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Home My WebLink About2018-00220 - kitchen & living room remodel CITY OF ORONO I*10 I �I 0 I I I1* 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2018 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 730 GANDER RD PIN : 04-117-23-43-0021 LEGAL DESC : FOXWOOD 2ND ADDN : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 10,300.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN AND LIVING ROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 216.81 STATE SURCHARGE(VALUATION) 5.15 ENVISION CONSTRUCTION REMODELING TOTAL 221.96 25 4TH AVE NE Payment(s) O MN 55369- CREDIT CARD 8530 221.96 (612)12)28 281-5183 Minnesota State License#: BUIL-BC703348 OWNER ROOT,ANDREW&AMANDA 730 GANDER 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 _.. . is permit may be revoked at .. ime for due cause / -•�,� % 3 /: - //0' scant Permitee Signature Date Issued :y Signature Date CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �0l V Mailing Address: Permit number: lc•a)aaa PO Box 66 car Crystal Bay, MN 55323-0066\ Date received: o�`off �� /� Street Address:' CQ I�i � Received by: y l•� L` 2750 Kelley Parkway �! Plan review fee: j )4o ,93 lgkfSHoo- Orono, MN 55356 QC� - Main: 952-249-4600 vOGi$- 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. 1 94 Incomplete applications will be returned. (Please print) eR GENERAL INFORMATION: Job Site Address: ?39r'r4'VP ,Poo Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: E VV/f/OA/ i7' ' bfewge.... ,/ AN/ t44-D f/riC State License# 7 0 3, 4 S' Expiration Date: 3 -7/ - /6- Phone: (cell) b/;)-. - .2Z)—5 /g 3 (office) Mailing Address: 9,5 't tN A-v -. (V a, City: (Po A1p/ ZIP: 4130 5-C?6 j Contact Person: vr - /LAY M PAN Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: //./O-fi /2 4/ 0 1; 77f / G/VO/' 6457 Phone(day): ( ? - , -- ,.7 ,2 Address: -7 3,0 64.A/P 2 ' I City: a?t/NJ ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal& Water Supply ❑ New Construction ®Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage CI ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation �f,�ioQt,G/�6 detached garage ) Residence ❑ Private Sewer ❑Other: (specify) ❑ Multiple Family/Condo 0 Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 0 Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation(excluding land) $ a� .i&P Last Updated: January 2016 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: b.Width(ft.)= Number of garage stalls: 3. Occupant Load: Areas in square feet Attached= c. Basement= Detached= 4. Type of Construction: I d. 1st Story = e.2nd Story= 5. Code Edition: 0-0(c— mac., ac., f. ''A Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ 0 Building Permit Escrow Agreement and Fees O 0 Plan Review Fee O 0 Completed Application Form O 0 Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set O 0 Minnesota State Energy Code Calculations and Mechanical Code Requirements O 0 Survey—2 full size,to scale(meeting ALL survey requirements) ❑ 0 Hardcover Calculations O 0 Septic System Certification O 0 Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ 0 Landscape Walls and/or Retaining Wall Plans O 0 Stormwater Pollution Prevention Plan(SWPPP) ❑ 0 Access Permit ❑ 0 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: Owner's Signature: Date: Last Updated: January 2016 Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes 0 No 0 N/A ❑ Yes 0 ❑ Yes 0 N No 0 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 CharUed YES !tip Plan Review V Investigation Fee IZ' .bo o,SAC '• t '4' 1 k Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ / O v Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site Plumbing 0 Grading/Filling ❑ Poured Wall 0 Silt Fence/Erosion Control 24Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation 0 Mfg. ❑ Landscaping ❑ As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits ❑ Other(specify) 0 Well 1:1, Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 r\fnrmc\nlnn rnuioni rhocklici IO_9f11F rinry PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 7,�6 C�cr --2!/' ,f 'd Permit No.:zo(gj zoo '-6 Description of work: 4/WILK -!-„rw - Lo RQ. (ko dd f Date Rec'd: z/ ...-��g Septic review by: Date Approved: Zoning review by: � Date Approved: Building review by: C --/f71 X41/4)- Date Approved: ,7/Z/ /8 Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: S .I AC Width: Lot Coverage: SF cyo Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 es 0 No Landscaper: Proposed Setbacks: Front (Lake) Rear(Street) ( N S E W ) N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50'0= L.F. below grade Basement? 0 Yes 0 No, St• ies FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the•:sement or crawl space)and measure from highest existing the highest .oint of the roof. START WITH grade to the highest point of the roof even if fill was brought in to elevate home. If you h. a... SUBTRACTION • eA E OR HIPPED ROOF(no Slab below grade—measure (BASED ON 'ndOws): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof highest point of the roof. to the ow point of the corresponding If you have a... gable r hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • GABL OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the highest point of the roof to between the top of the highest window and the highest point of the the low pointof roof corresponding gable or the hipped roof • ALL OT R ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the dis nce between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing rade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined buildin height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx 1..y --4... \) 0 = 141t... -4Cilbs-, >rnit* CAM CA v C.2 '---)--1/4" 1 ..-• .,, - C=0 = . --N ) . . C= i If. g E) , 2 4 & 6• 0 .1 * CM= E0 re 1:1- C) cis .3 \,s x0 1 il (0•04°**"`" rIA4 *IcZ .,..- ‘k Ng 0 i k , I I, .4041 4 r A f / •,....,...„,..=. Q IN:.-11 /7 P A/ ......., .....- ---.-.....t, izaam, ) „ , .2 , ........ ki 1 - \ lite , 1 - _....................._______ .15/ -'-' r )q i -21 l' it 4. .,- 1/4) 6 ,',V .• !.,,- ,, ;-kl- .• ,i x .. .� .S - „, ,' 4* iti"' ° .1,419 . • s---N- -s OC : . 12(440 eP ,k.:::::z dm , ri, -4 ,. , . . • . , .______„_....,_ i , . `... , ,,,,. 90,,,./ 1 1 <,T ,.:..,.. !„...:„....\,s,„ .,s, \..... Nyr,�x. I I ; • -1.:\ I,. ., „N : • •' � \,. y o s '2 v�' � ' S -4-- 4- -7e-- ,,-- -L.\). \\I -.....e.) %,;........ 7 • 1 ____i___ s---Z) -. .i_ �.4 _ wF ic /✓ '? 11(. e'6°-- I DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ?--/P'l($ (:: '•an PERMIT NO.c2C1F-002R0 COMPLET ADDRESS 73o OWNER �� TELEPHONE N a; -9 /- / i' CONTRACTOR .;71)f S I Cr--) ._...� i dc 32 DESCRIPTION /- ��/, Lir ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q)ZFRAMING 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 v ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO _ y COMMENTS: 1.-/ 4.- / -11411e 6)--at, 2 i$I icti 0 prOvi O e1 del( al,. AZ r ,Fits® .mss Pee)VI 0 e Q i(b1 e L /sem 11 //r i o �I ieh e 01a- bear ell 4Jeasl(// Atioin4- 6E - cc 14. c ,a®st6,n. For 'Id n eri.) Li* W cc Q 4rre r 4 cs ll rew tre...44/0U i. w cr W 0 WORK SATISFACTORY PROCEED ❑PROJECT COMPLETE CtW 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 7BB�CT WORK,CALL FOR REINSPECTION BEFO E COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI 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: / rn -A( White Copyllnspector's File Canary Copy/Site Notice e 6.- / YDATE TIME V CITY OF ORONO CALLED IN �q— INSPECTION MOPE SCHEDULED 3/9-lor PERMIT NO.,-.14,,/,5 00 2, 0 Co PLETED Rk ADDRESS 730 OWNERTELEPHONE NO. /�� 31 S CONTRACTOR £4 V I 51 Ort_ �4-rry DESCRIPTION creL4141 Ii. ❑ FOOTING 0 DEMO-FINAL V 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION Q . RAMING ❑ MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP LIJ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: E/e-C • P-7-. 3•f 5-/J ccW Q. CC 0 Reu dl 6th - it - riO ��A4n t i& Glt‘�t y Gs o sear 'ii( e/* i p ly, fr►seer�6�s '-M,I Q ' OK 95 ca t...,m✓ X44020 o i W CC IQ actoRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN 0 El 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. 9 �,wtii_____ to Copyllnspector's File Canary Copy/Slte Notice