLEfED
ADDRESS �J lC� ��L� �f7��� /l�"',�
OWNER TELEPHON N �pl�' o�-s��-��C�
CONTRACTOR ���
�; DESCRIPTION J ' �
ly ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
�
W
a
�
J
O
).
�
O
�
W
�
Q
�
2
W
�
W
�
J
d
W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT 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
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 9 -46�0
OwnerlContractor on site:
Inspector. ` `�
White Copyflnspector's Ffle Canary CopylSite Notice