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Home My WebLink About2012-00525 - kitchen remodel CITY OF ORONO * Z 0 1 Z - 0 0 5 2 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 880 PARTENWOOD RD PIN : OS-117-23-43-0001 LEGAL DESC : PARTENWOOD : LOT 006 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 50,000.00 NOTE: SENERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) KITCHEN REMODEL ADV. PLAN REVIEW PAID ON PERMIT#2012-00524 IN THE AMOUNT OF$443.14 APPLICANT PERMIT FEE SCHEDULE 681.75 PARTNERS 4 DESIGN STATE SURCHARGE(VALUATION) 25.00 275 MARKET STREET#]09 TOTAL 706J5 MINNEAPOLIS, MN 55402- (612)927-4444 Minnesota State License#: BC637776 OWNER GRAY,JERRY&CYNTHIA 880 PARTENWOOD RD 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 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 id if construction authorized is not commenced within 180 da�the date of issuance,or ifconstruction is suspended for a period 1 O�days at any time after work has commenced. The applicant is respo �bl�f r assuring all required inspections aze requested in c orm e Hi�h the State Building Code.This permit may be /��> r e t a ime due ause. � � �-Q i Z� i � .� `� ` � <<�,-y-�c <c=�� "� -� �,, 1� ppli nt Permitee Sig t re Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono � �J�" � � Building Permit Application for Maintenance / R novation (windows, do�rs, siding, re-roof, etc.) Mailing Address: Permit number: �O/a —�aS2� /g,�,� PO Box 66 Q , Q ��,J Crystal Bay, MN 55323-0066 Date received: (O'� �— a :� \'' �,� � Received by: S a � ✓��j� s, Sfreet Address: �'.�, ��p��ti�' \ 2750 Kelley Parkway Plan review fee: ��3 ' � l� �` � g �,\�� Orono, MN 55356 kESHO o,7D/� � DOSZ. -- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 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-�QQ� �.� . �QB�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No lf yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/ PLICANT INFORMATION: Name: �jZT1.�E(�'S �{' �'IE'JI►� State License# (,�� Expiration Date: • � . Lead Certification Number: .. '� � Expiration Date: '�. �5 . � � (for work on homes that were constructed prior to 1978 Phone: � 'L• q�.Pl• S�Oq2 (office) q�j'Z• q't� • -��{''�' (ce��) Mailing Address: '�� ,Q,.�GL s . City: P(j� ZIP: Contact Person: �� y p Applicant is: Contrac / Homeowner (Circle One) Email and/or Fax: � �¢ ��,, 'p�S 1(�f�,� . O 1�•� PROPERTY OWNER INFORMAT N: Name: �jG 6"�L4 Phone(day): („Q�Z, • („�1 • (,P � O Address: �� .O.Q. �..1�jp� �L D C�tY��Gd 1�.�O ZIP:ss'3 5�O Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0682 !'�� ❑Window(s) Overall Project Description: �L � �M L, : �' 4• L,Q(�I.!'�E„� Estimated Construction Valuation of Project(excluding land) $ C_��.�� 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 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 w�iich generally cannot be given to the public but can be given to the subject of the data. Confidential data is information whi�h;generally cannot be :given to either the public or the subject of the data. Our purpose and intended use of this i orrr�atio ' is to annually updat$ our records and records of other govemmental agencies re uired b law. If ou r fu s I in rmation,the a licati n ma not be issued. Applicant's Signature: :r' Date: Last Updated: 0&09-2011 � Plan Review Checklist for New Structures / Additions Address/PID/Legal: �� P A�R'��,o c�� (��,rJ Description of work: 1� � r c.L��.�..� ( l.�.-�'/�►�.o�D�"Z Septic review by: rJ,f A Date Approved: Zoning review by: !"�/} Date Approved: Building review by; ,t�,c,,,—_ Date Approved: b -t 9� - 2o i'L Grading review by: i^r�/� Date Approved: Zoning File#: Resolution#: Resolution Date: onin District Fire De artment Post Office School District Zoning: t Area: SF/AC Width: ` ' Depth: Survey Submitted: � Yes 0 No Date of Survey: Pro osed Setbacks: Front{Lake) Rear reet� ( N S E W ) ( N S E ) Other Buildings Wetland � Side Si Building Defined Height: Building Peak He' ht: #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPA . FOR A BUILDING ON A SLAB FOUNQATION: START WITH #he distance between the basemerrt fl d craw START the distance between the slab andthe highest space floor and the highest roof peak,th to of WITH roof peak,#he top of the comice of a flatroof, the comice of a flat roof,the deck(ine of a the deck line of a mansard roof,or#he mansard roof,orthe uppermost point on ro d uppermost point on a round or other arch-type or other arch- e roof roof SUBTRACT half the distance beiween the highe window and SUBTRACT half tMe distance between#he highest window hi hest roof eak of a itched roof antl hi hestroof eak of a itched roof SUBTRAGT the distance between the basem nt floor/crawl ADD the.distance between the slab and the highest space floor and the highest exi ing grade within existin rade within the foundation the foundation or 1'O feet,<wh� hever is less. EQ LS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Sfioreland District CWD Permit Received Avera e Lakes re Setback `Bluff Yes � No � N/A � Yes � No 0 Yes � No ' � Yes 0 No N/A Permit Number: Setback: Hardcover Zones Existin Pro o5ed Variance Re uired CUP Re uired 0-75' ;� Yes '� No Yes � No 75-250' TYPe�s)� TYPef s)� 250-5 0' 500 000' REMARKS ' -house): /l�d C/'�'�'�'� Updated: 09/11/2009 z:\fortnslplan review checklist.doac Fees to be Char ed YES 'NO �� 3a , _, . �� ,-� �� w�:r.�i,�G��.�+ sa��^,ry ,°�.��b ri'.Y't� _.K ':a��Sl,. ,,a� . , fi� Pian Review _ _ .,,�,,.� � .. : , .� _ _ �0 ��. Investigation Fee ... . _ _„ ._ _ . . �y;;: . . , . -,,,,.., . _ , __ , „ . . . . �.;� . ... � :., , . :._ ., a.. :. ..: �x.. . Sewer Connection _. .. Park Fee � � ., . . , . O#her(specify) . Calculated By: _ _ . . .. , S uare Foata e $ er S uare Foota e Basement X = $ 1�Fioor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: � .ST�_c�DU"'= Orono`Inspections Required Work Requiring Separate Permits Required State Permits � Site �lumbing � Grading/Filling � Well � Hardcover Removal �Mechanical � Fire �Pd''Electrical � Foating 0 Septic � Water Connection 0 Poured Wall G Fireplace � Sewer Connection � Faundation Survey � Masonry � Lawn Irrigation G Radon Rock Bed � Mfg. ,0'Framing � Other(specify) �Ylnsulation � As-Built Survey �Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: G YES � NO New: 0 YES � NO REMARKS(TO BE NOTED ON PERMIT AND lNITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\formslplan review checklist.doac �� =y�� DATE TIME V CITY OF OKVIVV CALLED IN INSPECTION N TICE SCHEDULED � PERMIT NO. -� C PLEfE ADDRESS OWNER L ONE�NO � -� ` CONTRACTOR � � DESCRIPTION G�','� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W C � J O � � O � W � Q � Z W � W � � O � /�Q,RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnedContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Nofice � G�/' � /DAT /� TIME �/ CITY OF OR � CALLED IN INSPECTION NOTICE ,�CHEDULED � PERMIT NO. 6 -�J��coM ED ADDRESS � OWNER TE�PH��NO. � Z� CONTRACTOR • • G�� DESCRIPTION — � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � O W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IPtSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor or�site: Inspector. l�(„_ White Copyllnspector's File Canary Copy/Site Notice