HomeMy WebLinkAbout2016-00819 - build out interior walls in basement CITY OF ORONO * Z 0 1 6 — 0 PJ 8 1 9 *
2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 680 NORTH ARM DR
PIIv : 06-117-23-43-0002
LEGAL DESC : AUDITOR'S SUBD.NO.362
: LOT 001 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
BUILD OUT INTERIOR WALLS IN BASEMENT
APPLICANT PERMIT FEE SCHEDULE 77.40
GIRARD,SANDRA&BRIAN PLAN REVIEW 50.31
680 NORTH ARM DR STATE SURCHARGE(VALUATION) 1.00
MOiJND,MN 55364- TOTAL 128.71
Payment(s)
CHECK 10710 128.71
OWNER
GIRARD, SANDRA&BRIAN
680 NORTH ARM DR
MOiJND,MN 55364-
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 perniission 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 construc[ion is
suspended for a period of l80 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 ca� 1 .-----
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A plicant er �ee Signature Da e Issued Signature Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i,e. vvindows; d�ors, sic3in�, re-r�c�f, ���. �- NCJ STRll�TURAL EXP�t�����}
Mailing Address: � , �
�-���A PO Box 66 Permit number. Z(.'��" � ��,�S�'� 7
Crystal Bay, MN 55323-0066 Date received: � - (S�-
, Street Address: Received by: ��
' � �
�`�:F � ��;I 2750 Kelley Parkway Plan review fee:
Orono, MN 55356
�`�f���FS�I-t v���-'� �
�-_---�.-- Total Fee: � ��� �/
Main: 952-249-4600 Fax: 952-249-4616 yv��_s^�_ci_rr��.��,i��n.�s J;
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: � � � ,e�__t�,P „
Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes � No
/f yes. a special event permit is required with Police Department and Cify Counci/approval 60 days prior to the event. Sh.uftle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wi(1 not be allowed.
CQNTRACTOR/APPLICANT INFORMATION:
Name: '
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER IN RMATION: ,
Name: f}. �i���
Phone (day): �, . �
Address: ,e � City: Q ZIP: ss
Email and/or Fax: �tjQ�+ �--� �-� __ ____
--- -
PROJECT INFORMATION: Overall project description:_ u-� ! //��iC�`!O-+�' Gt�
` Type of Project: Any earth movement may also require ,
�I � MCWD review&permits: I
, ❑ Door(s) emodel • ❑ Fire Damage
� ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) I
15320 Minnetonka Blvd �
� ❑ Re-roof, ceriar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 �
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 i
Fax: 952-471-0682
❑Window(s) w��%Jv.r-rtinn�h�f��i<�creek.ora
Estimated Construction Valuation of Project(excluding land) $
APPLICANT ACKNOWLEDGEMENT:
I�• 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; •
li • Some or all of the information that you are asked to provide on this application is dassified by State law as either private or i
! confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. I
i Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and I
intended use of this information is to annually update our records and records of other governmental agencies required by law. If �
_ y ouu refuse to supplY the information,the a lication may not be issued _ __ ___ _ _ __ _ ______J
Applicant's Signature: � J Date: �_��//�
Owner's Signature: Date:
Last Updated:January 2016
' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: _ �O�� ✓�l D/7 �1 �/'�fi1 ,�l�lli'C� Permit No.: �� ��, `-'� ���j.��.
Description of work: Date Rec'd:
Septic review by: Date Approved: 7�Z- �
Zoning review by: Date Approved:
Building review by: Date Approved: �il �
Grading review 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? ; 0 Yes � No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W } Other Buildings Wetland
Side Side
Defined Height: Peak Fleight: FFE: FFE minus 6 feet= (Existing Contour;
Perimeter(linear feet) = 50% = f'/ L.F, below grade
Basement? � Yes � No, S�tories ��
,�
\
FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC� : ' FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the owest proposed Slab at or above grade—
START W ITH floor(of the basement or cr wl space)and measure from hiqhest existin�7c
the highest point of the roof.\ START WITH rq ade to the highest point of the
roof even if fill was brought in to
If you have a...
elevate home.
SUBTRACTION • GABLE OR HIPPED ROO��(no Slab below grade—measure
(BASED ON windows): Subtract half the�distance from highest existing grade to the
ROOF TYPE) between the highest point of'�he roof hi hest oint of the roof.
to the low point of the correspbnding If you have a...
gable or hipped roof 't • GABLE OR HIPPED ROOF
t. SUBTRACTION no windows): Subtract half
• GABLE OR HIPPED ROOF(wit (BASED ON the distance between the
windows): Subtract half the dista ce 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 th
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: May 2016
z:\forms\plan review checklist 5-�016.docx
�
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Number: � Yes � No 0 N/A � Ye No �
❑ N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
O Yes 0 No � Yes � No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Perm it
Plan Review
State Surcharge L�
Investigation Fee
SAC-Number of SAC Units (/'
Other(specify) (/�
Square Foota e $ per Square Foota e
Basement X = $
1 S� Floor X = $
2nd Floo� X = $
Garage X = $
-�
Estimated Construction Value: $ `-��
Orono Inspections Required Work Requiring Separate Permits
� Footing � Site 0 Plumbing � Grading/Filling
� Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire
� Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection
0 Framing � Other(specify) � Masonry 0 Sewer Connection
� Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation
� Foundation Waterproofing � Other(specify) 0 Landscaping
Framing
0 Insulation
� As-Built Survey
Final
0 Lathe Required State Permits
� Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT 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: May 2016
z:\forms\plan review checklist 5-2016.docx
,� -� ��-_ ✓
9IE/ /� TIME
CITY OF ORONO CALLED IN �'
INSPECTION y,OTI E 8 g SCHEDULED � .(o _�
PERMIT NOca+"Jl � / / COMPLETED
ADDR �
OWNE �rR-✓�� TELEPHONE NO�� '7�' 8�3
CONTRACTOR �
� DESCRIPTION `� ��Z� ���
ly ❑ 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 ❑ 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT VIlORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORHECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /
Call for the next inspection 24 ho in advance 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary Cop ISite Notiee
,
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RECEIVED
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JUL 18 2016 i R CE� p
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R302.7 Under-stair protection. � I
Enciosed accessible space under s i ; I. �""�� � 1�os Z ' � �
shall have walis, urder-stair surface a ; i _._ -� � ��a� c'�2� � ���"�{ °� '�''�'"�E`' ��r ��'��` '
a.�n�� _,, ;�:: .�� � �� ,-,; �-��rr•.,.-,,,.
any soffits protected on the encio --i r--' � � �E'�"'` � �
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From: gnelson@oronomn.gov
Sent: 06/26/2023 - 10:34 AM
To: gnelson@oronomn.gov
CC:
Subject: Inspection Report Individual
CITY OF ORONO
2750 KELLEY PARKWAY
ORONO, MN 55356
PH: (952) 249-4600
FAX: (952) 249-4616
Inspection Report
680 North Arm Dr
Permit Number: 2016-00819
Site Address: 680 North Arm Dr, , MN 55364
Property Owner:
Description: ADDI RESI REPA
Inspection Date: 06/26/2023
Inspection Type: Building Final
Inspection Results: Permit Finaled
Sincerely,
Gary Nelson
952-242-4442
To schedule your inspections please call: (952) 249-4600
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETY!