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Home My WebLink About2012-00919 - kitchen/living room remodel , CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 2 - PJ 0 9 1 9 * .. DATE ISSUED: 09/28/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1669 NORTH FARM RD PIN : 27-118-23-44-0008 LEGAL DESC : THE FARM AT LONG LAKE : LOT 00'1 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 62,500.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) PHASE I OF A 3-YEAR PROJECT-KITCHEN/LIVING ROOM REMODEL APPLICANT pERMIT FEE SCHEDULE 779.25 ELITE REMODELING SERVICES INC PLAN REVIEW 506.51 18061 PILOT KNOB ROAD FARMINGTON,MN 55024- STATE SURCHARGE(VALUATION) 31.25 (952)646-2480 TOTAL 1,317.01 Minnesota State License#:BC638744 OWNER BEENDERS&PETER MONTGOMERIE,ANTOINETTE 1669 NORTH FARM RD LONG LAKE,MN 55356- 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any�ime for due cause. (/�- fr�--'� `I i2� , ry , .2 � 2�r / Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � y . �� - /l3 ' �� B�`i�ir�g Pe�-r�it A►ppf��a�i�� ar NEaic��e�a�ce l �e�Q�sa�ic�� -� . � (windov�►s, doo€-s, siding, �e-�o�f, e�c.� ,a Maiiing Aaaress: � �a_� ,��, �� PO Box 66 Permit number. /(� ��` Crystai Bay, MN 5�323-0066 Qate received: % '/� / � ; � 1 � , �,, �� ' � a. Street Address: Received by: � � ' fJ� : \�r '� �'�' � 2750 Kelle Parkwa c� �,� � Y Y Pkan:review fee: � (' l'�'�ix c f� c� �t`�.kE�SH� Orono, MN 55356 Total Fee: / Main: 952-249-4000 Fax: 952-249-4616 www.ci.orono.mn.us / � �� . �� j r, ' s�-� This appiicaiion form must be compfeted in full and all required informafion must be submitted. r-�y-iZ incompfete appficafions will be returnect. (Please print) GENERAL INFORMATIOf�: G ,y Job Site Address: � (o bg IJ• T �'t'R.� �i�- �-o�� L�t�E M r✓- a;_, , �-� Will this be a Parade of Homes, Remocfefer� Showcase Home or other Disp{ay Home? ❑ Yes [�',f�o r� lfyes, a specia/event permif rs required wifh Po(ice Deparrmenf and City Counci!approval 60 days prior to the event. Shuttle bus service wil!be � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � CONTRAC'i"OR/APPUCANT INrORM,4T101�: , � Name: �"LiT� 2�MoA6'c.��/� s�x.v+c�s /N'C. � � S.ate License # � �3 g�y y Expiraiion Qate: � � . 3- 31- zo�y Lead Certificafion Number: 8��,,,�- /9$y Expiration Cate: �`- (for work on homes that were constructed prior fo 1978 �� Phone: (ofiice) ��{ 6/s. -2g2-glo8(cell) Maifing Address: /�061 ��'AT K,nio} �Q�, City: ,�.,c,,,,,,�ra�r r►�✓Z�P� $g'o2y � 4 f Contact Person: ,��,,�,�,/ �siS�.F Appficant is: Contractor / Homeowner (Ciroie One) �� Email and/or Fax: Q � 3Y66 '��' �L+YI1/ /�&i SCf� �I �'hML. � C o M Cc'LL.— 6/2� 2'�2— � � PROPERTY OWNER INFORMATION: � �� :' Name: f�N?a/N' E /gC2�'DE�2.5 MbN /`'�ouT�'a�rjeK/E� '� �;. .� ��` Phone(day): M� � 5/2-65'b- SD 7 . ,_r�' Address: f 6 69 /✓� F,�-�,y� ,1�� City:�„„�j G�-,rF ZIP: � � Email and/or Fax �.e n �o�,e.re,,� � � , Go..� �� PROJ�CT INFORMa4TlOt�: � �" Type of Project: ! ,4ny earth movement rrzay require � � �' ❑ Door(s) [Jf Remodel ❑ Fire Qamage MCWD review&permits: � �,� � Ninnehaha Creek Watershed Disfrict(MCWD) -� ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage � 18202 Minnetonka Blvd '� ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ' Phone: 952-471-Q590 � I ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (soecify) Far.: 952-471-0682 �� I [�Wind w(s) • � www.rninnehahacreek.orq � � �a Overall Project Descripfiors: K�7rN�eN ��i��nr!'r J�oo� fl.d+lo-+�� "` �sfimated Construcfion Valuafion of Project (exciuding fand) $ (,2 so o "i � �;r; APP�IC,�►NkT ACKNOWLE��EMcf��": �'� � • Agrees to provide all information required or requested by the Building Department; t • Certifies that the information supplied is true and correct to the besf of his/her knowfedge. The applicant recognizes that they � are solely responsible for submitting a compiete appficaiion being aware that upon Tailure to do so, the staff has no alternative �ql but to reject it until it is complete; ,,� • Some or all of the informafion tF�at you are asked to provide on this application is cfassified by State law as eitner private or i � confideniial. Private da;a is inforrrzation which gene;alfy cannot be given to the pub(ic but can be given to tne subject of the �' data. Confidenfial data is informafion which generally cannot be given to either tne oubiic or the subject of tne da,a. Our �� purpose and intended use of this information is to annualfy update our records and records of other govemmen,al agencies � reauired bv law. If ou refuse to suppf the intorrriation, tne a�piica'tion mav not be issued. �j ' �6/�� e17£Ll��r � �"� AppficanYs Signature: Se�y�,ti �,/�� Date: Q-ll-l�— � '_ast Updated: 0�-OS-20^' • ,�� ; _ .. _ . � . _ _ _ ., ..._ . ?`r, . - Plan Re�riew Checkiist f�or �lew Strucfiures / Ad�litions Address/P1D/Legal I(,(o�I /�td(zTN FR2W� (1�� Description of work: ��-t TcHL N � Lt �11 wl /Lc�c�,�r` I�'�►��3t-. Septic review by. N 1 V1 Date Apprnved: �oning review'by: Date Ap.prnared: Buiiding review by: Date Appraved: 4� �`t' �i'L- Grading review;by. Date Approvetl; oning File#: `' Resolutinn#: Resolution Date: Zonin :District Fire D:e artment :Post Office Scho `District .Zoning: Lot Acea: SF/AC :Width: epth: Surve�:Sub itted: �Yes � No Date of'Sur,vey: Pro osed Setb ks: :Front:(Lake) 'Rear:�Stre�t) ( � S E '•�l ) :( N S .•;E V!1 ) ;Other Buildin�s We�land Sitle ;Side - Building Defin�d Height: Buildimg Peak Height: #of Stqries�k?: � YES FDR A BUILDINGWITH ABi4S�MEN R CRAWL:SPi4CE: ` F A BUIL.DING`ON A SLAB:FDUNDAT�01�1: ' BTART V1II�H the distance b�twee the basement#IooN�crawl START the distance'between'the slab and:the highest space floor:and the hi est roofi peak;the.top of WITH roof peak,#he top of the:co;rnice of a flat roDf, the:comice of a'flat roof,". e.de�k line�f a #he d�ck iine of a mansard roof,.nr.#k�e mansard noof,or'the uppe ost.point.an a round uppermostpoint on a round or other arch-type or ntF�er arch-- e roof raof SUBTRACT halfthe tlistance between.the hi estwindo and SUBTf�ACT :halfthe distance.between.the highest�nrindow hi hest roof eak of a itched roo and fii hest roaf: eak nf a itched roof SUBTRACT the distance between:the'basemenf crawl ADD the.distance between.the_slab.and the highest space tloor and the highest existing, , within existin raiie withinthe founda#ion thE#oundation:or 10feet,°uuhichev isles EQUALS D?efined huildin hei ht 'EQUALS Defined:buildin 'hei ht � Lot Covecage: . SF %o _ Shareland`District �IfI:C D�erm'it Received Av�eca e;L,akesho�re..Se�ba�k Biuff D : es 0 No G N/A . � Yes ,` �'No fl Yes 0 °N� � s � No' � ';N/A rmit Number. Setback: Hacdco�er:Zones :Exis#in Pra osecl Larian :Re uired CIJP Re uired D-75' � Yes � No C Yes � No .75-25D, TYPe(�)� TYP�(S)� 250=5 500 000' REM�RKS (in-house): CI`�/v� Updated: 09/11l2009 . z:lformslplan review checklist.doac Fees to be Charged '�fS �10 �, . , .>.. � �.;�.� ., � ._., .�. . . : _ .,. . .� _. . Pfan Review __ ._, . ..,�„ �.,. r n ,. . . ,:� ..., -. x. - . � � - In�esfigation Fee �. �„_�, _ .,_ . ...... .._ ._. . Sewer Cannection Park fee - _ 0ther(sp�cify) Calculated By; S uare Foota e $ er� uare Foota e Basement X = $ 1�Floor � _ � 2"d Fioor - X _ � Garage �( _ $ Estimated ConstructiQn Vafue: ,� �2��Ol�°� Orono inspections Requiretl '�Nark Requiring Separa#e Permits Required State"Permits � =Site ' Plumbing � Grading /Eilling � WeU � 'Hardcover`Removal � IUl�chanical Cl Fire �'Electrical G Foofing '� Septic � alVater�Connection 0>Poured Wall ' � fireplace � Sewer:Connection 0 FoLndation Survey � Masonry � Lawn Icrigation � Rad�n Rock Bed p IUlfg. Framing ' 0 t�ther(specify) � Insulation � ' -Built Survey Final � Other(specify) REIVIARKS rin-house); Dtt�er,l�eview: -Reyiewed by: �ate:Approved: ,Access:Existing: G YES D NO New: -� YES � `NO REMARKS (TO:BE NDTED dN PERMIT AI+I�tN1TI�ALLED 8Y PERSON PULLING`PERMITI Updated: A9/'I1/2D09 z:lformslplan:review chec�cfist.doac ��/ �� ATE� � TIME � CITY OF ORONO CALLED IN �l'� � INSPECTION NO)�TI/CE �7/�/(� SCHEDULED //-�7/ �-- c�-�.� PERMIT NO. OYJ/� �vvL/ / COMPLETED ADDRESS �� "V�� OWNER ' TELEP O E NO��°�-�� 3T l� CONTRACTOR � �� >: DESCRIPTION �- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LqKESHORE/WETLANDS � � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �1 ��J �/�-�T � `) VF� � � ° � j re +��-�3--r'l�+��n.d--� Q „/t�!l L+Q� C�J� ��M � � � Z W � W � � GW ❑1NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContractor on site: Inspector. f` . White Copy/lnspector's File Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN ��-°� INSPECTION NOTICE SCHEDULED ��Z�� PERMIT NO. � �dU�� COMPLETED ADDRESS ��'� j �vd� � � � � ��- OWNER TELEPHONE NO. CONTRACTOR �cJtt1 � . ��I� -� r'��j�l,�c��' �: DESCRIPTION �� , � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y RAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 1�••�S � �� -� � � 0 � W � Q � Z W � W � � GW �DVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �u O ❑Ct�RRECT 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 O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. W T ,. 1 White Copyllnspector's File Canary CopylSite Notice ' �—C/1 TE TIME ✓ anr oF oR No A� �—N �- - 3 INSPECTION NO ICE SCHEDULED - - � PERMfT NO. ��D�I�COMPL ED ADDRESS � OWNER TELEP N N . � a` � CONTRACTOR � � DESCRIPTION v � . 4~j ❑ FOOTING ❑ PLU FINAL ❑ EXCAV/GRADING/FILUNG �� ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA710N/REMOVAL 2 OWNERfCONTRACTOR TO MEEf YiOU:_YES_NO � COMMENTS: a0/?i—D/d�3 -�(� � � v�f� p Q �fec�Ez�.f' GI f��.�'� � � o r � ��- �f t3� �� , G • � , �e�e�� ° (1P _ �t-u /'.2� c�J ,�-t��N' !C) ' f� �' Q �'v Pl�-I' IS Q c�'c�CJ�u -- Cc��C��' W7r� �'/�S -f-.R f ► � � �.�:��1 h 1�� . �� .�'� � j � ❑WORKSATISFACTORI�:PROCEED /O�PQOJECT COMPLETE w ❑CORRECT WfORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR VYILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call br the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSke Notiee