HomeMy WebLinkAbout2017-00049 - addn/remodel/repair , CITY OF ORONO * 2 0 1 7 - 0 0 0 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 02/24/2017
' ORONO, MN 55356-
` (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 680 NORTH ARM DR
PIN : 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
ACTIV[TY : 434-RESIDENTIAL
VALUATION : $ 32,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL
REMODEL MASTER BATH/1/2 BATH, RESIDING,RF-DECKING
APPLICANT PERMIT FEE SCHEDULE 512.70
GIRARD, SANDRA&BRIAN PLAN REVIEW 61.44
680 NORTH ARM DR STATE SURCHARGE(VALUATION) 16.00
MOUND, MN 55364- TOTAL 590.14
Payment(s)
CHECK 10463 590.14
OWNER
GIRARD, BR[AN& SANDRA
680 NORTH ARM DR
MOUND, MN 55364-
AGREEME1vT AND SWORiY 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 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. c
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Applicant Permitee Signature Date Issued By Signature Date
, , City of Orono
. � o. i�
, Building Perm�t Application �9
� for New Structures or Additions
� Mailing Address: (.r •�.- ` �
Q�T PO Box 66 ��� Permit number: ; / C'
� `VQ Crystal Bay, MN 55323-00 �� Date received: � '-1C� ` ��
Street Address:' � _..,.. 1��ceivedbX:__....._ _ ��t`_�' "E'�YZ
� ,� 2750 Kelley Parkway ..- �
y� � ��� ��t�� PI�{review�: �
� � Orono, MN 55356 , �; , _
qkESHO�� Main: 952-249-4600 ''"-``'" otal Fee: Tu
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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: � �,� � ����,,,� ��, �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: '��.�iA-P� � I�l�T2'i�
State License# � Expiration Date:
Phone: (cell) l2 7s0� ��I _ (office)
MailingAddress: _��j r �}�y� ��. , City: ���,�D�c'���+R� S5�
Contact Person: ��- Applicant is: Contra r / Ho. eowner\ (Circle One)
Email and/or Fax: �, r, ��, ,�-a-r�'c�t���.� , �'�
PROPERTY OWNER INFORMATION:
Name: �Ez«`1-►i% � tr�•z4��
Phone(day): ��-- ' '/.�— � ✓ -� �°
Address: ���7 , �j�sz� �, City: ���/lf� ZIP: j����
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
ARCHITECT I ENGINEER INFORMATION: •
Name: 7��C��'" '/7v.�'iC'� �7/"�s'L�-!�
Phone(day): "L-� � ?.��
Address: t��7/ �'� T /� p �- City: ���y��� ZIP: .`�,,3�` �
Email and/or Fax:
f �f ���«�
PROJECT INFORMATION: Description of project: t�t'� � , -'7�'� /�Z 7�'/' et,�t 1 � ' ,�� -
1. Type of Project 2. Proposed Use � 3. Struct re Type 4. Sewage isposal 8�
Water Supply
❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation 1 � ` detached garage � Residence ❑ Septic
[�Other: (specify) 4+u��d� � ��� ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate
❑ Public 4-feet or greater may be required)
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑ Warehouse ❑ Public Water
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speClfy) ❑ Other(speCify)
15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ Private Well
Phone: 952-471-0590 I Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ � • qDfl
� �
Packet Last Updated: January 2016
Page 21
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued) � �
a. Length(ft.)= Number of bedrooms=� 2. Occupancy: � �,'�f •
b.Width (ft.)= Number of garage staUs �_.__�-_-----�
3. Occupant Load:
Areas in square feet Attached =�
c. Basement= Detached = 4. Type of Construcion: ,J�P1.l., v i
d. 1 St Story = A,�
e.2"d Story= 5. Code Editiorr: ��!� %l���
f. '/2 Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A lica
❑ 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'/2 x 11 set
❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ Surve —2 full size,to scale meetin ALL surve requirements
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
❑ Landsca e Plan
❑ Stormwater Pollution Prevention Plan SWPPP
❑ Access Permit
❑ Data Privac Adviso Form
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 compietion 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: u"� Date: �' ��
Owner's Signature: Date: / `z-� l
Packet Last Updated: January 2016
Page 22
� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
� Address: �� ( � �� � � �► • Permit No.: 70�� —��`�'1
-� ' ' �, ' �J - �%l _ ,� r
Description of work: _ -�__ ':� '� = " - . ;_ ,�C Date Rec'd: � ' � �� �
.�
Septic review by: ��� �� '���� Date Approved: 2 �
Zoning review by: Date Approved:
Building review by: i "� Date Approved: Z- � 6
Grading review by: Date Approved:
Zoning District: l��'" Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA
Zoning: Lot Area: SF/AC Width: Structural Coverage: SF %
Survey Submitted: � Yes � No Date of Survey: Revised datel?):
Landscape plan submitted? 0 Yes Landscaper: � No/ None proposed
Pro osed Setbacks:
t� l�
Fr (Lake) R�Street� ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Buildinq Heiqht Analvsis:
Distance Between First Floor and defined Top of �a� �
Roo�` See "buildin hei ht" definition :
First Floor Elevation from buildin lans : (b)
Highest Existing ground level (per survey) or 10' ���
above lowest round level, whichever is lower:
Difference between b and c : (d)
Defined Buildin Hei ht(a) -(d : �e�
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
Yes � No Permit Number: 0 Yes 0 No � 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 s % and s
� 0 Yes � No 0 Yes � No
I 1 ) 2 3 4 5 Type(s): Type(s):
\J
Updated: October 2016
v:\forms�plan review checklist 10-2016.docx
.
Fees to be Char ed YES NO �
Permit �/ •
Plan Review
State Surcharge �/
Investigation Fee
SAC—Nurnber a#SAC Units l!'
Other(specify) ' �'�
S uare Foota e $ er S uare Foota e
Basement X = $
1� Floor X = $
2nd FIoO(' X = $
Garage X = $
7 /� O
Estimated Construction Value: $ 7��oOV
Orono Inspections Required Work Requiring Separate Permits
� Footing 0 Site Plumbing � Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire
0 Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection
0 Framing � Other(specify) � Masonry 0 Sewer Connection
� Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation
� Foundation Waterproofing � Other(specify) 0 Landscaping
�Framing
Insulation
0 As-Built Survey
Final
0 Lathe Required State Permits
0 Other(specify)
� Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
0 See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2016
v:\forms�plan review checklist 10-2016.docx
, DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we
would�like to inform you that your request for a permit or license from the City of Orono or any of its departments
may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary
to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may
become public.
5. You have certain rights under Minnesota State Statute 13.04(see following page)to review private
data on yourself.
6. Your full name is required to process this application or permit.
��Z ll�� �� 2r°t��.t-�-
First Middle Last
��n 1� � l�-�2a� "�f�k...
Address
�� �S'3
City State Zip Phone
I understand my rights as stated above.
Si ature
Packet Last Updated: January 2016
Page 7
� � Permit Application: Self-Checklist for Completeness
Pleas� note, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the application will NOT be
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements.
�
Completed Application � �� ��
-�-
,f Plan Review Fee Paid �' `�
��
}� c�fd /'�'f UUG!/�'�' `� � � � a �Or
Signed Escro��greem�er�t �E�sctrow Pa menet ��
Y Xp
� ��
� y
Building Plans (to scale) x2 ^c��r ��
���
Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2 � `,������� � <<:a
Hardcover Calculations (if applicable) ��'c��i�� ��� �`�
� �
I am aware that Orono will not issue a building permit without a
� copy of MCWD permits (or documentation from the MCWD stating
;- �
s the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
re arding this pro� ct.
Signed by: ` �--
Address: �� � ` �
Permit #: ,.'�� ('`/ �7 .. �'�'C� C/�
Packet Last Updated: January 2015
Page 2
, ����� ����
����d�,���
Scope of Work for 680 North Arm Dr. J;�N ` J �017
C1Ty p� �RO,No
Interior
1. Move two inner walls, none load bearing, as per plans.
o Build one new hallway wall to complete small office
• Result home goes from a 4 bedroom to a 3 bedroom
2. Remodel master bathroom, install new soaker tub, vanity with two sinks and toilet.
o Create new shower, utilizing existing 2" waste and%" supply lines
o Frame for new window
o Extend one master bedroom wall 2 feet.
o Install heated floor (electric) and tile
3. Create % bath, install toilet and sink.
Exterior
I. Remove existing siding.
2. Add 1" of Owen Corning FOAMULAR° 150 INSULATION board, to all warm walls, tape all
seams
3. Install as per plans new LP Smartside LP Shake siding.
4. Replace or install a total of 13 new windows.
5. Install new metal roof over front entryway
6. Move and replace entry door, 3 feet out.
a. Build footing matching and tied to existing footing and CMU wall to entry rough
height.
Work not being done as per plans.
No new decking material or railing systems.
No work to kitchen
Total Budget$32,000
Contractor (Self)
�
Girard Remodeling LLC
Christine Mattson
From: Christine Mattson
Sent: Tuesday, January 31, 2017 327 PM
To: 'brian.girard@results.net'
Cc: Jeremy Barnhart
Subject: 680 North Arm Drive/#2017-00049
Hi Brian,
I called and left you a voice mail message and since I hadn't heard from you I thought I'd follow up with an email.
The survey dated 6-7-2016 appears to be an existing survey and doesn't show the proposed plans. The building plans
appear to show an expansion, encroaching into the rear(street) setback of 30'. We will need an updated survey that
matches the proposed plans submitted to continue our review. Please note, any expansion including a cantilever
expansion will require a variance. Please contact Jeremy Barnhart with any questions. He is copied on this email and
can be reached at 952-249-4626.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono MN ; 55356 (physical addressJ
PO Box 66 ;� Crystal Bay ; MN -; 55323-0066 (mailing addressJ
'? 952.249.4620 � 8 952.249.4616
� cmattson@ci.orono.mn.us '', � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Monday, February 20, 2017
.
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PERM�T NO. � vu�'��Er
ADDRESS ` t/`��
O�WNER � �r� LEPHONE NO.�/oZ-7 30�2l-3
CONTRACTOR
� DESCRIPTION � �����
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADINGIFILLING
O 0 FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� �ERAMING ❑ MECHANICAL FINAL ❑ HATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
� ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
? CWN9�ffTRRCTOR TO YEET YOIl:_YEB_NO
� COMMENT�
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W�V �_SATISFACTORY:PFiOCEED ❑PRW ECf COMPLETE
W ❑(�Of�ECT WOWC 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUWINCY
O ❑�CTy1pFN(,G►LL FOR REINSPECTION TEMIPORARY
V BEFORE OdNEF11N� PERMANENT
O OORRECT UNSAFE CONDITION VYRHIN Ha1R3• ❑pHpTO TAKEN
INSPECTOR WILL RETURN
O STOP OiiDEN PO�TED.CALL INSPECTOR O dTATION ISSUED
O IN3PECT10N REOUIRED.CALL TO Ai�iAN(iE ACCESS.
caN ror ms next inspact�on 24 no�xs ti ad�►�oe. (952) 249•4600
on site:
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V �C DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N.OTI E SCHEDULED j 1—gR5—// r30
30
PERMIT NO. c0 COMPLETID
ADDRESS U ,)
OWNER 4r'''"l J,•
>rl CI �C�TELEPHONE NO. 4i 2. -736-1a�3
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CONTRACTOR --�—
DESCRIPTION [ ��
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
(13 ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
„ECIISULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL ❑ WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c.)• COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 9/H^'
White Copy/Inspector's Fife Canary Copy/Site Notice
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D E TIME
CITY OF ORONO CALLED IN OZ -
INSPECTION T E 4)9 SCHEDULED //1�/'7 % /UPERMIT NO. 7-600COMPLETED
ADDRESS
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OWNER b cw b rarQ TELEPHONE NO.k/Z-730-kg/3
CONTRACTOR
DESCRIPTION -7/A- //7/] /,I4-
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q;RAMING 0 MECHANICAL FINAL 0 RATED WALLS
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❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
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v ❑ D -SITE 0 SEPTIC INSTALL
NEW NTRACTOR TO MEET YOU YES_NO
Si COMMENTS: C `€ /J - 62'2- /f?
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C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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. (952) 249-4600
Owner/Contractor on site:
Inspector. 1---
hits Copy/Inspector's File Canary CopylSite Notice
From: gnelson@oronomn.gov
Sent: 06/26/2023 - 10:30 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: 2017-00049
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!