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Home My WebLink About2016-00092 - addn/remodel/repair , CITY OF ORONO * z 0 1 6 - 0 0 0 9 Z * 2750 KELLEY PARKWAY DATE ISSUED: OU28/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1270 BRIAR ST PIN : 10-117-23-31-0038 LEGAL DESC : CRYSTAL BAY MINNETONKA : LOT O10 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 804.00 NOTE: BLOWING INSULATION IN WALLS. NOTE: PROVIDE INSULATION CERTIFICATE FROM INSTALLER AT FINAL INSPECTION. APPLICANT PERMIT FEE SCHEDULE 39.89 STATE SURCHARGE(VALUATION) 0.40 CRAFTMASTERS REMODELING MAIL-IN FEE 2.00 2495 MAPLEWOOD DR#314 MAPLEWOOD, MN 55109- TOTAL 42.29 (651)757-4100 Payment(s) Minnesota State License#: BUIL-BC627243 CREDIT CARD 8204 42.29 OWNER RANGE,JOHN 1270 BRIAR ST 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 Building Code.This permit may be revoked at any time for due cause. ► � -e l �Z�� / Applicant Permitee Signature Date Issued B ignature Date Jan 27 16 12:49p Craftmasters Remodeling 6517574106 p.2 City of Orono Building Permit AppEication for Maintenance 1 RepEacement/ Remodel — Residential ONLY , __ ___ :�. �_." • � ��Maifing Address: _.- � �� Permit number:�� . `�� 1�j .. PO Box 66 � �. Crystal Bay, MN 55323-0066 Date recaived: / - Z 7 —� �o , l � `i Received by: ` Streef Address� \ i ;: 2750 Kelley Parkway Plan review fee: �'` �E �', Orono,MN 5535fi �f � �;`��e�t',� Total Fee: c.�- � �.��M"�v1ain: 952-249-G606 Fax: 952-249-4"016 :�.��t�:�i.��'�t'��u� C This applicatlon form must be cornpleted in full and all required informatian must be submitied_ Incomptete applicaFions wifl be returned. {Please prrnf) GENERAL INFORMATION: '��)� y� � Job Site Address: t ��' � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No Ifyes,a specral eveni permif is requ.�red wi[h Police Cepa,dment and City Council approvai 60 day�s prior�o the event ShuKie tius servrce wr�l be required unless applicant demonst�ates suHicienf on-site pa,king is availabfe. Non-permittea events wi�l not be a1loNed. CONl"RACTO�t! PPLICAN+ T I�IFORMATION, ` Name: �`��L�-�-�f's>-f-i��v2`7 ��.:1_�.C�L.L��-�7�-_ State License# j (y,(� � Expiration Date: �- �i y c� � Expiration Date: � � ZE LeadCertificatlon Number: - 2,�`l� ` (for work on hames fhat were consfructed prior to 19T8 _,.--� Pnone: (cell) (office) �"�71 -��.�'7��--�--4 �.il.i' Nlailing Address: � °�� Y� �.L�� :C� . City: , �.�,`�ZIP: -��-f�j`� Contact Person: � j'�r�� Applicant is: �ontract,/or I Homeowner �c��ie or,e� EmailandlorFax: ��c-:..-�---�-r�.t` S�� 'L vi�� C?,:�. - � . �.C;1Y`1 �e��ji�57��C'-'�i� PROPERTY OWNEF2 INFORMATI�N: � ,,�„ . Name: �� 1'7 '� � `;4-- Phone (day): � Address: j�`�I�'"� City: ZIP: Ernaii andlor Fax: ��(��v�.?1 �' �Y1S��'?`-31 ��1 Z��-�-s�� PROJECT INFORMATI�N: Overall project description; � qny earth movement may also require Type of Project: I�ICWD review 8�perrnits: ❑ Door(s) ❑Remodel ❑Fire Damage Minne4�aha Creek Watershed Dlstrict;fv1CWD) ❑ Re-roof,asphalt ❑ Rep2ir ❑Storm Damage 15320 Wlinnetonka B':vd ❑Re-roof,cedar ❑ Restorafion ❑Water Damage Minnetonka, fv1N 55345 Phone: 952-471-459D ❑ Re-roof,other(speciiy) [� Siding �.ther:�speclfy) , Fax: 952-471-0682 I� �� ❑Window(s) �I��l� �� vrv«,n31nnE�; s ��F:c;:_K�:.� � ' Estimated Construction Valuation of Project (excluding land) � �' APPLICANT ACKNOWL.EDGEMENT: . Agrees to provide all informatlon required or requestec by the Building Department; • Certifies that the lnformation supplied is true and correct to the besi of hislher knowledge. The applicant recognizes that they are solely responslble for submitting a complete application being aware ihat upon faifure to do so,the staff has no altemalive but to rejeci it until it is complete; • Sorne or a�l of the is�foRnation that you are asked to provide on this application '�s classified oy State law as either private or confidentiaL Private d2ta is'mformation which generally cannot be given to the p�blic but can be given to the subject of the data. Confidential data is information which generally cannot be given to e�ther the public or the subject o#the data. Our purpos� and intended use of this information is :o annually update our records and records of other governmental agendes required by law. If j o�refuse to s� informaiion ihe a li lion ma�not be issued. � �-{ � �,, Z.� J�n ��- � � Appllcant's 5ignature's. I ,��'``'` Date: Owner's Signature' Date: Lasc Updated:January�201 � //�{qs �/n G� �.�� X �� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: l L.,�V �/'lCll/'" ,Cj�ii"C�iei! ` Permit No.: Description of work: Date Rec'd: Y' x' Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: ` Date Approved: � � ,�_ Grading review by: Date Approved: / Zoning District: Zoning File#: R so#: Reso Date: Zoning: Lot Area: SF/AC Width: ot Coverage: SF % Survey Submitted: 0 Y � No Date of Surv : Revised date(?): Landscape plan submitted? 0 Yes � No Landscap : Proposed Setbacks: Front (Lake) Rear(Str�et) ( N S E W ) ( N S E W ) Other Buildings Wetland � Side Side i" �� ' Defined Height: P ak Height: %FFE: FFE minus 6 feet= (Existing Contour; _ � , / Perimeter linear feet - � ° �� ( ) 50/o =, L.F, below grade Basement? 0 Yes ❑ No, �� Stories ,\ FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE' FOR A BUILDING ON A SLAB FOUNDATION: The distance ketween t�lowest proposed Slab at or above grade— START W ITH floor(of the baSement q crawl space)and measure from hiahest existina the highest point of th roof. START W ITH ra ade to the highest point of the roof even if fill was brought in to � ` elevate home. If you have a... ` SUBTR,4CTION • GABLE OR/�IPPED ROOF(no Slab below grade—measure (BASED ON windows):/S tract half the distance from highest existing grade to the ROOF TYPE) between�Yhe h�ghest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... gable q�hipped roof • GABLE OR HIPPED ROOF SUBTRACTION (no windows): Subtract half • GABLE OR HIPPED ROOF(with (BASED ON the distance between the wind'ows): Subtract half the distance ROOF TYPE) highest point of the roof to between the top of the highest the low point of the wjndow and.the hi�hest point of the ` rQof corresponding gable or �; � hipped roof • ALL OTHER ROOF'(YPES(flat, • GABLE OR HIPPED ROOF � mansard,etc):No su traction. (with windows): Subtract SUBTRACTION Subtract the distance betwe�n the half the distance between (BASED ON basemenUcrawl space floor nd the the top of the highest EXISTING highest existing grade adjacer�t 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 Detined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx �; �, ; Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? � Yes 0 No Permit Number: � Yes ❑ No 0 N/A � Ye No � � N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and s 0 Yes � No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit t Plan Review State Surcharge �/' 's Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e ; Basement X = $ 1 St Floor X = $ 2nd FIoOr X = $ Garage X = $ �. Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site � Plumbing � Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical � Fire � Foundation Survey 0 Hardcover Removal � Septic � Water Connection � Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection 0 Framing 0 Masonry 0 Lawn Irrigation ❑ Insulation � Mfg. � Landscaping £ � As-Built Survey 0 Other(specify) Final 0 athe Required State Permits � Other(specify) � Well 0 Electrical V REMARKS (in-house): � OFFICIAL REMARKS -TO BE NOTED ON RERMIT AND INITIALLED: � See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be sy�bmitted and appr ved. ,^o r d i� i� � {' � ,�m � � t� lle � ��c� i,� s � �� Updated: October 2015 �•Ifnrmclnlan roviaw chcc41ic4 9(1_9(11.ri rinnv