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Home My WebLink About2016-00908 - master/guest bed/bath remodel � � CITYOFORONO * 2016 - 00908 * 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016 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 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTI VITY : 434-RESIDENTIAL VALUATION : $ 115,000.00 NOTE: MASTER&GUEST BED/BATH REMODEL,WINDOWS,DOORS APPLICANT PERMIT FEE SCHEDULE 1,204.42 STATE SURCHARGE(VALUATION) 57.50 STREETER&ASSOCIATES TOTAL 1,261.92 18312 MINNETONKA BLVD payment(s) WAYZATA, MN 55391 CHECK 103959 1,261.92 (952)346-2499 Minnesota State License#: BUIL-BC-001380 OWNER BEENDERS&PETERMONTGOMERIE,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 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is respons�ble�Por assuri�g all required inspections are requested in conformande with the S�ate� ilding Code.This permit may be revoked at ny time for due cause. ` ;'� d�'� �� '� �' � � �,A �� .�`��1� . c.' �; . i� �:. ��- �- � � l � � �lF Applicant Pe itee Signa� e Date Issued By Signature Date , • �� '� ��,/h '� , �` ��' '.��,I.�i . � �\ � t � City of Orono Building Permit Application for Maintenance/ Replacement/ Remodel—Residential ONLY (i.e.windows, doors, siding, re-roof,etc.—NO STRUCTURAL EXPANSION) �� Mailing Address: Permit number: L/[/ � �\ PO Box 66 i� � � Crystal Bay,MN 55323-0066 Date received: ��'�� Str t Address: 7�—' `i �i 50 Kelley Parkway�L.��GC f I eview fee: � • �� `�\ t � Oron , L -�. _�,______ _- \kESHo�' ____-- � Total Fee: Main: 952-249-4600 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: ��p �,f� r� O4 Of p✓10 �� `� Job Site Address: � Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home7 ❑Yes No /f yes,a special event permit is required with Police Departmenf and City Council approval 60 days pnor to the event. Shutt/e bus service ill be required unless applicant demonstrates su/(icient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �J'�}� .�-�f 5 o c;o,'f'G�S State License# \ C po � 3$O Expiration Date: �'�. '?j� , 2v�� Lead Certifica;ion Number: ��— 9��y�- 2, Expiration Date: p(�, p�, Z�Z� (for work on homes that were constructed prior to 1978 Phone: (cell) to�Z, Z�Z, �jo�-7 (office) qSZ, �jc.�5 . 9yc.(e Mailing Address �g�1Z �� City: (�,�� y ZIP: y � Contact Person: L Applicant is: Contractor / Homeowner �c�.�ie o�a� Email and/or Fax: jw;�\ G � S-}y�L�,� �np,�y tS . C.ov✓� PROPERTY OWNER INFORMATION: Name: �'�`o�v�L}}'e� �C�LN�S Phone(day): °5�2.�c� �. �'e�7 n Address: �(o�1 �o J'1''�+ �wY� 1Znw�X- City: (�✓'e v� o ZIP: rj�j Z S �e Email and/or Fax: q,y►i-o �h�,�,.j.L � ,iyL. �„M PROJECT INFORMATION: Overall project description::��5��d" ��/�-S� IXd�F �l�^T�+ l�✓�,d�t�� Type of Project: Any earth movement may also require �Door(s) �Remodel ❑Fire Damage MCWD review 8 permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952�71-0590 Fax: 952-471-0682 �W indow(s) www.min�ehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ � �s�t7017 APPLICANT ACKNOWLEDGEMENT: • 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; • 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 upci'ate our records and records of other governmental agencies required by law. If ou refuse to su I the i form tio ,the " lication ma not be issued. ApplicanYs Signatur j�� Date: $•� . � �o Owner's SignatErre �� Date: Last Updated:January 2016 ��//' GL�/ � ��, � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �(G(l� ( /c�CQO``�'�( r�U�'(. �c� � Permit No.: �� Q('��_ Description of work: (��i� , l/�� i�- �WS, ,Ci(y(�!/'y' Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: �� Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: F/AC Width: Lot Covera e: SF % Survey Submitted: � Yes � No Date of Survey: Revised date ? : Landscape plan submitted? � es � No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) ( N E W ) Other Buildings Wetland Side Side Defined Height: Peak eight: FFE� FFE minus 6 feet= (Existing Contour; Perimeter(linear feet) = 50%= L.F. below grade Basement? � Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance b ween the�owest roposed Slab at or above grade— floor(of the bas ment or crawl s ace)and measure from hiahest existina START W ITH the highest poin of the roof. ro ade to the highest point of the START WITH roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR IPPED OOF(no Slab below grade—measure (BASED ON windows): S btract alf the distance from highest existing grade to the ROOF TYPE) between the �ghes point of the roof hi hest oint of the roof. to the low poin of e corresponding If you have a... gable or hippe r of SUBTRACTION ' GABLE OR HIPPED ROOF GABLE OR HIP ED ROOF(with (BASED ON (no windows): Subtract half � the distance between the windows): Su r ct half the distance ROOF TYPE) highest point of the roof to between the t p the highest the low point of the window and e hi hest point of the corresponding gable or roof hipped roof • ALL OTH ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard etc):No s traction. (with windows): Subtract SUBTRACTION Subtract the stance betw n the half the distance between (BASED ON basemenUcr wl space floor nd the the top of the highest EXISTING highest exi ting grade adjace t to the window and the highest GRADES) foundatio OR 10 feet(whiche er is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defi d building height subtraction. Deflned building height EQUALS Updated: May 2016 z:\forms\plan review checklist 5-2016.docx Shoreland Distric� MCWD Permit Average Lakeshore Setback g�uff Met? Permit Number: � Yes ❑ No � N/A 0 Yes � 0 Yes 0 No 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 � Yes � No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review State Surcharge ✓--' Investigation Fee �� SAC— Number of SAC Units t/' Other(specify) {/`- Square Footage $ per Square Foota e Basement X - g 1 St Floor X = $ 2nd FIoOr X = $ Garage X = $ Estimated Construction Value: $ �/�/,�� Orono Inspections Required Work Requiring Separate Permits � Footing � Site � Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control � Mechanical 0 Fire 0 Foundation Survey 0 Hardcover Removal 0 Fireplace ❑ Water Connection � Framing �Other(specify) O Masonry � Sewer Connection � Waterproofing/Drain tile I//� � 0 Mfg. � Lawn Irrigation � Foundation Waterproofing w `�' �y � Other(specify) 0 Landscaping Framing ��/„�. Insulation � As-Built Survey Final 0 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 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: May 2016 z:lforms\plan review checklist 5-2016.docx ✓ DATE TIME CITY OF ORONO CALLED IN INBPECTION 1�0 E ��'y�Q scMenu�en 1 G+-�./! �. 'vv PERMfT NO. :��- ��/��COMPLETED Ao�Ess !b6 4 /U'� ��.�,� f��. OMINER TELEPHONE NO. CONTRACTOR S�r�' Zr' 7�'f"S aG r� ,, � DESCRIPTION �^ s✓[��-.v• I C Q.�"►��( 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLINQ O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI � SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��1SULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT � � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL /- 1 �.. Ci✓ r/�1�c.ZrJ�y Z TO MEEf YOU:_YES_NO 1�G,�.n� � COMMENT� � , ?`Z� �-�I q,�'n•• � � � �r^.M,�„ � �1 + t n o. [ a.� O �' l n,,,,� � -��' ��,, a .f��dt..v` �' � �✓ ."...lo �..� �J � � i � c . k Q' �/� .3 J �. �ov� .S �1. tJ J 2 '�� W p+ ' � c �G c��r. � � c C� W � � J � WiORK SATISFACTORY:PROCEED ❑PFiOJECT COMPLETE W ()ORRECT WOFNC A PRO(�ED ❑ISSUE CERTIFICATE OF OCCl1P11NCY o ❑OORRECT WOFNC.GALL FOR REINSPECTION T9rIPORARY �j BEFORE CdNEi�NO PEqMANBVT ❑OORFiECT UNSAFE OONOITION YVfTHIN HOURS. ❑PHOTO TAKEN INSPEC'TOR 1MLl RETURN ❑STOP OROER P08TED.CALL INSPECTOR O dTAT10N ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. caM�or n�e�ext�spectio�u nours M sd�►a��o.. (952) 249-4600 on sNe: ��«: 13 � L, Whib CoP�W��FlI� C�mry Copyf8lM NWk� �-I /�' � 1 / `--C/ DATE TIMC CITY OF ORONO �i o N /D- / INSPECTION CE �H�uLED /O/7/(o T�„� PERMIT NO. �l� D��D�COMPLEfED an��.ss �(�� 9 /l/,� 7Z��..�YI � OWNER TELEP NE NO. �g��Zy CONTRACTOR � ��' � DESCRIPTION �� y ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING I ❑ EXCAV/GRADING/FILLINO O ❑ FOUNDATION WATERPROOF ❑ PLUMBING ❑TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��❑IdSULATION ❑WOOD BURNEWFIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWN�UCOKIRACTOR TO MEET YCU:_ � COMMENT� � � 0 /'Gv • • c�c`I ' /�r�l�'� � � �NS �� r� ✓- �.c � � W � Q � W W � j W ❑WORK SA7ISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑ppqqEC'T W�(t�PFqCEED O ISSUE CEFiTIFICATE OF 0�1NCY O��//�-�-�-�-""�- ��r WOF�C,CALL FOR REINSPECTION TEMPORIIRY V � BEFORE CaVERINO PERMANBdT p ppqqEC'T UNSAFE CONW'TION WITHIN HOURS. p prypTO TAKEN INSPECTOR WILL RETl1FiN ❑gTpp ORpER P08TED.CALL INSPECTOR ❑�TATION ISSUED ❑INSPECiION qE�U1RED.CALL TO ARRANGE ACCESS. CaN tor the next�sPection u taurs in s�ranoe. (952) 249-4600 owneNContractor on site: Inspector: An�ctor's FlN C�n�ry CoVll�� MANUFACTURER'S LABELED - SAFETY G4AZING t . REQUIRED ' ' ( RECEIii�� ._.. '� , AUG -5 2016 _______�, � 6CHLLITERJKERQI HE�a = 6_�.s __- - CITY OF ORONO c u R e s� B e r�c �,�� _ _ . Reviewed for Code To s u B F��17 R 1 Compiia�ce City of Orono �, �a�___,�_8-�- / r� � Reviewer ;, 3 sT�r�E FLOOR E.m TiLE FLQOR ''" 5-?7�8' � IC` . � •.11��, r ,s, rr- � � �� s � � ''- 3 �� a-i° � :� Z- � � �. � � �� , ,�' �� '1 t� i-J � I `1 ry �/ ,:� 1 �� f � 4 EXHAUST F � r AN ' � �� VENT DIRECTLY OUTSIDE _ � A � ' � � �; . CLOTi-1E6 CHUTE BEL❑W C.�`.BIhJET PROVIQE RADIANT Ihl-FLD�R n u 2- � HEAT LfN�ER ALL FL❑OR5 RAEO UNDERM❑UNT 6lNiC 2 BY AGAPE VERIFY AV�4,ILABILITY ,;; Z. l AND M❑UfVTING .� BT�NE FL��R VY�OD FL�OR -= � � i+Yl 6C1-tLUT ft 6Y5T�ki � 2. 1 MTL QtV1D R BE'Z'WEEhJ � HEAD = fi_9_4 ' 1 MATE IALS �•�`;8' SILL = ❑.4.3 � � ��c3 suB F�aO�) I I :�,. � u, , � �.� o.t• `-' r. _ _3, . R.O. � n � i . ' ' • � � '� 1 �' ` �' �'� � '� � ' � � , � ! � �r - ) - - - �i '_: � � �� 1 � � � :� . i F � � ti � � !_ !Q � E T 4 � a i� t ,:, 1 - , � � �� i'4 � 1_1) � F� �t � i� � 3'4• �' +�` ; } � +w � .�--"��'— o i CRtA[3C �}CIGTf�MO YJ�NQOSWC :�E' 4 a � � 4 h w � � ��4� T LC r'_�QR � � �s � Carbon r�^�onoxide detector required witnin 10 ft. of all sleeping rooms. tiy a E'�V L=�R.G E�2 k�!I r��D C71ti� �� ':.� 'i;..�.� �—.i�:,:,� �f ;- i `" SMOt�DETECTOR CONN�CTED TO A SOUND- � �� N�D�V10E OR OTHER D�7ECTOR AUDt6LE IN . � ,_FGl�,�'G P.Ru;:,-�� 6 _ � �. � !:- ;�LtA�"�� a A�! -`��i'DlRECTLY OJTSIDE � — �R.iY�O� IJ`iGCAh�0.1`+T GI'4K � � L� � '� T � U iT � � I`I� Cl � F� Lr� I'�I 4� ��.� w��FY �,w��.,,o:�,Y,� ar+a r�ou�+Tir+o ,4 �. 5�,4 L E: 1 1`�' = i '-ip' C�#'--- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED / 7 (--1j /y 1 - PERMIT NO. C%I�� COO -g COMPLETED _ ADDRESS I L L Cl ,N/ F- r-/-- --?kc J OWNER TELEPHONE NO c�L / �'(c-,g�1- CONTRACTOR -)I rE 6V-(--/-- xsc. E DESCRIPTION F- /F 7 e--.' / 72 P W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL .1 ❑ DEMO-SITE 0;SEPTIC INSTALL 2• OWNERICONTRACTOR TO MEET YOU: YES_NO 0 COMMENTS:14.1 �j— nr . EC 0 f-l O n....c1/4/ 7 S � D1 / � �- o4- iX IQ CC Q 2FA...,....„ / w cc W 0 WORK SATISFACTORY:PROCEED XIOJECT COMPLETE CCWElCORRECT WORK A PROCEED E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY t BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI O 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 OwnerlContractor°r se: Inspector. 13 a bL i White Copylinspector's File Canary Copy/Site Notice