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Home My WebLink About2015-01335 - kitchen remodel � CITY OF ORONO * 2 0 1 5 - 0 1 3 3 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 1]/02/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 577 PARK LA PIN : 06-117-23-41-0046 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 012 BLOCK 006 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 24,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICL(STATE) KITHEN REMODEL APPLICANT PERMIT FEE SCHEDULE 418.22 PLAN REVIEW 271.84 FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 12.00 1380 DUCKWOOD DRIVE EAGAN,MN 55123- TOTAL 702.06 (612)710-0391 Payment(s) Minnesota State License#:BUIL-20460771 CHECK 4880 702.06 OWNER TEELE&AMY SULLIVAN-TEELE,BRENT 577 PARK LA 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 dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this rype 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 pennit may be revoked at any time for due cause �� o t� � l� � Il � �-�� Applicant Permitee Si re ate Issued By �gnature Date City of Orono ' Bui�ding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O Mailing Address: ^ -> PO Box 66 Permit number. S '- .� � �� Crystal Bay, MN 55323 Date received: ��l� � lS 1 � Street Address: ��'� Received by: � � �� ti�, Gtifi 2750 Kelley Parkway 10 ' Plan reviewfee: --C' b��e--F aF t,� �, Orono, MN 55356 � � u 4 KESHO , Total Fee: L �70 � �/� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / �y This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: _ �, Job Site Address: - ' �`a r L �.,_,��,e,;� Will this be a Parade of Homes, emodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus s ice will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 1��,�( n � ,�.,,.. � State License# �'� ��- (op-�� Expiration Date: '3 l yGi � Lead Certification Number: „��.. - cz�� Expiration Date: �,� yL�2Q�� (for work on homes that were constructed prior to 1978 Phone: (cell) ��_-� �i� � _ _--73 (office) fos� -� 2-z-c.p- - b a Mailing Address: � }�c.�l �b� (.�j v City:�-� y,��s ,E ZIP: � Contact Person: �"t,.� Fa r s�f„y Applicant is: on rac or / Homeowner �ci►cie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: _ !�nc�.,� ��-�-- Phone(day): ��1'Z- 2�p— ,�3�-�. aaaress: � S�-�� pG.,- f� ��.�.� c�ty: G ra,�6 ziP: ��Sb Email and/or Fax: PROJECT INFORMATION: Overall pro'ect descri tion: ��' i2-�-�-a��'%,� Type of Project: Any earth movement may also require ❑ Door(s) �emodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar 15320 Min�etonka Blvd ❑ 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.orq Estimated Construction Valuation of Project(excluding land) $ � , 6� �L 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 so�ely 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 ou refuse to su I the inform tion,the a 'cati R ma not be issued. Applicant's Signature: � � -��- --�-� � ��' ��° ` Date: � ��<�''� � �� o� F,: Owner's Signature: Date: Last Updated:January 2015 , . . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS � � �� Address: _ -' � � d` �/^cp��' Permit No. ��1" GU��S LI Description of work: Date Rec'd: Septic review by: C'!� � � Date Approved: Zoning review by: .�- Date Approved: Y Building review by: Date Approved: �� Grading review by: ;'�r, � Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes � � No Date of Survey: Revised date(?1: Proposed Setbacks: "k Front(Lake) Rear(Street) ` � N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Hei ht: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50° = L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPA E: FOR A BUILDING ON A SLAB FOUNDATION: The distance between th lowest proposed- The distance between the top of START WITH floor(of the basement or awl space)a START WITH slab and the highest point of the the highest point of the roo roof. If you have a... If you have a... • GABLE OR HIPPED R F no • GABLE OR HIPPED ROOF (no windows): Subtract hatf windows): Subtract half t distance the distance between the between the highest poi f the roof highest point of the roof to to the low point of the rre ponding the low point of the SUBTRACTION gable or hipped roof corresponding gable or (BASED ON . GABLE OR HIPP ROOF( ith SUBTRACTION hipped roof ROOF TYPE) windows): Subtr ct half the di ance (BASED ON • GABLE OR HIPPED ROOF between the to of the highest ROOF TYPE) (with windows): Subtract window and t highest point of e ' half the distance between roof the top of the highest ALL OTH ROOF TYPES(flat, window and the highest • mansard etc):No subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the istance between the (flat,mansard,etc):No (BASED ON basemenU awl space floor and the subtraction. EXISTING highest e ' ting grade adjacent to the ADDITION Add the distance between the top GRADES) foundati OR 10 feet(whichever is less). (BASED ON of slab and the highest existing EQUALS Define building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height � Shoreland District MCWD Permit Av age Lakeshore Setback Bluff � Met? � Yes � No Permit Number: � Ye5 � No O N/A O Yes O No � N/A—see attached Setback: Stormwater Duality Proposed Overla District isting Hardcover y (%and sfl Hardcover Variance Required CUP Required Tier circle one %and s � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx REMARKS (in-house): Fees to be Char ed YES NO Permit '/ Plan Review �� State Surcharge Investigation Fee � SAC-Number of SAC Units '� Other(specify) j,� S uare Foota e $ per Square Foota e Basement X - $ 15`Floor X - $ 2nd FIOo� X - $ Garage X - $ � �,/. ,�l ^� Estimated Construction Value: �`� v�JV Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing 0 Grading/ Filling � Well 0 Silt Fence/ Erosion Control Mechanical � Fire �Electrical � Hardcover Removal � Septic 0 Water Connection � Footing 0 Fireplace 0 Sewer Connection ❑ Poured Wall ❑ Masonry � Lawn Irrigation 0 Foundation Survey � Mfg. � Landscaping ❑ Foundation Waterproofing 0 Other(specify) � Radon Rock Bed Framing � Insulation � As-Built Survey Final � ther(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx -5 �� DATE E CITY OF ORONO CALLED IN � ` - INSPECTION I CHEDULED � � � -1� PERMIT NO. d� OMPLEfED ADDRESS OWNER TEJ�P NE NO. �Z^ gl • �J � CONTRACTOR �- , � DESCRIPTION t~i� ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING R ❑ EXCAV/GRADING/FILLING O ❑ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYVNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O �. o� O � W � Q � 2 � W � J O W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY w 0 ❑CO RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou n 249-46�� OwneHContractor on site: Inspector: White Copyllnspector's File Canary CopylSMe Notke � ��`�J �=-�..c= .� . DATE TIME �� CITY OF ORONO CALLEO IN INSPECTIONN OTICE i� SCHEDULED iT I l l � �� PERMIT NO.(� ` � �`�" � T�� L � �.)� COMPLETED ADDRESS � �7 —7 � �7 � L�_ L � OWNER TELEPHONE NO.�-s i� �� I I.�� { �l 3 J CONTRACTOR ;%� e✓� �•��e ''"'f � DESCRIPTION � t L�� I 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 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ��IC INSTALL J 2 OWNER/CONTRACTOR TO�ET YOU: YES_NO v�i COMMENTS:` �'J c; � - LtCl` ('� W� � ' � f ��J �� -- ,t0. 5 �� _ . � � � - � � �/cc. F,�lfL- � � � ✓� � ''' S/n0��- d�,a�• , Co. ��L�. '- �j� W � Q � 2 0� �/ �l/6!/�� 07'Yl,[/��it� � Q�i/��,5 � �� .� �.za�� ❑WORK SATISFACTORY:PROCEED (��rTi6d6CZ.GOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner or on site: ��"" Inspector: ite CopyAnspector's File Cenary CopylSfte Notice