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Home My WebLink About2015-00701 - kitchen remodel CITY OF ORONO * 201S - 00701 * 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 2535 OLD BEACH RD PIN 21-117-23-22-0019 LEGAL DESC THE MARSH AT LAFAYETTE LOT 006 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 42,500.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 636.87 STATE SURCHARGE(VALUATION) 21.25 SAWHORSE INC. TOTAL 658.12 4740 42ND AVE N. Payment(s) ROBBINSDALE,MN 55422 CHECK 111016 658.12 (763)533-0352 Minnesota State License#: BUIL-2382 OWNER CODUTE,TOM&ALICIA 2535 OLD BEACH 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. pplicant Perrni Signature Date Issued By ignature Date City of Orono �_6- �8. / Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-006 �j�l� Date received: X13 Street Address: Received by: yF G� 2750 Kelley Parkway a=t5—OD-761 Plan review fee: �� 7 Orono, MN 55356 !"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 subm' ed. Incomplete applications will be returned. (Please print) . GENERAL INFORMATION: Job Site Address: 2 5-3 5 O Lp j`3 rC-u OilO Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes RNo If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 5A(- K44M5¢ Ar 11J Of L-PE4LS State License# (3c. O Z3 v�2 Expiration Date: Lead Certification Number: "A-r -,y,¢v�c� Z Expiration Date: 3 ZZp (for work on homes that were constructed prior to 1978 Phone: (cell) 4o ( -2-- 32 Y- --_ 30) 7 (office)743 - 5-3 3 —b Z- Mailing Address: 47A-d 4 e Aio ZIP: 55-42--2- Contact ,-42.ZContact Person: jp_2ep11,ort4 S7r-NZn Applicant is: n ractor / Homeowner (Circle One) Email and/or Fax: EAt -- 763 --533 5-7/a PROPERTY OWNER INFORMATION: Name: q A Lica A- C,:�>Du ►'C Phone (day): �- It j 1, -- 7,5---9 Address: 2535- b(_d R gf}e4- 1 RZ)Aj,_Q City:&),Iy 2A71lt- ZIP: r 5.3 of 1 Email and/or Fax: PROJECT INFORMATION: Overall project description: /G�TGf-f ' Q- CODE C-- Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCW.D) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ S� CL--- APPLICANT 0APPLICANT 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 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. Applicant's Signature: SQL-. Ul US& Date: Owner's Signature: Date: Last Updated:January 2015 PLAN REVIEW CHECKLIST FOR NEW /STRUCTURES / ADDITIONS Address: Z� 3 5 I� �d C7 P CcC Permit No.: Description of work: 2!j�:_e2 C� l Date Recd: 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: SF/AC Width: Lot Coverage: SF % Survey Submitted: O�Yes 0 No Date of Survey: Revised date(?): Proposed Setbacks: \ Front(Lake) Rear�treet) ( N S E W ) ( N S E W ) O h-e?Buildings Wetland Side Side Defined Height: �ak Height: FFE: FF minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR C WL SPACE: FO BUILDING ON A SLAB FOUNDATION: The distancersement een the lowest proposed The distance between the top of START WITH floor(of the b or crawl space)and STARTWITH slab and the highest point of the the highest pf the roof. roof. If you If you have a... have a... . GABLE OR HIPPED ROOF • GABLE O HIPPED ROOF(no (no windows): Subtract half windows): ubtract half the dista ce the distance between the between the ighest point of th roof highest point of the roof to to the low poi t of the corres riding the low point of the SUBTRACTION gable or hipp roof corresponding gable or (BASED ON . GABLE OR HIP ED RO (with SUBTRACTION hipped roof ROOF TYPE) windows): Subtr ct hal a distance (BASED ON • GABLE OR HIPPED ROOF between the top the ighest ROOF TYPE) (with windows): Subtract window and the hi st point of the half the distance between roof the top of the highest • ALL OTHER R F ES(flat, window and the highest point of the roof mansard,etc): o su Taction. . ALL OTHER ROOF TYPES SUBTRACTION Subtract the distan betwee the (flat,mansard,etc):No (BASED ON basement/crawl s ce floor a d the subtraction. EXISTING highest existing ade adjacen to the ADDITION Add the distance between the top GRADES) foundation OR 0 feet(whichev r is less). (BASED ON of slab and the highest existing EQUALS Defined buil ng height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes 0 No Pett Number: 0 Yes 0 No 0 N/A 0 Yes 0 No 0 N/A—see attached Setback: Stormwater Quality Existin Hardcover Proposed Overlay District (off and s17 Hardcover Variance Required CUP Required Tier circle one %and s 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Typ s): Type(s): Updated: January 2015 c:\users\rpeitso\documents\plan review checklist 2015.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units �^ Other(specify) Square Footage $per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/Filling 0 Well 0 Silt Fence/Erosion Control Mechanical 0 Fire 0 Electrical 0 Hardcover Removal 0 eptic 0 Water Connection 0 Footing 0 Fireplace 0 Sewer Connection 0 Poured Wall 0 Masonry 0 Lawn Irrigation 0 Foundation Survey 0 Mfg. 0 Landscaping 0 Foundation Waterproofing 0 Other(specify) 0 adon Rock Bed Framing 0 sulation 0, -Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 c:\users\rpeitso\documents\plan review checklist 2015.docx ✓I l.. DATE \4M E CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 7 (70 C COMPLETED /Y-�� ADDRESS �_ .� ( � 1 CA P3z> t- r e—, /�- I OWNER TELEP NE NO.'A3 533 -C'i5 CONTRACTOR If() K DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ 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 RAMING ❑ MECHANICAL FINAL ❑ PROGRESS INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL OWNEWCONTRACTOR TO MEET YOU: YES_NO - COMME W a O �✓tc Hn�.z� -Yy✓ �.� - rc.....e�� - bl� cc _Zh.54/- e,<t 4S O W cc 6K �Oyc✓ 2 W W LU �MORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W [ICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site: f frK G Inspector. ! - White Copynnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO C ED IN INSPECTION T E SCHEDULED PERMIT NO. � � CSC)90( COMPLETED ADDRESS 2 j 1`7 0 (d W-c� OWNER TELEPHONE NO.� CONTRACTOR ��S,L-- DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ 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 v &�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ElDEMO-SITE ❑ SEPTIC INSTALL Z �OWNERICONTRACTOR TO MEET YO r YES_NO COMMENTS: `e��• Fi•14L L D-oZ -�.5 W CL O t�G�l L h �tw�ly,►l� Cr W CC Q W Z W CCj d W ❑WORK SATISFACTORY.PROCEED 121 f T COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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/Contractor on site: Inspector. �- White Copy/Inspector's File Canary Copy/Site Notice