HomeMy WebLinkAbout2016-00718 - interior remodel, kitchen, bathroom MUMMEMIMIMB
CITY OF ORONO * 2 0 1 6 - 0 0 7 1 8
2750 KELLEY PARKWAY DATE ISSUED: 07/12/2016
ORONO,MN 55356-
952 249-4600 FAX: (952)249-4616
ADDRESS 220 NORTHGATE RD
PIN 36-118-2341-0051
LEGAL DESC NORTHGATE TWO
LOT 001 BLOCK 007
PERMIT TYPE ADDITION/REMODEL/REPAIR
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 200,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE)
INERIOR REMODEL,KITCHEN,BATHROOM
APPLICANT PERMIT FEE SCHEDULE 1,739.92
CYCLONE CONSTRUCTION STATE SURCHARGE(VALUATION) 100.00
2876 FAIRWAY DR TOTAL 1,839.92
CHAAMSK ,MN 55318- Payment(s)
CHH 39A, CREDIT CARD 1603 1,839.92
Minnesota State License#:BUIL-429008
OWNER
SEE,HENRY&GAIL
220 NORTHGATE RD
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 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.
J.
Appl ermi ature Date Issued By Signature Date
CITY OF ORONO q
BUILDING PERMIT APPLICATIO 1 ��
FOR NEW STRUCTURES OR ADDITIONS
� kv
Q�r Mailing Address:�O Permit number: o/(c-C O 7/
PO Box 66
\� Crystal Bay, MN 55323-0066 Date received:
Received by:
Street Address:'
2750 Kelley Parkway t,�dl 1q .Plan review fee: 0l�'YESROIL�G Orono, MN 55356( __
�J tea...
Main: 952-249-4600
Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: LZp 0o7---V_,\C E;ra
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes R1 No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service dill be
required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: L ku Z__
State License# 6S yA-Ll Expiration Date: 3)31
Phone: (cell) (.S( -�5�� _ 3� zZ (office) -
Mailing Address:
� ZIP:
Contact Person:
-, A 5�-.� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: r ��.-.5 1� �-� .��v�. : 1-�,�.c •-. -_... -
PROPERTY OWNER INFORMATION:
Name: tUt_,D SC�L� �•a1.
Phone(day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name: 134 L- acs=�-J
Phone (day): y_ r cs�z
Address: city: Zip:
Email and/or Fax:
No-i -�co V
PROJECT INFORMATION: Description of project: E
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
❑ New Construction Single Familywith Accessory ry Bldg. Garage
Supply
❑Addition attached garage ❑ Deck ` Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
[� Other:(specify) R�tiL ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater Public Water
"Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse
Minnehaha Creek Watershed District(MCWD) El Other:(specify) ❑ Private Well
15320 Minnetonka Blvd ( p ) ❑ Other(specify)
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.m innehahacreek.or
Estimated Construction Valuation (excluding land) $ Z.ou , ODO
Last Updated: January 2015
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms= Wood/Frame
b.Width(ft.)= Number of garage stalls: Z. Masonry
El Metal
Areas in souare feet Attached =
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 151 Story = ❑ On-site Prefab
e.2nd Story= ❑ Off-site Prefab
f. '/2 Story = ❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Building Permit Escrow Agreement and Fees
❑ ❑ Plan Review Fee
❑ Completed Application Form
❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements
❑ Surve —2 full size,to scale(meeting ALL survey requirements)
p 21 Hardcover Calculations
❑ Septic System Certification
❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD stating no permit is required
❑ Landscape Walls and/or Retaining Wall Plans
❑ Stormwater Pollution Prevention Plan SWPPP
❑ �� Access Permit
❑ ❑ Data Privacy Advisory 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 completion 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.
Applicant's Signature: Date: i. ?Z t S�
Owner's Signature: Date:
Last Updated: January 2015
PLAN EV11E CHECKLIST FOR � c'T1JREr ®®ITIi� S
Address: Me rA Permit No.:
Description of work: Date Rec'dt
f
` Septic review by: Date Approved:
Zoning review by: Date Approved: .
I
Building review by: Date Approved: o 1
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#; Reso iaate:
Zoning: Let Area: SF/AC Width: Lot c OVIOMM, SFYC
Survey Submitted: C1 Yes ' D N Date Qf Survey:;- Revised date
Landscape plan submitted? D Yes D No Landscaper
Proposed Setbacks:
Front(Lake) near(Street) ( N S E W. ) ( N S E 'VV ). ` Other'Buildings Wetland
Side Side
k
Defined Height. = Peak Height F E: FIFE minus,6 feet_ .(PXlsting Contour)
�.
Perimeter(lineatr.feet) L.F. below grade
r: Basement? ® Yes No, St ries
` FOR A BUILDING WITH A BASEMENT OR CRAWL SPAS
FOR A BUILDING ON A SLAB FOXINDATION:
The distance lowed proposed Slab at or.above grade-
i floor(of the base or crawl space)and' measure from bkihes4'ezdstiha
START METH the Highest point of roof. g to the highest point of the
START WITH
roof even if flit was brGught in to
elevate home
If you-11ave a ;
_ SUBTRACTION GAEL R 111PPFD 1tOOF(no 51ab belov►+grade-measure
(BASED ON wlndo Subtract half the distance. from highest eadsHng grade to the
ROOF TYPE) n the highest point of the roof hi hest int Of the roof."
to a low point of the corresponding f you have a;,.
g te_or hipped roof " 'SUBTRACTION GABLE OR HIPPED ROOF .
f • LE OR HIPPED ROOR(with (BASED ON (no windows): SUbtraabalf
windowO Subtract half the distance ROOFTYPE) ffie dlstance between the
between the top of the highest highest.point of the roof to
�: windtiik and the highest polnt of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES{flat, • GABLE{7R HIPPED ROOF.
mansard,etc):No sudtracUon
{with windows}: Sutmad
SUBTRACTION Subtract the distance between the half the distance between
{BASED ON basementicrawl space floor and the' thedop Of the highest
EXISTiNG highestwdeting grade ad)acent to the window and the highest
GRADES) foundation OR 10 feet(whichever firless} point Of,itis rgof
• ALL OTHER ROOF TYPES
f .
1 EQUALS Defined building,Itbigilt suabtracdon.� etc):No
Defined building height
EQUALS
Updated: October 2015
I z:\farms\plan review checklist 110-2015::diocu
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED IO
PERMIT NO. U^ -00 71.(" COMPLETED
ADDRESS '- � (,) IV h f2e-�.
OWNER TELEPpGNE NO. 75/ 3qf -3�72
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SE FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
H ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q AMING ❑ MECHANICAL FINAL ❑ RATED WALLS
INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
to COMMENTS: r)ec. /? 5�
a //7 p`�b�ila• �w lC iib 'L�e�tt�/� DKi G�/ 1..��rF/Jot•�
0 —y a�Oy � Ga t� f�DN't �1/ .CCL ,'/GSS �/CT�L �✓L '�
Cr.
� � ��•c�s>�o� �� G�4 5 es ,1 So���
W
cc ✓ ��s4L
Q
Ro5,k rrn• oK
Lor r r,if, -,t 6as4cc
J
d
W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
k ^1�Q$�ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
QO✓❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑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/Contract r on site: L4,9 A
Inspector
White Copyllnspector's File Canary Copy/Site Notice
1
V
DATE TIME
CITY OF ORONO V CALLED IN
INSPECTION CE '� v SCHEDULED
PERMIT NO. �/�/ COMPLETED
ADDRESS 2 2.0 d� e
OWNER 1 _ TELEPHONE NO. �
CONTRACTOR
DESCRIPTION >1
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
. INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
wr fcx-we -
-
a
0
�
❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
UJI ORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
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. (952) 249-4600
OwrodContractor on site:
Inspector t
White CopyMspectoes Fite Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED Z/�
PERMIT NO. �L�����COMPLETED
ADDRESS
OWNER TPH NO.
CONTRACTOR )& " 1 , /
a5�,
DESCRIPTION
UFOOTING ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
L3 �w CU
�c
0
cc
Uj
w
i Z
Qc
j
Gw ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
cc ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
El
Ll 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.
White CopylInspector's File Canary Copy/Site Notice
Property located in section SITE PLAN SURVEY FOR: INVOICE NO. 85216
36,Township 118,Range 23,
Hennepin County,Minnesota CYCLONE CON,� SCALE
TRUCTION S . 1089--10
SCALE- 1" = 30'
• Denotes Found Iron Monument
I
0 O Denotes Iron Monument
❑ Denotes Wood Hub Set for
972.0 0 \ excavation only
----_ N Denotes Existing Contours
�� � \_� Denotes Proposed Contours
O 976.0\\ ------ �\ \� 971.3 972.3 0r Basis for
-}--- - O x000.0 Denotes Existing Elevation
975.9 \ 977.3 \ z bearings is
7 \ -V 76.2 \ 975.2\ '� ttt���
\ O 970 /Q assumed 000.0 Denotes Proposed Elevation
977•l I J73�9 \ \ I �- Denotes Surface Drainage
977.5 3.4 meter 975.7 973 2� 970.3970.2
I 975.4 976.0 975.6 ;_____ 976.3 \\ \\ 1 p PROPOSED ADDITION
V PROPOSED LOT LINE Property Address:220 Northgate Road Orono,MN
I
151t PROPOSED
drive 6.l ' \\ PROPOSED PORTION OF
28
j 975.9 I I °.. t8.°, k I OUTLOT C TO BEA QUIRED Benchmark:Top Cass Iron Monument at Southeast corner
I c garage o ® I
975.0 I I N floor \ 3. Section 36,TWP 118,Range 23
i 976.6 \ I Hennepin County
1 10 97512 elec me e \ I 9.7
\ #-r-__9 .9 O o9 .5 18.0 21.6•• : 974 9 i Drainage Elevation=993.83 NGVD(88)
\ 975.6 91 / IFool 1pm� Utility Easement
\ 1 / �� co °f 974.7 9 8.6
\ 975.2 1 / N °
\ / 977.0 Uj d °•. �°" v � 7P. I�,�� copy
�\ _ - 9�5 9 _ ORONO
• � 966.9
\ 975.l maili'4 \T/W"70.6 2 ' I
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\ 1 975.51, T b _ 976. n•
\ 9 .9 / 00 I er s o m\ 1
\ 970.6 0 o Pte/ . , - Property line
975.0rw
z 968' . eye N N DecE " 97 97 .7 / Of Outlot C
�\ p 974.6 974 ' O� °" -�% , // The Gregory Group, Inc.
ct I -1 T 70.7 / d.b.a.
\ I 9 B 67.7 972 2 X972 / Tree City of Orono
9 g LOT SURVEYS COMPANY
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974.6"'Z974.E o f1o�522 1' ��� // Ed9ePlannin &Zoning Plan Review , w
973.7 0 7 / t!/
�- o '' Site Plan Review Date: Established in 1962
\`\ I o 7o I o \1 CD
r�yv 9770.l/� 67 N3?-0. N T/W 96� o� �,' LAND SURVEYORS
\\ O I \\B/W 96A 1 97 / 967.6 966.3 rn �'� X' :'
PROVED REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA
966.7 966.9 -V>- // PROVED WITH REVISIONS(seE notes) 7601 73rd Avenue North (763)560-3093
\ X74./\ / = 965.9 / I Minneapolis,Minnesota 55428 Fax No.560-3522
\ \973.5 \ , ]DEN.ED 3uruP)J11rs C�PrttftraIP
\ 974.4 \ \ 60� 966.3
\ � / 965.6
\ \ 971.0 I �' /
\ \973.5 \ 969.11 i �
\ House Corner \ 9L63.6 ;
Hardcover \\ ® 0.50'North of Line 11 \ r
966.7 1 I The onlyeasements shown are from plats of record or information
House Garage = 2659 sq ft \\ Man
972.6\97216 `\ \ \\ IOF ���
Walk = 260 s ft \ \ 1 I provided by client.
q \ \\ � 1 I I . /
Drive= /03 s ft \ \ / 1 964.1 I ggTE PLAN L, GRADING PLAN I certify that this plan,specification,or report was prepared by me or
q \ / Drainage * 1 I I
Concrete = 295 s ft \ 972.7 I under my direct supervision and that I am a duly Licensed Land
q \ 969T�i Utility Easerhent 1 Tree OVED
Pool deck = 669 sq ft `\ `\ 1� `� �i-Ed9e p APPROVED WITH REVISIONS Surveyor under the laws of the State of Minnesota
Pavers = 93 sq ft \\\ 968.7 �i' \ D��p OVED Surveyed this 9th day of June 2016.
Total= 4099 sq ft `\\ �0 96 .9 ice\ BY
Lot area = 7,462 sq ft \\ \� `.1 `
2 r
\ `
Percentage = 54.9 % r \ DATE Signed
966 5 \ g
IQ A2
Gregory asc ,Minn.Reg.No.24992
Lot 1, Block 7,NORTHGATE TWO & Part of Outlot C Northgate Two Rev Drawn By 578
Hennepin County, Minnesota.
File Name
NGT-1-7i nv85216sitepla n.dwg
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