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Home My WebLink About2017-00432 - kitchen remodel CITY OF ORONO * 2 0 1 7 - 0 0 4 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 05/05/2017 ' ORONO,MN 5535(r ` 952 249-4600 FAX: (952) 249-4616 ADDRESS : 4680 NORTH ARM DR W PIN : 06-117-23-23-0006 LEGAL DESC : LINPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 11,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 216.81 CHRISTOPHER WHITE STATE SURCHARGE(VALUATION) 5.50 1069 TRADITION COURT TOTAL 222.31 CHASKA,MN 55318- Payment(s) (612)801-6293 CHECK 6509 222.31 Minnesota State License#: BUIL-CR647825 OWNER BENNETT,RYAN 4680 NORTH ARM DR W MOLTND,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 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 consttuction 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. ]�j7 �f// .S Zt9 l l \�Jl �-x�-�� / � / �`l Applicant Perrr►itee Signature ate Issued By Signature Date City of OronQ . . . � , � � � l , Buifdinc� Perm�� 1p�s�Lcation �i�� for �lev� S�r�c�t�res or �4dditio�s Mailing Address: � �Q PO Box 66 Permit number: O`7� � � Q Crystal Bay, MN 55323-00 � Date received: b/ / Street Address:� (�� Received by: � ,� 2750 Kelley Parkway �� y�' L� Orono, MN 55356 � Plan review fee: g!� t�KESH04�' Main: 952-249-4600 Total Fee: Fax: 952-249-4616 ti�,�an��.ci.orono.mn.u� This application form must be completed in full and all required information must be submitted. Incomplete applicatlons will be returned. (Please print) GENERAL IIVFORMATION: Job Site Address: v )��l� `��,��, ��o,�� M�l ��3� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non permitfed events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: ��Pl� � �J�•.---�� State License # �Y-7'��S Expiration Date: �-I/�� Phone: (cell) C6 t z) xo(-�Zct 3 (office) �6 iz.) �� —6 zq3 Mailing Address: � �ci,-,�,�mK �o�.,.r- Cit : G�4s�� ZIP: S53 � Sr Contact Person: �f��-�,p�� ,,,�� Applicant is: n ractor Homeowner (Circle One) Email and/or Fax: �,,�w k�fcs-l-�,a.-+�i�o�-.-tc4,-f hc-f PROPERTY OWNER INFORMATION: Name: . �,� �w�,��-F- Phone(day): �i Z Z�a-7.�� Address: y�'l� �(� ,,.� '�r=�vL, Cit :��o..o ZIP: ,j 36 Email and/or Fax r1o�,NG,r�� ,.,�� m,_..., ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP• Email and/or Fax: ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: _ City: Z�p• Email and/or Fax: PROJECT INFORMATION: Descri tion of pro'ect: ^ �� /2c�,cfc � 1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal& ❑ New Construction Water Supply ❑Single Family with ❑ Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑Accessory Building ❑ Sin le Famil with ❑ Public Sewer 9 y ❑ Office/Commercial ❑ Relocation detached garage �Residence ❑ Septic ❑ Other:(specify) ❑ 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 8 permits. ❑ Industrial ❑Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(SpeCify) 15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.m innehahacreek_oro Estimated Construction Valuation (excluding land) $ �� ppCj �� Padcet Last Updated: January 2016 � Pa.qe 21 STRUCTURE INFORNi�4TION: 1. Structure Dimensions 1. Structure Dimensions(continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: �/�v� l b.Width{ft.)= Number of garage stalls: �--� ' 3. Occupant Load: Areas in sauare feet Attached= c. Basement= , Detached = 4. Type of Construcion: ��/ d. 15t Story = ,�A ,�/' e.2nd Story= 5. Code Edition: �� /_L�N�� 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 licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee p ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8%x 11 set p ❑ Minnesota State Ene 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 ❑ ❑ Landsca e Plan ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privac Adviso Form APPLICANT/OWNER ACKNOWLEDGEAAENT: . 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 altemative 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 w�ather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is reque�ted, a femporery Certificate of Occupancy may be Issued upon receipt of a $10,000 escrow to ensure compl�tion of the as-bullt survey and all site improvements. � G�_ Applicant's Signature: G_� � Date: � �� (7 Owner's Signature: Date: Packet Last Updated: January 2016 Page 22 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address,: �`�� @+"t"!^- �� 0'0 w- Permit No.: �f7� ��✓�� Description of work: Date Rec'd: Septic review by: �� Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: �y� Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Covera . SF % Survey Submitted: � Yes No Date of Survey: Revised date ? : Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: / Front (Lake) Rear(Street) ( N E W ) ( N S E-=� W ) Other Buildings Wetland ide Side� Defined Height: Peak Height: t 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 ropos�d Slab at or above grade— floor(of the basement or crawl sp ce)a�td measure from hiahest existinq START WITH the highest point of the roof. F' rq ade to the highest point of the START WITH roof even if fill was brought in to f`rc elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOFr(� Slab below grade—measure (BASED ON windows): Subtract half tl�ie di tance from highest existing grade to the ROOF TYPE) between the highest poiAt of th roof hi hest oint of the roof. to the low point of the �rrespo ding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABLE OR HIPPE, ROOF(wit (BASED ON (no windows): Subtract half windows): Subtr t half the dist ce ROOF TYPE) the distance between the between the top,f the highest highest point of the roof to window and the ighest point of t e the low point of the roof corresponding gable or hipped roof • ALL OTHER OOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,et :No subtraction. (with windows): Subtract SUBTRACTION Subtract the dist ce between the half the distance between (BASED ON basemenUcrawl pace floor and the the top of the highest EXISTING highest existin grade adjacent to the window and the highest GRADES) foundation O 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined b ing 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? 0 Yes 0 No Permit Number: 0 Yes 0 No � N/A � Ye No � O 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 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review l/ State Surcharge V Investigation Fee t/ SAC— Number of SAC Units Other(specify) � Square Footage $ per Square Footage Basement X = $ 1 St Floor X = $ 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ � �, ��0 � Orono Inspections Required Work Requiring Separate Permits � Footing � Site �Plumbing 0 Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control ❑ Mechanical � Fire � Foundation Survey 0 Hardcover Removal � Septic 0 Water Connection � Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection �Framing 0 Masonry 0 Lawn Irrigation ❑ Insulation 0 Mfg. ❑ Landscaping � As-Built Survey � Other(specify) Final Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. 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'g �' �' CONTRACTOR � DESCRIPTION �� ' '�` ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI � EXCAV/GRADIN(3/FILLINQ Q ❑ FOUNDATION WATERPHOOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT � � FINAL ❑ WATER HOOK-UP � FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL r � DEMO-SITE ❑ SEPTIC INSTALL Z OWN6YCOffTRACTOR TO MEET YOU:_IfEE$_NO � coMMeNr� �"��- �� — 6� a- t�� 4 n P�'ov.b� �,+.�.. � « c��..Q.rr� � co�.s�� 0 �� CX�S�/�:�,. 6 — �� G�tC. ✓1 ed e�i/�in.e t ' _/��A'i �i[/� � ' LO N�i✓QG�Y O�l_ 5.'L`G LJ r^ll G� ' Q �� i ' � Ga r.�ect � DK � Co...��-sa• 0 , � � 0 K SATISFACTORY:PROCEED ❑PFiOJECT COMPLETE `�i��ECT WORIC A PROCEED O ISSUE CERTIFICATE OF OCaIPMNCY O ❑�CT WORK,C/1LL FOR REINSPECTION TEMPORARY (�j �F�� PERMANBdT ❑(�ORRECT UN3AFE COPIDITION WITHIN Ha1R3- ❑pHpTO TAKEN INSPEC'TOR WILL RETURN O$TOP ORDER POSTED.CALL INSPECTOR ❑pTATION ISSUED O INSPECTION REQIIIRED.CI1LL TO ARRAN(iE ACCES3. ca�ror u�e�t rn�ecao�u no�s��,os. 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'�`' . ."' �,� � ' � � _ �l.."� ,. �,�.� < L�lF� . . , . .`4: ` 7/'• 1 a c,, L.�v�� r� ��..-r ,�.�,• . . . ;� �, ' �fAve.-T c•a„G, � �` � ' , r,�;��'AtR� � � t � _4 � ��k��. �,. ��IN: � i � ' . . ! ;�,�. � �. . fs � � � v �� . �� :oM . . . _ _. : _ . � LDATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ii-2- 3'cT? PERMIT NO. - d - • 0 04 CO PLETED ADDRESS i , 0 r _ /\IY .�r 10 OWNER 6Ot-� i,J- DESCRIPTiON Z/02, TELEPHONE NO. �02-$Q/CONTRACTOR C-) S '3/U ' W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL A ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ElFOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL C Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT QW ElFINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: cc 4. CC H/'a7,1 X0 I Op-a' Z6,P tide-I—e- CC 0 W Q W Z W CC W 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ID CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for then: "nspection in advance. (952) 249-4600 OwnerlContract' . te: Inspector. i 1 J J White Copyllnspector's File Canary Copy/Site Notice