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Home My WebLink About2014-01485 - kitchen/dining room remodel . CITY OF ORONO * 2 0 1 4 - 0 1 4 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 2720 PHEASANT RD PIN : 21-117-23-23-0052 LEGAL DESC : YALE SMILEY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) KITCHEN/DINING ROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 466.75 RIDGE, MARK STATE SURCHARGE(VALUATION) 15.00 2720 PHEASANT RD TOTAL 481.75 EXCELSIOR,MN 55331- Payment(s) CHECK 7455 481.75 OWNER RIDGE,MARK 2720 PHEASANT RD EXCELSIOR,MN 55331- 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 goveming 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance w� the State Building Code.This permit may be revoked at t' e for d c use. l; � �� 3� -�`� ,�D �� , Ap ica ermitee ignature Date Issued y Signature Date � � � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: —�� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �Z "3� � � � � Street Address: Received by: ti G� 2750 Kelley Parkway Plan review fee: � � �. Orono, MN 55356 �kfShtO'� �l• �� 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 submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: j Job Site Address: �� 5 Gt.✓� c'1� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No /f yes,a special event permit is required with Polrce Department and City Counci/approva/60 days prior to the event. Shuttle bus service wi/!be required unless applicant demonstrates suffrcient on-site parking is available. Non-permitted events will not be albwed. CONTRACTOR/APPLICANT INFORMATION: � Name: •� J�C�/�C, � , Q, State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed piior to 1978 Phone: (cell) (9� Z- �j — �j- �....(,� (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��-�� G� f,� �f�.�.� • �,�v� PROPERTY OWNER INFORMATION: � Name: 1�1c�.�,1•�� cJ�4,� Phone(day): (Q�'L,- "' � Address: a"�� ' ' �..t City: (�,�-V� ZIP: �3�j� Email and/or Fax: �,r� � � Q �y �f�� ,n� PROJECT INFORMATION: Overall pro ect descri tion: � C, +n ��^`�^ �,� w�:c�� Type of Project: Any eart ovement may also require ❑ Door(s) �Remodel ❑Fire Damage MCWD review&permits: ❑ Re-roof,asphalt �Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar j�Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window{s) www.minnehahacreek.orq Estimated Construction Vatuation of Project(excluding land) $ �(7� U� 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 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 i f r ation, the ica ion ma not be issued. AppticanYs Signature: ?� Date: /� � �U ' / `� Owner's Signature: ��- ^ Date: l � r .3� � (`r Last Updated:03/06/2013 i._. _ _ _ . _ - _ . ____—.-- . . . --— — . . ; . . ... . .... . . . . _.. i �� . p�,a.� �- .. . . . . . . r� ....�..�.��.r.�� , � � � SPE�!/�L 1�10 i E ' �^• ,�•� � 9 � SEE ATTAC3-��D .�.�r� T , FOR G��'�rYNo��e��cr�' - -v__ __ __._�.. ____._. __._ .._ _ _ �. � F^" �' , � � '� L,_ _ � ; co�� , . . . _ �i �...�...�� '� , - � � � -�- � ' ' _�- i � � , r � i � � � �� i t� �. �' ��s��r�� I� �� ' �I ,,.; i � I � I ! � I ; . _.. I i I : _ � ��A�, , � � • �� . , . _ .. ,,.�,. I , - _ . . ... i � � • I � 7�1' t?� � "�``��*�` �"� ,�„� I i � I� I � � �'Note: This.drawing is an artistic Designed: l 1/25/2014 �� _ _ , � y � - interpretat�on of the general Printed: 1 1/25/20l 4 I I — _ _ . _ _ _ _ _ - �. "--" � i appearance of the design. It is i I �� f�� E i�not meant to be an exact rendition. ' I - _ � �� PLAN CHECKED 6 (�ATE t Z-,�o- Z�� ' , I �9160717f.kit .--- - .._-- . -.A11 Drawing#;i � _ -- __ _ --- ' PLAN REVIEW CHECFCLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 2r1 Z� P�� L''�� +'9"� Description of work: ��`'� ��— Septic review by: N 1✓�' Date Approved: Zoning review by: N� � Date Approved: I Building review by: Date Approved: l'Z-3rJ - 2��`{ Grading review by: �t11A Date Approved: Zoning District: Zoning File#: Reso#: Reso Date:� r Z ing: Lot Area: SF/AC Width: Lot Coverage: SF�% Surv Submitted: 0 Yes � No Date of Survey: Revised dat�?): Pro ose Setbacks: Front(La ) Rear(Street) l N S E W ) ( N S E W ) Other B, Idings Wettand Side Side �` Defined Height: Peak Height: FFE: FFE min�6 feet= (Existing Contour) � Perimeter(linear feet) = 50% _ #of Stori Ok? � YES FOR A BUILDING WITH A BASEMEN OR CRAWL SPACE: `� The dis nce between the lowest FOR UILDING ON A SLAB FOUNDATION: START WITH propose oor(of the basement or crawl space)and e highest point of the roof. START WITH The distance between the top of slab and If you have a... •. the highest point of the roof. If you have a... • GABLE OR PED ROOF(no . GABLE OR HIPPED ROOF(no windows): Sub ct half the windows): Subtract half the distance distance between e highest point between the highest point of the roof of the roof to the low oint of the to the low point of the corresponding SUBTRACTION corresponding gable o ipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROO (wit (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtrect half the distance distance between the top o e between the top of the highest highest window and the ghest window and the highest point of the point of the roof roof • ALL OTHER RO TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc) o subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the dis nce between the (BASED ON and the highest existing grade adjacent to + (BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation. ` GRADES) highest ez ing grade adjacent to the GRADES foundat' OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Def ed building height Shoreland Distri MCWD Permit Received Avera e Lakesh e Setback Met? Bluff 0 Yes 0 No � N/A � Yes 0 No 0 Yes No � Yes 0 No �`'�� N/A Permit Number: Setback: � Stormwater Quality Existing Proposed Variance Required C Required Overla Dis rict Tier Hardcover Hardcover 0 Yes ❑ No � es 0 No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx ° ,� REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review :� State Surcharge v�``�� Investigation Fee i SAC—Number of SAC Units Other(specify) S uare Foota e $per S uare Foota e Basement X = $ 15i Floor X = $ 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ 3G _oe � �� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/ Filling � Well � Hardcover Removal � Mechanical � Fire �Electrical 0 Footing � Septic � Water Connection � Poured Wall � Fireplace ❑ Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed � Mfg. � Framing � Other(specify) �� Insulation � s-Built Survey Final 0 Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES � NO New: � YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx �✓ `v DATE TIME� CITY OF ORONO CALLED IN �� INSPECTIO TI r 6��5. SCHEDULED `� �" �J PERMIT NO COMPLETED ADDRESS Z✓I Z� �-I c�c,SC�c.��_��Q OWNER �� -��- TELEPHONE NO.Ip�L �`� ��'�'� CONTRACTOR �� DESCRIPTION 1-�r�! �Ct�� ly ❑ 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 _ ❑�ING ❑ MECHANICAL FINAL ❑ PROGRESS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/RE VAL Q OWNERiCONTRACTOR TO MEET YOU:_YES_N c�.� COMMENTS: �� W a � J O �. � O `/ W � Q � Z W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. 952 249-46�0 OwnerlCor�tractor on site: Inspector: White Copyllnspector's File Canary CopylSite Notice % �O � � ��DA� TIME f � <� A � CITY OF ORONO C LLED IN � � INSPECTION NOTIC SCHEDULED PERMIT NO. � � COMPLETED ADDRESS ��a n ,1-��0 (��f� T� � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ��=� `� �`1 C{�� I lL ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �FIlVAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET • YES_NO � COMMENTS:��do112t" 1 S (��"�3'Y�f�C�fiDl2. a ��eG• �l N 4� - �f` $ - /-�t-�- o �/� P�rO�r�� S� d• / r� �c G� bccQ•�c��,s �— '' O�s�P� ,��,�5. + G -D. �aE�� ° w`f�•.�;� �d -� �rwts W � Q z �h�st l - w��ll r��l�� het 5[ � / n Se QG�i�a•�•• � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �L69RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �p�SPECTION REOUIRED.CALL TO ARRANGE ACCESS. ✓ ' Cail for the next inspection 2a hours in advance. (g52) 249-4600 w r Vactor on site: /�G✓�. Inspector. � � ^-� 7'� White Copyllnspector's File Canary CopylSite Notice