HomeMy WebLinkAbout2016-00338 - interior remodel CITY OF ORONO * 2 0 1 6 — 0 PJ 3 3 8 *
` " 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2016
� ` ORONO,MN 55356-
952)249-4600 FAX: (952) 249-4616
ADDRESS : 500 HLJNTER PASS
PIN : 25-118-23-31-0005
LEGAL DESC : HUNTER PASS
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 10,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
INTERIOR REMODEL
APPLICANT PERMIT FEE SCHEDULE 20132
STATE SURCHARGE(VALUATION) 5.00
VILLAMIL CONSTRUCTION CO. TOTAL 206.32
5535 COLTNTY ROAD 151 Payment(s)
MINNETRISTA,MN 55364 CREDIT CARD 8894 206.32
(612)221-7511
Minnesota State License#:BUIL-20633780
OWNER
WETZEL,SCOTT
500 HUNTER PASS
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 dces
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 the State Building Code.This permit may be
revoked at any time for due cause. � ��'/f
��, ��.�-s� ,._Y, t-( � �
' e Signatu ate Issued By Sign ure Date
� CITY OF ORONO
' ' BUILDING PERMIT APPLICATION �
�o�• 3�-
FOR NEW STRUCTURES OR /�DDITIONS
��� Mailing Address: Permit number: c�0� �o ' C�C�� ��
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: � - 5' � �v
Street Address:�
Received by: }�� �! � �
y�, Gti 2750 Kelley Parkway �1��� Plan review fee: ��� �
tAkESHO�� Orono, MN 55356 � ,�� _ ., �� �,_� 33
Main: 952-249-4600 Total Fee:
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: S6� ��-�.�- ��c�_(,t����-�-�, (/�� �j 3�j �
Will this be a Parade of Homes, Remodelers Showcase ome or o er Display Home? ❑ Yes �N-o
If yes,a special event permit is required with Police Department and City Counci!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/AP ANT INFO ATIO :
�
Name: �; l ` ,�,�
State License# C. 7 Expiration Date: 3
Phone: cell -ZZ! - office
Mailing Address: Cit : Q c t,� ZIP: 3 /
Contact Person: ` � Applicant is� ontract / Homeowner (Circle One)
Email and/or Fax: ' ` � � .�G
PROPERTY OWNER INF RMATI N:
Name: � Z e
Phone (day): Z- - �
Address: p Cit : O{�o„�� ZIP: �j ��}.�`�
Email and/or Fax Z � �,
ARCHITECT/ ENGINEFIj.,�VFORMATION:
Name: �(//�-
Phone (day): �
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal �
Water Supply
❑ New Construction ❑ Single Family with ❑ Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation D � detached garage ❑ Residence ❑ Private Sewer
�Other:(specify)�.r��cC FCKD�U ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(speCify)
15320 Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ I(�.QQQ .Q�
Last Updated: January 2015
STRUCTURE INFORMATION: �
1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction '
a. Length(ft.)= Number of bedrooms=
❑Wood/Frame
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 151 Story =
❑ On-site Prefab
e. 2"d Story= ❑ Off-site Prefab
f. '/2 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
Enclosed A licable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve -2 full size,to scale meetin ALL surve re uirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building DepaRment;
. 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 untif 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 Certificat of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all ' improvements.
i
Applicant's Signature: Date: b
Owner's Signature: Date:
Last Updated: January 1 —��r'%��%`� � � /�
�
C%��
���� ����Et�/ �F��������' ��� ��l� �T���T���S � ���f�'����
. AAddress: ���� �Tl�vl �t�e� a°�5 Permit No.:
Descripfion of�nrork:` Date I�ec'd:
f:
Septic review by: 1 Date Appr�ved:,_,� � l,�
Zoning review by: , Date�Approved:
�
Buf{dEng revie�v by: < � Date Approved: /�
Grading review by: Date Approved:
Zonie�g District: Zoning File#: Reso#: � _ Reso Date:
Zoning: Lot Area: ` SF/AC IMidth: `Lot Co erage: ' �F o
Survey Submitted: �Yes � � No Date of Survey: R vise d t� ? :
ti
:1
Landscape'p{an submitted? �3 Yes�, 0 No Landscaper:
� :
' Pro osed Setbacks:
-,T.
Front(Lake) Rear(Street) ( N S E W � ( S E W ) Other BuildFngs Vkletland
' ide � Side ;
: Defined Height: Peak Height: FE: � FFE tn3nus 6 f�et= (Existing�ontot
Perimeter(iinear fest)_ " 50%_ _^______�.�.below grade
Basement?` O Y�s Q No, ' �torie
, , .
' FOR A BUILDING WITfi A B��MENT OR CRAWL SPA : "` � � `
. �,� ,�� �.
FQR.�►BUILDING'ON�A SLAB FOUN�ATlQN
, The distance be t e lo�+rest propo9etl S1A at�BydKe pYade- �
� STMRT WITH fbor��of 1Fi�'Isas n�er craVJ��p�ce)a�id � � � '��.� � ; ���frbtrrhicrhesteYi§Una
� (he highest poiAt the roof. $7'ART WITH � e foShe highest poin�o�fhe-N '
. � . . �obf-even i�1`ilF`was broughCin to ,
� i�you hai��. ... aleva,te home
SU�TRACTION • 0�2'NIPPEbRObF(do Slalrbs�cxr�r�le—rn�as�e
(�ASED ON� w(" o�s): Su6Yract half the distance frbni-hi�hg�t eitisUn9 9�d8 36;he��;�
. ROOF TYfj�) . . h the hiphest pofnt of the roof > Fii �est ��[eF tha roof.
the iow pcsirrt of tlte co�resppnding If you h�a ;
� , � gable�r hipped roof , � , .SUBTR,4CTION` • �GABI.�•OR HIRP�D3tqQF���_
•° .C;ABI,�OR HIFPED RO,dF(witfi �� (BAS�fl Ql�t � ��(ni�vklrido�vs) Sr�bt�aGt haff
wind�ws): Subtract hal��tie distance ROOF TYp�) �dG�h���Q�� '
� �'� ` ;� �� ��hi�Yres€,pO1DE of ttie roDf to��� ��
' between,U1e to�of the hfghest
windaw ar�d th�highest poiM of the � the lbtiv��oipt of the� . �
: < - ;
roof 'co�lidtng�atile or
� ` hip�ed roflf ��
• AiL OtH�R ROOF TYP�S(flat, ... . GABLE�R HIPP�J�ROOF
�; �' ��� marts�rd,etc�No suhtractfon. �� {vp(th iv(ritlows� SWJ�p�t. ��'
SiJBTRACTI N 5ubtiact the distence betw�en e ° half�he diatar�ce b8tuveen ' `
(BhSED O. basemehUcrawl space floor and the ' the top pf`the higiieSt
EXISTING highest existing gr�de adJaEent to tl�e wirt�w and the;highegt . .
GRADES foundation`OR 70 feet(whicheVef is lessj. po1M o�the roof. =
• " 'ALLOTH�R ROOFTYPES'
E4UAL Deflned building heigfit ��at�-tn8r�satti.etc):IVo
` �� �� �� ���� " subtraCfion.. _ � ;�
Define` tiullaing hetght
EQU S
Updated: October 2015 :
z:lformslplan review chedclist 10-2015:docx
A�erage l.akeshare S�tback �1uff
�horelanc� D�strict N�CIA�Q Permit Ni�t?
� Yes Q
!� Yes �& No Permit Number: i3 Yes t� No a �/A No
t� N/A—see attached Setback: '
Stormwater f�uality Exisfing Proposed • °
O�erlay-District Tier Hardcover Ftardcaver Variance Required CUP Required
circle one %and s %and s
0 Yes C! No I7 Yes 0 No
1 2 3 4 5 TyPe�S)� T�e�s��
Fees to be Char ed YES NO '
P�Tmit ; �-'r
.Plan Review �°`
�tate SurCha�'ge _ ` , � ' :
Investigation Fee -
SAC-Number of SAC Units ' :
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X _ $
1�Fioor ; X "' $
2^�Fioor X � $
Garage X = $ ,
: ,�,�'
Esttmated Construction Vatue: ---
Orono inspections Required Work�equiring Separate Permits
� Fooling C� Site Plumbing t7 Grading IFilling
C] Poured WaU � Siit Fence/Erosion Control echanical � �ire
� Founciation Sunrey 17 Hardcover Removai O 5eptic � �3`Water�onnection
� Foundatiorr Water�roofing :� Other(specify) �i'Fireplace D SeWer�onnection
raming L7 Masonry 17 Law�lrrigation
nsutation
t] Mfg. � Landscaping
� As-6uiit Survey L7; Other,,{speci#y�
Final ,
0 Lathe Required Stata Permi#s
���� Other{speci#y} � � �
Ci Well Electrical .
RENf�RKS tin-house): `
OFFiC1AL REM/�RKS-TO BE N�TED ON PERMIT AND iNITlAL1.ED: ;
� See Builder�►cknovvtecfgement Form
0 Prior to releaseaf escrow money an as-built survey and hardcnver calculafions must be submitted and approved.
Updated: October 2015
��\fnrmclnlan eaviow r.harklic4 1(1_9Mri rinrv
� � ���-- �-
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� � DATE TIME
CITY OF ORONO cn- ��E�iN
INSPECTION NO CE SCHEDULED ! �
PERMIT NO.ZD��-�6�3:3� COMPLETED
ADDRESS ��G �--��° Y1�- �Z O�SS
OWNER TELEP O�IE�NO. ����� '�7f"�5��
CONTRACTOR % �� < C
�: DESCRIPTION ��'�' ���(���
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL rj/�`
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI /FILLING
y ❑ 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
❑ DEMO-SITE ❑�PTIC INSTALL
�J ��`/7�6��1�� EZ7.. ' �
OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: �.
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� RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 ho in advance. (g52 0
OwnerlConVactor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��� V
- DATE TIME
CITY OF ORONO CALLED IN �0��
INSPECTION N T�,CE ���{�cHEDULED f ; U�
PERMiT NO. G L�OMPL ED
ADDRESS ��� �� ��'� l �,J-�
OWNER � � T PHON NO. �Z��Z 2� —Z
CONTRACTOR �� � � l�Z �
_ �
� DESCRIPTION
lN ❑ 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
Q OWNERfCONTRACTOR TO MEET YOU:_YES_NO L/lYfi
v�, COMMENTS: v
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W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� 0 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner►Contractor on site:
Inspector.
White Copyfinspector's File Canary CopylSite Notice
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