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Home My WebLink About2017-00305 - addn/remodel/repair , CITY OF ORONO * Z 0 1 7 - 0 0 3 0 5 * 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1270 FRENCH CREEK DR PIN : 10-117-23-32-0014 LEGAL DESC : FRENCH CREEK : LOT 006 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL,ELECTRICAL(STATE) [NTER[OR REMODEL APPLICANT PERMIT FEE SCHEDULE 794.72 STATE SURCHARGE(VALUATION) 30.00 JOHN KRAEMER&SONS, INC. 4906 LINCOLN DR. TOTAL 824.72 EDINA, MN 55436- Payment(s) (952)935-9100 CHECK 66779 824.72 Minnesota State License#: BUIL-BC001408 OWIYER MAKHIJA,GAURAV& REMA 1270 FRENCH CREEK DR 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 E3uilding 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. � . l( // � . _ .�'' /� ��' r� C l ��f ( �;->( C�� .� �� 1 Applicant rmitee Signature Date Issued By Signature Date � City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �1 O Mailing Address: Permit number: � ��S PO Box 66 r � - Crystal Bay, MN 55323-0066 Date received: - �-� "�7 �' �\1 Street Address: , �� Received by: � ____ �� -__, y � .� 2750 Kelle Parkwa� � �. �. � � Y �� Plan review fee:_ �� , �7 �, � Orono, MN 55356 � �`L� � ��.�" - _ �qk£s rt o Total Fee: ��1��fl� �0� _ 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: Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No 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 un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��r�R 21L��- �{- ��S State License# �� Expiration Date: � Lead Certification Number: N�T-1��15�j-2 Expiration Date: ��,Z �� (for work on homes that were constructed prior to 1978 Phone: (cell) �' ' �� ' (office) �j�� '��j� ��lU� Mailing Address: � City: - ZIP: , �3�: Contact Person: ��v;a, Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � � ,��, ^ � . PROPERTY OWNER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ 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) $ 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 inf rma'on, he licat' n ma not be issued. Applicant's Signature: � � � � Date: Z,�� Owner's Signature: Date: Last Updated:January 2016 ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS � � . � � � � Address: 1 � �� C',i?C��.��t�.�� iiv�"�eL'C;' Permit No.: �;,�� G' .�� Description of work: Date Rec'd: Septic review by: �'<-%�� i�� ' �- , Date Approved: Zoning review by: Date Approved: -4 q Building review by: •?� . Date Approved: t Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: � Yes � No Date of Survey: Revised date(?): Landscape plan submitted? � Yes No Landscaper: / Proposed Setbacks: i / Front(Lake) Rear(Street) ( N S W ) ( N� S E W ) Other Buildings Wetland Sid Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) / Perimeter(linear feet) = 50% _ / L.F. below grade Basement? � Yes 0 No, Stories �� i � FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: % FOR A BUILDING ON A SLAB FOUNDATION: The distance between the ow st proposed Slab at or above grade— floor(of the basement or�rawli space)and measure from hiQhest existina START WITH the highest point of the y6of. �I rq ade to the highest point of the START WITH root even if fill was brought in to elevate home. If you have a... i, SUBTRACTION • GABLE OR H�PED ROVF(no Slab below grade—measure (BASED ON windows): Spbtract half the distance from highest existing grade to the ROOF TYPE) between th highest poinf,of the roof hi hest oint of the roof. to the low oint of the corr@sponding If you have a... gable or hj�ped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GABL�R HIPPED ROOF(with (BASED ON (no windows): Subtract half window ): Subtract half the distance ROOF TYPE) the distance between the betwe, n the top of the highest highest point of the roof to winc�ow and the highest poini of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(�lat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction; (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the�� the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is I�S). point of the roof \ • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined 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 Bluff� Met? 0 Yes 0 No Permit Number: � Yes 0 No � N/A � Ye No � 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit t/ Plan Review State Surcharge �� Investigation Fee (� SAC—Number of SAC Units t/' Other(specify) � Square Foota e $ per Square Footage Basement X = $ 1 S� Floor X = $ 2nd FIOo� X = $ Garage X = $ _i Estimated Construction Value: � i Orono Inspections Required Work Requiring Separate Permits � Footing � Site �Plumbing 0 Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire 0 Foundation Survey 0 Hardcover Removal 0 Septic � Water Connection 0 Foundation Waterproofing � Other(specify) 0 Fireplace � Sewer Connection �Framing � Masonry � Lawn Irrigation � Insulation � Mfg. � Landscaping 0 As-Built Survey � Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 r\fnrmc\nlan ravia�ei rharklict 1(1_9(11�i rinrv , \ 1/ DATE TIME " CITY OF ORONO cnLLED IN INSPECTION OTI E ,� SCHEDULED � __�L=_� PERMIT NO. � — ��O COMPLETED ADDRESS � Z�� NNER TELEPHONE NO.In(2 ct Lv �'-��1 CONTRACTOR�.J � �� ►'� � DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL__,,,` ❑TREE REMOVAL Z ❑ RADON SLAB �--II-M��H _�SL"�--�% ❑ SITE INSPECTION FRAMING ECHAN L' ❑ RATED WALLS 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 OWNERICONiRACTOR TO MEET YOU:_YES_NO y COMMENT'� � /� �V f k,.s� s ��u�' j 0 � �•t,�. e � OO W � Q � W W aC , � �WORK SATISFACTOFlY:PFiOCEED ❑PROJECT COMPLEfE w O OORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPOFiARY V BEFOREtt�NNERIN(i PERMANENT ❑COitRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ CaN for tl�e next inspection 24 hours in advanoe. (952) 249-4600 site: Inspector. White CopyAnspscM�'s Ffl� Canary CopylSib Nodcs