HomeMy WebLinkAbout2012-00061 - interior remodel CITY OF ORONO * z 0 1 z - 0 0 0 6 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2012
. ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2180 NORTH SHORE DR
PIN : 10-117-23-31-0098
LEGAL DESC : MARKVILLE
: LOT 000 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : INST[TUTIONAL-SCHOOL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 326-SCHOOLS AND OTHER EDUCATIONAL
VALUATION : $ 15,743.00
NOTG: SEPARATE PERMITS REQUIRED: PLUM[3ING,ELECTRIC(STATE)
IN"('GRIOR REMODEL-NEW PARTITION WALLS
APPLICANT
PERMIT FEE SCHEDULE 280.25
FAITH BUILDERS PLAN REVIEW 182.16
943 207TH LANE NE
CEDAR, MN 55011- STATE SURCHARGE(VALUATION) 7.87
(612)518-2696 TOTAL 470.28
Minnesota State License#: BC638083
OWNER
Creative Kids Academy Orono
2180 NORTH SHORE DR
WAYZATA, MN 55391-
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 thc
State Building Code. This permit is for only the work described and does
not grant permission for additional or rclated work which requires separate
permits. All provisions of laws and ordinances govcrning this type of work
shall be compied with whether or not specificd 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 responsiblc for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be . �
revoke at any time f due cause. �-�'��
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Applican Perm� ee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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C i ty of O ro n o � ;�����
E3uilding Permit Applicafion for IVlaintenance / Renovation �j;� �' ��;
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(windows, doors, siding, re-roof, etc.) �'
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Mailing Address: Permit number: d/ — �
��.,D,j� PO Box 66 � �
�Q �` � Crystal Bay, MN 55323-0066 Date received: � / �
��a ��: � s, �y) � � Street Address: Received by: L,�. `y
`� �. �7�vy � f'
�,n ;,,,„y, �� 2750 Kelley Parkway Ptan review fee: �
L9kESH�4� Orono, MN 55356 � ;.
Total Fee: L��Gj, a�' *�
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.
)n omplete applications will be returned. (Please print) �
GENERAL INFORMATION�� � f z'
Job Site Address: ' �/� J�r-Z �.�,V� yi fV '�
Will this be a Parade of Homes, Remodelers Showcase Ho e or othe Display Home? ❑ Yes No _
!f yes,a special evenf permit is required with Police Department and City Councif approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrafes sufficienf on-site parking is available. Non-permitted events will not be allowed. `
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CONTRACTOR/APPLICANT INFORMATION: /� �,
Name: � � � u' � v�� /1�'t l'O✓! r�
State License# i� � �g(j. �' Expiration Date: '� �j � �� ;";�
Lead Certification Number: l—� U Expiration Date: 1� 03 �
(for work on ho s th t were consfructed prior to 1978
Phone: �^ � ,S'/�- Z(o`(l,� --�--- (office) �-- S��y�� a S ----� (cell) '
Mailin Address: �. ' ��
g � _(�a � Cit : �'e��V ZIP: .�5�! � :�
Contact Person: �l� ��,^ Applicant is: Contra br Homeowner �c���ie o�e� ;:�
Email and/or Fax: _�(��c��?� �.��;1.��,,�,
PROPERTY OWNER INFORMATION:
Name: l��t. �a�� �ra�c�}�f. �\t�S ctid�e,v�,c.
Phone (day): Z 2� _ �s7�G�
Address: Cit : v
Y O�+�v�� ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review& ermits:
.�Door(s) Remodel ❑ Fire Damage p
Minnehaha Creek Watershed District(MCWD) e'
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd '
❑ Re-roof, cedar Dee haven, MN 55391 �'+�
❑ Restoration ❑Water Damage Phone: 952-471-0590 �
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify} Fax: 952-471-0682
,�Window(s) www.minnehahacreek.orq
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Overall Project Description:
, �
Estimated Construction Valuation of Project(excluding land) $ � '7� � �`'
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 appficafion 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 annualty update our records and records of other govemmental agencies ':;'
re uired b law. If ou refuse to u I the infor ation,the a lication ma not be issued.
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ApplicanYs Signature: �'� �� Date: / JG�/ �
,
Last Updated: 08-Q9-2011
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P1an Review Checkfist for New Structures / Additions
A�dress/PID/Legal: Z(Q�d I�V 0(L"'�-� S(�.�,(�,��' � (�„
Description of work: 1'V�� tp a�{JL�"� (�0�.� W�c.-("�'�
.
Septic review by: fl/�i4 Date Approved:
Zoning review by: � Date Approved:
Building review by: Date Approved: �—3 —?� 1 Z
Grading review by: Date Approved:
Z ning Fite#: Resolution#: Resolution Date:
onin District Fire De artment Post Office Scfio istric#
.Zoning: Lot Area SF/AC Width: pth:
Survey Submitted: �Yes � No Date of Survey:
Pro osed Setbacks:
Front(Lake) R r{Street) ( N S E W ) ( N S E 1N ) ther Buildings Wetland
Side Side
Building Defined Height: Building Peak Height: #of St�ries Ok�: � "YE5
FOR A'BUILDING 1MTH A BASEMENT OR CRAWL PACE: F A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basem t flooN crawl START the distance between the slab and the highest
space floor and the highest roof pe thetop of WITH roof peak,the top of the�cornice of a flat roof,
the cornice of a'flat roof,the deck line a the deck line of a mansard roof,orthe
mansard roof,or the uppermost point on ro uppermost point on a round or other arch:type
or other arch-t e roof roof
SUBTRACT half the distance:belween the highest wi ow d SUBTRAGT half the distance between the highest window
hi hest roofi eak of a itched roof and hi hest roof eak of a: itched roof
SUBTRACT the distance between#he basement ooN crawl ADD the distance between the slab and the fiighest
space"floor and the highest existi grade within existin rade within the foundation
thefoundation or 10 feet,whic ver is`less. QUALS Defined buildin "hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland Dist�ict ' CWD Permit Received Avera e Lak hore Setback Blu#f
Yes 0 No 0 N/A � Yes O No
� Yes � No � Yes � No O N/A
Permit Number. Setback:
Hardcover Zon Existin Pro osed Variance Re uired CIiP Re uired
0-7�' � Yes � No Yes � :No
75-2 ' TYPe(S): Type( •
2 -500'
00-1000'
RE ARKS (in-house): __ /V� C/'��'l/�(�� �
Updated: D9/11/2009
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Fees to be Char ed YES NO
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A +�.�w�+�aa�..ft�''�'��.�¢'"s'�i K�- k,.�, li�a,` a�� c'��i'„� F�rCv;��+ar�.'�kk. _�w,.Tt� .�����7�.��_ �
Ptan Review •
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Investigation Fee
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Sewer Connection
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Park Fee
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Other(specify)
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Calculated"By:
S uare F�ota e $ er S uare Foota e
Basement X = $
1�Floor X = �
2nd FIOOr X = $
Garage X = $
Estimated Construction Value: $ ��,'7`'�3 n='
Orono Inspections Required `Yliork Requiring Ssparate Permits Require�i State Permits
� Site Plumbing 0 Grading/Filling � Well
G Hardcover Removal � Mechanical � Fire Electrical
G Footing 0 Septic � V1later Connection
0 Poured Wall 0 Fireplace � Sewer Connection
D Foundation SLrvey � Masonry 0 Lawn Irrigation
D adon Rock Bed G Mfg.
Framing 0 Other(specify)
� Insulation
'-0 >As-Built Survey
�Final
� Other(specify)
REMARKS (in-house):
Other Review: 'Reviewed by: Date Approved:
Access:Existing: � YES � NO New: � YES � NO
REMARKS (TO BE'NOTED ON PERMIT AND 1NITIALLED BY PERSON PULLING PERMITI
Updated: 09/11/2009
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� e` SECTION 1210
! SURROUNDING MATERIALS � ��+`'-�
� 12101 Floors.In other than dwelling units,toilet and bathing , , ,
room floors shall have a smooth, hard, nonabsorbent surface
that extends upward onto the walls at least 6 inches(152 mm). � �-��"}��,'��
�� 1210.2 Walls. Walls within 2 feet (610 mm) of urinals and ,
, water closets shall have a smooth,hard,nonabsorbent surface, j
to a height of 4 feet(1219 mm)above the floor,and except for +
� structural elements,the materials used in such walls shall be of
� a type that is not adversely affected by moisture.
, Exceptions:
� , l. Dwelling units and sleeping units.
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2. Toilet rooms that are not accessible to the public and
� which have not more than one water closet.
Accessories such as grab bars,towel bars,paper dispensers � j��#�
L��';�'��� and soap dishes,provided on or within walls,shall be installed � �
`� and sealed to protect structural elements from moisture.
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� DATE TIME ✓
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CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED ��'� ' �'` ''�' f'�
PERMIT N0. .�e'�� - C�`:{`;tc-I COMPLETED
ADDRESS �-� [74 �- l�-'�'�(-� �� ,�(/�:� l�fL
OWNER TELEPH,Q�IE NO.
CONTRACTOR '�7� !� I� �I a I I�I�' J�
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>`; DESCRIPTION �- 'l� V �
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l� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ 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 COVEFi REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ' ��.� C t���C�'��t K( "k'j ��1�����V�`
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W ❑CORRECT WORK&PROCEED l-� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �D�J TIME V
CITY OF ORONO CALLED IN L
INSPECTION NOTICE SCHEDULED z3I�l Z ��
PERMIT NO.a?D/-7��D��� COMPLETED i� �`"
ADDRESS ���� /U�� �`�� �
OWNER TELEPHONE NO.�`Z S�� ZIo�J"so
CONTRACTOR � l�'�
� DESCRIPTION ���� ����� ���
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING �pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETl1RN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContra
Inspecto
White Copyllnspector's File Canary CopylSite Notice