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Home My WebLink About2014-00079 - addn/remodel/repair i CITY OF ORONO * 2014 - 00079 * 2750 KELLEY PARKWAY DATE ISSUED: 02/11/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION : $ 83,400.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) INTERIOR REMODEL APPLICANT PERMIT FEE SCHEDULE 936.75 PLAN REVIEW 608.89 KRAUS ANDERSON CONSTRUCTION CO STATE SURCHARGE(VALUATION) 41.70 525 S. EIGHTH STREET MINNEAPOLIS,MN 55404- TOTAL 1,587.34 (612)332-7281 Payment(s) CHECK 672609 1,587.34 OWNER KA Reality 4210 W. SHAKOPEE RD BLOOMINGTON, MN 55437- 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 o 80 days at any time after work has commenced. The applicant is re :ensible or assuring II required inspections are request-: co '•rmance wit the Sta :uilding Code.This permit may be revok-c . an time for..e-a:u,-. assi' �� ,22/ 41/(--A-- --- c,2-r 1 1/ 1 1 /' �ps' ;nt Pe 1177"---i-nature Date issue4Cy Signature Date i City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) W Mailing Address: Permit number:PO Box 66 `�—/itCrystal Bay, MN 55323-0060 Date received:Street Address: Received by. 2750 Kelley Parkway �� Plan review fe Orono, MN 55356 n . • kfsH0V. Y ,/ Total Fee: L Q "' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us v 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: 075 WR'/Z'kTA BLVD. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes RrNo 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: KRI1U4 A-Npt izs N toms7l-UGTION CO• State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (pi a- 3(ob- 7gg71 (office) &I - 335- 7,7.(.. Mailing Address: 5,7.5 SOUTH $+" ST. City:u/NNt,}PpL►S ZIP: 5 5q01 Contact Person: J i M $fes w,rH Applicant is: ntrac Ty / Homeowner (circle One) Email and/or Fax: J i►1Yi• li1Cc wi lilts Kira avute-i- o✓i. Lvw1 PROPERTY OWNER INFORMATION: Name: KQA J$ ANDEg-501 R€A-1-7y Phone (day): 952 - 881- 0/111 Address: yat)D W1;ST OLD 51til-kOrEE ROAD' City: 13.i:bDit1/N6TON ZIP: Email and/or Fax: nial ex&late&git.ned fy• Com PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) [Remodel IIIFire Damage MCWD review&permits: 1=I Re-roof, asphalt 111 Repair 111 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 111 Re-roof, other(specify) [' Siding 111Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 03, ih90 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 informal., that you are asked to provide on this application is classified by State law as either private or confidential. Private data/is formation P. 'energy cannot be given to the public but can be given to the subject of the data. Confidential data is informa on which.f ner• y cannot be given to either the public or the subject of the data. Our purpose and intended use of this inform:tion is 'n .Ily upda our -cords and records of other governmental agencies required by law. If you refuse to,supply the ii f. matin .e a•,• 'cab. .•�not be issued. Applicant's Signature: (..4)77 - Date: /,, ' L/_ J L/ Owner's Signature: / Date: Last Updated:03/06/2013'/ PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 3 S W A'214 m (3'W in Description of work: 117V Septic review by: N16- Date Approved: Zoning review by: N I il Date Approved: Building review by: (9,-- Date Approved: L-'3 - 7-D 1(-4 Grading review by: /VIA" Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zon • •: Lot Area: SF/AC Width: Lot Coverage: ' _% Survey • •mitted: 0 Yes 0 No Date of Survey: Revised •- e(?): Proposed Se •acks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Othe c uildings Wetland Side Side / / Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = #of St ries Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: The distance between t lowest FA BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the bas ent or crawl f space)and the highest point f 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 HIPPED ROOF(no`.. • GABLE OR HIPPED ROOF(no windows): Subtract half the \. / windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof ' SUBTRACTION gable or hipped roof (BASED ON ROOF • GABLE OR HIPPED ROOF With (BASED ON • GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half t ROOF TYPE) windows): Subtract half the distance distance between the t of the between the top of the highest highest window and e highest window and the highest point of the point of the roofroof • ALL OTHER R•OF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc.No 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 basement/cr. I space floor and the EXISTING the foundation. GRADES) highest exi- ing grade adjacent to the GRADES) foundati• OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defin-d building height Shoreland Distrip( MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes 0 No 0 N/A 0 Yes 0 No 0 Yes /No ❑ Yes ❑ No ❑ N/A Permit Number: Setback: Stor ater Quality Existing Proposed Variance Required CUP Required Ove ay District Tier Hardcover Hardcover 0 Yes 0 No 0 Yes 0 No Type(s): Type(s): Updated: January 2013 /) ) G�O v:\forms\plan review checklist 2013.docx /v V (/�H/N l� REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee ✓� SAC—Number of SAC Units f/ Other(specify) Square Footage $per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ / UO Q° Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site /Plumbing ❑ Grading/ Filling 0 Well ❑ Hardcover Removal ,"Mechanical 0 Fire ,Electrical 0 Septic ❑ Water Connection a /Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed Mfg. ,"Framing 0 Other(specify) Insulation ❑ As-Built Survey ,alin al O Wetland Buffer O 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 2013 v:\forms\plan review checklist 2013.docx